Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: alchohol withdrawl major surgical or invasive procedure: none history of present illness: 46 yo man with a history of etoh abuse/withdrawl (last admit ), hcv, and anxiety who was admitted yesterday for etoh withdrawl requesting detox. this was prompted reportedly by an altercation with his landlord and he was brought in by his girlfriend. etoh level on admit (0810 ) 328. on the medical floor he was noted to have increasing benzodiazepine requiriements with increased anxiety and tremulousness. prior to transfer he received: : diazepam 5mg iv: 1700, 1800, , , 2120, 2220, 2230 (35mg) : diazepam 5mg iv 0000, 0100 diazepam 20mg iv 0130, 0615, 0815, 1000 (90mg) lorazepam 4mg iv 0200 he notes on interview that he has had etoh withdrawl in the past with report of seizure. he is asking for '40mg valium every hour so he can sleep through it'. he notes chest pressure (chronic, baseline), productive cough (yellow sputum, no blood) also baseline; denies fevers, chills, sob, abdominal pain, nausea, vomitting, constipation, diarrhea, melena, brbpr, dysuria, leg pain. during the interview however he experienced 'an anxiety attack' associated with abdominal pain. he notes last cocaine 4 days prior to admission, 1 line. he notes last drink , drinks 1l vodka/day, h/o iv cocaine (not recent), tried heroin age 18, last marijauna 1 week ago. he is currently requesting inpatient etoh detox. vs prior to transfer: t 99.2 bp 125/103 (125-170/107-131) hr 98 (98-104) rr 20 sat 98% ra. ciwa currently 11 (). with his last admission he required 20mg po q1-2 hours until lethargic for the first 36 hours, then was able to be managed with ciwa. additionally he was seen by psychiatry on his last admit and started on zyprexa 5mg qam/7.5mg qpm and buspar 5mg tid for anxiety. he discontinued these medications on discharge. he was recommended for psychiatric f/u on d/c which he did not pursue. . past medical history: - etoh abuse with multiple admissions for w/d - h/o withdrawl seizures - alcoholic dilated cardiomyopathy (last records indicated an ef of 40-45% with mild global hk) - cocaine abuse - hypothyroidism - h/o head and neck cancer s/p resection and radiation in - bilateral cavitary lung lesions; bx demonstrated aspergillous fumigatus and albicans . tuberculosis negative. pt did not comply with course of anti-fungals, but has no evidence of active infection. - h/o c. diff colitis, no current diarrhea - h/o ivda per osh records (pt denies) - hcv (no serologies in omr) social history: recently cut down to 5-6 cigs/day, prior to that he smoked 1 ppd x30 years. heavy etoh use; drinks 1 shot of vodka every 3 hours (~1 pint per day). sober x10 years, started drinking again 1.5 yrs ago. +cocaine abuse. he denies ivda although history questionable. sexually active with his girlfriend. reports negative hiv test 2 yrs ago. family history: mother - cad. sister - h/o cva. reports his father was the " strangler," and that he and his mother changed their names after his arrest, etc. physical exam: vitals: tm 97.6, tc 96.1, bp 120/80, hr 88, rr 20, sat 98% on room air gen -- calm, interactive, nad, very thin heent -- evidence of well healed remote left radical neck dissection, op clear, sclera anicteric, no evidence of lymphadenopathy heart -- regular lungs -- clear abd -- soft, nontender, well healed gastrostomy scar superior to umbilicus, appropriate bowel sounds ext -- no edema, rash or lesion pertinent results: 07:45am blood wbc-6.3 rbc-3.42* hgb-11.6* hct-34.9* mcv-102* mch-34.0* mchc-33.4 rdw-15.0 plt ct-157# 07:15am blood plt smr-low plt ct-81* 05:24am blood plt ct-75* 08:20am blood plt ct-83* 07:45am blood plt ct-157# 06:50am blood glucose-100 urean-23* creat-0.9 na-140 k-4.2 cl-101 hco3-29 angap-14 08:10am blood ctropnt-<0.01 08:30pm blood ck-mb-7 ctropnt-<0.01 09:05am blood ck-mb-5 ctropnt-<0.01 08:20am blood calcium-10.0 phos-3.6 mg-1.6 07:25am blood calcium-10.5* 07:45am blood calcium-11.0* phos-5.3*# mg-1.6 06:50am blood calcium-10.2 09:05am blood vitb12-415 folate-greater th 08:10am blood pth-12* 08:10am blood asa-neg ethanol-328* acetmnp-unable to bnzodzp-neg barbitr-neg tricycl-neg 04:30pm blood parathyroid hormone related protein-pnd 04:30pm blood vitamin d 25 hydroxy-pnd 04:30pm blood vitamin d dihydroxy-pnd 08:20am blood freeca-1.30 brief hospital course: 1. alcohol withdrawal -- mr. required large amounts of valium (greater than 100 mg q24 hours) to control his withdrawal symptoms. he was briefly transferred to the for concerns about the quantity of his benzodiazepines and possibility of sedation. however, he did well and 5 days after admission a taper was initiated 10% per day, discharging to inpatient psychiatry on 10 mg po valium q6hours with 5 mg po q3 hours prn, to continue tapering as tolerated. 2. anxiety -- mr. complained of severe anxiety throughout his stay, initially attributed to his withdrawal, but persisting after withdrawal symptoms resolved. psychiatry had been contact in previous stays, and kindly offered their advice again. we initiated buspar 5 mg po qday and 10 mg po qhs, and increased his olanzipine dose to 7.5 mg po bid with prn 2.5 mg doses q8h. 3. delusional psychosis/impaired judgement -- psychiatry consulted regarding mr. anxiety as well as bizarre behavior, attempts to leave ama, and agitation. his behavior was felt to be potential for harm to self, and he had a section 12 placed so he could not leave ama. he will be transferred to an inpatient psychiatry facility on discharge for further evaluation and management. 4. hypercalcemia -- mr. was noted to have calcium levels as high as 11.0 during his stay. a pth was low, and pth related peptide and calcitriol/calcidiol levels were pending on discharge. given his history of head/neck carcinoma, this is concerning for hypercalcemia of malignancy. this was explained to the patient and he will need close follow up for malignancy workup if his pth-rp returns elevated, likely starting with a neck ct scan. clinically, he has no physical exam evidence of recurrence. 5. hypertension -- remained stable on metoprolol and hctz. 6. alcoholic dilated cardiomyopathy -- stable, on metoprolol . it should be considered to initiate an ace inhibitor in his case, but the patient refused during this hospitalization because of previous episodes of hypotension. medications on admission: - aspirin 81 mg po daily - folic acid 1 mg daily - hexavitamin po daily - thiamine hcl 100 mg po daily - lisinopril 5 mg po daily - levothyroxine 75 mcg po daily - nicotine 21-14-7 mg/24 hr patch daily once a day. - digoxin 125 mcg po once a day discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 7. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 8. hexavitamin tablet sig: one (1) cap po daily (daily). 9. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 10. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. olanzapine 2.5 mg tablet sig: one (1) tablet po qid (4 times a day) as needed for agitation. 13. buspirone 5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 14. buspirone 10 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 15. diazepam 10 mg tablet sig: one (1) tablet po q6h (every 6 hours): taper by 20% per day. 16. diazepam 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for ciwa>10. discharge disposition: extended care facility: 4 discharge diagnosis: 1. alcohol dependence and withdrawal 2. anxiety 3. acute psychosis 4. hypertension 5. history of probable aspergillosis, stable 6. mild hypercalcemia of unknown cause discharge condition: medically stable, on valium taper, with continued acute psychosis discharge instructions: you were hospitalized for alcohol withdrawal. you have been doing well with a benzodiazepine taper. because of your symptoms of anxiety and psychosis, we are sending you to an inpatient psychiatric facility for further evaluation and treatment. followup instructions: you should follow up with your primary care physician at community health center for further evaluation and care after discharge from the psychiatry facility, particularly for your hypercalcemia. this may be related to several possible reasons, including a recurrence of your malignancy. procedure: combined alcohol and drug detoxification diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism candidiasis of mouth hypopotassemia systolic heart failure, unspecified anxiety state, unspecified personal history of noncompliance with medical treatment, presenting hazards to health drug withdrawal cocaine dependence, continuous aspergillosis hypercalcemia alcoholic cardiomyopathy alcohol withdrawal unspecified psychosis acute alcoholic intoxication in alcoholism, continuous personal history of malignant neoplasm of other sites unspecified local infection of skin and subcutaneous tissue 

Answer: The patient is high likely exposed to