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: lower extremity weakness & numbness (right>left) major surgical or invasive procedure: laminectomy t9 and 10, removal of epidural cyst, and dural closure. history of present illness: hpi: 33 yo male with a history of alcohol dependence and peripheral neuropathy who presents with two days of bilateral lower extremity weakness and numbness. mr. was in his usual state of health until two days ago when he woke up with numbness and pain in both of his legs (r>l), starting at the feet and tracking upward. though he has had peripheral neuropathy in his legs in the past, the current episode of pain was by far the most severe of his life, and in fact he was unable to walk or even bear weight. he was seen at hospital where mri of the thoracic spine revealed a mass at the level of t10, initially thought to be consistent with an epidural abscess. he was transferred to for surgical consideration. the mass was reomoved and found to be consistent with a cyst. it was not felt that this mass could explain the presenting symptoms, and in fact mr. reports little or no improvement since surgery. currently, he reports numbness and pain in both legs (r>l)most intense at the foot and extending up to the ankle. past medical history: alcohol dependence with h/o withdrawal (shakes, dts) and seizure peripheral neuropathy lower extremities reportedly ascribed to alcohol abuse asthma psoriasis social history: lives in with parents, recently separated from wife and 2 (6,8). works as a carpenter. alcohol: gallon/day vodka daily or almost daily for 16 years. has experienced periods of sobriety for up to 2 months. expresses desire to cut down. tobacco: ppd x years drugs: denies past or present use, inclduing ivdu. family history: parents, children healthy. physical exam: vs - temp 99.9f, bp 128/73, hr 94, r 20, o2-sat 97% ra general - young man lying in bed on his back, complains of pain heent - nc/at, perrl, eomi, sclerae anicteric, mmm neck - supple, no lad or thyromegaly lungs - cta bilat, no r/rh/wh heart - rrr, no mrg, nl s1-s2 abdomen - +bs, soft/nt/nd, liver not palpated extremities - wwp, no c/c/e, 2+ dps skin - no jaundice or stigmata of chronic liver disease neuro - awake, a&ox3, attentive, + calculations, average fund of knowledge cn ii-xii intact motor normal bulk and tone. no fasciculations. bue throughout; 4+/5 left thigh extension, 2-3/5 plantar flexion b/l, dorsiflexion, otherwise throughout ble sensation to soft touch, temperature decreased in both feet to the level of the ankle. normal bue and face. ? deficit or proprioception in both feet, but intact bue. reflexes: 2 patellar b/l, 0 ankle b/l, babinski down on left, mute on right cerebellar signs: no deficit of finger-to-nose, rapid alternating movements. gait: deferred pertinent results: admission labs: 09:15pm wbc-7.5 rbc-4.28* hgb-14.2 hct-40.1 mcv-94 mch-33.3* mchc-35.5* rdw-13.9 09:15pm neuts-73.4* lymphs-21.1 monos-4.6 eos-0.4 basos-0.4 09:15pm plt count-152 09:15pm pt-12.0 ptt-29.3 inr(pt)-1.0 09:15pm glucose-90 urea n-12 creat-0.7 sodium-134 potassium-3.5 chloride-95* total co2-21* anion gap-22* 09:15pm calcium-7.9* phosphate-2.1* magnesium-1.9 09:50pm urine rbc-0 wbc-0 bacteria-0 yeast-none epi-0 09:50pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-150 bilirubin-neg urobilngn-1 ph-6.5 leuk-neg discharge labs: wbc 6.5, hct 31.9, plt 127 ck 1610 . imaging: mri t-spine ():dorsal and right lateral epidural fluid intensity lesion at t9-10 level. the absence of enhancement centrally or peripherally argues against the finding being an epidural phlegmon or abscess, and favors an arachnoid cyst. . mri l-spine (): no evidence of discitis, osteomyelitis, or epidural abscess. mild spondylosis at l4/5 and l5/s1. a left paracentral disc protrusion at l5/s1 may contact to the left s1 nerve root in the lateral recess. . cxr (): in comparison with the study of , there is no interval change. specifically, there is no evidence of pneumonia to explain the postoperative fever. . tte : the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. . no vegetation seen (cannot definitively exclude). . emg (): complex, abnormal study. the electrophysiologic findings suggest a mild-to- moderate chronic generalized sensorimotor polyneuropathy with axonal features. the absence of motor unit activity in right tibialis anterior, gastrocnemius, and extensor hallucis longus suggests either central nervous system dysfunction or a severe, acute neurogenic lesion. coupled with the ongoing denervation present in right l5 paraspinal muscles, these findings may reflect an acute (<3 weeks) right l5-s1 radiculopathy. there is no evidence for a primary demyelinating polyradiculoneuropathy, as in guillain- syndrome. . lp: protein 75, glucose 61, wbc 10, rbc 425, poly 27%, lymph 35%, mono 38% . micro: urine culture neg. blood culture , , negative blood culture : pending at discharge, ngtd hcv vl pending lyme ab negative rpr negative brief hospital course: assessment and plan: 33 yo male with a h/o alcohol dependence (previous withdrawal and seizures) and peripheral neuropathy who presented with acute onset bilateral lower extremity weakness and numbness (r>l), still of uncertain etiology. patient is now s/p surgical laminectomy t9/t10 and removal of epidural cyst. . 1) lower extremity numbness and weakness: patient presented with sudden onset of this weakness/numbness on . initial imaging was suspicious for an epidural abscess, which later proved to be an epidural cyst upon resection. laminectomy and removal of the cyst did not ameliorate the symptoms. over the course of the hospitalization, the lle improved to 5/5 strength throughout with minimal sensory deficits. in contrast, the rle remained with 1-2/5 strength on plantar flexion and dorsiflexion at the ankle, and flexion at the knee, otherwise . sensory deficits in the lle also improved though not completely. the patient could ambulate with confidence only with a walker, but dragged his right foot. he was started on gabapentin for neuropathic pain which provided some symptomatic relief. this can continue to be uptitrated as an outpatient. . these findings were felt to most likley represent a peripheral neuropathy over a central process. there was no evidence of demyelination on emg, arguing against -. b12, folate, tsh, hiv, rpr, lyme, hbv were normal. hcv antibody was positive, and this was a new finding to mr. knowledge, though viral load was pending at discharge. an lp was perfomed, revealing protein 75, glucose 61, 10 wbc. an mri of the l-spine was remarkable only for question of a possible disc protrusion affecting the l5/s1 nerve root on the left, though mr. major findings were on the right. a blood smear did not reveal evidence of lead toxicity (basophilic stippling). the differential continues to include neuropathy secondary to alcoholism, heavy metal poisoning (lead, arsenic), cryoglobulinemia secondary to hcv. he will follow up with neurology as an outpatient for lp results and further evaluation. he was discharged home with outpatient pt to work on strength and balance. . 2) alcohol withdrawal: patient was maintained on the ciwa scale with prn valium, though he required minimal dosing after transfer from the micu to the floor on hd3. patient expresses some desire to cut down on drinking, and options such as aa and pharmacologic assistance with naltrexone, acamprosate, etc were discussed. given his new diagnosis of hep c we reinforced the importance of abstaining from alcohol. . 3) elevated ck: patient on admission had a ck>6000, which trended downward. he was initially given ivf for renal protection and his ck trended down. last ck value was 1610. etiology was unclear but it was possibly alcohol related myopathy. there was no history of trauma or drug use. his renal function remained normal throughout the admission. . 4)pain: mr. required significant opiate doses to control the pain both in his legs and at his surgical site in his back. he was maintained on satnding acetaminophen, ibuprofen, and started on ms contin. his morphine dose was uptirated with good effect to a discharge dose of 30 mg . he was also started on gabapentin as above. . 5) anti-hcv antibody positive: this is a new diagnosis for this patient. the significance of this finding was explained to mr. . he does not know how he could have gotten this, but does note mutliple tattoos including one obtained in prison. viral load was sent and was pending at discharge. he will follow up with hepatology as an outpatient. . 6)disposition: to home with services. mr. will need to continue work up as an outpatient. he will follow up with dr. in neurology, and plans to establish a pcp at . . medications on admission: albuertol inhaler prn discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours) as needed for pain for 2 weeks. disp:*60 tablet(s)* refills:*0* 2. ibuprofen 400 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain for 2 weeks. disp:*60 tablet(s)* refills:*0* 3. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 5. morphine 30 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours) for 2 weeks. disp:*28 tablet sustained release(s)* refills:*0* 6. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every four (4) hours as needed for shortness of breath or wheezing. 7. multivitamin tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. outpatient physical therapy work on strength and balance discharge disposition: home discharge diagnosis: bilateral lower extremity weakness peripheral neuropathy epidural cyst hepatitis c alcohol dependence asthma discharge condition: afebrile. able to ambulate with assistance. stable for discharge. discharge instructions: you were admitted to the hospital with weakness in your legs. an mri of your spine showed a lesion in your thoracic spine that was concerning for infection. you had an operation to remove this and it was found to be a cyst without any infection. we did not feel that your symptoms were related to this finding. . you had multiple tests looking for a cause of your weakness that were all negative. you also had an emg that showed a neuropathy, however the cause of this is still unknown. you also had a lumbar puncture and the results of this were pending at the time of discharge. . while in the hospital you had significant pain. we started you on a medication called gabapentin for "nerve" pain. this can be increased by your pcp if needed. we also started you on long-acting morphine. as your pain improves this will need to be weaned off by your doctor. . you were found to have a new diagnosis of hepatitis c based on a positive antibody test. you may need treatment for this and you will need to follow up with a liver specialist to discuss this further. we encouraged you to abstain from drinking which with the hepatitis c could cause significant problems with your liver. . please keep follow up appointments as outlined below. . call your doctor or return to the emergency department if you experience worsening weakness, pain, high fevers, chills, breathing difficulties or other concerning symptoms. followup instructions: you will need to follow up with neurology, dr. . please call to schedule this appointment for as soon as possible. you will need to follow up the results of your lumbar puncture at this visit. . you should follow up with your pcp weeks. you expressed interest in finding a new pcp. can call the clinic here at to schedule an appointment with a new pcp if you choose. you should check with your insurance whether this is possible. . you will need to follow up with your orthopedic surgeon dr. in 10 days. you can call to schedule this appointment. . you will also need to follow up with a liver specialist for your new diagnosis of hepatitis c. please call ( to schedule this appointment. procedure: spinal tap incision of lung imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges other exploration and decompression of spinal canal diagnoses: tobacco use disorder unspecified viral hepatitis c without hepatic coma asthma, unspecified type, unspecified alcoholic polyneuropathy toxic myopathy other and unspecified alcohol dependence, unspecified other psoriasis rhabdomyolysis paraplegia alcohol withdrawal other acquired deformities of ankle and foot unspecified disease of spinal cord disorders of meninges, not elsewhere classified 

Answer: The patient is high likely exposed to