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: no known allergies / adverse drug reactions attending: chief complaint: altered mental status, jaundice, abdominal pain and swelling major surgical or invasive procedure: paracentesis history of present illness: mr. is a 27 year old man with history of alcohol abuse (18beers per day for 12 years), etoh withdrawal seizures requiring 2 micu admissions in past, presented to with increasing jaundice, abdominal distension, encephalopathy, found to have etoh level of 325, tylenol level of 13, transferred to micu for further management. patient was visiting his sister from , complaining of increasing diffuse abdominal pain for the last week. he noticed that his abdomen has become increasingly distended, and his family noticed that his eyes were becoming increasingly yellow. he presented initially to urgent care for abdominal pain and distension and was admitted to . he was easily arousable and oriented, with mild asterixis. abdominal ultrasound (without dopplers) was unremarkable. ruq ultrasound was significant for cholelithiasis without cystitis or bile duct dilation and hyperecogenic liver consistent with hepatosteatosis. labs were remarkable for tbili of 18 with dbili of 8, ast of 350, inr 2.1, lipase 1100, na 116. etoh level was noted to be 220, and apap level of 13. he had 3 beers night before admission but family reports he has not taken any tylenol. patient was given a dose of n-acetylcysteine, 5600mg iv x1. diagnostic paracentesis was negative for sbp with wbc 100 and negative gram stain, culture pending. patient was started on ceftaz empirically. he was given 40mg iv solumedrol for potential alcoholic hepatitis. he was also given 2mg iv lorazepam out of concern for potential etoh withdrawal. he also received rifaximin x1, pentoxyfilline and potassium 10meq. vitals at osh prior to transfer were as follows: 97.6 92 122/74 18 92%ra. he denies fevers, chills, lower extremity swelling. he does report nausea and vomiting and lethargy. family reports mental slowing. no diarrhea or constipation, cough, sob or chest pain. past medical history: hx of etoh abuse - hx of withdrawal seizures x6 requiring 2 micu stays in the past no other medical history social history: occupation: commercial fisherman drugs: none tobacco: 14 pack-yr history alcohol: 18 beers/day x12 years, most recently 4 beers/day family history: nc no family history of liver disease physical exam: admission physical exam: vitals: t:98.7 bp:139/97 p:100 r: 18 o2: 96% ra general: lethargic, slow to respond but arousable and oriented to person, place and time. diffusely jaundiced, bilateral gynecomastia and diffuse spider angiomata across chest and ue bilaterally. heent: sclera icteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, s1/s2 clear and of good quality, 2-3/6 systolic murmur heard throughout precordium, no rubs, gallops abdomen: distended, tense, tender to palpation over epigastrium and ruq without a sign. caput present, tympanic to percussion anteriorly with dullness to percussion over dependent regions. no fluid wave appreciated. gu: foley in place draining dark urine. ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: slow mentation, slow to respond but appropriate answers. significant asterixis in ue bilaterally but mild tongue fasciculations. arousable but oriented to person, place and time. no focal neurologic deficits otherwise pertinent results: admission labs: 11:49pm blood wbc-11.4* rbc-3.60* hgb-11.2* hct-32.1* mcv-89 mch-31.0 mchc-34.8 rdw-18.5* plt ct-92* 11:49pm blood neuts-89.6* bands-0 lymphs-7.6* monos-1.8* eos-0.6 baso-0.4 11:49pm blood pt-24.7* ptt-52.5* inr(pt)-2.3* 11:49pm blood glucose-157* urean-3* creat-0.5 na-121* k-3.1* cl-86* hco3-21* angap-17 11:49pm blood alt-40 ast-230* ld(ldh)-348* alkphos-196* totbili-17.8* pancreatitis trend: 11:49pm blood lipase-809* 11:49pm blood albumin-3.1* calcium-8.1* phos-1.5* mg-2.1 iron-140 11:49pm blood lipase-809* 05:50am blood lipase-638* 04:00am blood lipase-151* hepatitis trend: 11:49pm blood alt-40 ast-230* ld(ldh)-348* alkphos-196* totbili-17.8* 05:50am blood alt-37 ast-188* alkphos-186* amylase-288* totbili-18.8* dirbili-12.2* indbili-6.6 04:00am blood alt-35 ast-168* alkphos-188* totbili-20.7* 04:00am blood alt-34 ast-143* ld(ldh)-356* alkphos-182* totbili-19.4* 01:30am blood alt-34 ast-135* ld(ldh)-414* alkphos-173* totbili-17.9* 05:22am blood alt-23 ast-82* totbili-14.6* 01:06am blood alt-23 ast-74* totbili-13.8* inr trend: 11:49pm blood pt-24.7* ptt-52.5* inr(pt)-2.3* 04:00am blood pt-22.9* ptt-62.0* inr(pt)-2.1* 05:22am blood pt-23.4* ptt-79.6* inr(pt)-2.2* 01:06am blood pt-21.7* ptt-62.8* inr(pt)-2.0* hereditary liver disease labs: 11:49pm blood hcv ab-negative 06:30pm blood hcv ab-negative 11:49pm blood ttg-iga-13 11:49pm blood ethanol-72* 11:49pm blood igg-* iga-1025* 12:03am blood -negative 11:50pm blood smooth-positive * 11:49pm blood hbsag-negative hbsab-positive hbcab-negative hav ab-positive 04:20pm blood igm hav-negative 05:50am blood ammonia-37 11:49pm blood triglyc-161* 11:49pm blood caltibc-183* ferritn-235 trf-141* 04:35pm blood cryoglb-no cryoglo transitional issues: pending labs include: - blood ceruloplasmin - blood oxycodone - hereditary hemochromatosis mutation analysis - ebv - cmv - blood cultures pending reports: cxr: negative abd us:impression: 1. diffusely echogenic liver compatible with fatty infiltration; however, more advanced forms of liver disease such as cirrhosis or fibrosis cannot be excluded. 2. limited doppler evaluation of the liver given the patient's inability to cooperate. however, absence of flow in the expected location of the main portal vein is concerning for portal vein thrombosis. normal flow in the left portal vein. cta of the abdomen should be considered for further evaluation if clinically indicated. 3. large ascites. 4. gallbladder wall edema, likely secondary to ascites. gallbladder sludge. ct abd: impression: 1. enlarged fatty liver. 2. patent portal venous system without evidence of thrombus. 3. moderate ascites. 4. cholelithiasis without cholecystitis. wrist x-ray: negative brief hospital course: 27m with hx of etoh abuse, multiple alcohol withdrawal seizures including to micu admissions in past, presenting with progressive abdominal pain and distension with encephalopathy, transfered from osh for further management. . pt was diagnosed with alcoholic hepatitis with df = 57 and initially treated at osh with solumedrol and nac as tylenol ingestion had not yet been ruled out at that time. at micu, pt was found to have pancreatitis and alcoholic hepatitis and was treated with pentoxyphylline. paracentesis ruled out sbp, and no other evidence of infection. pt's course was complicated by persistent ams, which was determined to be secondary to hepatic encephalopathy and benzodiazepine administration for etoh withdrawal. pt was stabilized in the micu and transferred to for several days. while on et, pt was continually somnolent. other etiologies of ams were ruled out, but due to worsening somnolence and concern for airway protection, patient bounced back to micu. at this point, sbp was ruled out, he was taken off benzos and ct abdomen was completed which did not show worsening of liver/pancreatic pathologies. he was found to have a uti which was treated with cipro. pt was stabilized and returned to et. on , pt spiked a low grade temperature, but leukocytosis had been improving and pt was otherwise asymptomatic. blood and urine cultures were drawn and sent. several hours later, pt began spiking more significant temperatures and he began requiring an increased oxygen demand. pt was started on broad spectrum antibiotics, and given non-rebreather. his family (hcp) were contact and they came to the hospital immediately. they confirmed his code status as a dnr/dni and they refused icu care and bipap. at this point, pt's oxygen requirement could not be met with nrb and family decided to make pt and pt expired. medications on admission: none discharge medications: expired discharge disposition: expired discharge diagnosis: alcoholic hepatitis pancreatitis uti discharge condition: expired discharge instructions: expired followup instructions: expired procedure: enteral infusion of concentrated nutritional substances percutaneous abdominal drainage central venous catheter placement with guidance diagnoses: thrombocytopenia, unspecified tobacco use disorder urinary tract infection, site not specified acute and subacute necrosis of liver alcoholic cirrhosis of liver unspecified septicemia hyposmolality and/or hyponatremia sepsis hypopotassemia disorders of phosphorus metabolism pressure ulcer, other site calculus of gallbladder without mention of cholecystitis, without mention of obstruction other ascites diarrhea do not resuscitate status hepatic encephalopathy hyperosmolality and/or hypernatremia other and unspecified coagulation defects acute pancreatitis other and unspecified alcohol dependence, continuous acute alcoholic hepatitis unspecified deficiency anemia alcohol withdrawal delirium pressure ulcer, unspecified stage pain in joint, forearm 

Answer: The patient is high likely exposed to