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: s/p seizure major surgical or invasive procedure: endotracheal intubation history of present illness: 57 yo male, h/o etoh abuse, was talking to wife, slipped on kitchen floor and hit his head. he had told his wife that he was fine, and went to bedroom to lie down. about 30 mins later, wife states he was acting strange and pointing at everything. he walked away from her, and hit the floor again, but didn't head the second time. wife states he was shaking/trembling, looked like he was snoring but eyes wide open. once ems showed up 15 mins, he was responding- eyes were open, and slightly aware, but not communicating. patient has had seizures before at wife thinks it was in . patient doesn't take medications for seizures. no etoh today per wife. he drinks while she is at work. she's not sure if the seizures in the past were in the setting of etoh withdrawal. . in the ed, vitals were 98.0, 154, 153/113, 34, and 94% on nrb. patient was intubated for airway protection because he was combative. he was given 5 mg haldol, ativan im, lidocaine, etomidate, and succinate. a ct head showed ich with ? mass with surrounding edema, was given decadron 10 mg x 1. ct c-spine with mild disc bulge, but no acute fracture. the patient had a c-collar placed. neurosurgery and neurology were called in the ed; will see patient on admission to the micu. the patient was then transferred to an icu bed. of note, he also had a fast scan in the ed which was negative. . on review of systems, no recent travel history. moving around- not bed bound. no fevers, no chills recently. feeding tube was placed for malnutrtion during a previous admission at for malnutrition. he does not do his tube feeds regularly. had ? stent in his throat to help tolerate liquids/solids per wife. past medical history: # pmhx: etoh abuse gerd ckd cr 1.6-2 htn chronic hiccups chronic gastritis and esophagitis gastric varices portal hypertensive gastropathy. social history: soc: he works at a gas company. he denies tobacco. he drinks 1 pint of vodka per day for the last 5 or 6 years. no iv drug use. he lives at home. his last drink was the day prior to admission. he denies history of dts or alcohol withdrawal. family history: fh: nc physical exam: t:98.3 bp:143/89 hr:103 rr:17 o2 100% ra on ac 450/18/5/100% 7.52/44/502/37 gen: thin, cachectic appearing male, sedated, intubated. does not respond to voice heent: no conjunctival pallor. no icterus. mm dry. op clear. neck: supple, no lad, no jvd. no thyromegaly. c-collar in place cv: rrr. tachycardic. nl s1, s2. no murmurs, rubs or lungs: ctab, good bs bl, no w/r/c abd: hypoactive bs. soft, thin, nt, nd. no hsm. g-tube in place; no e/o infection at site ext: wwp, no cce. 2+ dp pulses bl. skin: no rashes/lesions, ecchymoses. neuro: sedated; pupils 2mm bilaterally; sluggish response to light. negative babinski. 2+ reflexes bue/ble. flex to pain stimuli, slightly decreased response in lue. pertinent results: 08:50pm pt-13.3 ptt-25.6 inr(pt)-1.1 08:50pm plt count-546*# 08:50pm neuts-67.7 lymphs-26.5 monos-4.8 eos-0.8 basos-0.4 08:50pm wbc-9.5 rbc-2.95* hgb-8.6* hct-26.7* mcv-91 mch-29.2 mchc-32.2 rdw-17.7* 08:50pm asa-neg ethanol-11* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 08:50pm albumin-3.8 calcium-9.1 phosphate-4.2# magnesium-2.0 08:50pm ck-mb-4 08:50pm ctropnt-0.05* 08:50pm lipase-42 08:50pm alt(sgpt)-25 ast(sgot)-37 alk phos-145* tot bili-0.5 08:50pm estgfr-using this 08:50pm glucose-153* urea n-14 creat-0.9 sodium-137 potassium-3.3 chloride-85* total co2-23 anion gap-32* 08:59pm lactate-14.1* 10:20pm lactate-3.5* 10:20pm type-art rates-/14 tidal vol-450 peep-5 o2-100 po2-502* pco2-44 ph-7.52* total co2-37* base xs-12 aado2-190 req o2-39 -assist/con intubated-intubated brief hospital course: 57 year old man with significant alcohol abuse admitted with likely seizure and frontal contusion following a fall with head trauma. . ## delirium- resolved. broad differential including infectious vs. toxic/metabolic; frontal contusion very likely contributing. patient with normal folate/b12. tsh low normal with free t4 normal, rpr negative. chest x-ray from the micu without any obvious infiltrate. patient in the micu did not appear to be withdrawing from alcohol, however possible that seizure was secondary to etoh withdrawal given that alcohol level low on admission. alternatively seizure occurred in repsonse to ich which occurred secondary to fall. patient currenty awake, alert, oriented to person, year and knew he was in the hospital although did not know which one or why. patient had uti, so d/c'd foley and treated with cipro x 7 days total. as patient mental status appears improved and likely etiology of seizure is alcohol will hold off on lp at this time. patient was maintained on fall precautions. patient was continued on thiamine and folic acid as patient has a history of severe malnutrition. consulted with neurosurgery, changed to keppra for seizure prophylaxis for one month post discharge, chosen instead of dilantin as there is no need to monitor levels. . ## seizure - most likely secondary to alcohol withdrawal as etoh level on admission was 11 and patient with heavy drinking history as well as prevous history of alcohol induced seizures; could have likely been in the setting of fall with ich since according to wife, the seizure occured after the first witnessed fall with head trauma. alternatively could have had seizure from alcohol withdrawal itself. metabolic disturbances such as hypoglycemia less likely given that were normal on arrival. h/o pe with loc in the past with ivc filter in place. no specific neurological deficits noted on limited exam to suggest stroke. patient was discharged on keppra for seizure prophylaxis for one month given new potential focus for seizures. given likely etiology of seizure, decided that eeg unlikely to be of diagnostic value. blood culture no growth to date. records from were also reviewed online, and they document history of alcohol withdrawal seizures. . ## fall: patient without radiographic evidence of c-spine damage, so cleared c-spine with range of motion without pain and no pain on palpation over neck, as per neurosurgery protocol. patient with right shoulder pain so consulted ortho, x-ray as above likely chronic old fracture. this was found in records from as well. . ## anemia; likely from known gastritis, increased ppi to . patient recieved 1 unit of blood in the micu, did not recieve any on the floor, hematocrits were stable. anemia work-up with folate/b12 normal, low iron, tibc 390 (nl), ferritin (low-normal), and tranferrin 300 (nl). given history of gastritis, guaiac positive stool, and ferritin being an acute phase reactant, this is likely iron deficiency anemia. patienet started on iron repletion. patient needs outpatient gi follow up to discuss esophageal stricture as well as history of gi bleeds. . ## orbital fracture. patient noted to have orbital fracture on admission, and plastics consulted who recommended: this is a non-operative facial fracture. no antibiotics are needed at this time. no restrictions in activity. no follow-up necessary. please call with questions. . ## fen: got speech and swallow evaluation, started patient on thin liquids and pureed foods yesterday, continued tube feed as per nutrition, repleted lytes prn. of note, speech and swallow stated that pills do not pass from esophagus into stomach, so all medications need to be given through the g tube. . ## communication: wife (home ; cell ; work btwn 6a-5p ) . ## dvt prophylaxis: heparin subq, colace, senna . ## code: full code medications on admission: baclofen 10 mg tid pindolol 10 mg daily atenolol 25 mg daily discharge medications: 1. baclofen 10 mg tablet sig: one (1) tablet po tid (3 times a day): please crush and give through g tube. 2. acetaminophen 160 mg/5 ml solution sig: one (1) po q6h (every 6 hours) as needed for pain. 3. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 6. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 7. pindolol 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: primary: seizure, likely etoh withdrawal, with brain contusion in frontal lobe secondary: alcohol abuse portal gastropathy g-tube for malnutrition esophageal stricture previous pe with ivc filter placement (presumed massive) htn iron deficiency anemia discharge condition: afebrile, vital signs stable, tolerating thin liquids and puree and tube feeds discharge instructions: you were admitted to the hospital after having a witnessed seizure and head trauma. you were admitted to the icu at that time with a head bleed. you were evaluated by neurosurgery and your c-spine was cleared. it was felt that your seizure was likely secondary to alcohol withdrawal. you were also evaluated by speech and swallow. your current diet reccomendations are thin liquids and pureed solids as well as feedings through your g tube. you are not able to pass whole pills though your esophagus due to an esophageal stricture. all pills should go through your g-tube if possible. . you are being discharged home on keppra as per neurosurgery and you should take this medication for one month after discharge. you were also restarted on pindolol for your history of gastritis as well as iron for your iron deficiency anemia. you should continue to take these medications until you should continue to follow up with your pcp . as per routine. please make an appointment to see him. please make an appointment to see a gastroenterologist as we found a narrowing of your esophagus. please call for an appointment at ( followup instructions: please follow up with your primary care doctor dr. . in addition, you should follow up with a gastroenterologist concerning the narrowing in your esophagus. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube transfusion of packed cells diagnoses: esophageal reflux urinary tract infection, site not specified iron deficiency anemia secondary to blood loss (chronic) unspecified protein-calorie malnutrition portal hypertension hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other convulsions chronic kidney disease, unspecified cerebral edema esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum fall from other slipping, tripping, or stumbling closed fracture of base of skull with cerebral laceration and contusion, with no loss of consciousness unspecified gastritis and gastroduodenitis, without mention of hemorrhage gastrostomy status alcohol withdrawal other esophagitis infection and inflammatory reaction due to indwelling urinary catheter closed fracture of base of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness 

Answer: The patient is high likely exposed to