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: liver failure` major surgical or invasive procedure: , , egd history of present illness: mr. s a 67 y/o male with a pmh significant for longstanding but "mild" etoh abuse and depression who presented to hospital on with sob x 1 week, black stools, and weakness. he admitted to recent worsening depression ever since being arrested for dui and having his license taken away. he increased his etoh use and has been in a "downward spiral" per his wife. was reportedly drinking vodka from morning until nightime, drinks/day, with each "drink" being 3 shots at a time. he has had worsening peripheral neuropathy and falls in the past week and has been too weak to walk. he had sob with exertion and several dark black stools without abdominal pain. no reported fevers. . he presented to hospital er, where he was found to be hypotensive, in arf (to 2.2), with multiple hepatic abnormalities including elevated inr of 1.8, ast 1500, alt 300, platelets 114. was also acidotic to 7.18. he was admitted to their icu and covered broadly with vancomycin and zosyn, and was started on a bicarb gtt to correct his acidosis. viral hepatitis serologies and a tylenol level were sent. overnight he was hypotensive to the 70's, with altered mental status. a head ct was negative. . this am, he was more jaundiced and confused. his cbc has developed a 42% bandemia (wbc count of 2.6). ast was acutely elevated to 13,100, alt 1686. inr elevated to 3.5, plts dropped to 62, and cr up to 2.8. additionally, blood cx from admission grew gnr 2/2 bottles. repeat abg pending but reportedly was maintaining o2 and airway, did not need intubation. he was started on phelyephrine periperhally and transfer was requested to for liver transplant eval. was called. . on arrival to , he is alert and oriented x 3 and interactive. he denies ingestion of tylenol or any other medication. he does state that he had "hepatitis from well water" in the distant past. past medical history: # etoh abuse as per hpi # copd # h/o r nephrectomy for rcc in # s/p ventral hernia repair # h/o rib fractures c/b flail chest and splenic hematoma social history: - tobacco: smokes ppd, has cut down from 1ppd x many years - alcohol: as per hpi - illicits: denies any h/o ivdu family history: nc physical exam: vitals: t: 96.5 bp: 81/66 p: 112 r: 27 o2: 96% 4l nc general: jaundiced, tremulous, but a+o x 3 heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: scattered anterior wheezes, bibasilar inspiratory crackles cv: regular tachycardia, no murmurs, rubs, gallops abdomen: non-tender, distended, + ascites with fluid wave rectal: dark black stool strongly guaiac positive neuro: marked asterixis ext: warm, well perfused, 2+ pulses skin: no spider angiomata. many scattered ecchymoses, on rle, r shoudler, sacrum, r hip, from prior falls pertinent results: osh: ast/alt 13, tbili/dbili 10.7/6.7 albumin 3.2 amylase/lipase 133/956 tsh wnl 3 negative troponins hct 29.5 inr 3.5 plts 35 cr 2.8 lactate 15.5 tylenol level pnd . micro: osh: bcx growing gnrs ucx pnd viral hepatitis panel pnd. . images: osh: head ct: unremarkable abd ct: ascites, fatty liver, s/p right nephrectomy. . ekg: sinus tachycardia, l axis, normal intervals, no diagnostic q waves, no st depressions/elevations . 04:24pm ascites tot prot-1.0 albumin-<1.0 04:24pm ascites wbc-* rbc-4000* polys-93* lymphs-1* monos-6* 04:00pm type- po2-51* pco2-43 ph-7.20* total co2-18* base xs--10 comments-green top 04:00pm lactate-11.2* 04:00pm o2 sat-74 03:52pm glucose-87 urea n-41* creat-2.7* sodium-134 potassium-3.9 chloride-86* total co2-17* anion gap-35* 03:52pm alt(sgpt)-1624* ast(sgot)-* ld(ldh)-7800* alk phos-248* amylase-296* tot bili-13.1* 03:52pm lipase-* 03:52pm albumin-3.9 calcium-7.4* phosphate-3.1 magnesium-1.4* iron-221* 03:52pm caltibc-203* ferritin-greater th trf-156* 03:52pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:52pm wbc-7.2 rbc-3.46* hgb-10.3* hct-32.6* mcv-94 mch-29.8 mchc-31.6 rdw-19.7* 03:52pm neuts-24* bands-40* lymphs-15* monos-8 eos-0 basos-0 atyps-0 metas-12* myelos-1* nuc rbcs-6* 03:52pm hypochrom-2+ anisocyt-2+ poikilocy-1+ macrocyt-2+ microcyt-1+ polychrom-normal ovalocyt-occasional stippled-2+ how-jol-1+ pappenhei-2+ 03:52pm plt smr-low plt count-84* 03:52pm pt-23.1* ptt-38.7* inr(pt)-2.2* . abd u/s: 1. liver cirrhosis and intra-abdominal ascites. 2. patent main portal vein with normal color and doppler flow. the portal vein branches are not seen. patent main, right and left hepatic arteries. 3. splenomegaly. 4. common bile duct and gallbladder are not well seen. . cxr: findings: the trachea is deviated to the right as it enters the chest. the endotracheal tube is adjacent to the right lateral wall of the trachea. the tip is 4.4 cm above the carina. there is bilateral lower lobe volume loss with bilateral pleural effusions. the right ij line tip is in the right atrium. the etiology of the tracheal deviation would best be assessed by ct scan. brief hospital course: patient was admitted to the micu with acute liver failure. he underwent paracentesis that revealed sbp and was treated with broad spectrum abx (vanc/zosyn/cipro). he required intubation for respiratory distress. he had a and a line placed. he was persistently hypotensive and required 3 pressors (vasopressin, levophed, neo). he then had a large hct drop to 18. gi was consulted and egd showed profuse bleeding in the stomach. gi was unable to pass tube into the stomach. at this point the family confirmed that the patient would not want heroic measures and he was transitioned to comfort measures only. he died shortly thereafter at 3:05 pm. medications on admission: transfer medications: zosyn 2.25g iv q6h ( - ) vancomycin (1g dose given in ed on at 7pm) duonebs q4h prn sob zofran iv 4mg q8h prn ativan 0.5 - 1mg po iv prn withdrawal or anxiety discharge medications: deceased discharge disposition: expired discharge diagnosis: deceased discharge condition: deceased discharge instructions: deceased followup instructions: deceased procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other endoscopy of small intestine insertion of endotracheal tube percutaneous abdominal drainage arterial catheterization alcohol detoxification diagnoses: acidosis other iatrogenic hypotension thrombocytopenia, unspecified tobacco use disorder acute kidney failure with lesion of tubular necrosis acute posthemorrhagic anemia acute and subacute necrosis of liver alcoholic cirrhosis of liver severe sepsis chronic airway obstruction, not elsewhere classified depressive disorder, not elsewhere classified acute respiratory failure septic shock altered mental status encounter for palliative care hemorrhage of gastrointestinal tract, unspecified unspecified hereditary and idiopathic peripheral neuropathy personal history of malignant neoplasm of kidney acquired absence of kidney acute pancreatitis other and unspecified alcohol dependence, continuous acute alcoholic hepatitis septicemia due to gram-negative organism, unspecified 

Answer: The patient is high likely exposed to