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: dilantin attending: chief complaint: witnessed seizure major surgical or invasive procedure: : intubation and mechanical ventilation. history of present illness: mr. is a 51 year old gentleman with a history of alcoholism, traumatic brain injury, frequent etoh withdrawal seizures, ? epilepsy who is presenting after he was witnessed to be having a seizure outside the clinical center earlier today. ems was called and he was brought to the ed. not felt to be seizing when arrived in ed and no clear seizure events since. he was intubated for airway protection and started on fentanyl and midazolam. slight eye deviation to right appreciated on initial exam. a head ct was relatively unchanged from prior. he was started him on ctx for a possible uti. bps fine, afebrile. vent settings at time of transfer ac 550 x 14 peep 5. 2x pivs for access. on arrival to the micu he was intubated and sedated. per report, the patient has a long history of alcoholism, drinking up to 1 pint of vodka every day. he was seen in the ed the day prior to admission () after being found intoxicated on the ground. at that time he was found to have an blood alcohol level of 383. approximately three weeks prior to this (on ) he was admitted to for a seizure in the setting of alcohol withdrawal. during that admission he was intubated and extubated without complication. he expressed some interest in going to detox however then eloped on prior to any arrangements being made. he did not have any prescriptions when he eloped. an attempt was made to contact his sister to locate him however she was not aware of his whereabouts. past medical history: 1) etoh abuse, hx of dts with seizures, previously intubated 2) essential tremor 3) epilepsy 4) incarceration in for 2 years 5) tbi after being hit in head with 2x4 and subsequent seizure d/o 6) hl not on meds 7) htn not on meds social history: patient is homeless, lives with friends and frequently at inn, begs on the street for money, has been drinking "a quart" of vodka since he was 13. smoked 1pp week for the last 3-4 years. denies illicits. has 2 daughters, is estranged from family. family history: father died at age 44 from alcoholic complications; mother died at age 65 from alcoholic complications. physical exam: admission physical exam (): vitals: hr 82 bp 142/94 sat 100% on fio2 40 550 x 14 peep 5 general: somnolent/heavily sedated/unresponsive heent: pupils constricted but equal and sluggishly reactive to light, mmm, intubated lungs: intubated but clear anteriorly cv: rr, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present ext: warm, well perfused, palpable distal pulses, thick unclipped toenails, no clubbing, cyanosis or edema. discharge physical exam (): physical exam: vs - tm 99.1f, tc 98.5, bp 100-120/57-75, hr 60-96, r 18, 95-98% o2-sat % ra. general - disheveled, nad, uncomfortable, in c-collar heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear neck - supple, no jvd heart - rrr, nl s1-s2, no mrg lungs - ctab, no r/rh/wh, good air movement abdomen - nabs, soft/nt/nd, no masses or hsm extremities - wwp, no c/c/e, 2+ peripheral pulses skin - no rashes or lesions neuro - awake, a&ox3, cns ii-xii intact, muscle strength 5/5 throughout, sensation intact in all extremities. gait deferred. pertinent results: admission labs: 07:48pm blood wbc-3.6*# rbc-4.32* hgb-13.2* hct-41.7 mcv-97 mch-30.5 mchc-31.6 rdw-14.9 plt ct-225 07:48pm blood neuts-76.1* lymphs-15.4* monos-6.3 eos-1.1 baso-1.2 07:48pm blood glucose-90 urean-4* creat-0.9 na-143 k-3.8 cl-104 hco3-19* angap-24* 04:44am blood calcium-8.3* phos-1.9* mg-1.7 07:59pm blood type-art rates-14/ tidal v-550 peep-5 fio2-100 po2-457* pco2-35 ph-7.37 caltco2-21 base xs--3 aado2-220 req o2-45 -assist/con intubat-intubated 07:45pm urine color-yellow appear-clear sp -1.015 07:45pm urine blood-sm nitrite-pos protein-30 glucose-neg ketone-40 bilirub-neg urobiln-2* ph-6.0 leuks-sm 07:45pm urine rbc-6* wbc-51* bacteri-mod yeast-none epi-0 transe-<1 renalep-<1 discharge labs: 07:00am blood wbc-4.6 rbc-4.62 hgb-14.7 hct-44.4 mcv-96 mch-31.8 mchc-33.1 rdw-14.4 plt ct-201 04:44am blood neuts-80.5* lymphs-12.1* monos-5.9 eos-1.1 baso-0.3 07:00am blood glucose-98 urean-6 creat-0.7 na-138 k-4.4 cl-103 hco3-24 angap-15 07:00am blood calcium-9.0 phos-2.7 mg-1.9 micro: ucxr: urine culture (final ): staphylococcus, coagulase negative. >100,000 organisms/ml.. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staphylococcus, coagulase negative | gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s nitrofurantoin-------- <=16 s oxacillin-------------<=0.25 s tetracycline---------- <=1 s vancomycin------------ <=0.5 s imaging: c-spine mri impression: 1. there is no evidence of cervical malalignment, the signal intensity throughout the cervical spinal cord is normal with no evidence of focal or diffuse lesions. 2. multilevel disc degenerative changes, more significant at c4/c5, c5/c6 and c6/c7 levels. cxr impression: right lower lobe opacity consistent with pneumonia. ct c-spine w/o contrast no evidence of fracture or dislocation. ct head w/o contrast no evidence of acute process. stable encephalomalacia in the left frontal lobe. cxr endotracheal tube tip projects approximately 5.5 cm above the carina. esophageal catheter tip projects over left upper quadrant, likely within the stomach. right costophrenic angle incompletely imaged. brief hospital course: 51yo homeless gentleman with an extensive history of alcoholism and tbi with seizure d/o who has had multiple ed visits and admissions for etoh toxicity/seizures who was admitted after a generalized seizure likely to alcohol withdrawal # alcohol withdrawal/abuse: patient has an extensive history of alcoholism with multiple admission for alcohol intoxication and presumed withrawal seizures. per patient, he drinks 1 quart of vodka per day since he was a teenager. patient was maintained on a ciwa scale while inpatient and did not have significant symptoms except diaphoresis, he did not receive any diazepam for over 48 hours prior to discharge. he was treated with thiamine, folate and multivitamins. he was seen by social work and provided with detox information and housing resources. he was evaluated by psych due to concern of capacity/insight/underlying undiagnosed pychiatric disorder. he was assessed to have capacity/insight but just makes poor decisions. he was offered a stay at the house which he declined. patient expresses a wish to return to as soon as possible and was discharged to a shelter with information on how to access outpatient alcohol abstinence programs. # seizures: patient's seizure prior to admission was most likely due to etoh withdrawal based on history. he also has a history of tbi with resulting seizure disorder which likely contributes as well. he has not taken his prescribed keppra in 2 years. patient did not demonstrate seizure activity throughout admission. he was restarted on keppra and discharged with a prescription. # c-spine tenderness: patient has baseline c-spine tenderness after he was struck by a car in . he displayed worsening posterior midline neck pain after his witnessed seizure. he was maintained in a c-collar throughout admission. c-spine ct and mri were negative for acute processes, only degenerative changes. he was evaluated by neurosurgery who recommended a c-collar for 4 weeks and follow-up with the spine clinic. we provided him with the number for the spine clinic and he was discharged with a j collar. # uti: patient's ua was suggestive of a uti with 51 wbcs, moderate bacteria, nitrite positive, small leuk. patient also had a foley catheter placed at admission. it was unclear if he was symptomatic. urcine culture grew out >100,000 coag negative staph which was pan sensitive. he was treated for a complicated uti with iv ceftriaxone for 4 days and discharged on ds bactrim until sunday for a total of a 7day course. # code status: patient was full code throughout admission. # transitional issues: -discharged in j collar with phone number for spine clinic to follow-up in 4 weeks -discharged with prescription for keppra and asked to make an appointment with a pcp, was given the phone number for as well as the house primary care clinic. -he was given information on local outpatient alcohol abuse programs which he expressed some interest in attending medications on admission: 1) keppra 1000mg po bid (not taking) 2) thiamine 100mg po daily (not taking) 3) folate 1mg po daily (not taking) 4) multivitamin 1 tab po daily (not taking) discharge medications: 1. multivitamins 1 tab po daily rx *multivitamin 1 tablet(s) by mouth daily disp #*30 tablet refills:*2 2. levetiracetam 1000 mg po bid rx *levetiracetam 1,000 mg 1 tablet(s) by mouth twice daily disp #*60 tablet refills:*0 3. folic acid 1 mg po daily rx *folic acid 1 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*2 4. thiamine 100 mg po daily rx *thiamine hcl 100 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*2 5. sulfameth/trimethoprim ds 1 tab po bid please take last dose on sunday . rx *sulfamethoxazole-trimethoprim 800 mg-160 mg 1 tablet(s) by mouth twice daily disp #*6 tablet refills:*0 discharge disposition: home discharge diagnosis: primary diagnosis: seizure, likely secondary to alcohol withdrawal alcohol detoxification secondary diagnosis: acute on chronic cervical spine pain discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: hi mr. , you were admitted to the hospital on , because you suffered a seizure from alcohol withdrawal. you were initially in the intensive care unit and intubated for protection of your airway. you were extubated the next day and transferred to the medicine floor to manage your alcohol withdrawal symptoms. you did not demonstrate any seizure activity and you did not display any significant symptoms of withdrawal. you were placed in a neck collar due to concern for neck injury. while you have chronic neck pain and your ct and mri scans were negative for any damage to your spinal cord, you will need to keep the collar on for the next 4 weeks. you will need to see a specialist in the spine clinic at that time. you were also seen by social work who provided with information of alcohol abstinence programs and housing resources. you were also restarted on keppra to control your seizures. you should continue this medication and it will be important to avoid alcohol. you also had a urinary tract infection which we treated with antibiotics. please take bactrim twice daily until sunday . you have expressed wishes to return to as soon as possible. we offered you a short stay at the house, but you declined. followup instructions: you should see a pcp 3-5 days of discharge. the primary care practice phone number is . the house phone number is . you may also see a pcp in if you return there. if you will stay in , please follow up with the spine clinic in 4 weeks in regards to your neck collar and cervical spine pain, their phone number is . if you return to , please try to see a primary care physician for management of your health. procedure: insertion of other (naso-)gastric tube diagnoses: acidosis other chronic pain urinary tract infection, site not specified unspecified essential hypertension other and unspecified hyperlipidemia disturbance of skin sensation epilepsy, unspecified, without mention of intractable epilepsy other acute pain lack of housing alcohol withdrawal acute alcoholic intoxication in alcoholism, unspecified cervicalgia personal history of traumatic brain injury other nonspecific abnormal finding of lung field abdominal tenderness, unspecified site 

Answer: The patient is high likely exposed to