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: weakness major surgical or invasive procedure: egd, colonoscopy history of present illness: mr. is a 52 year old man with a long history of alcohol abuse. he presented today to the ed with generalized weakness. per patient, he has been feeling worse over the last 20 days. he denies any specific event that occurred at that time. he states that his po intake has been diminished since that time secondary to 2-3 episodes of emesis a day. he describes the emesis as clear to whitish. he reports difficulty with solid foods, but has been able to tolerate liquids. he reports drinking alcohol 5 days a week. he states he drinks two 12 oz beers and "a couple" of shots of rum or vodka on days that he drinks. . he has been having a productive cough with non-bloody phlegm. he reports it looks "normal," but does not describe further. when he has a forceful cough, he will also vomit at the same time. he has been having loose stool for about 1 week. he describes it as pale yellow and non-bloody. he also notes that his urine color has turned darker during this time. he thinks that he has lost about 15 lbs over the last 1-2 months. mr. also notes he fell last friday. he hit his head at home and lost consciousness briefly. following the incident, he slept on the couch. he reports feeling so fatigued over the last couple of days, that he has not stood up. however, he reports being independent with all of his daily activities. because of his fatigue, he called ems for evaluation. . in the ed, initial vs were: t97.3 p110 bp100/64 97% o2 sat. he had one low blood pressure in the 80's that responded to fluid. he was given a total of 3 l of ivf with the last liter containing 40 meq kcl. labs were significant for a potassium of 2 and sodium of 118. he had a ct which showed some ground glass opacities in the lungs and circumferential thickening of the esophagus. . on the floor, he denied any specific pain. he stated he felt fatigued and just wanted to drink some water. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats. denies headache, sinus tenderness, rhinorrhea or congestion. denied shortness of breath. denied chest pain or tightness, palpitations. denied abdominal pain. no dysuria. denied arthralgias or myalgias. past medical history: chronic neck pain, s/p c5-c6 surgery yrs ago chronic lower back pain, s/p lumbar discectomy 10 yrs ago hemorrhoids with history of rectal bleeding h/o seizure (generalized tonic-clonic), likely related to etoh withdrawal h/o post-concussive headache depression/anxiety vitamin d deficiency tobacco abuse social history: he lives alone. works as a garbage collector. previously used multiple illicit substances, none currently. smokes 1 ppd, down from 2 ppd. reports alcohol intake occurring 5 days a week. reports 2 12 oz beers and a couple of shots. reports he does not have a support system family history: mother had htn, then died of a mouth cancer/mi at age 58. father with lung ca and died of mi at 68. physical exam: vitals: t: 97.9 bp: 109/67 p: 97 r: 13 o2: 99 on ra general: alert, oriented, appears comfortable heent: slight scleral icterus, mmm, face symmetric, eomi lungs: occasional scattered rhonchi that improve with clearing cv: tachycardic abdomen: soft, non-tender, slightly distended, bowel sounds present, no rebound tenderness or guarding, liver edge slightly enlarged, no sign gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema, plantar/dorsiflexion, knee flexion/extension, hip flexion, grip strength, arm flexion/extension pertinent results: admission labs: 10:00pm pt-14.2* ptt-33.2 inr(pt)-1.2* wbc-11.1*# rbc-3.12* hgb-11.8* hct-30.8* mcv-99* plt count-54* ctropnt-0.01 lipase-157* alt(sgpt)-51* ast(sgot)-90* ld(ldh)-327* alk phos-107 tot bili-3.7* glucose-126* urea n-22* cr-1.0 sodium-118* potassium-2.0* cl-68* co2-31 head ct : no acute intracranial process ct torso : 1. upper lobe paraseptal emphysema. bilateral multifocal ground-glass opacities, nonspecific. 2. fatty liver. 3. circumferential thickening of the esophagus. 4. fatty infiltration in the wall of the ascending and transverse colon which can be seen in chronic inflammatory bowel disease. tte : the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the left ventricular inflow pattern suggests impaired relaxation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. labs on discharge: 07:10am blood wbc-6.3 rbc-2.45* hgb-9.0* hct-25.8* mcv-105* mch-36.7* mchc-34.8 rdw-15.7* plt ct-107*# 07:10am blood glucose-81 urean-12 creat-0.6 na-137 k-4.0 cl-101 hco3-29 angap-11 07:10am blood alt-52* ast-74* alkphos-92 totbili-2.1* 10:46pm urine rbc-3* wbc-3 bacteri-none yeast-none epi-<1 10:46pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-sm urobiln-8* ph-5.5 leuks-neg . blood culture: no growth to date. brief hospital course: 52 yo m with etoh abuse admitted with weakness, found to have multiple, severe electrolyte abnormalities, mild etoh hepatitis and acute on chronic anemia. he was admitted to the icu in management of his weakness and impressive metabolic derangements. his na was depressed to 118, accompanied by severe hypokalemia (2.0), hypomagnesemia (1.3), and a metabolic alkalosis, all of which can be explained by recent hypovolemia from poor po intake. his urine was highly concentrated (sg>1.039 and osm 490) with urinary sodium less than assay. his elevated lactate and also speak to this diagnosis. his electrolytes all gradually improved with aggressive potassium, magnesium repletion and normal saline resuscitation. his phosphate was dangerously low (0.9), suggesting possible refeeding syndrome as his po intake improved. his phosporus was aggressively repleted. he did not develop re-feeding syndrome and with the assistance of a dietician was taking in a full diet with stable electrolytes in the days prior to discharge. the patient should have repeat chem 10 at the time of follow-up. he was also found to have transaminitis with evidence of fatty liver on his ct torso. he may have a component of nash as well as probable mild alcoholic heatitis. his hep serologies showed exposure/vaccination against , though negative hep b and c. his discriminate function was 14 so no steroids were given. his electrolytes downtrended with fluid rescucitation. he was seen by the social work team for alcohol abuse counseling. social work raised concern for memory and/or cognitive deficits associated with chronic alcoholism. he refused enrollment in an alcohol rehabilitation program. the gi team was consulted due to the finding of thickened esophageal wall on ct chest and acute on chronic anemia in the setting of guaiac positive stool. he did have 1u prbc's transfused during this hospitalization with appropriate increase in hct. egd revealed z-line irregularity, gastritis and duodenitis. he was placed on a ppi and must follow-up with his pcp for biopsy results of the esophagus, stomach and duodenum. the patient understood the risks, including death, of not following up and assured this writer that he would. colonoscopy showed 2 polyps in the colon, both of which were removed. due to poor prep and a large polyp, it is recommended that he return for repeat colonoscopy in 8 weeks. he should have a repeat cbc on follow-up at his pcp's office. medications on admission: no medications prior to admission discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. multivitamin with folic acid 200 mcg tablet, chewable sig: one (1) tablet, chewable po once a day. disp:*30 tablet, chewable(s)* refills:*2* 3. outpatient lab work blood draw: chem 10, lft's, cbc. to be drawn at the time of your follow-up appointment. discharge disposition: home with service discharge diagnosis: alcoholic hepatitis hyponatremia (low sodium) hypokalemia, hypomagnesemia, hypophosphatemia, hypocalcemia metabolic alkalosis malnutrition anemia of chronic disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with weakness. you were found to have extreme electrolyte abnormalities in the blood due to chronic alcohol use and malnutrition. you were treated with iv fluids and electrolyte repletion. please have your blood drawn at your follow-up visit with your doctor your electrolytes. continue taking multivitamins as prescribed. you also had evidence of liver disease related to your alcohol use. it is extremely important that you quit drinking, as this condition could be life threatening. your liver tests when you see your primary care doctor. your blood counts were very low due to chronic alcohol use and malnutrition. you required a blood transfusion. you were found to have some inflammation of your stomach and small bowel and an irregularity at the transition point of the esophagus to the stomach. follow-up the results of the biopsies that were taken during your endoscopy - you can get these results at your follow-up appointment with your primary care doctor. it is essential that you follow this up as this could be due to a life threatening condition and further treatment may be required. take the prescribed medication called pantoprazole to reduce acid production and hopefully allow healing of the inflammation. have your blood counts checked when you follow-up with your primary care doctor. you also had polyps removed from your colon. please have a repeat colonoscopy as scheduled. followup instructions: department: when: monday at 9:50 am with: , md building: campus: east best parking: garage repeat colonoscopy at 9am, arrive at 8am to the outpatient gi procedure/colonoscopy area. procedure: endoscopic polypectomy of large intestine esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: thrombocytopenia, unspecified anemia of other chronic disease hypocalcemia tobacco use disorder acute posthemorrhagic anemia acute kidney failure, unspecified unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia hypopotassemia loss of weight alkalosis disorders of phosphorus metabolism nonspecific abnormal findings in stool contents duodenitis, without mention of hemorrhage benign neoplasm of colon disorders of magnesium metabolism unspecified gastritis and gastroduodenitis, without mention of hemorrhage leukocytosis, unspecified other and unspecified alcohol dependence, continuous acute alcoholic hepatitis alcohol withdrawal history of fall dysphagia, unspecified unspecified hemorrhoids without mention of complication unspecified disorder of esophagus 

Answer: The patient is high likely exposed to