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: iodine; iodine containing attending: chief complaint: altered mental status major surgical or invasive procedure: mulitple paracentesis: to rule out infection and for therapeutic removal of ascitic fluid history of present illness: 53 y/o female with hepatitis c cirrhosis s/p recent admit for hepatic encephalopathy d/c'd now readmitted with same complaint. history obtained from patient's daughter as she is noncommunicative secondary to somnolence. was seen at ed morning of after reported "seizure activity" witnessed by husband. ems on way to ed saw more "seizure activity" and was given valium 5 mg. noted by nursing notes to be incontinent of urine and feces and not oriented to person, place or time. had head ct at on arrival to floor, patient confused, oriented to person not place time or reason for admission. denies abdominal pain, fevers, chills, shortness of breath. did note some pain with urination (post-foley placement). ros otherwise negative. family not present at this encounter. during recent admit, patient was started on flagyl, lasix 80mg was decreased to 20mg, aldactone 150mg was decreased to 20mg. klonapin was decreased to 0.5mg as part of taper in conjunction with pt's psychiatrist at . patient was also treated for a uti with ???. concern for sbp was raised on that admit, but given u/s results of too little ascites to tap and the improving clinical picture of the patient, ir-guided tap was deferred. past medical history: hep c from iv drug use cirrhosis, with meld score 19 on recent admit, on transplant list esophageal varicies dm type 2 hysterrectomy for uterine mass breast bx - benign kidney stones copd anxiety utis patent foramen ovale mild pulmonary hypertension with rvsp of 40 mmhg dementia seizure dx cath : 1. coronary arteries are normal. 2. normal cardiac output (6 l/min, ci 3.5). 3. no hemodynamically significant shunt abd u/s : impression: 1) coarsened hepatic echotexture consistent with patient's known cirrhosis. portal vein patent with antegrade flow. splenomegaly of the spleen, measuring 15.3 cm. 2) no suitable spot for paracentesis to be marked. only small amount of ascetic fluid within the abdomen. social history: daughter is her hcp remote iv drug use family history: noncontributory physical exam: vs: t 99.3 bp 100/60 p 84 r 20 o2sat 96% room air general: awake, responsive, nad, nondiaphoretic heent: perrl, eomi, no nystagmus noted chest: normal s1s2 distant heart sounds diffuse spider angiomatas across chest lungs: clear to auscultation bilaterally, although poor effort abdomen: distented, protuberant, non-tender, no clear indication of ascites noted on exam/ no shifting dullness ext: clubbing, no edema neuro: oriented to person, not place, time, nonsensical answers to questions, staring at wall (denied visual hallucinations), + asterixis pertinent results: 10:20pm blood wbc-5.7# rbc-3.18* hgb-10.1* hct-31.3* mcv-98 mch-31.8 mchc-32.4 rdw-17.3* plt ct-70* 10:20pm blood neuts-77.9* lymphs-13.9* monos-7.4 eos-0.7 baso-0.1 10:20pm blood hypochr-2+ anisocy-1+ macrocy-2+ 10:20pm blood plt ct-70* 08:43pm blood pt-16.6* ptt-34.6 inr(pt)-1.7 10:20pm blood glucose-97 urean-12 creat-1.0 na-141 k-3.5 cl-104 hco3-25 angap-16 10:20pm blood alt-43* ast-68* alkphos-164* totbili-4.5* 10:20pm blood albumin-3.1* calcium-9.1 phos-2.8 mg-1.9 06:37pm urine color-yellow appear-clear sp -1.012 06:37pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-sm 06:37pm urine rbc-0-2 wbc-* bacteri-few yeast-none epi-0-2 labs from : u/a: 6.5/1.015; neg protein, glucose, ketones, blood, nitrite, bili, trace leuk esterase, few squam epis, trace bacteria, hyaline casts na 139 k 3.8 cl 106 co2 22 bun 12 cr 0.8 gluc 138 ca 8.9 phos 3.0 mg 1.9 tbili 4.2 ast 67 alt 43 ammonia 60 tprot 6.2 alb 2.8 alk phos 148 brief hospital course: a/p: 53 y/o female with hepatitis c cirrhosis re-admitted for hepatic encephalopathy and possible seizures 1. altered mental status: the patient was felt to be having an exacerbation of her hepatic encephalopathy, and had her regimen changed to include increased lactulose and rifaximin to replace flagyl to wipe out ammonia-producing gut flora. she had multiple paracentesis performed (3 in total), with all three negative for sbp. blood cultures remained negative during her admission. klonopin was initially held, with the thought that the patient could have had an overdose because of her decreased hepatic clearance. as it turns out, she was likely withdrawing from klonopin as she had not taken it running out of her meds, and eventually has a seizure related to this. she was restarted on klonopin as well as dilantin and her seizures resolved. she will be discharged with dilantin x 1 week per the neurology recommendation. she was started prior to d/c on seroquel, with residual fatigue during the day but arousable to voice. the dose was 25mg qhs, and will be decreased to 12.5mg qhs prior to d/c. 2. varices: cont protonix, hx ob + stools with low hct reported at osh; no evid of variceal bleed during this admit 3. ascites: was continued on lasix and aldactone, had three paracenteses to drain fluid off, none of which showed evidence of sbp (had high wbc but lymphocytic predominance). to be followed up as an outpatient with meds adjusted accordingly. 4. hypoxia: patient two episodes of hypoxia, the first thought seizures in the setting of klonapin withdrawal that required intubation and a micu stay, the second thought aspiration pneumonitis and compression of her lungs by ascites which did not require intubation. she was started on dilantin, klonapin, nebulizer treatments, and received a therapeutic tap to decrease the compression of her lungs from her ascites. prior to discharge she was satting 93% on ra. 5. dm2: held glipizide, start riss 6. ischemic changes on mri: patient had ischemic changes in non-vascular territories on her mri done after her seizures. initially this was thought to be from mult embolic cvas, lenis were done which showed a clot in her lle, pfo was already known to exist, tte showed r to l shunting across it, so she received filter to prevent pes or cvas. later, neuro determined that the mri was likely from post-seizure activity, not from cvas. she had no significant neurologic changes from these mri changes. 7. fen: patients mental status set her up for aspiration pneumonitis, and she was kept on a ground diet for some time. her poor intake required the addition of a feeding tube, as a calorie count showed her intake was less than 1000 calories/day. she will need to be re-evaluated once her po intake improves, with a calorie count, to see if she can get the feeding tube out. if not, she may require a g-tube placement. 8. ppx: vre precautions, fall precautions, on protonix for varices, pneumoboots 9. access: had central line placed poor access 10. comm: daughter is the healthcare proxy; she should be contact if husband becomes difficult to handle 11: code: full at this time 12. dispo: to go to short term rehab, with re-evaluation in the coming weeks by the liver team to re-assess her candidacy for olt. 13. skin: breakdown on buttocks chronic diarrhea, with appropriate cleaning and bandaging performed multiple times per day 14. psych: patient became despondent towards the end of her stay, possibly related to having her celexa held on admission. psych evaluated her and felt that she was a low risk for sa. she will be restarted on her prior outpatient celexa 20mg po qd prior to discharge, and will have close psych follow up once she goes to rehab. medications on admission: admit medications: 1. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q2-3h (every 2-3 hours) as needed for titrate to 4 bm per day. ml(s) 2. citalopram hydrobromide 20 mg tablet sig: one (1) tablet po daily (daily). 3. clonazepam 0.5 mg tablet sig: 0.5 tablet po bid (2 times a day): take tab in morning and noon, then whole tab at night. disp:*30 tablet(s)* refills:*0* 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. metronidazole 250 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 7. magnesium oxide 400 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. glipizide 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 9. pantoprazole sodium 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:*0* discharge medications: 1. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). 2. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 3. clonazepam 0.5 mg tablet sig: one (1) tablet po qam, qnoon (). 4. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q4h (every 4 hours). 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. ipratropium bromide 18 mcg/actuation aerosol sig: 1-2 puffs inhalation every 6-8 hours as needed for cough. 7. albuterol sulfate 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every 6-8 hours as needed. 8. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day). 9. insulin regular human 100 unit/ml solution sig: one (1) injection injection asdir (as directed). 10. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). 11. spironolactone 100 mg tablet sig: two (2) tablet po daily (daily). 12. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po once a day for 7 days. 13. quetiapine fumarate 25 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 14. acetaminophen 325 mg tablet sig: 1-2 tablets po q8h (every 8 hours) as needed. 15. oxycodone hcl 5 mg tablet sig: 0.5 tablet po every 4-6 hours as needed for pain. 16. celexa 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vista care hospice discharge diagnosis: hepatic encephalopathy seizures, likely related to benzodiazepam withdrawal aspiration pneumonitis discharge condition: stable discharge instructions: please cooperate with your care givers and take all your medications as prescribed. if you develop worsening confusion, severe abdominal pain, seizures, dizziness or significant bleeding, please call 911 to go to the nearest emergency room for evaluation. followup instructions: dr. liver team will be in touch with you and your family to track your progress at the rehabilitation facility and to re-evaluate you for possible transplantation. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage diagnoses: urinary tract infection, site not specified cirrhosis of liver without mention of alcohol chronic hepatitis c with hepatic coma acquired coagulation factor deficiency other pulmonary insufficiency, not elsewhere classified other convulsions depressive disorder, not elsewhere classified pneumonitis due to inhalation of food or vomitus ostium secundum type atrial septal defect hepatic encephalopathy esophageal varices in diseases classified elsewhere, without mention of bleeding drug withdrawal sedative, hypnotic or anxiolytic dependence, continuous 

Answer: The patient is high likely exposed to