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: codeine / serax attending: chief complaint: seizure major surgical or invasive procedure: endoscopy history of present illness: 49 yom with hcv, seizure disorder head trauma from mva at age 12, etoh abuse s/p seizures and dt's, hx of pancreatitis, hx of gastritis who presents s/p hematemesis this morning. patient reports +n/v x 1 week. last night he reports 3cups of +hematemesis, one episode this morning. he denies any prior history of hematemesis. denies coffee grounds. +melena over the past few weeks but none today, denies hematochezia. +ruq abdominal pain over the past week. +fevers and chills over the past week. +chronic cough which is unchanged. he denies any recent cp, sob, or dysuria. he reports 3 seizures per week for the past few weeks. he reports +seizure this morning at about 12pm. he reports walking near the commons and then found himself waking up on the floor. he does not recall falling and reports it is similar to his prior seizure episodes. reports taking his dilantin and phenobarbital but has not taken it in the past few days nausea and vomiting. +fall 2 days ago which he received stitches in his left forhead. +ha but denies any weakness or numbness of his extremities. in the ed, initial vs: temp 99.8, hr 104, bp 147/81, rr 16 97%. patient was given ativan 2mg im x 1, ativan 2mg iv x1, pantoprazole 40mg iv x 1, 1l ns ivf. stool guiac negative. patient refused ng lavage. piv access attempted and was unsuccessfule so subclavian cvl was placed. gi was consulted and recommended to follow hct overnight. patient was admitted to icu out of concern for withdrawal and ugib. past medical history: 1. hcv 2. seizure disorder- head trauma at age 12 (mva) treated with dilantin and phenobarbital- describes grand mal seizures 3. etoh dependence- h/o etoh w/d seizures and dts 4. hx of acute pancreatitis 5. hx of gastritis 6. s/p toe amputation frostbite 7. reports h/o cva with slurred speach, no residual deficits currently 8. h/o lung ca s/p rll lobectomy social history: lives in "rooming house". hx of etoh abuse, currently drinking a case of beer per day. hx of iv heroin, cocaine, marijuana, but none recently. +tobacco, cigarettes per day. sister: (. divorced with one daughter. family history: -mother (d. 77) ?????? mi; h/o iddm, htn -father (d. 81) ?????? mi, alzheimer's disease, alcoholic -brother ?????? recovering alcoholic, h/o heroin abuse -brother ?????? recovering alcoholic -sister ?????? grew out of absence seizure disorder physical exam: vitals - t: 98.8 bp: 117/69 hr: 79 rr: 16 02 sat: 97% general: nad, lying in bed comfortably, mildly diaphoretic heent: perrla, eomi, +stiches in left forehead, no scleral icterus cardiac: +s1/s2, no m/r/g, rrr lung: ctab, no wheezes, crackles or ronchi abdomen: +bs, nt/nd, negative sign ext: no c/c/e, +2 dp pulses neuro: cn ii-xii intact, 5/5 strength, sensation intact, +minor hand tremor, finger to nose intact, no prontator drift derm: no rashes pertinent results: labs: admission: 6.9>37.2/11.8<247 hct remained stable and was 36.3 at discharge. n61.3 l34.6 m2.9 e0.7 b0.5 135/4.0/98/21/12/0.7<74 bicarb increased to 30 at discharge alt 37, ast 58 (decreased to 33 at discharge), ld 244, alk phos 134 (to 121 at discharge), tuberculosis 0.3 ca 8.6, phos 3.2, mg 1.8 folate 13.3 hepatitis studies pending phenytoin 1.9 at admission, 11.8 on tox 225 etoh, acet 13.4, pos barbit urine tox pos barbit, neg otherwise hcv viral load : hcv-rna not detected studies: ekg: normal sinus rhythm. baseline artifact. tracing is within normal limits. compared to the previous tracing of there are no diagnostic changes. cxr : a new right subclavian central venous catheter tip terminates in the mid svc. no pneumothorax is present. the cardiac, mediastinal, and hilar contours are normal. the lungs are clear. the patient is status post right lower lobe lobectomy with evidence of volume loss. chronic changes with blunting of the right costophrenic sulcus are unchanged. old right fifth posterior rib fracture is again noted. ct head 1. slight hyperdensity along the right and left cerebral convexity, likely due to artifact. no definite evidence of acute hemorrhage. no shift of normally midline structures. 2. left frontal soft tissue swelling. abd u/s prominent pancreatic duct, unchanged from multiple prior studies, otherwise normal abdominal son. endoscopy no source of bleeding was found. otherwise normal egd to third part of the duodenum cxr : impression: no acute intrathoracic abnormality. brief hospital course: 49 yom with hcv, seizure disorder head trauma from mva at age 12, etoh dependance s/p seizures and dt's, hx of pancreatitis, hx of gastritis who presents s/p hematemesis this morning. # seizure: initially thought to be etoh related, however etoh level 225 on admission so etoh seizure seems unlikely. patient had a recent fall 2 days pta and had stitches in his left forehead. given seizure, a ct head was done to r/o intrancranial bleed and was negative for any acute intracranial process. patient has a history of seizure disorder head trauma and takes dilantin and phenobarbital for this condition. dilantin level was subtherapeutic on admission which seems to be the more likely cause of his seizure. he was loaded with dilantin 1000mg iv x 1 and then restarted on his normal home dose of 400mg daily. phenobarb was held initially as he was on a valium ciwa scale while in the hospital for treatment of etoh withdrawal. phenobarb was restarted prior to discharge. # hematemesis: patient presented with complaint of several episodes of hematemesis the morning of and night prior to admission. hct 37 on arrival, and then 32 after ivf. hct remained stable throughout his hospital stay. gi was consulted and recommended ebdiscopy which did not identify a source of bleeding. they recommended a ppi. # hcv: not on any medications currently # dispo: patient has historically had poor compliance with follow-up as an outpatient. he was provided with contact information of alcohol cessation organizations. medications on admission: phenytoin sodium extended 400 mg daily phenobarbital 90 mg tid discharge disposition: home discharge diagnosis: tear discharge condition: stable, no bleeding discharge instructions: you were admitted to because you were vomiting blood and you were going through withdrawl from alcohol. your dilantin level was low and we think that this contributed to you having a seizure. you had an endoscopy which did not identify any bleeding. the bleeding was probably caused by repetitive vomiting due to alcohol use. while you were here you were restarted on phenobarbital and you were started on a medication called protonix to help your bleeding. you should continue to take both of these medications in addition to the other medications as prescribed by your doctors. if you have bloody bowel movements, vomit blood, feel light headed or dizzy, develop abdominal pain which does not go away, develop chest pain or shortness or breath, or with any other concerns, you should call your doctor or go to the emergency room. followup instructions: you should follow-up with the programs and people whose names were provided to you by dr. . we strongly recommend that you stop drinking alcohol. procedure: other endoscopy of small intestine diagnoses: unspecified viral hepatitis c without hepatic coma personal history of malignant neoplasm of bronchus and lung epilepsy, unspecified, without mention of intractable epilepsy gastroesophageal laceration-hemorrhage syndrome alcohol withdrawal acute alcoholic intoxication in alcoholism, continuous late effects of motor vehicle accident acquired absence of organ, lung late effect of intracranial injury without mention of skull fracture 

Answer: The patient is high likely exposed to