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: unresponsive major surgical or invasive procedure: none history of present illness: 49 yo m discharged from ed this morning for etoh intoxication who was biba for seizure. long history of etoh abuse and innumerable ed visits for the same. per patient, drinks 2-3 pints vodka/day, in addition to an unknown number of beers. last drink was evening of . in ed: vs on presentation: bp: 144/85 hr: 116 rr: 16 sat: 97%on ra no labs were drawn. head ct negative on prelim read. no ekg done. was a/o x3, and appropriate. neuro exam was unremarkable. placed on ciwa, received total of 50 iv valium. vs prior to transfer: bp:132/84 hr:86 rr: sat:97%. head ct: no ich, no shift. pt has total of 23 head cts & 15 c-spine cts since ! on transfer to the unit patient reports feeling nauseous, had mild ha and mild back pain. denies cp or sob. review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: alcohol abuse with history of withdrawal seizures epilepsy htn gerd s/p orif left ankle h pylori hemorrhoids barrett's esophagus social history: homeless. sometimes stays with brother or a female friend. -term etoh abuse, ongoing, cannot quantify amount. most recent drink yesterday. denies iv drug use. smokes 1 ppd. 3 children. family history: from the records: pt. does not remember the cause of death of his mother or father. states fateher died in . mother may be alive, but states "i do not know a lot about my mother". many siblings - unclear if illnesses. physical exam: vitals: t: bp: p: r: 18 o2: general: alert, oriented to person, place, time and purpose. in no acute distress heent: nc/at. sclera anicteric, dry mm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, mild ttp throughout, mildly distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, 1+ pedal edema neuro: cn 2-12 intact, strength 5/5 throughout, gait not assessed, mild tremor in hand r/l but no asterixis skin: multiple hyperpigmented plaques on le of vaious sizes, appear chronic, mildly ttp pertinent results: 12:40am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 12:40am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 12:40am urine color-straw appear-clear sp -1.009 12:40am wbc-3.1* rbc-3.66* hgb-10.9* hct-34.5* mcv-95 mch-29.9 mchc-31.6 rdw-18.7* 12:40am neuts-64.4 lymphs-31.9 monos-2.3 eos-0.9 basos-0.5 12:40am glucose-85 urea n-4* creat-0.6 sodium-139 potassium-3.6 chloride-106 total co2-21* anion gap-16 07:52am albumin-3.6 calcium-8.2* phosphate-2.7 magnesium-1.5* 07:52am alt(sgpt)-49* ast(sgot)-136* alk phos-70 tot bili-0.8 07:52am pt-13.4 ptt-26.7 inr(pt)-1.1 ct head: findings: there is no intracranial hemorrhage, loss of -white matter differentiation, mass effect, or edema. the ventricles, sulci, and cisterns are of normal configuration and size for age. there is no fracture. post- surgical changes are seen in the right supraorbital region, stable. the mastoid air cells and visualized paranasal sinuses are clear. impression: no acute intracranial hemorrhage, cerebral edema or skull fracture. stable global, particularly bifrontal cortical, atrophy, which may relate to the history above. ct c-spine: findings: there is no acute fracture or malalignment of the cervical spine. atlantodental and craniocervical junction are normal. the prevertebral tissues are normal. facet joints are normally aligned. lateral masses of c1 are well-seated on c2. the dens appears normal. mild degenerative changes are seen at c5 anteriorly, appear unchanged. there is no significant central canal stenosis. the thyroid appears normal. lung apices demonstrate mild apical scarring. impression: no acute fracture or malalignment of the cervical spine. n.b. this patient has had a total of 22 head cts and 15 c-spine cts since . brief hospital course: 49 yo m with long h/o chronic etoh use and mulitple ed visits for etoh intoxication, discharged from ed this morning of admission for etoh intoxication who then seized shortly after discharge. seizure witnessed by bystander. admitted to micu for needing frequent ciwa checking, then transferred to floor prior to eloping. # seizure: very likely etoh withdrawal. could also be epiliptic sz - per prior records, has epilepsy, followed at , has been on zonegran in the past (discharged on it ) but per patient hasn't taken it in 1 month. lytes were normal. head ct negative. was seen by neruology who did not feel pt should start an antiepileptic due to his chronic non-compliance and thought that the sx was withdrawal induced. he was continued on ciwa scale and had no further seizure activity, and did not require any benzos prior to leaving the hospital (eloping). # etoh abuse: currently using etoh, no etoh level done in ed on . social work consult placed for addiction hx, but did not see pt prior to his leaving the hospital. b12 was normal. pt was given thiamine, folate, and mv. lfts showed mild elevation of ast/alt. # skin rash: appears chronic, unclear what the cause is. pt was started on antifungal cream. hiv and hep c test were checked, and were negative. # htn: unknown meds as out patient. bp's ranging 130-160's in ed. was restarted on norvasc. # pancytopenia: slightly lower than baseline, has had in past, has been attributed to etoh in past. mcv 95. however, concern for other possible etiology. hiv and hepc checked and tests negative. multivitamin was started in-house. medications on admission: zonegran - not taking hx of norvasc- was not taking discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: seizure alcohol withdrawal discharge condition: good, vital signs stable discharge instructions: you were admitted to the icu for a seizure that was likely related to withdrawal from alcohol. you were given valium as needed with improvement. you showed no furthr signs of withdrawal while in the hospital. you should return to the emergency room if you develop any concerning symptoms such as chest pain, shortness of breath, fever, tremulousness, dizziness. followup instructions: pt left hospital without signing out ama (eloped). procedure: alcohol detoxification diagnoses: esophageal reflux tobacco use disorder unspecified essential hypertension epilepsy, unspecified, without mention of intractable epilepsy rash and other nonspecific skin eruption personal history of noncompliance with medical treatment, presenting hazards to health barrett's esophagus lack of housing alcohol withdrawal delirium acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to