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: epigastric pain which was determined to be pancreatitis major surgical or invasive procedure: cvl arterial line endotracheal intubation post-pyloric ng tube port-a-cath removal picc line placement history of present illness: 63-year-old woman with history of etoh abuse, hemochromatosis, pud, who was admitted on after a one period of epigastric abdominal pain, nausea, vomiting, diarrhea found to have clinical findings c/w acute pancreatitis. . at baseline the patient has nonbloody diarrhea and takes antidiarrheal medications. one week ago she experienced nonbilious, nonbloody vomiting once. she did not vomit again until the night prior to admission when she experienced both ruq and luq abdominal pain, multiple nonbloody, watery bowel movements, and nonbloody, bilious emeses. the nausea, vomiting, abdominal pain lasted all night, prompting the patient to present to the ed. she has never experienced this constellation of symptoms before. she denies any fevers, chills, dyspnea, chest pain. . on arrival to the ed, t 99, bp not auscultatable, hr 128, rr 26, 92% ra. exam revealed orientation x 3, tachycardia, positive femoral pulses, diffuse abdominal tenderness greatest in epigastric area without any peritoneal sign, and negative guaiac. her initial labs were notable for lipase 1672, amylase 591, alt 316, ast 115, ap 155, ldh 523, tbili 2.1, dbili 0.7. wbc was 11, and hct 51. a ruq ultrasound revealed increase echogenicity of the liver consistent with fatty infiltration, but no cholecystitis, no gallstone. she was diagnosed with likely alcoholic pancreatitis. a right ij sepsis central line was placed, and she received 4 l of ns in the ed. bp rapidly improved to sbp 120s-130s. she was given empiric levofloxacin and metronidazole and received keterolac for pain control as she refused narcotics for fear of addiction. patient was then transferred to micu for further management. . in the micu she presented with a complicated course showing acute pancreatitis with end organ damage likely secondary to etoh abuse. her respiratory function decreased, her abg showed co2 retention so that she was finally intubated on . she had to be continued on aggressive iv fluid therapy to stabilize her blood pressure. she only had very low urine output at 10-20cc/h although her creatinine came back from 2.5 to her baseline at 0.9. despite continously improving laboratory parameters continously her clinical presentation worsened over time. today she was supposed to get abdominal ct but just before the transport she desaturated to 80% most likely caused by volume overload. she responded to initial lasix 40mg iv but with urine output of about 95cc over 4 hours. we were being consulted for the further nutrition management of the patient. past medical history: * etoh abuse: heavy drinking of to whole bottle of wine per day every day for 4-5 years; last drink reportedly on . * peptic ulcer disease: with frequent epigastric discomfort after meals * hemochromatosis: requiring therapeutic phlebotomy * sleep apnea: per sleep study on , patient should be started on auto cpap with a pressure ranging from 6-10 cm of water; however she hasn't started using cpap at home yet * cognitive impairment social history: drinks 3/4 to 1 whole bottle of wine per day every day for years. no drug use. no tobacco. retired. lives with husband who does not drink. family history: noncontributory physical exam: on arrival to icu vs: t 99.1, bp 133/51, hr 113, rr 25, 100% 4l nc gen: elderly woman lying in bed, anxious-looking, awake, alert, conversant heent: eomi, perrl, sclera anicteric, conjunctivae clear, op dry and without lesion neck: supple, no jvd cv: tachycardic, normal s1, s2. no m/r/g. chest: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, nd, diffusely tender (greatest at epigastric/ruq), no reboundtenderness, active bowel sounds, no hsm, no ecchymosis at the flanks or periumbilical area ext: no c/c/e skin: no rash pertinent results: studies: * cxr : frontal chest radiograph: a left-sided internal jugular central venous line has been removed. a right-sided picc line is seen with tip at the cavoatrial junction. there is an increasing small right pleural effusion and atelectasis. there is a stable small left-sided pleural effusion and left retrocardiac opacity with air bronchograms representing atelectasis or consolidation. . * right upper quadrant ultrasound : a limited examination was performed of the right upper quadrant, which showed a distended gallbladder without evidence of wall thickening or edema. no intra- or extra-hepatic biliary dilatation is identified with the common bile duct measuring 4 mm. there is likely a small amount of sludge within the gallbladder, without evidence of echogenic or shadowing stones. there is a small amount of ascites. impression: the gallbladder is not decompressed; however, there is no evidence of wall thickening or pericholecystic fluid to indicate acute cholecystitis. . tte :the left atrium and right atrium are normal in cavity size. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%) the estimated cardiac index is normal (>=2.5l/min/m2). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. no masses or vegetations are seen on the aortic valve. the mitral valve leaflets are structurally normal. no mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: no valvular pathology or pathologic flow identified. normal biventricular cavity sizes with preserved global and regional biventricular systolic function. if clinically suggested, the absence of a vegetation by 2d echocardiography does not exclude endocarditis. . ct abdomen : 1. extensive peripancreatic stranding and inflammatory change, consistent with acute pancreatitis. without intravenous contrast, degree of parenchymal enhancement cannot be assessed. however, no sign of complication such as pseudocyst or abscess is noted. 2. moderate bilateral pleural effusions, and associated atelectasis. 3. moderate ascites throughout the abdomen. 4. dense material within the gallbladder. given normal appearance of the gallbladder on ultrasound from three days prior, this is of uncertain clinical significance. could possibly represent vicarious excretion of contrast, if this has been given. this could simply represent concentrated bile. 5. fatty liver. renal ultrasound : 1. patent renal veins. 2. normal to minimally elevated resistive indices within both kidneys as above. 07:03pm lactate-2.1* 05:01pm lactate-2.7* 04:45pm glucose-165* urea n-31* creat-1.5* sodium-140 potassium-4.5 chloride-113* total co2-14* anion gap-18 04:45pm wbc-7.5 rbc-4.00* hgb-14.2 hct-42.5 mcv-106* mch-35.6* mchc-33.5 rdw-14.6 04:45pm neuts-88* bands-3 lymphs-8* monos-1* eos-0 basos-0 atyps-0 metas-0 myelos-0 03:26pm lactate-2.2* 02:02pm lactate-2.5* 02:02pm o2 sat-79 01:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:50pm alt(sgpt)-316* ast(sgot)-115* ld(ldh)-523* ck(cpk)-72 alk phos-155* amylase-591* tot bili-2.1* dir bili-0.7* indir bil-1.4 12:50pm lipase-1672* 12:50pm ctropnt-<0.01 12:50pm ck-mb-notdone 12:50pm albumin-3.6 calcium-7.7* phosphate-8.1*# magnesium-2.3 12:50pm wbc-10.9# rbc-4.82# hgb-17.0*# hct-50.9*# mcv-106*# mch-35.3* mchc-33.4 rdw-14.5 12:50pm neuts-86* bands-7* lymphs-4* monos-2 eos-1 basos-0 atyps-0 metas-0 myelos-0 12:50pm pt-11.4 ptt-150* inr(pt)-0.9 brief hospital course: the patient is a 63yo female with history of etoh abuse,pud, hemochromatosis, who was admitted after c/o abdominal pain, nausea, vomiting and diarrhea x 1 day and diagnosed with acute pancreatitis. . 1. pancreatitis: thought to be due to pt's etoh abuse, no gallstones noted on imaging, triglycerides were not elevated. pt's lipase on presentation was >1600, trended down normalizing on after ivf hydration and bowel rest. she had a cvl placed and had aggressive volume resuscitation the first day of her hospital course that required et intubation on day 2 of her hospitalization. ct abdomen revealed no pseudocyst. surgical consultation felt that there was no indication for surgical intervention. she was initially covered with broad spectrum antibiotics including, vancomycin, meropenam, after cx returned negative except for micrococcus and she had clinical improvement. meropenam was discontinued and she was maintained on vancomycin for a full course of 14 days. she was never hypotensive after initial fluid resuscitation in ed and did not require pressors during this hospitalization. her pain medications were steadily decreased and at discharge, she is on a fentanyl patch 25 mcg/hr q 72 hrs, oxycodone 5mg po q4h prn and tylenol (liquid) 650 mg po q6h prn with good pain control. her ast, alt, total bilirubin, amylase and lipase are all normal at discharge. . 2. respiratory failure: in the setting of fluid overload. after pt's pancreatitis clinically stabilized, she was able to be diuresed. after several days of diuresis, her respiratory status improved rapidly. she was extubated without complication . she was stable for transfer to the regular medical floor . at discharge, pt remains on 1l nc with o2 saturation 95%. she should be weaned from o2 as able during her stay at rehab. . 3. acute renal failure: thought to be due to contrast nephropathy. renal u/s revealed no hydronephrosis. renal consulted and felt was c/w atn. creatinine peaked at 3.5 on and trended down daily afterward. she was never oliguric. creatinine at d/c is 1.8 up from baseline 0.8 . pt is having post-atn diuresis. . 4.micrococcus bacteremia: 1 out of 2 bottles from ed on admission. port-a-cath removed by surgery . rij removed , a-line resited . completed a 14 day course of vancomycin after all potentially infected lines had been removed. . 5. uti- completed course of ciprofloxacin.urgency at d/c but no dysuria. . 6.etoh abuse- she was initially on a ciwa without event. social work was consulted. pt should be followed by social work at rehab. importance of abstaining from all alcohol has been reinforced with pt during her hospital stay. pt also maintained here on seroquel, venlafaxine and prn trazodone for h/o depression. . 7. h/o hemochromatosis - stable . 8. pt with diarrhea as she has tried to advance her diet here. pt has tested negative for c diff toxin twice. diarrhea treated with immodium and thought to be due to pts digestive system adapting after episode of pancreatitis. . 9. pt kept on ppi in house . 10. pt with murmur here in hospital recieved a negative tte. no further studies were needed. medications on admission: quetiapine 50 mg po qhs aspirin 325 mg po qday clonazepam 0.5 mg po bid omeprazole 20 mg po qday venlafaxine 75 mg po qday discharge medications: 1. acetaminophen 500 mg capsule sig: capsules po every hours as needed for pain. 2. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 3. quetiapine 50 mg tablet sig: one (1) tablet po at bedtime. 4. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed for diarrhea. 8. fentanyl 25 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 9. aspirin 81 mg tablet sig: one (1) tablet po once a day. 10. omeprazole 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 11. venlafaxine 75 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: discharge diagnosis: primary diagnosis: pancreatitis secondary diagnoses: acute respiratory distress syndrome acute renal failure alcohol abuse hemochromatosis diarrhea discharge condition: fair, on 1 liter oxygen 95% discharge instructions: you were admitted to the hospital with a severe case of pancreatitis. during your hospital course, you required intubation and the help of a respirator to breathe. you are now being discharged to rehab so you can regain your strength. you should avoid all alcohol to prevent any recurrence of your pancreatitis. please return to the hospital with any fevers, chills, shortness of breath, chest pain, leg pain and/or swelling, dizziness or increased abdominal pain. followup instructions: please follow up with your primary care physician, . tues at 10:45a md, dmd procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization incision with removal of foreign body or device from skin and subcutaneous tissue diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified unspecified septicemia unspecified protein-calorie malnutrition other and unspecified infection due to central venous catheter acute pancreatitis other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to