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: history of present illness: the patient is a critically ill 36 year old male who was transferred from the hospital on for further management of presumed intoxication complicated by acute renal failure requiring dialysis, pancreatitis, hepatitis and meningitis. the patient has had a history of alcohol abuse in the past. he was sober for approximately seven years but, during the summer, the patient had started to abuse alcohol again. according to his wife, he had been in detoxification four to five times since the summer. on , the patient drank alcohol, amount unknown, and then, on , ingested approximately two pints of vodka according to hospital. the patient's wife noted that, after the ingestion, the patient had nausea, vomiting, diarrhea and abdominal pain. the patient then presented to hospital on and was found to be severely acidemic with arterial blood gases of 7.01/7/100 and a potassium of approximately 6 with a creatinine of 3.7. according to hospital, a toxicology screen was negative and alcohol was negative. the patient had low tylenol levels. the wife had noted that, in the past, the patient had ingested scope and cough syrup and had taken tylenol p.m., regularly, approximately five pills at a time. she had also noted that a bottle of shout was nearly empty. the patient was tested for ethylene glycol on after hemodialysis, and was negative. a formaldehyde antibody test was also sent to quest laboratories, which is currently pending. at the outside hospital, the patient was emergently dialyzed and intubated for a severe metabolic acidosis and impending respiratory failure. on presentation, the patient's liver function tests were normal but began to rise to an alt of 1,579 and ast 2,719 on . sputum and stool cultures were negative. an abdominal ultrasound and ct scan showed hepatomegaly. a head ct showed sinusitis but no acute intracranial pathology. in total, the patient was dialyzed four times. he was also noted to have hypercalcemia, with a total calcium of approximately 13. he was given one dose of pamidronate on . the patient was extubated on . he apparently was speaking, recognized his wife and then became somnolent. he was noted to have increased agitation and was given significant amounts of ativan and haldol. he was then transferred to for further management at the request of his wife. on presentation, the patient was somnolent and unresponsive to voice, but responded to pain. he moved all four extremities. his pupils were 3 mm and unresponsive to light. the patient also had a paradoxical breathing pattern and was intubated for both airway protection and respiratory distress. past medical history: 1. alcohol abuse. 2. status post appendectomy. allergies: the patient has no known drug allergies. outpatient medications: none. medications on transfer: vitamin k, nitroglycerin paste, haldol and catapres 0.2 mg. social history: the patient smokes one pack per day. he is married with an 11 year old daughter. works as a mechanic. he has a history of alcohol abuse and used cocaine occasionally. family history: the patient has a brother with hemochromatosis. laboratory data: on admission to , white blood cell count was 14.7, hematocrit 28.8, platelet count 288,000, prothrombin time 13.7, partial thromboplastin time 32, inr 1.3, albumin 3.1, sodium 144, potassium 4.1, chloride 97, bicarbonate 31, bun 65, creatinine 7.6 and glucose 125. arterial blood gases: 7.52/38/114. hospital course: the patient is a 36 year old critically ill male, intubated, with presumed ethylene glycol ingestion complicated by meningitis, unresponsive mental status, acute renal failure, on dialysis, hepatitis, pancreatitis and possible aspiration/ventilator associated pneumonia. 1. cardiovascular/labile blood pressure: since the patient presented to , and at the outside hospital, he has been largely hypertensive with a systolic blood pressure at approximately 180 and diastolic pressure at approximately 100. the patient has been intermittently on a labetalol drip. at first, hypertension was partly attributed to withdrawal, however, now it appears that his hypertension may be neurologically driven. 2. pulmonary/intubated with possible ventilator/aspiration pneumonia: on , the patient had episodes of hypoxia and hypotension. after suctioning, multiple mucus plugs were seen. the patient was planned for a bronchoscopy but this was deferred because his hypoxia had resolved. a chest x-ray showed bilateral lower lobe infiltrates consistent with possible aspiration pneumonia. the patient is currently on vancomycin, levofloxacin and ampicillin. 3. renal/anuric, acute renal failure: this was thought secondary to toxic ingestion. the patient is currently on hemodialysis. during his hospitalization, the patient has had significant hyperkalemia with a potassium of 7.4 and peaked t waves on electrocardiogram. on admission, the patient was noted to have red blood cell casts in his urine. a glomerulonephritis workup is in progress but has been largely negative thus far. the patient's bun remains high and it is unclear at this point whether uremia is contributing to the patient's declining mental status. 4. infectious disease/meningitis and increasing white blood cell count: due to the patient's poor mental status, a lumbar puncture was done which showed 95 white blood cells, 3 red blood cells with a differential of 68% polycytes, 7% lymphocytes and 27% monocytes. the second tube showed 49 white blood cells and red blood cells with 63% polycytes, 2% bands, 17% lymphocytes and 18% monocytes. gram stain and culture have been negative thus far. protein was 428, glucose 108. the infectious disease service has been consulted and is following the patient closely. the patient is currently on intravenous levofloxacin 250 mg every other day, ampicillin and vancomycin to cover for methicillin resistant staphylococcus aureus, drug resistant streptococcus pneumoniae, listeria, atypical bacteria and yersinia. there is a question of whether the family history of hemochromatosis may invoke listeria, yersinia, vibrio and fungal cryptococci. the suspicion of hemachromatosis in the patient is low, with an iron of 26, low tibc but ferritin of greater than 1,000. on , a left subclavian catheter was positive for methicillin sensitive coagulase negative staphylococcus. the patient also had one peripheral blood culture with the same sensitivities. 5. gastrointestinal/hepatitis and pancreatitis: the patient's hepatitis has been improving, however, his lipase continues to rise. the patient was continued on supportive care for pancreatitis. 6. genitourinary: the patient has a foley. 7. hematology: the patient remains anemic but has no clear source of bleeding. the patient has been transfused two units of packed red blood cells on . 8. neurology/unresponsive and comatose: the patient's mental status continues to decline. upon presentation, he had reflexes and was moving all extremities. currently, the patient does not have any spontaneous movement and pupils remain unreactive. neurology was consulted. the meningitis is most likely a chemical meningitis but the patient is being empirically treated with antibiotics. the patient had an apnea test. respiratory efforts were thought to be seen but it was unclear. the patient had an electroencephalogram and a repeat lumbar puncture planned for the future. 9. toxicology/presumed ethylene glycol ingestion: dr. was consulted and believed that this presentation is consistent with ethylene glycol ingestion, however, no crystals were seen on cerebrospinal fluid or urine samples. 10. fluids, electrolytes and nutrition: the patient is on total parenteral nutrition. 11. prophylaxis: the patient was on protonix and venodynes. 12. code status: the patient was full code until , when the family decided to make the patient comfort measures only. on , the patient's wife, daughter and other members of the patient's family approached the medical team, including dr. , dr. and nurse, , and expressed their wish to withdraw ventilatory support from mr. . this decision was made after considering the patient's wishes regarding a state of grave clinical prognosis. a priest was called to administer last rites. many members of the family were present in the room. the patient was extubated at 12:10 on and the family gathered around him. the patient became asystolic at 12:17 and was pronounced at 12:32. the patient did not demonstrate any signs of discomfort. the medical examiner was called because there was suspicion of acute ingestion of a poison in this case. the medical examiner accepted the case under her jurisdiction and stated plans to pick up the body. , the patient's wife, was called informing her of this situation. discharge diagnosis: cardiopulmonary arrest secondary to possible ethylene glycol ingestion. discharge status: deceased. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances hemodialysis hemodialysis hemodialysis injection or infusion of thrombolytic agent arterial catheterization diagnoses: acidosis hyperpotassemia acute and subacute necrosis of liver drug-induced delirium toxic effect of other nonpetroleum-based solvents acute kidney failure with lesion of renal cortical necrosis accidental poisoning by other specified solvents, not elsewhere classified nonpyogenic meningitis 

Answer: The patient is high likely exposed to