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: reglan attending: chief complaint: altered mental status, unresponsive major surgical or invasive procedure: none history of present illness: 43 year old man with end-stage liver disease transferred to from hospital with altered mental status. according to his wife he has been taking extra lactulose lately because of asterixis. he seemed more confused this morning and he went to hospital. she denies that he has had recent sickness or other symptoms other than some vomiting last night. he was intubated for airway protection. of note, he was discharged on with similar sx of hepatic encephalopathy and was treated for a pneumonia with levofloxacin (last dose as outpt ). he was also taken off of the list due to malnutrition. . review of sytems: (+) per hpi; patient unable to answer ros questions . past medical history: -alcoholic cirrhosis diagnosed c/b portal vein thrombosis, severe portal htn gastropathy, 3 cords of grade i varices; no history of variceal bleed; currently gets paracentesis q1-2 weeks. -seizures from etoh withdrawal -no evidence of hcc on recent ct past medical history: -alcoholic cirrhosis diagnosed c/b portal vein thrombosis, severe portal htn gastropathy, 3 cords of grade i varices; no history of variceal bleed; currently gets paracentesis q1-2 weeks. -seizures from etoh withdrawal -no evidence of hcc on recent ct social history: lives on cape with wife, no kids, previous heavy etoh for 20 years ( drinks per day; vodka, sober since diagnosis of cirrhosis in , attends aa). no other drugs or smoking. worked as a chef. family history: nc physical exam: physical exam: t 96 hr 106 bp 125/72 hr 85 rr 20 o2 100% on ra general: sedated, cachectic man in nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/conjugate gaze. mm dry. sm blood in mouth. neck supple, no lad cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . jvp flat lungs: cta b/l, decreased breath sounds at b/l bases abd: +bs, very distended, dull to percussion extremities: dry, warm and well perfused skin: no rashes/lesions, ecchymoses. no jaundice neuro: somnolent but reponds to painful stimuli. does move all limbs. pertinent results: please see omr for lab results/reports during hospitalization. brief hospital course: 43 year old man with end-stage liver disease admitted with altered mental status, thought to be hepatic encephalopathy. . # altered mental status: acute change in mental status per wife. ammonia level very elevated and he was noted to have asterixis when he was not sedated. no clear precipitant was identified. given history of multiple previous admissions for encephalopathy, he was treated with aggressive lactulose and rifaximin. he was put on ciprofloxacin for sbp prophylasis. he was also worked up for infection, which was negative. blood and urine tox screens were negative for illicit substances. his mental status progressively worsened. he became significantly more obtunded. on he developed new seizures, for which he was empirically treated for viral and bacterial mengingits. ct of the head showed diffuse cerebral edema, thought to be end stage liver disease. . # acute on chronic renal failure- creatinine worse than prior admissions at 3.3. pt appeared to be volume depeleted. he received several boluses of fluid challenge, with catution given affinity of fluids to settle in the abdomen. his urine output however continued to worsen. it was believed that he had a component of hepatorenal syndrome, for which treatment was initiated. he showed some response, which was shortlived. his kidney function continued to worsen until he was anururic. he developed a significant metabolic acidosis which was treated with ivf with bicarbonate which which temporized his electrolyte disturbances. dialysis was not initiated as it is not considered a treatment for hepatorenal syndrome. . # seizures - seizure activity was thought to be due to cerebral edema. however lp was done to rule out infectious etiology. lp was negative. antibiotics were discontinued. he was started on seizure prophylaxis per neurology, who followed his course through the remainder of his hospitalization. # respiratory: on ventilator for airway protection. he continued on mechanical ventilation until he passed away from distrubances of the cardiac conduction system. . # etoh cirrhosis - gi was consulted for consideration of liver . unfortunatley, given h/o of poor nutritional status with history of inability to gain wait, he was not considered to be an ideal candidate. this was solidified after images of his ct scan which showed defiinitive cerebral edema. he was maintained on tpn for nutrition as his bowel was unable to tolerate sufficient tube feeds. there were numerous interdisciplinary meetings to discuss with the family the prognosis of mr , which was generally poor even prior to the acute causes leading to his hospitalization. the decision to not pursue aggressive measures was made several weeks into his hospitalization. . #cardiac failure: pt was noted to develop bradycardia and conduction abnormalities most likely due to electrolyte disturbances before his heart stopped beating. no intervention was made as pt was dnr/dni. medications on admission: 1. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po qid (4 times a day): should have bowel movements daily. increase if confusion or not 3 bowel movements. 2. clotrimazole 10 mg troche sig: one (1) troche mucous membrane every 4-6 hours as needed for thrush. 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. midodrine 5 mg tablet sig: two (2) tablet po tid (3 times a day). 5. prochlorperazine maleate 5 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. 7. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). 8. multivitamin tablet sig: one (1) tablet po once a day. 9. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. 10. levofloxacin 750 mg tablet sig: one (1) tablet po qod for 2 doses: to be given and . disp:*2 tablet(s)* refills:*0* . discharge medications: . discharge disposition: expired discharge diagnosis: primary: end stage liver disease, hepatorenal disease, cerebral edema, seizure disorder, respiratory failure, cardiac failure discharge condition: deceased discharge instructions: . followup instructions: . md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube percutaneous abdominal drainage diagnoses: pneumonia, organism unspecified acidosis alcoholic cirrhosis of liver acute kidney failure, unspecified unspecified protein-calorie malnutrition severe sepsis candidiasis of other urogenital sites other convulsions hypopotassemia chronic kidney disease, unspecified acute respiratory failure cachexia septic shock personal history of noncompliance with medical treatment, presenting hazards to health carrier or suspected carrier of methicillin resistant staphylococcus aureus hepatic encephalopathy hemorrhage of gastrointestinal tract, unspecified esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum hematuria, unspecified other and unspecified alcohol dependence, continuous methicillin resistant staphylococcus aureus septicemia portal vein thrombosis 

Answer: The patient is high likely exposed to