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: no known allergies / adverse drug reactions attending: chief complaint: s/p trauma, etoh intoxication major surgical or invasive procedure: endotracheal intubation history of present illness: 43m with no known medical history presents s/p assault. ems was called to the scene and discovered the patient intoxicated, unable to provide history. per ems report, the patient and a friend were drinking etoh all day. they had an argument over a woman and his friend hit him in the head three times with a closed fist. the patient fell to the ground and lost consciousness for an unknown period of time. when ems and police arrived, the patient was verbal, asking for water, but was not able to respond to other questions. he was observed to be intoxicated. on arrival to the ed, initial vs were 97 120 131/89 22 95% ra. he was unable to respond to questioning regarding pain or further medical history. he is not known to the system or to atrius, therefore no medical history is available. he was sedated with droperidol for agitation and combativeness. he became apneic and was intubated. ct head and ct c-spine were negative. on exam he had a small occipital hematoma without further traumatic injury evident. surgery was consulted and did not feel that his ams or respiratory failure had a traumatic component. labs revealed etoh level of 154 and was positive for benzos. cbc was normal, chem10 showed hypokalemia to 3.2 without other abnormality. following cts, it was not possible to extubate the patient, given hypoxic respiratory failure and concern for withdrawl from both etoh and benzos. vs prior to transfer: afebrile 150/101 80s 14 100% on 500/14/70%. on arrival to the micu, patient's vss. on fentanyl 50 and midaz 1, patient not responding to sternal rub, not following commands. perrl. review of systems: unable to obtain due to mental status past medical history: -schizophrenia, on risperdol and is seen at -alcoholism -homelessness social history: patient is homeless. otherwise unknown. claims to drink a fifth of tequilla and 6 beers occasionally. cage 0/4 family history: unknown physical exam: on admission: ------------- vitals: 97.3 131/87 89 18 100%on cmv peep 8 general: appears comfortable; does not open eyes to voice or follow simple commands heent: sclera anicteric, pupils 2mm and reactiv; mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: scattered crackles bilaterally abdomen: soft, non-distended, bowel sounds present, no organomegaly, no tenderness to palpation, no rebound or guarding ext: warm, well perfused, 2+ pulses, 1+ edema to mid calf neuro: rass -2; pupils 2mm and reactive . on discharge: vss general: aaox3 in nad heent: sinus not ttp, head has some mild, minimally erythematous echymosis on the back of head, no nystagmus cv: rrr, no rmg lungs: ctab, no wrr abdomen: obese, nt, active bs x4, no hsm neuro: cn 2-12 grossly intact-eomi, perrla, sensation grossly intact, strength wnl, refused to ambulate with me, but witnessed multiple times ambulating in the without signs of imbalance . pertinent results: labs on admission: ------------------- 09:15pm blood wbc-7.6 rbc-4.61 hgb-14.1 hct-43.4 mcv-94 mch-30.7 mchc-32.6 rdw-13.4 plt ct-207 09:15pm blood neuts-86.7* lymphs-10.2* monos-2.2 eos-0.5 baso-0.4 09:15pm blood glucose-108* urean-8 creat-0.6 na-142 k-3.2* cl-107 hco3-19* angap-19 09:15pm blood alt-37 ast-30 alkphos-67 totbili-0.3 04:28am blood calcium-8.1* phos-4.4 mg-1.8 09:40pm blood type-art temp-36.1 rates-14/ tidal v-500 peep-8 fio2-60 po2-70* pco2-40 ph-7.32* caltco2-22 base xs--5 -assist/con intubat-intubated 02:35am blood lactate-2.5* labs prior to discharge: -all wnl on day of discharge . h-ct impression: no acute intracranial process. . c-spine ct impression: no acute fracture or malalignment. . cxr impression: no acute cardiopulmonary process. . tte the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is grossly normal (lvef ? 55%). the aortic valve is not well seen. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: suboptimal image quality. this examination is inadequate to exclude focal wall motion abnormalities of the left ventricle or any abnormality of the right ventricle . rib films impression: normal examination. no evidence of rib fracture or pneumothorax. . ekg sinus rhythm. findings are within normal limits. non-diagnostic q waves in the inferior leads. compared to the previous tracing of there is no significant diagnostic change. brief hospital course: 43 year old homeless man with pmhx of schizophrenia and alcoholism who presented to the ed s/p assault, who was transferred to the micu for hypoxic respiratory failure s/p intubation and was observed on the floor for signs of withdrawal # hypoxic respiratory failure: the patient was admitted to the hospital with shortness of breath after being found down, and was intubated with large a-a gradient (288). his respiratory failure was most likely caused by an aspiration pneumonitis given that he promptly improved. portable chest x-ray at the time of intubation showed possible aspiration in lll. alternatively, patient could have had pulmonary contusion/alveolitis, but had no further evidence of chest trauma. given substance abuse, he may also have had a component of hypoventillation as patient noted to have apenic episodes and somnolence prior to intubation, but would not account for a-a gradient. patient was able to be extubated after less than 12 hours. he was oxygenating well on room air. follow up cxr showed no signs of pneumonia and his antibiotics were stopped. . # altered mental status: patient presented with altered mental status, likely due to acute intoxication with etoh and benzodiazepines. there was no evidence of acute intracranial process on ct scan. there was no evidence of infection, cxr negative and uc was negative. . # etoh and benzo intoxication/abuse: patient admitted with etoh level 164 and positive urine benzos. the patient was followed for over 72 hours and monitored for signs of withdrawal with the ciwa scale. the patient was approached twice by social work and daily by the medical team encouraging alcohol abstinence. he insisted that he did not have an alcohol problem and refused to take literature of aa meetings and other resources available to him. . # ble edema the patient reports that this has been an issue for about 1 month. he also reported cp and sob during this admission. given these other symptoms, and tte was obtained which was a difficult study, but showed a normal ef. the patient had a bottle of lasix 20 mg qd from which i informed him he could continue. we re-started the lasix the day prior to discharge and check his electrolytes and they were wnl. i informed the patient that he can continue this medication until following up with his new pcp at on , at which time he should have his labs checked and defer further diuretic use to his pcp. . # cp and sob the patient cp was reproducible on pe and the suspicion for acs was low. serial tni's were done and negative. his ekg's were normal. his cp improved with tramadol and toradol. his sob was pleuritic and he was not tachycardia, hypoxic or tachypneic. the suspicion for pe was low. the patients got dedicated rib films and those were negative. his pain was thought to be due to pulmonary contusion and pleurisy from trauma. he was prescribed nsaid's and tramadol for pain upon discharge and an albuterol inhaler. . # headaches and dizziness the patient had the above complaints without any other neurologic signs or symptoms. h-ct was negative. he intermittently refused his medications and orthostatics vs, but when he finally agreed to doing them he was not orthostatic. he was seen ambulating the hallway without issues and pt/ot evaluated the patient and though he was stable for d/c. the patients h/a resolve and dizziness is thought to be due to post concussion syndrome. the medical team repeatedly discussed with the patient that some of these symptoms may take weeks to months to resolve. we emphasized follow up with a primary care physician. patient said he understood. . # cough with allergic rhinitis and post nasal drip the patient was advised to use nasal saline which he refused. he was also offered claritin, but he left without the prescription. he was treated symptomatically in house with tesselon pearles. . #homelessness the patient was repeatedly offered help with his housing situation. every time the medical team brought up discharge planning and assistance, the patient refused assistance. when attempting to discharge the patient he reports "not being ready". we again reinforced how important follow up was with a pcp. patient was pacing the prior to discharge and repeatedly asked for his lasix back. once he received this medication, he left without his discharge paper work. cm also checked to see if he had medication coverage and he does. . # transitional issues: -follow up with pcp 1 -2 weeks and assess the need for lasix, check basic metabolic panel -follow up with psyc in weeks and continued to reinforce alcohol cessation medications on admission: unknown discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: inhalation every six (6) hours as needed for shortness of breath or wheezing. disp:*qs for 2 weeks * refills:*0* 2. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for cough. disp:*30 capsule(s)* refills:*0* 3. sodium chloride 0.65 % aerosol, spray sig: sprays nasal q6h (every 6 hours). disp:*qs for 1 month * refills:*2* 4. risperidone 1 mg tablet sig: one (1) tablet po hs (at bedtime). 5. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*20 tablet(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*14 tablet(s)* refills:*0* 10. ibuprofen 200 mg tablet sig: three (3) tablet po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 11. claritin 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p assault with post concussive syndrome intoxication alcoholism schizophrenia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the icu at after being found intoxicated and being assualted. you had ct scans of your brain and cervical spine showed no acute changes but did show some mild shrinking of your brain possibly related to alcohol consumption. you were sent to the floor and treated for alcohol withdrawl. you also had a echocardiogram as a work up for your swelling. you heart appeared normal. you will sent to a shelter. we recommend that you stop drinking alcohol and follow up with your pcp and psychiatrist at in 1 week. . medication changes: 1) start albuterol inhaler for shortness of breath 2) start benzomatate for your cough 3) start sodium chloride nasally for your cough 4) start thiamine, folic acid and multivitamins to maximize your nutrition 5) start tramadol for moderate to severe pain 6) start ibuprofen for mild to moderate pain 7) continue lasix as prescribed to you at for 1-2 weeks until follow up with your primary care physician and get your electrolytes checked when seeing your pcp 8) start claritin for your allergies followup instructions: you are seen at the health group there contact number is . the office was unavailable and a message was left trying to confirm your appointment on . please call the office at the above number to do so. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) hypopotassemia unspecified schizophrenia, unspecified acute respiratory failure unarmed fight or brawl lack of housing sedative, hypnotic or anxiolytic abuse, unspecified acute alcoholic intoxication in alcoholism, unspecified edema allergic rhinitis, cause unspecified concussion, with loss of consciousness of 30 minutes or less 

Answer: The patient is high likely exposed to