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: back pain major surgical or invasive procedure: na history of present illness: for full h&p, please see nightfloat and - admission notes. in brief, the patient is a 56 yo man with h/o etoh abuse, reported hepb/c positive, who presented to the ed yesterday with low back pain. the patient states that he woke up yesterday morning with low back pain, located around "l3." the patient admits to drinking 15 beers the previous night, and he does not remember any trauma, but notes that he could have "jumped out a window and not known". the patient apparently endorsed mild abdominal pain last night, but he denies nausea, vomiting, abdominal pain this morning. . in the ed, the patient was afebrile, bp dropped from 107/64 to 95/43, p 100. he was found to have a leukocytosis to 16k and a u/a which was negative. he had a plain film of his lower back, which did not show any evidence of fracture. he was placed on a ciwa scale. because of the leukocytosis blood cultures were taken and he was started on ctx for sbp ppx and a liver u/s was obtained. the ultrasound showed coarsened echo-texture with no ascites. his hypotension resolved with 3l ns in the ed. . this morning, the patient stated that he continued to have back pain, though it is improved after morphine and a lidocaine patch. he denied weakness in his legs, but he did endorse distal peripheral neuropathy that he says is from his etoh use. . plan from - team was for mri l-spine today after a cta to r/o dissection because more epigastric pain. the cta was negative and he was transferred to the medicine floor. . on the floor the patient was found to have hr 140s with no iv access. the patient had lower back pain and "burning" pain with swallowing. he also c/o thirst. he denied sob, chest pain, abdominal pain, bowel or bladder irregularities, fevers, chills, or weakness of his extremities. he notes that he has neuropathy caused from etoh that is not worse than previous. past medical history: 1. anxiety/depression. denies history of bipolar disorder. (patient says takes seroquel 50mg twice per day and 200mg at night) 2. etoh abuse 3. hepatitis b positive per patient - but also hepatitis c? - denies treatment. 4. copd - on inhalers at home social history: divorced twice, with three children. alcoholism made him lose his family and two businesses. former carptenter. etoh x years. smokes 1 ppd x 39 years. no drug (iv or otherwise). reports recent period of sobriety (>2 months) started drinking again 2 weeks ago, everyday "as much as he could get". was recently at house after d/c from and has been getting help with housing from a housing service in his area. family history: 3 brothers, 1 sister: alcoholism. sister with psychiatric problems/anxiety. physical exam: vs: t 98.7, bp 97/64, p 129, r 22, o2 93% on ra gen: discheveled, middle aged man, in pain heent: eomi, perrl, oropharynx dry and without exudate cardiac: tachycardic, regular nl s1 and s2. no r/m/g chest: scattered wheezing esp in upper lobes bilaterally abd: + bs distended. ttp in ruq. no rebound or guarding. ext: no edema. decreased sensation in lower extremities. positive straight leg test in bilateral : ttp across lower back inc. cva tenderness and para-spinal tenderness but no point tenderness along spine. neuro: alert and appropriate. cn ii-xii intact. reports bilat stocking pattern decreased senstaion to knee (old). no asterixis. pertinent results: admission labs: . 06:55pm blood wbc-16.6*# rbc-5.20# hgb-15.4 hct-42.9 mcv-83# mch-29.7 mchc-36.0* rdw-14.9 plt ct-255 06:55pm blood neuts-82.7* bands-0 lymphs-12.4* monos-4.4 eos-0.3 baso-0.1 06:55pm blood plt ct-255 06:30am blood pt-13.2 ptt-29.5 inr(pt)-1.1 06:55pm blood glucose-106* urean-10 creat-0.8 na-125* k-3.8 cl-88* hco3-16* angap-25* 06:55pm blood alt-48* ast-159* alkphos-93 totbili-0.6 06:55pm blood lipase-13 06:55pm blood calcium-9.2 phos-2.7# mg-2.3 06:55pm blood asa-neg ethanol-86* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 08:37pm blood lactate-3.9* . . pertinent studies: . l-spine xray (): ap and lateral views of the lumbar spine are btained. there are five non-rib-bearing lumbar-type vertebrae. vertebral bodies maintain normal alignments. there is no evidence of compression fracture. degenerative disc disease is most notable at t12-l1 with endplate spur formation seen. the posterior elements are suboptimally assessed given exclusion on the second image of the series and underpenetrated technique on the third image of the series. extensive vascular calcifications are seen along the distal aorta on the lateral projection. si joints and visualized portions of the hip joints appear unremarkable. ekg: sinus tachycardia with rate ~120s. st depressions ii, v3-v5 and twf in iii cta chest: prelim read: esoph thickening, no pe, no dissection cxr: no acute c-p process abd u/s: findings: there is a single adherent subcentimeter stone along the wall of the gallbladder, which is otherwise unremarkable. the liver has an increased echogenic appearance since the prior study, suggesting worsening liver disease. flow in the main portal vein is hepatopetal. the spleen is not enlarged, measuring 12.2 cm in length. the pancreas is not well visualized because of overlying bowel gas. no ascites is present. brief hospital course: in brief this is a 56 yo man presenting with back pain, alcohol intoxication, and elevated creatinine kinases. # rhabdomyolysis: patient had elevated ck on admission. the exact cause for this process is unclear but it is suspected that he must have suffered trauma while intoxicated. he was treated with ivf and urine alkalinization. his ck trended down with this intervention. # back pain: he was noted to have small t12 and l1 compression fractures. neurosurgery evaluated the patient. his pain was managed with morphine. # etoh abuse: the patient has a significant history of etoh abuse and etoh withdrawal seizures, with a recent drinking binge for two weeks prior to admission with last drink the night prior to admission. patient was placed on valium withdrawl protocol. he required high doses of valium in order to prevent withdrawl symptoms. # agitation: this was attributed to a paradoxical valium effect. this medication was discontinued and his aggitation improved. while agitated he was places on restrains, temporarily, because he exhibited aggressive behaviour toward house staff. he was placed on haldol standing and prn. his electrolytes and qtc remained within normal levels during haldol administration. psychiatry saw the patinent. when his aggitation decreased haldol was stopped and his home seroquel was restarted. # elevated lactate, hypotension: the patient was hypotensive in the ed and he had a lactate which was elevated. these resolved with ivfs. there was a concern for thiamine deficiency, given the patient's history of alcoholism. he was started on thiamine supplements. # copd: patient has significant smoking history and reports h/o copd for which he takes inhalers including advair at home. he was placed on nebulizer treatments for the duration of his stay. medications on admission: thiamine hcl 100 mg daily folic acid 1 mg daily hexavitamin 1 mg daily pantoprazole 40 mg daily albuterol inhaler q6h prn discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 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* 4. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. disp:*1 bottle* refills:*0* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 6. ipratropium bromide 17 mcg/actuation aerosol sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. disp:*1 bottle* refills:*0* 7. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) as needed for pain: please place to low back: 12 hours on 12 hours off. disp:*30 adhesive patch, medicated(s)* refills:*0* 8. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 9. quetiapine 50 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). disp:*30 tablet(s)* refills:*2* 10. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 11. oxycodone 5 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 12. ibuprofen 400 mg tablet sig: 1-2 tablets po twice a day for 2 weeks. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: etoh withdrawal copd discharge condition: stable discharge instructions: you were admitted to the hospital with back pain. we got mris of your back that showed small fractures. we gave you pain medications to help relieve the pain. while you were in the hospital you requested detox from alcohol. you were treated with medications for this and you got better. you have seen the social work team and will follow up with the services they provided for you as an outpatient. medication changes: we added the following medications to your regimen: - folate and thiamine - oxycodone and ibuprofen for pain - seroquel for your agitation - advair for your copd - clonidine for your blood pressure please come back to the hospital or call your pcp if you have fevers, chills, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, blood in your stools, black stools, leg weakness, difficulty urinating, pain with urination, or any other concerning symptoms. followup instructions: please call to make an appointment with your regular doctor , t. and your psychiatrist dr. , at house procedure: venous catheterization, not elsewhere classified diagnoses: acidosis tobacco use disorder hyposmolality and/or hyponatremia chronic airway obstruction, not elsewhere classified unspecified fall anxiety state, unspecified closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury esophagitis, unspecified drug-induced delirium closed fracture of lumbar vertebra without mention of spinal cord injury hepatitis c carrier rhabdomyolysis other and unspecified alcohol dependence, continuous alcohol withdrawal benzodiazepine-based tranquilizers causing adverse effects in therapeutic use hepatitis b carrier personal history of methicillin resistant staphylococcus aureus 

Answer: The patient is high likely exposed to