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: sulfa (sulfonamide antibiotics) attending: chief complaint: etoh withdrawl s/p seizure major surgical or invasive procedure: open reduction internal fixation history of present illness: 43 yo f with pmh of cad s/p mi, seizure d/o untreated, thoracic outlet syndrome who was transferred from osh to our ed after having an unwittnessed seziure this morning at home. patient states she had a seizure this morning nand woke up on her living room floor. she tried to walk to her neighbor's but fell on the ice. she called an abulance her brought her to an osh ed. per patient, they wanted to admit her there but there was no room. of note, she also broke her hand earlier this week after falling during a seizure and reports shoulder pain currently. in the ed here, vss, patient got total of valium 40mg iv and morphine 4mg iv x1. serum tox screen negative. ct head showed no acute process. ros: endorses tremulousness amd shoulder pain. denies cp, sob, ha, change in vision, abdominal pain, change in bowel or bladder habits. seizures as above. past medical history: cad s/p mi , medically treated thoracic outlet syndrome seizure disorder? (epilepsy vs etoh w/drawal related) - not on anti-epileptics, no neuro w/u copd htn tobacco abuse 1-2ppd hep c social history: lives alone, not working, married but does not live with her husband. drinks 1-1.5 gallons of vodka a day, 20 pack year history of tobacco, denies illicit drug use. family history: no h/o seizure d/o. physical exam: vitals: 98.2 118/67 72 18 98%ra pain: l hand access: piv gen: nad, stable dysarhtria heent: mm dry cv: rrr, no m resp: ctab, no crackles or wheezing abd; soft, nontender on my exam, +bs ext; no edema neuro: a&ox3, grossly nonfocal but has slurred speech, no tremors, no nystagmus ms: l hand in cast psych: anxious and upset pertinent results: no leukocytosis hgb 12-->11.6 chem panel unremarkable bun/creat 11/0.7 vit b12 and folate nl lfts: alt 139->91, ast 72->44 inr 1.1 neg hepbsab and cab pos hep c ab pos serum tox neg . . . imaging: head ct: wet read - no acute process . ekg nsr, nothing acute . cxr nothing acute . . brief hospital course: 43year old longstanding etoh abuse, seizure disorder (epilepsy vs etoh withdrawal) admitted to micu after seizure (unwitnessed) and in etoh withdrawal. states she started drinking 6mos ago after she was sexually assaulted. recieved valium per ciwa, which was taken off on . she was resumed on her home dose of klonipin 1mg tid given her increased anxiety. no seizures while here. spoke with md at osh in (who pt reports is her pcp, seen her in outpt basis) who reports multiple admissions for etoh related issues (intoxication or seizures). he doesnt recall h/o epilepsy, felt seizures were etoh, though pt reports having seizures during periods of sobriety. seen by social worker, given info for aa near , which is where the patient is residing for past 6mos. pt was c/o l hand pain after fall one week prior (states seizure). was seen by hand (plastics) and found to have 5th metacarpal fracture. recieved oxycodone for pain while here. underwent orif w/o complications. hand is now in cast and sling which she is to keep on until f/u 10days after discharge. was discharged on percocet (5/325mg) 45pills until follow up. fell last week seizure and now with fracture l 5th metacarpal, plan for or in am. . . progress note: . l 5th metacarpal fracture: per patient, fell 1 week ago after a seizure. s/p orif 1/15 per plastics -f/u hand clinic in 10days, will give pt number and location, she wants to f/u here. -will give limited supply for tylenol/oxycodone (percocet-5), she has tramadol and tylenol at home. -encouraged to keep arm in sling and elevated at all times. . . etoh withdrawal: per patient, drinks 1-1.5 gallons of vodka a day, has been drinking straight x6mos. last drink . h/o withdrawal symptoms and possible seizures are related, s/p valium while here, now better and off valium -restarted home klonipine 1mg tid, pt has supply -cont folic acid and thiamine supp. -provided info for outpt aa program near where she is currently residing. per pcp from there, has had multiple inpatient stays for etoh related issues (intoxication vs seizures), has failed treatment programs . . seizure disorder: unclear history, no epileptic history osh md. never had witnezzed seizure while in hospital but pt reports frquent grand-mal seizures as outpt, including ones when she is sober for several days (not in setting of etoh w/drawal). only on klonipin 1mg tid, never seen a neurologist. -no more seizures here. ordered eeg but not done and unlikley to help this far out. -defer inpatient neuro eval since more likely seizure in setting of etoh withdrawal (if in fact was a seizure). -monitor on klonipin as above . . transaminitis: alt>ast not c/w etoh. hep panel with +hepbcab and hepc ab. pt aware of hep c but not hep b. no acute issues and given poor follow up and that she does not get her care at , will not further w/u here. -will reccommend she f/u with hepatology at some point to eval for chronic active hepatitis b/c. . . cad s/p ?mi : denied cp on admission. no acute issues. ekg ordered as above -cont lopressor 25mg , reccommend start asa after surgery. . . nicotine dependence: smokes 1-2ppd - nicotine patch 21mg/24h while here . . fen/proph: hliv, monitor lytes, then gen diet (refuses cardiac), teds, ambuation, heparin proph, raniditine (on ibuprofen, etoh, tobacco) . . dispo: full code. d/c home today with rx for percocet, resume home meds, f/u hand in 10days. f/u pcp as needed. pcp: , . . updated though pt has not yet made it to an outpt appointment with him. medications on admission: clonazepam 1mg tid lopressor 50mg po qd tramadol 50mg prn inhalers - unknown names and doses discharge medications: 1. percocet 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*45 tablet(s)* refills:*0* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 3. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 4. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 5. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 7. combivent 18-103 mcg/actuation aerosol sig: two (2) inhalation four times a day. discharge disposition: home discharge diagnosis: left fifth spiral metacarpal fracture s/p orif etoh withdrawal with possible siezure discharge condition: stable discharge instructions: you were admitted after you stated you had a seizure. you also had symptoms of alcohol withdrawal and you were treated with valium for that. you did not have any more seizures while here. you should see a neurologist to figure out if you have a seizure disorder or whether you seizures are related only to the alcohol. you also had l hand fracture after recent fall. you underwent orif (pinning) l hand on . you need to call the hand clinic number and see them in 10days. please keep your splint on and keep your hand elevated if possible. keep it dry. make sure that you can feel your fingers and that the tips feel warm. followup instructions: please call dr. office at ( to schedule/ confirm an appointment on tuesday (). procedure: open reduction of fracture with internal fixation, carpals and metacarpals diagnoses: abdominal pain, unspecified site coronary atherosclerosis of native coronary artery tobacco use disorder chronic hepatitis c without mention of hepatic coma chronic airway obstruction, not elsewhere classified other convulsions unspecified fall hypopotassemia old myocardial infarction myalgia and myositis, unspecified raynaud's syndrome mononeuritis of unspecified site other and unspecified alcohol dependence, continuous alcohol withdrawal heart disease, unspecified closed fracture of shaft of metacarpal bone(s) brachial plexus lesions 

Answer: The patient is high likely exposed to