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: fall, alcohol intoxication major surgical or invasive procedure: paracentesis x 2 history of present illness: mr. is a 42 year-old man with past medical history significant for extensive alcohol abuse with alcoholic cirrhosis and ascites, who presented to an outside hospital after falling subsequent to heavy drinking. he stated that he fell back, hit his head, blacked out for a brief period, awoke and called 911. he denies having had any chest pain prior to falling, no syncope or seizure like activity. he has had black-outs in the past from his heavy alcohol abuse. the patient denied drinking in excess of his usual dose of 1l whiskey per day, but called 911 after falling due to inability to get up. he does not recall what medications he's taking but takes meds daily. he denies using any illicit drugs. he was admitted to the outside hospital for further evaluation after his fall with symptoms of nausea, back pain. he was found to have acute renal failure, marked tense ascites, and history of poor po intake. . osh course: initial wbc 10.3, lfts elevated, cr increased at 2.4 (baeline 0.7-1.0), na 112, albumin 1.8. renal followed the pt and thought he had hepatorenal syndrome. pt was diuresed with bumex 3mg, kept on aldactone 50mg , and fluid restricted to 1l/day. gi also evaluate pt for etoh cirrhosis, recommended octretide, albumin, and protamine. plan was to do an abdominal u/s to evaluate ascites and do a therapeutic paracentesis, which was not done prior to transfer. he was diuresed, kept on lactulose 30ml but no bm. he was noted to have bp in the 80s, transferred him to the icu and placed on neosynephrine transiently. he was weaned off neo prior to transfer. he was given 30mg serax for etoh withdrawal prior to transfer. he was transferred to for further management. . past medical history: -alcohol abuse -alcoholic cirrhosis, complicated by ascites, s/p paracentesis 8l -hepatic encephalopathy -pancytopenia -s/p multiple falls and black-outs in the past -hyponatremia social history: - lives alone, 2 daughters-twins age 16 live in with kid's mother. disabled. - alcohol abuse; drinks 1 liter of whiskey per day, last rehab admission 1 year ago-unsuccessful. - smokes 2/3 packs per day for 20years. family history: nc physical exam: admission exam: vs: 96.8 hr 102 bp 101/45 rr 15 99%2l nc gen: nad, comfortable lying in bed cachetic/emaciated appearing speaking in short sentences heent: dry mm, minimally icteric sclera with pale conjunctiva resp: ctabl no crackles, no wheezing, no use of accessory muscles cv: reg nml s1,s2, no m/r/g abd: soft, very distended, +fluid wave, non tender +bs, liver unable to palpate, unable to appreciate splenomegaly, caput medusa ext: no peripheral edema, warm 2+dp pulses b/l neuro: a&o x2 self and time, confused about hospital, no focal deficits, strength 4/5 upper and lower extremeties, mild asterixis/tremor skin: spider telangiactasia on upper chest . pertinent results: labs: wbc-7.6 hgb-8.9 hct-25.3 plt count-144 neuts-81.0 lymphs-15.3 monos-3.2 eos-0.4 basos-0.1 pt-13.4 ptt-29.6 inr(pt)-1.2 glucose-118* urea n-23* creat-2.3* sodium-113* potassium-4.2 chloride-85 total co2-25 alt(sgpt)-33 ast(sgot)-62* ld(ldh)-243 alk phos-164 tot bili-1.3 albumin-2.6* calcium-8.2* phosphate-4.6* magnesium-2.6 retic-2.3 fibrino-187 caltibc-70 vitb12-1083 folate->20ng/ml ferritn-> trf-54 tsh-1.1 afp-1.0 hbsag-negative hbsab-negative hav ab-negative hcv ab-negative ttg-iga-9 . urine studies: urine tox screen: benzo-pos opiates-pos urine electrolytes bun-394 creat-255 na-<10 k-20 tp-25 prot/cr-0.1 albumin-2.2 alb/cre-8.6 osmolal-321 . urinalysis: blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg ph-5.0 leuks-sm rbc-0-2 wbc-0-2 bact-few eos-negative urine culture: negative . urinalysis: blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg ph-6.5 leuks-neg urine culture: negative . ascitic fluid studies: : wbc-52* rbc-8* polys-21* lymphs-39* monos-16* mesothe-24* totpro-1.2 glucose-122 ld(ldh)-59 amylase-16 albumin-<1.0 culture: no growth . : wbc-130* rbc-970* polys-60* lymphs-20* monos-15* mesothe-4* macroph-1* totpro-1.1 glucose-115 ld(ldh)-51 albumin-<1.0 culture: no growth . and blood cultures: negative . imaging cxr: opacification at the medial aspect of the right lung base could be consolidation or atelectasis in either the middle or lower lobe, and may also represent small right pleural effusion, largely subpulmonic. left lung is clear. tip of the left subclavian line projects over the mid svc. no pneumothorax or upper mediastinal widening. heart size is normal. lateral displacement of the left paraspinal line just above the diaphragm could be due to distended esophagus or esophageal varices. there is at least a mild degree of intestinal distention seen in the upper abdomen, but no subdiaphragmatic free air. . ruq ultrasound w/dopplers: 1. abundant ascites. patient's skin marked in left lower quadrant for paracentesis. 2. cirrhosis. 3. patent hepatic vasculature. . egd: granularity and mosaic appearance in the whole stomach compatible with portal hypertensive gastropathy erythema and erosion in the antrum compatible with gastritis (biopsy) atrophy in the duodenum (biopsy) otherwise normal egd to second part of the duodenum . gastrointestinal mucosal biopsies: a. antrum: no diagnostic abnormalities recognized. b. duodenum: no diagnostic abnormalities recognized. . brief hospital course: . mr was transferred directly to the micu. below is a brief summary of his hospital course. was fluid-restricted to 1 l per day for persistent hypona. started on lactulose for hepatic encephalopathy ppx. he was also put on ciwa and received diazepam, and pt never showed frank signs of withdrawal. . assessment/plan: 42 yo m with extensive etoh abuse, etoh cirrhosis, hyponatremia, malnourished presents s/p fall in setting of etoh intoxication found to have arf. underwent 6l paracentesis in icu, had . # etoh cirrhosis: when he initially presented, he had tense ascites secondary to his etoh cirrhosis. in the micu, he had 6l paracentesis. he had a second paracentesis with 5l removed on the floor. studies of the ascitic fluid were not consistent with sbp but was still started on cipro for sbp prophylaxis. he was strated on lactulose for hepatic encephalopathy prophylaxis. he also had an elevated inr. he was followed by the liver consult service. egd was performed and was consistent with portal hypertensive gastropathy, showing gastritis in the antrum and atrophy in the duodenum. no abnormalities were found on biopsy of antrum and duodenum. esophagus was normal without varicies. hepatitis serologies were negative. . # etoh abuse: he has an extensive history etoh abuse and blackouts secondary to drinking. he also has a history of dts. he appeared very malnourished with significant ascites as above. his last drink was 48 hours prior to admission. he was placed on ciwa scale with valium administered as needed. he also received thiamine, folate, and multivitamin. he was evaluated by psychiatry, who felt he remained at significant risk for etoh relapse with limited insight into the medical complications of resuming drinking. they felt he did not appear acutely depressed, that his overall flattened affect and cognitive slowing appeared more related to longer term effects of etoh. it was recommended that he be discharged to a dual diagnosis facility but placement was difficult due to his insurance coverage. he was discharged home with plans for close follow-up at an outpatient rehab center. . # arf: on admission he was in acute renal failure, with creatinine 2.3. it was felt most likely to be prerenal given his concurrent ascites and decreased po intake. his renal failure resolved with ivf. . # abdominal wall cellulitis: during his hospitalization, the patient developed cellulitis on his left abdomen extending around to the back and the left groin. he was treated with a 10-day course of po keflex and the cellulitis had completely resolved by the day of discharge. . # hyponatremia: he was hyponatremic with na on admission of 113. the etiology was felt to be multifactorial-- partly a chronic problem from etoh cirrhosis and diuretic use and also hypovolemic secondary to worsening ascites and decreased po intake. his na level improved slightly after ivf repletion to 119. he was then fluid-restricted and his na came up to the mid-120s. he was poorly compliant with fluid restriction, however his na had normalized to 135 by the day of discharge. . # thrombocytopenia: he was noted to be thrombocytopenic, which is chronic for him and likely from marrow suppression secondary to etoh abuse. . # anemia: unclear baseline but most likely from etoh abuse and marrow suppression. no history of gi bleed per patient or records. hemolysis work-up was negative. iron studies were consistent with anemia of chronic disease. b12 level was normal. he received one unit rbc on with appropriate hematocrit bump 24.4-27.8. hematocrit remained stable afterwards between 26-30. . # code: he was full code but established that he did not want long-term artificial support. medications on admission: meds at home but not taking: -lasix 20mg daily -lactulose 30mg -thiamine 100mg daily . discharge medications: 1. lactulose 10 g/15 ml solution sig: thirty (30) ml po twice a day. 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 5. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 6. hexavitamin tablet sig: one (1) cap po daily (daily). 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 8. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours). 9. cephalexin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 2 days: continue for 2 more days-- last day is . 10. zolpidem 5 mg tablet sig: one (1) tablet po x1 (one time) as needed for insomnia. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 13. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. discharge disposition: home discharge diagnosis: primary: 1)acute renal failure 2)alcoholic cirrhosis . secondary: 1) alcohol abuse 2) abdominal wall cellulitis 3) anemia of chronic disease 4) hypovolemic hyponatremia discharge condition: stable, ascites stable, satting well on room air. discharge instructions: you were admitted to the hospital after falling while intoxicated with alcohol. you were found to have acute renal failure as well as tense ascites from your alcoholic cirrhosis. you were initially admitted to the icu where your acute renal failure was treated. you underwent two paracenteses (belly taps) and a total of 11l of ascitic fluid was removed. fluid studies did not show infection, however you were started on antibacterial prophylaxis with ciprofloxacin. you were also followed by the liver service. you were also started on antibiotics for an infection on your abdominal skin. . please take all medications as directed. you have been prescribed medications for your liver failure. . while you are now medically stable for discharge from the hospital, it is strongly recommended that you seek further care for your alcohol abuse. you should stop drinking alcohol. you have an appointment with at bayview associates in at tomorrow morning at 11 a.m. . if you develop chest pain, shortness of breath, fever, severe nausea and vomiting, or other symptoms similar to those that brought you into the hospital, please go to the nearest emergency room. followup instructions: you have an appointment with at bayview associates in at tomorrow morning at 11 a.m. . follow-up with your primary care provider, . , in the next week. his office number is (. . please also follow-up with dr. , your liver doctor, on at 1:50 p.m. call as needed. md procedure: percutaneous abdominal drainage esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: thrombocytopenia, unspecified anemia, unspecified cellulitis and abscess of trunk alcoholic cirrhosis of liver acute kidney failure, unspecified unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia portal hypertension other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to