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: prozac / haldol attending: chief complaint: etoh withdrawal with a possible episode of emesis and a possible seizure. major surgical or invasive procedure: none history of present illness: mr. is a 25 year-old man with a history of alcoholism and seizure disorder who presents with alcohol withdrawal. his last drink was 3pm on day prior to admission, . patient has a history of seizures and believes he may have had one yesterday but cannot recall. he awoke outside his apartment covered in dirt which usually happens after he has a seizure. . he was last admitted for alcohol withdrawal in early and had a positive urine tox for benzos at that time. he was discharged with a plan to follow-up with the clinic and declined substance abuse treatment. patient briefly restarted his antiepileptic medications but stopped them about 10 days ago. he has been drinking between to 1.5 gallons of liquor (vodka or whiskey) daily. last night, he presented to the ed for evaluation, as he felt chest pain, general malaise, was tremulous, and had some abdominal pain. . in the ed, initial vs were: 99.2 128 139/79 20 100%. he was given valium 10 mg iv x 3, 2 liters ns, a banana bag, multivitamin, and zofran x 2. his serum etoh was 330 with osmolality of 380 (gap 86 which correlates with his etoh level) with otherwise negative serum and urine tox screen. patient had a negative cxr, ct head and c-spine. while in the er, he had an episode of coffee ground emesis that cleared with ng lavage. he was given iv ppi and admitted to the for further monitoring. vitals on transfer were 98.7, 112, 147/90, 20, 96% ra. . on the floor, he is anxious and tremulous but feels better after ng lavage. he did not have any emesis prior to coffee grounds in the ed but has had frequent painful burping over the past few days. no current nausea but he does complain of headache behind his eyes and across his temples, left sided chest pain with deep inspiration and light sensitivitity. he has had loose, greenish stools over the past few days that he associates with his alcohol intake. patient endorses visual hallucinations of cockroaches on the floor. past medical history: - alcoholism - hx. seizures (gtc) related to hx. of head injury (hit by bat per pt.); was on tegretol until 1 year ago and neurontin since then for ppx - previous 1 year admission in to psychiatry at state hospital w/ dx of schizoaffective disorder, gad, social anxiety and ptsd. tried on numerous antipsychotic meds and ssris according to patient. pt now on clonazepam for anxiety, but admits poor compliance. previous suicide attempt by jumping, broke his ankles according to pt. - ?hepatitis c social history: he drinks approximately a quart of vodka daily and two 40 oz beers daily and smokes a quarter pack a day. he reports using cocaine on a single ocassion (last use ) though some omr notes report regular cocaine use. no ivdu. the pt related that he was living in with a much older boyfriend who has dementia and has recently developed fecal incontinence. the pt maintains he was the main caregiver and the two of them were living off the boyfriend's pension. recently, the boyfriend has been sent to a nursing home by his brother and the pt no longer has access to the apt where they were staying. many of his belongings remain in the apt. the pt is considering moving in with his parents who live in new . family history: the patient reports that his mother was depressed and had an anxiety disorder. he also reports that his mother's side of the family has struggled with etoh abuse. physical exam: vitals: t: 100.5 bp: 158/81 p: 112 r: 16 o2: 96% general: alert, oriented, tremulous, somewhat flattened affect. neuro: perla, normal eom, normal sensation in v, good strength in facial muscles, hearing well bilaterally, normal movements of the tongue with rising palate, good strength of . strength 4/5 and equal bilaterally in ue and le. poor finger to nose test, trembling when holding hands out, photophobia. heent: eomi, sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: ctab cv: tachy, normal s1/s2, no murmurs abdomen: soft, mildly tender over ruq and mid lower quadrant, non-distended gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema skin: multiple scars - appear to be from cutting on the arms, one is recent and still healing. also multiple scars over the pt's torso. pertinent results: 12:00pm blood wbc-3.6* rbc-4.54* hgb-13.8* hct-42.3 mcv-93 mch-30.4 mchc-32.7 rdw-15.2 plt ct-84* 04:26am blood wbc-2.8* rbc-4.35* hgb-13.3* hct-40.7 mcv-94 mch-30.6 mchc-32.7 rdw-15.3 plt ct-75* 04:26am blood plt ct-75* 04:26am blood glucose-114* urean-15 creat-0.7 na-137 k-4.2 cl-102 hco3-24 angap-15 04:26am blood calcium-8.7 phos-2.0* mg-2.0 01:10am blood asa-neg ethanol-330* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: mr. is a 25 year-old man with a history of alcoholism and seizure disorder who presents with alcohol withdrawal and coffee ground emesis. . # alcoholism/withdrawal: history of alcoholism with multiple admissions for withdrawal. has attempted detox in past but unsuccessful. also has history of seizures in setting of withdrawal. treated with diazepam 10mg iv q1hr ciwa x12hrs and then switched to po diazepam. currently requiring diazepam ~q4hrs as per ciwa. started on thiamine, folate, mvi. social work and psych consulted. . # coffee ground emesis: reported in the ed and cleared with ng lavage. he has a positive hep c antibody but no titer in our system and no known history of varices. current coffee grounds could be related to small - tear in the setting of retching or gastritis. treated with ppi iv bid and prn zofran. now switched to po ppi. hct stable with no further melena or emesis. appears pt not actively bleeding. need egd as outpatient. would recommend hcv viral load and genotyping as well as hiv test as an outpatient . # psychiatric history: psychiatry consulted for any suggestions about treatment of possible psych conditions while in-patient and requested that pt not be given clonazepam. will need psychiatric f/u as outpatient # seizure disorder: was on gabapentin in past but has not been taking medications for weeks. we were unable to obtain outpatient neurology records. we restarted gabapentin. no documented seizures during icu stay . # transaminitis: his transaminitis may be related to alcohol intoxication but he does have a history of positive hep c antibody without viral load. lfts stable during hospital course. recommend f/u of hep c and consider hiv testing . # left chest pain: unlikely to represent acs, patient states it is associated with withdrawal. no ekg changes. cp resolved as withdrawal improved. be related to anxiety medications on admission: acetaminophen 650 mg po/ng q6h:prn pain clonazepam 2 mg po/ng qam clonazepam 1 mg po/ng qpm gabapentin 600 mg po/ng q8h multivitamins 1 tab po/ng daily nicotine polacrilex 2 mg po q1h:prn smoking cessation thiamine 100 mg po/ng daily discharge medications: 1. gabapentin 300 mg capsule sig: two (2) capsule po q8h (every 8 hours). 2. acetaminophen 325 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. diazepam 10 mg tablet sig: one (1) tablet po every four (4) hours as needed for ciwa > 10: take 1 pill 6 times a day on times a day on and 2 times a day on and then stop. disp:*12 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: alcohol withdrawl discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you came to the hospital with symptoms of withdrawing from alcohol. we admitted you to the icu and monitored you for seizures but did not see any. we treated your alcohol withdrawl with diazepam and consulted psych and social work. we strongly believe that you need to go to a program to help your problems with alcoholism. you have been provided information about alcohol withdrawl programs for you to attend on monday. you also have information about shelters in the area. . we also strongly suggest that you need to have your hepatitis c followed up, the combination of hepatitis and alcohol can have a serious effect on your liver and you should be monitored closely. . we also noted that your blood counts were low, and this is probably from your alcohol use, but we suggest that you get an hiv test with your primary care doctor or at a local department of health or community health center. . we have made the following changes to your medications: added diazepam taper over the next 3 days: -6 times a day then 4 times a day then 2 times a day then stop. added pantoprazole for stomach protection added folic acid decreased tylenol to 350 up to four times a day stopped clonazepam (replaced by diazepam) . you should continue to take all your medications as directed and follow up with your primary care doctor. followup instructions: call your primary care doctor an appointment in the next week . attend the suggested outpatient alcohol treatment program starting monday . procedure: alcohol detoxification diagnoses: epilepsy, unspecified, without mention of intractable epilepsy hematemesis chest pain, unspecified lack of housing alcohol withdrawal schizoaffective disorder, unspecified acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to