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: vomiting, jaundice major surgical or invasive procedure: egd (esophagogastroduodenoscopy) history of present illness: 55m with steatohepatitis and portal hypertension complicated by esophageal variceal bleed and former etoh abuse transferred from for further management of liver failure. has had progressive sob for two weeks, progressive jaundice over 1 week, and worsening nausea and vomiting with an inability to take po's. he denies fever, chills, sweats, arthralgias, myalgias, dizziness, lightheadedness, chest pain, shortness of breath, hematemesis, abdominal pain, melena, hematochezia, or edema. he denies taking any etoh, tylenol, or nsaids. presented to osh where hct 17.2 inr 2.4 dbili 13.3 tbili 22.2 ast 174 alt 29 ldh 1068. given 1 u prbc. en route to got 2nd unit prbc, vit k 10 mg iv, ativan 1 mg iv. in the ed, initial vs 98.8 88 115/70 17 98%ra. hct 20.9 inr 2.2 given 2u prbc, 2 u ffp. vital signs prior to transfer 98.8 83 109/63 19 100%ra. past medical history: -portal hypertension complicated by esophageal variceal bleed with possible banding procedure - hospital -steatohepatitis - liver biopsy showed moderate-to-severe steatosis suggestive of steatohepatitis, bridging fibrosis and other changes that might suggest either drug-induced liver disease or chronic large duct obstruction (mild bile ductile proliferation and some eosinophils) -diverticulosis social history: former <30 pack-year smoker, quit 9 months ago. formerly drank oz. vodka daily but none in 3 weeks. no illicit drug use. family history: mother with oropharyngeal cancer. brother with unknown malignancy. no known family h/o liver disease. physical exam: general: well-appearing, jaundiced heent: icteric sclera op clear dry mm neck: no jvd cardiac: reg rate nl s1s2 no m/r/g lungs: bibasilar rales no wheeze/rhonchi abdomen: soft protuberant nondistended hypoactive bs hepatomegaly ext: warm, dry +pp no edema neuro: no asterixis derm: jaundice, no spider angiomata pertinent results: 05:55pm hgb-6.5* calchct-20 05:45pm glucose-94 urea n-10 creat-0.6 sodium-132* potassium-3.5 chloride-103 total co2-19* anion gap-14 05:45pm estgfr-using this 05:45pm alt(sgpt)-25 ast(sgot)-99* ld(ldh)-210 alk phos-157* tot -21.1* dir -16.4* indir bil-4.7 05:45pm lipase-24 05:45pm albumin-2.5* magnesium-1.9 05:45pm haptoglob-219* ferritin-16* 05:45pm hbsag-negative hbs ab-borderline hav ab-positive 05:45pm hcv ab-negative 05:45pm wbc-4.6 rbc-2.62* hgb-6.3* hct-20.9* mcv-80* mch-24.1* mchc-30.2* rdw-16.8* 05:45pm neuts-77.0* lymphs-14.3* monos-7.9 eos-0.5 basos-0.4 05:45pm hypochrom-3+ anisocyt-1+ poikilocy-1+ macrocyt-normal microcyt-1+ polychrom-1+ ovalocyt-occasional target-occasional schistocy-1+ burr-1+ stippled-occasional teardrop-1+ 05:45pm plt count-256 05:45pm pt-23.1* ptt-37.2* inr(pt)-2.2* . trends of lfts: 05:45pm blood alt-25 ast-99* ld(ldh)-210 alkphos-157* totbili-21.1* dirbili-16.4* indbili-4.7 07:25am blood alt-25 ast-109* ld(ldh)-240 alkphos-156* totbili-23.8* 05:00am blood alt-26 ast-110* ld(ldh)-225 alkphos-159* amylase-23 totbili-28.4* 03:40pm blood alt-26 ast-109* alkphos-154* totbili-28.6* 04:55am blood alt-24 ast-85* ld(ldh)-242 alkphos-145* totbili-26.2* 05:55am blood alt-30 ast-101* ld(ldh)-224 alkphos-145* totbili-24.0* 06:20am blood alt-51* ast-150* alkphos-198* totbili-27.4* 05:10am blood alt-67* ast-170* alkphos-221* totbili-23.9* 05:25am blood alt-86* ast-180* ld(ldh)-202 alkphos-270* totbili-23.4* 05:05am blood alt-95* ast-162* alkphos-266* totbili-22.1* . abdominal u/s : impression: 1. echogenic liver consistent with fatty infiltration. other forms of liver disease and more advanced liver disease including significant hepatic fibrosis/cirrhosis cannot be excluded on this study. the sensitivity for detection of liver lesions in this setting is limited. 2. small amount of perihepatic ascites. 3. edematous gallbladder wall, most probably due to lower albumin and liver disease. 4. spleen is enlarged. cxr : findings: there are low lung volumes. the heart size is borderline enlarged. there is scarring at the left base. the lateral radiographs show possible minimal pleural effusions. there is no sign of recent infection. there is no pulmonary edema or pneumothorax. impression: no evidence for pneumonia or other acute process. abdominal u/s : findings: the liver is diffusely echogenic. there is normal flow direction and spectral waveforms in the main, left and right portal veins as well as all three hepatic veins and main hepatic artery. splenic vein is also patent. again noted is marked gallbladder wall edema. the gallbladder is somewhat contracted, however, and no stones are seen. again therefore, the findings are likely related to the liver disease and/or hypoalbuminemia. again, a small amount of ascites is identified. the spleen is enlarged measuring 16.0 cm. impression: 1. normal portal venous, hepatic venous, and hepatic arterial flow to the liver. 2. echogenic liver consistent with fatty infiltration. again, other forms of liver disease including more advanced liver disease such as fibrosis or cirrhosis cannot be excluded on this study. 3. small amount of ascites. 4. stable appearance of edematous gallbladder wall and presence of a contracted gallbladder most likely is related to the liver disease and/or hypoalbuminemia. 5. splenomegaly. brief hospital course: #. anemia. on arrival the patient's hematocrit was 20.9. he was transfused a total of four units of packed red blood cells and his hematocrit increased to 30.6. an egd was performed which showed portal gastropathy, no varices and no acute bleed. his hematcrit was stable for the remainder of his stay. . #. alcoholic hepatitis. on admission, patient was jaundiced and his alt was 25 his ast was 99, his t. was 21.1 and his inr was 2.2. acute and chronic viral hepatitis panels were negative. abdominal ultrasound was negative for portal vein thrombosis. his t. peaked at 28.6 on hospital day 3, with a discriminant function of 51. once acute bleeding was ruled out by egd he was started on prednisone 40mg po daily for alcoholic hepatitis and vitamin k 5mg po daily for coagulopathy. on day 6 his lfts began to trend up, reaching a peak alt of 86, ast of 180, and ap of 270. t. continued to trend down to 22.1. a second abdominal ultrasound demonstrated no portal vein thrombosis. on the day of discharge, lfts were trending down and patient was asymptomatic. . #. nutrition/refeeding syndrome. patient was placed on a low sodium diets with supplementation shakes tid. patient was repleted with phosphate and potassium as needed and was started on standing neutra-phos 1 packet tid. medications on admission: ativan 1 mg tid mvi discharge medications: 1. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. disp:*30 tablet(s)* refills:*0* 2. lorazepam 1 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety/insomnia . disp:*30 tablet(s)* refills:*2* 3. multivitamin 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). disp:*30 tablet(s)* refills:*2* 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. ursodiol 300 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. phytonadione 5 mg tablet sig: one (1) tablet po daily (daily) for 8 days. disp:*8 tablet(s)* refills:*0* 10. potassium & sodium phosphates 280-160-250 mg powder in packet sig: one (1) powder in packet po tid (3 times a day) for 10 days. disp:*30 powder in packet(s)* refills:*0* 11. prednisone 10 mg tablet sig: four (4) tablet po once a day. disp:*120 tablet(s)* refills:*1* 12. outpatient lab work please check chem 10, cbc, ast, alt, alk phos, t. , inr, pt, ptt on friday , and on monday when you see dr. . please fax results to liver center at , and to dr. at . discharge disposition: home discharge diagnosis: alcoholic hepatitis anemia refeeding syndrome discharge condition: stable, alert and oriented to person place and time, ambulating without assistance, jaundiced. discharge instructions: you were admitted for anemia (low blood count) and alcoholic hepatitis. you were given a blood tranfusion and your blood counts returned to . you had an egd (esophagogastroduodenoscopy), or eupper endoscopy which showed no acute source of bleeding in your esophagus or stomach. your alcoholic hepatitis was treated with prednisone, a steroid. the following changes were made in your medications: - please start prednisone, take 40mg by mouth, daily for 24 days. please discuss this medication with dr. at your appointment of . - please start taking vitamin k (phytonadione) 5mg by mouth daily for 8 days. please discuss this medication with dr. at your appointment of . - please start ursodiol 300mg by mouth, twice daily - please start neutra-phos (potassium and phosphate packets), take one packet by mouth, three times daily for 10 days. - please start taking a multivitamin by mouth, once daily - please start taking thiamine 100mg by mouth daily - please start taking folic acid 1mg by mouth daily - please start taking pantoprazole 40mg by mouth daily - please start taking ferrous sulfate (iron) 325mg by mouth daily. - please start taking trazodone 25mg by mouth daily at bedtime, as needed for sleep - please continue taking lorazepam 1mg by mouth every 8 hours as needed for anxiety. please discuss all medication changes with dr. and with your primary care doctor. please have blood drawn on friday , and on monday . this can be done in . a prescription for the appropriate lab tests is included. please have the results faxed to the liver center (), and to dr. office in (). it is extremely important that you do not drink any more alcohol. alcoholic hepatitis is a life threatening condition that could recur with further use of alcohol. please adhere to your follow-up appointments. they are important for managing your long-term health. . please return to the hospital or call your doctor if you have temperature greater than 101, shortness of breath, worsening difficulty with swallowing, chest pain, abdominal pain, diarrhea, or any other symptoms that you are concerned about. followup instructions: please follow up with the following appointments. , j. date/time: at 2:30 pm address: , , phone: , md phone: date/time: at 3:45 , ma phone: md procedure: other endoscopy of small intestine diagnoses: acute posthemorrhagic anemia alcoholic cirrhosis of liver portal hypertension personal history of tobacco use hypopotassemia anxiety state, unspecified other sequelae of chronic liver disease hemorrhage of gastrointestinal tract, unspecified other specified disorders of stomach and duodenum other and unspecified alcohol dependence, unspecified acute alcoholic hepatitis 

Answer: The patient is high likely exposed to