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: unresponsiveness major surgical or invasive procedure: intubation history of present illness: 56 yo spanish speaking male who gets regular care at , was in usoh notable for etoh abuse, until morning of admit. he was working as a painter and started to feel ill, complaining of diaphoresis while working in the heat. he went to his girlfriend's place of work where he was witnessed to have a small nosebleed and then became weak and fell to the floor. ems found him unresponsive but with stable vital signs per report (paperwork missing). . in the ed was initially given narcan without effect. finger stick was 100. he became agitated and was given fentanyl and ativan. after this he was noted to have a generalized seizure with eyes rolling back and limbs stiffening. his breathing became apneic, although he had good o2 sats. he was intubated for airway saftey and sedated when he began grabbing at lines. neuro assessed, but already sedated. ct of head was neg for bleed. lp done and was normal. etoh blood level 319. per ed notes, loaded with dilantin and transferred to . admsision labs notable for anion gap of 21, lactate 2.5, ketones in the urine, normal csf, mcv of 101. abg: 7.37/45/177 in , pt had a repeat abg on ac with a fio2 of 40% which showed an improved pao2. a repeat cxr did not reveal evidence of aspiration pna. he was extubated and started on a valium and ativan ciwa scaleneurology saw pt and felt that it was unclear whether pt actually had a seizure but that an eeg was not indicated. dilantin was held and he was started on thiamine. pt denies complaints currently except is hungry. no anxiety, palpitations, diaph, cp, sob, n/v, abd pain. past medical history: etoh abuse, hypertension, ? volvulus or sbo in past social history: drinks 2 large bottles (? 1l each) of bicardi daily. unclear if hx of withdrawl or seizures in past. smokes 2 ppd x40 years. no illicit drug use. lives with girlfriend family history: father and brother with stroke physical exam: upon transfer to floor: t99.2 tm 100.9 at 2pm 75 126/77 19 99%ra i/o 24: 3013/2200 gen: nad thin male, tremulous, no diaphoresis heent: pupils reactive, neck supple, op clear cv: regular, s1s2, no m/r/g pulm: clear bilat, no wheeze, no crackles abd: think, soft, well healed periumbilical midline incision. ext: no edema. 2+ dp pulses neuro: aao x 3, tremulous, nl ftn htn, strength and sensation to light touch intact b/l le and ue. rhomberg not assessed as pt incontinent of liquid brown stool upon standing. pertinent results: 01:20pm wbc-6.0 rbc-3.85* hgb-13.5* hct-38.8* mcv-101* mch-35.1* mchc-34.8 rdw-13.0 01:20pm neuts-59.5 lymphs-33.0 monos-6.7 eos-0.7 basos-0.2 01:20pm pt-12.4 ptt-24.0 inr(pt)-1.0 01:20pm glucose-88 urea n-18 creat-1.0 sodium-139 potassium-3.7 chloride-98 total co2-20* anion gap-25* 01:20pm blood albumin-4.5 calcium-9.6 phos-3.6 mg-1.9 01:20pm alt(sgpt)-22 ast(sgot)-84* ck(cpk)-354* alk phos-86 amylase-40 tot bili-0.8 01:20pm lipase-23 04:32am blood ck(cpk)-252* 01:20pm blood ck-mb-3 ctropnt-<0.01 04:32am blood ck-mb-2 ctropnt-<0.01 04:32am blood vitb12-377 folate-19.9 01:20pm blood asa-neg ethanol-319* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 05:49pm blood type-art po2-177* pco2-45 ph-7.37 calhco3-27 base xs-0 02:16pm blood lactate-2.5* . 02:44pm cerebrospinal fluid (csf) protein-37 glucose-66 02:44pm cerebrospinal fluid (csf) wbc-0 rbc-0 polys-0 lymphs-100 monos-0 . 01:32pm urine color-amber appear-clear sp -1.019 01:32pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-15 bilirubin-neg urobilngn-8* ph-7.0 leuk-neg 01:32pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg . imaging: ct head no acute intracranial pathology including hemorrhage, fracture, or mass. cxr the tip of the endotracheal tube is identified at thoracic inlet. a nasogastric tube terminates in the gastric fundus. the lungs are clear. the heart and mediastinum are within normal limits. no pneumothorax is identified. . ekg technically difficult study sinus tachycardia at 102 bpm left axis deviation - anterior fascicular block possible old inferior infarct possible old anterior infarct consider left ventricular hypertrophy clinical correlation is suggested . micro data: csf **final report ** gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (final ): no growth. blood, urine and stool cultures were all negative. brief hospital course: 56 yo male with hx of heavy etoh use presents with obtundation after working in the heat. in the ed his blood etoh level was 319 and he experienced a possible seizure. he was intubated for airway compromise, now extubated and is being transferred to the floor for management of alcohol withdrawal. . 1. s/p resp failure secondary to etoh withdrawl seizures: the patient was intubated and admitted to the for airway protection and periods of apnea peri-seizure. there was no evidence of aspiration pna on repeat chest xrays. he was extubated within 1 day and did well from this standpoint and was therefore transferred to the floor. . 2. etoh abuse and w/d-the patient was maintained on standing valium while in the . on transfer to the floor, the patient appeared tremulous but hd stable. he was changed from standing valium to prn valium on as his ciwa scale remained low. he was maintained on mvi, thiamine, folate. he was seen by the addictions specialist and agrees to attend aa meetings. . 3. obtundation/ms change: secondary to etoh intoxication, volume depletion, and alocholic/starvation ketoacidosis. the ketones in his urine and elevated mcv would indicate poor nutrition and starvation ketosis. the seizure likely related to etoh. id work up including cxr, ua, lp was negative for source of infection. the patient was mentating at his baseline within one day of being transferred to the floor. . 5. ? seizures: the patient received a dilantin load in ed, however neurology saw the patient and advised to hold on further doses. etiology likely related to etoh withdrawal. per neurology, it was not clear whether this event was a seizure. no eeg was needed per neurology. . 5. diarrhea-? ivf with no solid foods eaten. resolved on its own. all stool studies were negative. 7. anemia: macrocytic, b12, folate normal. most likely etoh suppression. hct was stable during admission. . 8. thrombocytopenia: has low plts at baseline:120's. he was on subq heparin, which was d/c'd in , when his platelet count dropped to 86 from 102. we suspect the low platelets are likely to alcohol abuse, much less likely hit. the platelet count stabilized at 115, near his baseline, at discharge. he will need to have his bloodwork checked by his pmd after discharge. . 9. ppx-pneumoboots, eating . 10. fen-advanced diet as tolerated, repleted lytes prn . 11. htn: while initially normotensive, his blood pressure became more elevated during the latter part of his admission. he will need to resume his outpatient antihypertensive . 12. code: full . 13. comm: sister , iend medications on admission: one pill for htn, unclear what it is discharge medications: 1. outpatient lab work your platelet count was low - probably related to your alcohol intake. please have your regular dr. . at ) recheck your blood work (platelet count) when you see her next 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. multivitamin capsule sig: one (1) cap po daily (daily). disp:*30 capsule* refills:*2* discharge disposition: home discharge diagnosis: respiratory failure, resolved alcohol intoxication alcohol withdrawal seizure dehydration, resolved starvation and alchoholic metabolic acidosis, resolved thrombocytopenia, stable anemia, stable discharge condition: stable and improved discharge instructions: please seek immediate medical attention if you experience fever greater than 101f, shaking chills, severe nausea or vomiting, chest pain, shortness of breath, seizures or other symptoms of concern to you. please avoid drinking alcohol. you have been given a list of spanish speaking aa centers and other resources to help stop drinking alcohol. please take your medications as directed. please resume your outpatient medication for high blood pressure. followup instructions: please follow up with aa as planned. please follow up with your pcp . as needed. if you wish to find a new pcp you can call at to make an appointment. please have your blood work rechecked by your pcp . . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis thrombocytopenia, unspecified anemia, unspecified other convulsions acute respiratory failure alcohol withdrawal acute alcoholic intoxication in alcoholism, continuous effects of hunger 

Answer: The patient is high likely exposed to