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: sulfonamides attending: chief complaint: etoh withdrawal major surgical or invasive procedure: none history of present illness: mr. is a 63 year old man with pmh significant for etoh abuse and history of dts, htn, panic disorder, and hyperlipidemia presenting to ed with htn, tachycardia, n/v, and ? seizure after 2 days of attempted self detoxification. patient typically drinks 3 glasses of wine and gin and tonics daily since . his last drink was 5pm on . he most recently was hospitalized for detox in at hospital. partner also noted ? seizure like activity on day of admission where patient reportedly had minute episode of "shaking uncontrollably" and stiffening of arms and legs and foaming at the mouth. he remained conscious although panicky and was speaking to him throughout episode. no urinary or fecal incontinence, falls or head trauma. no history of prior seizures. . in the emergency department, initial vs 98.3 122 220/104 20 100%ra. fsbs 206. he received 20 mg iv valium for htn, tachycardia, anxiety, diaphoresis and tremulousness. he also received iv zofran and banana bag. after iv valium, he was noted to be somnolent and desaturated to 80s. nc was placed but he was mouth breathing so he was placed on nrb with increased o2 sats to 100%. cxr did not reveal any acute infiltrate. ecg was consistent with new rbbb. vs prior to transfer:94 169/103 18 100%nrb. . upon arrival in the , patient reports nausea improved. he denies cp currently but reports he did have "funny" left sided cp a/w palpitations and nausea at rest 2 days prior which lasted a couple minutes. also reports depression and feeling jittery. denies sob, orthopnea, cough, n/v/d, constipation, melena, hematochezia. . review of systems: (+)ve: as above. also reports intermittent b/l hand tingling, night sweats x 2 days, and chronic dry cough. (-)ve: fever, chills, loss of appetite, rhinorrhea, nasal congestion, sputum production, hemoptysis, dyspnea, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematochezia, melena, dysuria, urinary frequency, urinary urgency, focal numbness, focal weakness, myalgias, arthralgias . past medical history: hypertension hyperlipidemia panic attacks etoh abuse, h/o dts with attempted self detox humerus fracture social history: grew up in with 3 siblings. owns antique gallery in . lives with long term male partner x 41 years, . denies drug or tobacco use. family history: mom-cva. sister-ovarian ca physical exam: 94 169/103 18 100%nrb -> weaned to n/c physical exam general: diaphoretic, mildly ill appearing, tremulous but awake alert, answering questions appropriately heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. no nystagmus. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . jvp=7cm lungs: ctab anteriorly. not cooperating with more detailed exam. abdomen: nabs. soft, nt, nd. no hsm extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. no spider lesions neuro: a&ox3. initially thought was at hospital but reoriented to . oriented to city, self and date. cn grossly intact. preserved sensation throughout. strength throughout. + reflexes, equal bl. fine tremor outstretched hands psych: listens and responds to questions appropriately pertinent results: 10:20pm glucose-170* urea n-12 creat-1.0 sodium-141 potassium-3.1* chloride-96 total co2-19* anion gap-29* 10:20pm estgfr-using this 10:20pm alt(sgpt)-33 ast(sgot)-77* ck(cpk)-180* alk phos-73 10:20pm lipase-101* 10:20pm ctropnt-<0.01 10:20pm ck-mb-3 10:20pm albumin-4.3 calcium-8.7 phosphate-3.9 magnesium-1.6 10:20pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:20pm urine hours-random 10:20pm urine hours-random 10:20pm urine gr hold-hold 10:20pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 10:20pm wbc-6.4 rbc-4.26* hgb-13.1* hct-39.7* mcv-93# mch-30.8 mchc-33.0 rdw-15.3 10:20pm neuts-87.8* lymphs-10.4* monos-1.1* eos-0.1 basos-0.5 10:20pm plt count-145*# 10:20pm pt-15.2* ptt-34.8 inr(pt)-1.3* 10:20pm urine color-yellow appear-clear sp -1.016 10:20pm urine blood-sm nitrite-neg protein-500 glucose-neg ketone-150 bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 10:20pm urine rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-<1 10:20pm urine hyaline-0-2 10:20pm urine mucous-few upright ap view of the chest: allowing for low lung volumes and technique, the lungs are clear. there is no appreciable pleural effusion or pneumothorax. the heart size is normal. mediastinal silhouette, hilar contours, and pulmonary vasculature are unremarkable. brief hospital course: 63 year old male with etoh abuse and history of withdrawal seizures and dts presenting with etoh withdrawal. . #. etoh withdrawal: pt presented with hypertension and tachycardia, possible seizure with attempted self detoxification. last etoh use was . given prior history of dts, he was at high risk for withdrawal and will need close monitoring. lfts consistent with chronic etoh abuse with 2:1 ast:alt ratio. patient received valium 10mg po q1hour prn ciwa>10 until ciwa<10 or any evidence of intoxication(nystagmus, dysarthria, ataxia, sedation). he required valium 10 mg every three to four hours during his course in the icu. he also received mvi, thiamine 100mg, folic acid. there were no signs of delerium tremens during the icu course. he was transfered to the medical , where there was evidence of benzo intoxication (nystagmus, ataxia); no evidence for withdrawal. his bp transiently rose to 200 systolic on one occasion, this improved to target (sbp 145) with one dose of hydralazine and administration of his home medication. on review of his home meds, it was noted that he was not given his home beta blocker during this admission, and resuming this on discharge was discussed with pt. and his partner at length. evidence of benzo intoxication resolved and he was ambulatory at baseline. he was discharged home. his sbp at discharge was 145 systolic, and he had no complaints. . #. hypertension: likely multifactorial secondary to etoh withdrawal in addition to baseline hypertension and med noncompliance. valium was given as above, and patient was restarted on home accupril and dyazide - and bb to be resumed on arrival home as above. . #. tachycardia: likely secondary to etoh withdrawal as above in addition to anxiety and dehydration. patient noted to have new rbbb on ecg in ed with tachycardia but resolved once in unit and hr better controlled. he is asymptomatic without cp so likely tachycardia mediated. the patient did rule out for myocardial ischemia. home aspirin was continued. . #. ? seizure: unclear if patient had partial seizure. typically etoh withdrawal seizures or grand mal and patient was reportedly conscious throughout episode which would be atypical. ck and lactate trended down. seizure precautions were maintained during at-risk period for dts. . #. hypoxia: likely multifactorial secondary to hypoventilation with benzos +/- aspiration. no elevated wbc or fever to suggest pneumonia and did not have o2 requirement on arrival to ed. patient was weaned to room air in the unit. no further evaluation was performed. . #. thrombocytopenia: likely etoh abuse. has history of low platelets in the past, likely associated with active etoh abuse. . #. panic disorder: valium prn ciwa medications on admission: reviewed: nr ezetimibe dosage uncertain (prescribed by other provider) recorded only , m. modify pantoprazole 40 mg tablet, delayed release (e.c.) 1 (one) tablet(s) by mouth once a day renewed , 90 tablet 1 (one) , w reprint modify quinapril 40 mg tablet 1 (one) tablet(s) by mouth once a day (prescribed by other provider) recorded only , m. renew modify triamterene-hydrochlorothiazid 37.5 mg-25 mg capsule 1 (one) capsule(s) by mouth once a day (prescribed by other provider) recorded only , angelie renew modify nr zebata - 10 mg daily (prescribed by other provider) recorded only , m. modify * otcs * ascorbic acid 500 mg tablet 1 (one) tablet(s) by mouth once a day (prescribed by other provider) recorded only , angelie renew modify aspirin 81 mg tablet, chewable 0.5 (one half) tablet(s) by mouth once a day haas not taken in a week (prescribed by other provider) recorded only , m. renew modify allergy alert b complex vitamins tablet 1 (one) tablet(s) by mouth once a day (prescribed by other provider) recorded only , angelie renew modify cyanocobalamin 500 mcg tablet 1 (one) tablet(s) by mouth once a day (prescribed by other provider) recorded only , angelie renew modify folic acid 0.8 mg tablet 1 (one) tablet(s) by mouth once a day (prescribed by other provider) recorded only , angelie renew modify lysine 500 mg tablet 1 (one) tablet(s) by mouth once a day (prescribed by other provider) recorded only , angelie renew modify discharge medications: no changes to home regimen made discharge disposition: home discharge diagnosis: primary diagnosis: etoh withdrawal secondary diagnoses: hypertension hyperlipidemia panic attacks etoh abuse, h/o dts with attempted self detox discharge condition: af and vss, a and o, gait intact (at baseline per pt.s partner of 41 years) - requires supervision only in walking. discharge instructions: you were admitted to the hospital for withdrawal from alcohol. there was a concern for seizure activity and the possibility that you could develop trouble breathing, so you were admitted to the icu. you received medication during the withdrawal, and did well. you were then transferred to the medical floor and continued to improve. as we discussed, you need to comply with the following: take all medications as prescribed. do not drink alcohol call your primary doctor to arrange a follow up appointment for within one week of leaving the hospital. resume you home medication regimen. on the day of discharge, we gave you all the medications you are due, with the exception of your zebeta. you should take this when you arrive home (your usual dose), and then resume you usual medication regiemen monday am (). followup instructions: as above procedure: alcohol detoxification diagnoses: thrombocytopenia, unspecified unspecified essential hypertension other convulsions nausea with vomiting other and unspecified hyperlipidemia right bundle branch block personal history of noncompliance with medical treatment, presenting hazards to health dysarthria tachycardia, unspecified other respiratory abnormalities alcohol withdrawal anorexia benzodiazepine-based tranquilizers causing adverse effects in therapeutic use panic disorder without agoraphobia 

Answer: The patient is high likely exposed to