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: siezure, s/p fall major surgical or invasive procedure: none history of present illness: 42 year old male with h/o etoh, initially admitted after having fall at work. he reports that he was in his usual state of health when he was at work cleaning a bathroom. ?whether he was exposed to chemicals or fumes, however he says he wasn't working with any strong chemicals or reagents in particular. says he started feeling nauseated, tripped over some tools, fell and hit his head on a railing. he had trauma to right eyebrow with laceration. . he denied lightheadedness or dizziness at the time of the fall. he says he had no seizure symptoms but the fall was unwitnessed. no ha, no cp or sob. no abdominal pain, no fever or chills. . presented to the ed, where he had a head ct which was unremarkable. he was getting his head laceration repaired when he started to seize. unclear character of seizure since not well documented and patient has no recollection of event. the seizure broke with 2mg ativan iv. he didn't require dilantin but was given 10mg valium po. . subsequently admitted to the . no further seizure activity and monitored on ciwa scale. called out to the floor on . . in regards to his etoh history, the patient reports that he drinks only on weekends. he'll drink a 6 pack of beer over the weekend and maybe a couple drinks of whiskey. however he denies drinking during the weekdays. he does admit to recently decreasing his use, "i'm 42, so i can't keep drinking that much". however he reports not being interested in quitting completely. his last drink was 2 days prior to admission. he also admits to smoking cigarrettes about pack per day, but no ivdu. . he is followed by an outpatient therapist named (?sp) on beacon street, but he is not on any medication. reports that he was just going through some tough times and says his mood is good now. past medical history: none social history: he works as a glass and a custodian, drinks 6pack beer over the weekend, only occasional weekday drinking; smokes ppd, no ivdu or other drugs. (however, pt reported drinking varing amounts to different providers) family history: no history of seizures physical exam: vs: 98, 142/108, hr 84, rr 20, 96% ra gen: alert and oriented x 3. pleasant, nad, non-diaphoretic heent: mmm, op clear, echymosis + laceration over right eye brow with sutures, dressing in place; no drainage; no pain w/ eye movements. vff. neck: large neck, no lad lungs: clear to auscultation bilaterally cv: rrr, nl s1s2, no murmers abd: soft, non-tender, non-distended; no hsm; no caput ext: + clubbing of fingers neuro: alert and oriented x3, strength 5/5 in ue and le, sensation intact to lt. mild resting tremor. finger to nose intact w/o dysmetria; no asterixis pertinent results: 06:05am blood hcv ab-negative 07:00pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 06:05am blood hbsag-negative hbsab-negative hbcab-negative 06:05am blood caltibc-243* vitb12-1021* folate-9.0 ferritn-764* trf-187* 06:05am blood calcium-9.2 phos-3.8# mg-2.1 iron-86 07:00pm blood ctropnt-<0.01 02:21am blood alt-167* ast-125* alkphos-58 totbili-1.1 05:50am blood alt-131* ast-86* alkphos-70 totbili-0.8 07:00pm blood glucose-156* urean-6 creat-0.8 na-140 k-3.2* cl-104 hco3-18* angap-21* 05:50am blood glucose-104 urean-8 creat-0.7 na-139 k-3.6 cl-101 hco3-28 angap-14 07:00pm blood pt-12.7 ptt-23.9 inr(pt)-1.1 07:00pm blood wbc-5.1 rbc-4.33* hgb-16.2 hct-45.8 mcv-106*# mch-37.5*# mchc-35.4* rdw-13.3 plt ct-133* 05:50am blood wbc-6.1 rbc-4.07* hgb-15.5 hct-43.6 mcv-107* mch-38.1* mchc-35.6* rdw-12.2 plt ct-133* 01:47pm urine bnzodzp-pos barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg . ct head: findings: the laceration and subcutaneous soft tissue swelling is noted over the lateral right forehead extending into the preseptal soft tissues anterior to the right orbit. no embedded radiopaque foreign bodies are identified. there is gauze superficially over the wound. no underlying fracture involving the facial bones, skull base, or calvarium is noted. there is extensive mucosal thickening of the maxillary, sphenoid, and ethmoid sinuses. minimal thickening is noted in the left frontal sinus as well. however, no air-fluid levels are noted. the globes are intact. there is no evidence of vitreous hemorrhage. there is a disconjugate gaze however lenses remain in place. . intracranially, the ventricles are midline and normal in size and configuration. the cortical sulci and subarachnoid cisterns are likewise unremarkable. the matter-white matter interface is well defined. there is no intracranial hemorrhage or ct evidence of acute cortical stroke. . impression: obvious external trauma as detailed above. no intracranial injury identified. no skull fracture. . ruq u/s: the liver demonstrates increased echogenicity with no focal lesion. the gallbladder has normal appearance with no stones. the common bile duct is not dilated and measures 2 mm in diameter. the right kidney has normal appearance with no stones or hydronephrosis. the pancreas is normal in head and body. . the liver demonstrates normal hepatopetal flow in the main portal vein and its branches. hepatic veins are patent. . impression: increased liver echogenicity, most likely suggestive of fatty liver, however, other liver disease and more advanced liver disease including cirrhosis/fibrosis cannot be excluded. no focal liver lesion was seen. the liver demonstrates normal hepatopetal flow brief hospital course: #mechanical fall with head laceration: needs stiches out in days. . #siezure, etoh withdrawl vs. post-traumatic: seen by neurology, prelim eeg negative, ct head negative. etiology felt to be post-traumatic vs etoh w/d. given abnormal liver tests, pt was not started on dilantin. to f/u with neurology as an outpt. . etoh abuse: pt reported different amount of etoh consumption to different providers. however, given seizure, thrombocytopenia, elevated mcv and elevated lfts, suspect significant etoh abuse. instructed to refrain from etoh. sw saw pt in house; pt to f/u with outpt therapist. . #hepatitis nos: hep b/c negative, fe studies negative. ruq u/s with fatty liver. ?etoh abuse +/- nash. needs close f/u as outpatient, improved somewhat during hospital stay. . #thrombocytopenia: likely secondary to etoh; no evidence of dic/hit, etc. improved in house. medications on admission: none discharge medications: 1. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: mechanical fall with head laceration siezure, etoh withdrawl vs. post-traumatic etoh abuse hepatitis nos thrombocytopenia likely secondary to etoh discharge condition: stable discharge instructions: please make sure to refrain from drinking any alcohol as we think this contributed to your seizure, abnormal liver enzymes, and low platelets. please make sure to see dr next week to have your sutures removed. followup instructions: provider: , md phone: date/time: 11:30 provider: , m.d. phone: date/time: 1:30 procedure: linear repair of laceration of eyelid or eyebrow alcohol detoxification diagnoses: thrombocytopenia, unspecified other convulsions alcohol abuse, unspecified open wound of forehead, without mention of complication fall from other slipping, tripping, or stumbling hepatitis, unspecified alcohol withdrawal 

Answer: The patient is high likely exposed to