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: seizure major surgical or invasive procedure: placement of av fistula, left arm, revised on history of present illness: 52 yo man with hx of htn, hep b, ivda and etoh p/w seizure. pt was sitting at home on couch surrounded by family, mentating normally. suddenly whole body stiffened, then began seizing. no evidence of bowel, bladder incontinence. no evidence of tongue biting. ems called, patient un-responsive on arrival. o2 placed by face mask with some improvement in mental status. arrived at hospital, had another 3 minute seizure. found to have abg 6.95/33/77, and rectal temp 101. pt became combative, was intubated and given paralytics. given 2lns, 2amps bicarb, ativan2mg x5, morphine5mg and tylenol once. repeat abg 7.33/29/291. head ct there negative except frontal volume loss. cxr with possible bilateral opacities. patient was then transferred to . * per family had been feeling "under the weather" as has everyone else in the family who has had colds as well. he has not had a history of seizures or renal disease that they know of. he had had a history of iv drug abuse, but no recent use they know of. they note that he does drink regularly heavy drinks most days of the week and had recently lost his job as his company had moved so has been feeling depressed. past medical history: hep b htn ivda etoh use social history: shx: lives with mother, recently , heavy regular etoh use, hx of ivda family history: mother with esrd on hd (unknown etiology) physical exam: pe: t 98.8 p 96 bp 140/96 sat 100% on ac 650/12/5/50% abg 7.34/29/35/16 on 100%fio2 gen sedated, responds to painful stimuli heent perrl, 2mm bilaterally, constricted, minimally reactive, right pupil introverted, dry mm with ett in place chest ctab no wheezes or crackles abd soft, distended, +bs, non tender, no appreciable organomegaly ext 2+pitting edema bilaterally up to knees, 2+dp pulses bilaterally, "track mark" scars on forearms pertinent results: cxr: an et tube is seen, with the tip approximately 4 cm above the carina. an ng tube is seen with tip in the stomach. a rounded opacity is seen within the left mid lung zone which represents the inferior contour of the left scapula. no other opacities are identified within the lung fields. no pleural effusions. the cardiac and mediastinal contours are within normal limits. the soft tissues and osseous structures are normal. * ekg: nsr, with peaked twaves- im,proved from osh ekg, nl intervals * renal us: the study is somewhat limited by portable .... and the patient to cooperate. the right kidney measures 10.2 cm, and the left kidney measures 9.9 cm. no hydronephrosis, renal masses, renal calculi are demonstrated. the visualized urinary bladder appears unremarkable. trace amount of ascites is seen. 09:39pm type-art po2-163* pco2-36 ph-7.24* total co2-16* base xs--11 intubated-intubated 09:39pm lactate-1.6 k+-6.0* 06:30pm cerebrospinal fluid (csf) protein-22 glucose-94 06:30pm cerebrospinal fluid (csf) wbc-1 rbc-1* polys-0 lymphs-0 monos-0 05:40pm glucose-122* urea n-103* creat-15.0* sodium-142 potassium-5.4* chloride-114* total co2-16* anion gap-17 05:40pm alt(sgpt)-37 ast(sgot)-65* ck(cpk)-1241* alk phos-71 amylase-228* tot bili-0.2 05:40pm lipase-45 05:40pm albumin-1.7* calcium-5.8* phosphate-7.0* magnesium-2.5 05:40pm wbc-11.4* rbc-3.16* hgb-9.9* hct-29.8* mcv-94 mch-31.4 mchc-33.4 rdw-13.5 brief hospital course: 1. arf: pt had nephrotic syndrome with spot prot/creat 13, hypoalbumin to 1.7, and edema. family unaware of prior renal diagnosis. renal u/s neg. ddx includes fsg (more common in blacks), membranous or membranoproliferative gn (c/w h/o hep b), minimal change dz, or systemic dz such as dm, amyloidosis, sle. rhabdomyolysis can explain elevated ck, hyperphos, hypoca and renal failure though would not expect such a high level of proteinuria and hypoalbuminemia. hepatitis serologies were checked and he was positive for hepatitis c. cryoglobulins were negative. , spsp/upep were all negative while complement levels were slightly low. hiv test was checked and was also negative. antistreptococcal antibodies were also negative. after he was transferred out of the intensive care unit, aggressive hemodialysis was started with good success. his mental status began to clear, his metabolic acidosis improved, and his electrolyte imbalances and fluid status improved. he received dialysis in-house for 3 weeks before his insurance came through to cover outpatient hemodialysis. he will follow up at his outpatient hemodialysis site and with nephrology here as needed. he never had a renal biopsy, so the cause of his renal fialure is still unknown. he was advised to have a slit lamp exam at upon discharge to evaluate for signs of diabetes (blood sugars were within normal limits while in-house). 2. seizure: unclear inciting event. confusion, agitation likely include post-ictal component. ddx includes etoh withdrawal, uremia, electrolyte abnormality eg hypocalcemia, drug overdose or drug withdrawal, trauma. ethylene glycol was negative. ct head negative for acute bleed. do not suspect sepsis/infection at this time, lp negative for meningitis. he was initially intubated on admission for airway protection. after extubation, he had no further episodes. the initial seizure was likely in the setting of uremia, and he had no further events. 3. metabolic acidosis: ag initially >30 at osh, now down to 18 (if corrected for alb 1.7). potential causes for acidosis include uremia, seizure activity producing elevated lactate, ketones from etoh or fasting, or ingestions. renal failure can cause both a gap and non-gap acidosis. nl osmolar gap makes ethylene glycol ingestion unlikely. as he began to receive dialysis, his acid/base status improved and was stable upon discharge. 4. anemia: normocytic. or may not be related to renal failure depending on chronicity. anemia workup was consistent with anemia of chronic disease. he was started on epogen at dialysis, and his hematocrit remained stable while in-house 5. substance abuse: he was initially on a versed drip while in the intensive care unit, and after transfer to the floor, he had no signs of withdrawal. 6. hypertension: he had some hypertension while in-house and was started on acei that was continued at low dose at time of discharge. 7. disposition: he was discharge in stable condition, to continue outpatient dialysis at center. he will follow up with nephrology and with for primary care initiation medications on admission: lisinopril 10 mg po daily discharge medications: 1. pantoprazole sodium 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* 2. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 3. calcium acetate 667 mg tablet sig: two (2) tablet po tid w/meals (3 times a day with meals). disp:*180 tablet(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for 4 days. disp:*32 tablet(s)* refills:*0* 5. quinine sulfate 260 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 6. lisinopril 5 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: 1. end stage renal disease discharge condition: good discharge instructions: 1. please take all your medications as prescribed and described in this discharge paperwork. 2. please follow up with transplant and dialysis as described below. 3. please call your pcp if you are experiencing chest pain, shortness of breath, fever, chills, or with any other concerns followup instructions: 1. provider: , md where: lm center phone: date/time: 10:20 2. please call () to schedule an appointment as soon as possible to establish primary care. 3. please follow up at dialysis center on wednesday, , to initiate dialysis. please arrive at 2:30 pm for your dialysis appointment. the kidney doctors here at will be in touch with the dialysis center so that you can receive follow up for your renal disease. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube hemodialysis arteriovenostomy for renal dialysis revision of arteriovenous shunt for renal dialysis diagnoses: acidosis anemia in chronic kidney disease acute kidney failure, unspecified unspecified viral hepatitis c without hepatic coma other convulsions alcohol abuse, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure 

Answer: The patient is high likely exposed to