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: altered mental status liver failure major surgical or invasive procedure: intubation central venous catheter radial arterial line paracentesis x 3 history of present illness: this is a 45 yof with history of alcoholic cirrhosis who presented to today with altered mental status, new onset jaundice, hypotension, and renal failure. at , her sbp was in the 70s and cr found to by 6.0 (reportedly new). she was given 2l ivf and transferred by med-flight to for further care. . in our ed she continued to be hypotensive to 70s when dopamine stopped. a right femoral line was placed given coagulopathy and dopamine restarted. she was confused and had positive asterixis. she was given levofloxacin and flagyl. a ruq u/s was done which showed sludge in the gall bladder but no stones and normal hepatopedal blood flow. vitals when she left the ed on 10 mcg dopamine, afebrile hr 140 bp 100/60. . upon arrival to the icu, patient is not able to answer questions secondary to encephalopathy. history take from husband and sister. she has never been hospitalized before. she had new onset of jaundice about 1 week ago. this was associated with abdonimal distention, weakness, lehtargy. has been in bed since monday. husband last alcohol was monday. has not eaten or drank in several days. today she refused to go in the ambulance until she took a shower. she locked her self in the bathroom and fell hitting her left temple and back. past medical history: alcohol abuse cirrhosis? gerd hypertension ?seizure social history: lives in with husband and 13 yo son. as a bank teller. drinks "nips" of vodka per day. smokes ppd. previously addicted to cocaine (20 years ago) hisband denies iv drug use. family history: cad, htn, alcoholism physical exam: vitals: t:97.3 bp:128/80 p:118 r:22 sao2:98% ra general: confused, tearful, extremely jaundiced female heent: small cut above left eye, perrl, eomi without nystagmus, marked scleral icterus noted, mmdry, no lesions noted in op neck: supple, no jvd or carotid bruits appreciated pulmonary: lungs dull at the bases cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, distended, non-tender, normoactive bowel sounds extremities: no edema, 2+ radial, dp and pt pulses b/l. rectal: good tone, no masses or hemmorhoids. guiac negative skin: echymosis on knees and right flank. teleangectasis on chest neurologic: -mental status: confused -cranial nerves: ii-xii intact -motor: normal bulk, strength and tone throughout. no abnormal movements noted. -sensory: withdraws to pain. +asterixis pertinent results: wbc 19.0 with 2% bands, 1% atypicals, 3% myelos hct 29.7 with mcv 109 ptt 47.6 inr 2.3 hco3 20, ag 20 bun 37 cr 5.8 . abg 7.44/31/76 on ra lactate 2.0 . tylenol 9.6 . peripheral smear plts nl count, no clumping, occasional large plt rbc macrocytic, no central pallor, no schistocytes, occasional nucleated rbc and retics seen wbc - leukomoid reaction with pmn predominance, bands, occasional atypical lymphocytes. no hypersegmented neutrophils seen ekg: poor tracing. sinus. 129 bpm. nl axis and intervals. no st changes or twi. - imaging/studies: cxr - lung volumes are somewhat low. the aorta is unfolded. there is bibasilar atelectasis. there is no evidence of focal infiltrate or pleural effusion, however left costophrenic angle is partially obscured by overlying external device. pulmonary vascularity is normal. . liver u/s - no prior for comparison. this study is limited due to portable nature and patient inability to cooperate with examination. the liver is diffusely echogenic. gallbladder wall is thickened, but the gallbladder does not appear distended. layering sludge is seen within it. no definite intrahepatic ductal dilatation is seen. common bile duct is not dilated. portal venous flow is maintained in the appropriate direction. brief hospital course: 45 yof with alcoholic hepatitis, respiratory failure, sepsis, and renal failure. # alcohol hepatitis - patient had long history of alcohol abuse and positive tylenol level on admission. bilirubin greater 30 on admission and discrimanant function 38, meld 33. she was treated initially for 48 hours with n acetylcystiene. liver was enlarged but no evidence of portal vein thrombosis. she was also started on solumedrol and transitioned to po prednisone. hepatitis serologies were sent and were negative. egd revealed no varices. gradualt lft's improved. however, she returned from the icu and then developed worsening diarrhea which precipitated hepatorenal syndrome. she became dehydrated but could not be fluid resuscitated due to renal failure and resultant hypoxia with fluid administration, and was therefore transferred back to the icu. given her rising meld, 42 prior to transfer, patient's family was informed of her poor prognosis. she was made comfort measures only and subsequently passed away. # renal failure - initially in renal failure which improved with volume resucitation. cr stablilized at around 1.8. started on octreatide and midodrine for emipric treatement of hepatorenal syndrome with improvement of creatine to 1.0. then, patient was then started on lasix and spironolactone. several days later, upon transfer to floor, she had newly elevated creatinine. feurea 30, urine na 33. she also had positive eos and elevated vanc level previously. she was started back on hrs protocol, but suspicion very high for atn/ain picture as well. renal was consulted and ultimately felt that this was more likely ain/atn. creatinine gradually improved. # respiratory failure: intially intubated for worsening acidosis and volume overload. she was diuresed and extubated on . she initially improved. then on had worsening abdominal distension and had paracentesis of 3l; also had fever to 101, dyspnea/tachypnea to 30's, increased oxygen requirement with a-a gradient of 50, tachycardia. abg was 7.46/22/69, lactate of 3.4. v/q was done - negative for pe. lenis were negative for dvt as well. over remainder of hospital course, she continued to have episodes of tachypnea, hypoxia, tachycardia requiring several micu transfers for closer observation and paracentesis prn. no obvious etiology of her symptoms was isolated. # fever/tachycardia: currently afebrile. - serial paracenteses , /11, /14, /21, /26 have shown no evidence of sbp - tapped again 2.5 l on - continue fluc - blood cx revealed no growth except 1 bottle presumed contaminant # sepsis/hypotension: when she was transferred to , she was hypotensive to 70's and placed on dopamine and neosynephrine gtt. a femoral line was placed at the osh which was switcher to a left ij. she was admitted to the micu and received empiric abx including vanc, zosyn, meropenam. very extensive micu course most notable for prolonged pressor-dependent hypotension, encephalopathy; was treated with steroids for etoh hepatitis; had multiple therapeutic paracenteses; multiple transfusions; intubated for acidosis and altered mental status, extubated . # alcohol abuse/withdrawl - intially very delerious. history of seizure. was treated with iv ativan. given multivitamin/folate/thiamine. during the rest of her hospital course, she received lactulose and had improvement in mental status. # esophageal candidiasis: extensive candidiasis seen on egd - continue po fluconazole (started ): plan for wks course # substance abuse: had been on ciwa scale for etoh abuse, but now >3 weeks from last drink so no further ativan needed. - social work involved - cont thiamine, mvi, folate # anemia: - macrocytic anemia, likely due to alcohol abuse. hct seems to have stabilized - active t&s, guaiac stools # fen: s&s passed, on nectar-thick liquids, soft solids. - post pyloric njt placed on , restarted tf on - post pyloric pulled out and ngt placed on . tf resumed. # access: piv. # ppx: pneumoboots, ppi, bowel regimen # code: full # dispo: pending improved mental status medications on admission: atenolol oxycodone prilosec discharge medications: n/a discharge disposition: expired discharge diagnosis: n/a discharge condition: n/a discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage arterial catheterization other intubation of respiratory tract transfusion of packed cells transfusion of other serum infusion of vasopressor agent diagnoses: acidosis tobacco use disorder acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified acute and subacute necrosis of liver alcoholic cirrhosis of liver hepatorenal syndrome acquired coagulation factor deficiency portal hypertension acute respiratory failure hepatic encephalopathy acute alcoholic hepatitis alcohol withdrawal candidal esophagitis acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to