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: l foot pain, alcohol withdrawl major surgical or invasive procedure: none history of present illness: patient is a 47 y/o m with a history of alcohol abuse/withdrawl, hypothyroidism and cocaine abuse who presented to the ed with a complaint of foot pain. he reports that he fractured his foot about 5 weeks ago and over the last week his foot pain has increased. he attributes this to his girlfriend kicking him in the foot during her sleep. in the ed an xray confirmed an old fracture and the patient was going to be discharged home, however he was noted to be hypertensive and complained of shaking and was observed for alcohol withdrawl. he noted his last drink was about 9:30pm on right before coming to the emergency room. he reports that he was recently admitted to for alcohol withdrawl, however he left ama and has continued to drink 1l of vodka/day since then. he currently reports that he feels achy all over, tremulous and has pain in his l foot. he reports that he has had seizures from alcohol withdrawl in the past. . in the ed his bp was noted to be elevated to 180/100. he received 30mg im toradol for foot pain, 5mg diazepam po, 45mg valium iv over 4 hours, and was then started on an ativan drip at 0.5mg/hr. he also was given 2l ns and a banana bag. labs notable for na of 146 and etoh of 232. past medical history: - etoh abuse with multiple admissions for w/d - h/o withdrawl seizures - alcoholic dilated cardiomyopathy (last records indicated an ef of 40-45% with mild global hk) - cocaine abuse - hypothyroidism: tsh 10 on -does not take prescribed levothyroxine - h/o head and neck cancer s/p resection and radiation in - bilateral cavitary lung lesions; bx demonstrated aspergillous fumigatus and albicans . multiple r/o for tuberculosis negative. pt did not comply with course of anti-fungals, had 3 afb smears here which were nagative - h/o c. diff colitis - h/o ivda per osh records (pt notes only cocaine iv) - hbv (core ab, surface ab positive ) - hcv () - hiv negative social history: social history: tobacco, unable to say how long, ppd currently. prior to that he smoked 1 ppd. heavy etoh use, currently 1l vodka daily. sober x10 years, started drinking again 2 years ago. also reports cocaine and marijuana. sexually active with his girlfriend family history: mother - cad. sister - h/o cva. reports his father was the " ," and that he and his mother changed their names after his arrest, etc. physical exam: vs: tc 98.5 bp 241/138 hr 112 rr 21 sat 98% ra gen: thin, disheveled man who appears anxious heent: mmm, sclera anicteric, chin erythematous with 4mm pustule neck: no lad, jvd about 6 cm, left neck with post surgical and radiation changes resp: bibasilar rales, no wheezes/rhonchi cv: regular rhythm but tachycardic, nl s1s2, no m/r/g abd: soft, nt/nd, +bs, no masses ext: no cyanosis/clubbing/edema, 2+ dp/pt pulses bilaterally neuro: a&ox3, hyperreflexic in lower extremities bilaterally (patellar reflexes spread), strength testing limited by "stiffness" - seems to be patient discomfort at moving limbs. pertinent results: left foot ap/lat/obl: early healing of fracture through the base of the second metatarsal. 05:15am blood wbc-5.2 rbc-3.66* hgb-12.9* hct-36.4* mcv-99* mch-35.3* mchc-35.5* rdw-16.0* plt ct-315 06:50am blood pt-12.3 ptt-25.3 inr(pt)-1.1 06:50am blood glucose-113* urean-20 creat-1.0 na-136 k-4.5 cl-98 hco3-31 angap-12 05:38pm blood alt-23 ast-40 ld(ldh)-200 alkphos-84 amylase-23 totbili-0.6 05:38pm blood lipase-65* 06:50am blood calcium-9.9 phos-3.4 mg-2.1 06:50am blood digoxin-0.5* 06:35am blood digoxin-0.3* 05:56am blood asa-neg acetmnp-neg bnzodzp-pos barbitr-neg tricycl-neg 08:45am blood ethanol-232* left foot, three views: again seen is the oblique fracture through the base of the left second metatarsal. there remains minimal lateral displacement of the distal fracture fragment. there is a small amount of new periosteal bone formation consistent with interval healing. the fracture line remains evident. no other fractures are identified. the joint spaces are preserved. impression: early healing of fracture through the base of the second metatarsal. brief hospital course: a/p: 47yom with chronic etoh use complicated by dilated cardiomyopathy, cocaine use, hypothyroidism, hypertension and medication nonadherence, presenting with foot pain and etoh withdrawal. following issues addressed on this admission: 1. alcohol withdrawal: - patient admitted to - initially 45mg iv valium in er and then ativan drip. required very large doses of valium for withdrawal over and . by , more stable, transferred to floor and maintained on q2 hour ciwa. this was gradually titrated off by . - patient has a concominant anxiety disorder, which causes his ciwa to be more positive that it probably is from alcohol withdrawal. 2. alcohol dependence: - patient expressed desire for abstinence - sw and addictions consult services have been involved on patient's previous admissions. - sw provided patient with multiple resources for help with abstinence. patient did not qualify for dual diagnosis inpatient admission given patient was detoxed on medical service -discussed with psychiatry on call. - patient is making an appointment for structured outpatient program - maintained on thiamine, folate. 3. chronic systolic heart failure: - alcoholic cardiomyopathy: maintained on digoxin, lisionopril. - dig level checked on and within normal limits. - however, given his poor compliance, am choosing to stop digoxin, as it is really just for symptomatic relief and prevention of admissions, rather than change in mortality, and failure to comply with therapy safely is more dangerous vs. the benefits - no beta blocker given history of cocaine abuse. 4. benign hypertension: - maintained on lisinopril, - normotensive 5. hypothyroidism: - maintained on levothyroxine 75 6. foot pain: - due to old fracture - maintained on oxycodone - patient refused to wear soft cast while in house. 7. smoking: - nicotine patch in house - counseling on cessation provided, cessation advised. medications on admission: medications: per d/c summary from -patient states not taking any medications at home. levothyroxine 75 mcg po daily digoxin 125 mcg tablet po daily famotidine 20 mg tablet po q12h hydrochlorothiazide 25 mg daily metoprolol tartrate 25 mg po bid seroquel 50 mg po tid and 25 mg po bid prn anxiety buspar 5 mg po qam and 10 mg po qpm celexa 20 mg po daily discharge medications: 1. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. buspirone 5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). disp:*30 tablet(s)* refills:*2* 4. buspirone 10 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). disp:*30 tablet(s)* refills:*2* 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. quetiapine 25 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. alcohol withdrawal 2. alcohol dependence 3. anxiety secondary: 1. left foot fracture 2. chronic systolic heart failure discharge condition: stable discharge instructions: follow up as below. continue to abstain from alcohol. you have been provided multiple resources to help you with your abstinence, and you should have made an outpatient appointment for a structured outpatient program. if you develop any chest pain, shortness of breath, fevers or any other new concerning symptoms, contact your doctor or go to the emergency room. take all medications as prescribed. followup instructions: follow up with your primary care doctor within the next few weeks. procedure: combined alcohol and drug detoxification diagnoses: congestive heart failure, unspecified unspecified acquired hypothyroidism unspecified viral hepatitis c without hepatic coma anxiety state, unspecified chronic systolic heart failure personal history of noncompliance with medical treatment, presenting hazards to health accidents occurring in unspecified place cocaine dependence, continuous cannabis dependence, continuous alcoholic cardiomyopathy alcohol withdrawal acute alcoholic intoxication in alcoholism, continuous benign essential hypertension personal history of malignant neoplasm of other sites pain in limb late effect of fracture of lower extremities late effects of injury, undetermined whether accidentally or purposely inflicted 

Answer: The patient is high likely exposed to