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: no known allergies / adverse drug reactions attending: chief complaint: suicide attempt, tylenol overdose major surgical or invasive procedure: femoral cvl placement r ij cvl placement history of present illness: 21 y/o f w/ with h/o ivdu who originally presented with n/v, abdominal pain, and jaundice following ingestion of reportedly 50 tylenol tablets on in an admitted suicide attempt. on presentation, her labs were notable for ast , alt , inr 8.3, bili 5.3, and an original exam notable for a&o x 3, without evidence of hepatic encephalopathy. of note, she attempted suicide at the age of 16 by taking 7 klonopin, but did not seek/require medical attention. . in the ed, initial vs were: she was started on nac iv, and admitted to sicu under transplant service for continued treatment and monitoring. . in the sicu, patient was alert and oriented with a reported unremarkable exam. nac was continued until transaminases were <1000. patient had femoral cvl placed. patient was found to be hepatitis c antibody positive, with viral load sent. on evening of , patient had increasing agitation in the evening, and was given lorazepam and fentanyl. patient was determined not to be a transplant candidate, and transfer to micu was initiated. ct head was obtained directly before transfer and showed possible mild cerebral edema. . on arrival to the micu, patient is sleeping but arousable. patient became agitated soon after arrival, requiring four-point restraints. past medical history: - iv drug abuse - one episode where she took ~15 at the age of 16 in the setting of being in an abusive relationship social history: substance abuse history: -etoh: states she drinks weekly, about /time; +blackouts, -dts/szs -tobacco: smokes 1ppd -illicits: shoots heroin, uses mj, uses cocaine social history: lives with mother, sister, brother and son. had been living with another abusive boyfriend, but broke up with him (and aided in sending him to prison) two months ago. parents are divorced, minimal relationship with father. to hs, but did not graduate ("did not pass gym.") started working in a day care shortly after hs. currently employed in a non-structured job. denies legal history. as noted earlier, has been in two prior abusive relationships. has one son. the father is "not helpful." family history: no family h/o liver disease, cancer, dm, cad or htn physical exam: exam on transfer to medical icu: vitals: t: 98.3 bp: 113/56 p: 93 r: 22 o2: 100%ra general: somnolent, no acute distress heent: icteric sclera, mm dry, oropharynx clear, denuded skin around lips, eomi, perrl neck: supple, jvp not elevated, no lad cv: tachycardic, normal s1 + s2, no murmurs, rubs, gallops audible lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly noted gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: pupils 5 mm, brisk and equal; 2+ reflexes bilaterally, gait deferred pertinent results: admission labs: 04:30pm wbc-23.8* rbc-4.44 hgb-12.9 hct-39.0 mcv-88 mch-29.2 mchc-33.2 rdw-12.6 04:30pm neuts-97.3* lymphs-1.5* monos-1.1* eos-0 basos-0 04:30pm plt count-234 04:30pm pt-81.3* ptt-31.3 inr(pt)-8.3* 03:40pm glucose-146* urea n-26* creat-1.5* sodium-142 potassium-4.6 chloride-95* total co2-5* anion gap-47* 03:40pm alt(sgpt)-* ast(sgot)-* alk phos-100 tot bili-5.2* dir bili-3.1* indir bil-2.1 03:40pm albumin-4.2 calcium-8.5 phosphate-6.4* magnesium-2.0 03:40pm asa-neg ethanol-neg acetmnphn-26 bnzodzpn-neg barbitrt-neg tricyclic-neg 03:40pm urine color-dkamb appear-cloudy sp -1.015 03:40pm urine blood-lg nitrite-neg protein-600 glucose-tr ketone-40 bilirubin-sm urobilngn-neg ph-6.0 leuk-tr 03:40pm urine rbc->182* wbc-41* bacteria-many yeast-none epi-9 03:40pm urine amorph-mod 03:40pm urine mucous-many liver function tests: 03:40pm blood alt-* ast-* alkphos-100 totbili-5.2* dirbili-3.1* indbili-2.1 04:30pm blood alt-* ast-* alkphos-94 totbili-5.2* 08:52pm blood alt-* ast-* alkphos-86 amylase-63 totbili-5.4* 01:46am blood alt-8271* ast-8011* alkphos-88 amylase-84 totbili-5.6* 02:24pm blood alt-8594* ast-3862* ld(ldh)-1155* alkphos-97 totbili-6.0* 09:00pm blood alt-6946* ast-2719* ld(ldh)-702* alkphos-90 totbili-5.7* 03:00am blood alt-6009* ast-* ld(ldh)-500* alkphos-88 totbili-5.9* 10:54am blood alt-5670* ast-1472* alkphos-94 totbili-7.0* 09:23pm blood alt-5180* ast-826* ld(ldh)-378* alkphos-92 totbili-7.4* 03:49am blood alt-4224* ast-574* ld(ldh)-354* alkphos-93 totbili-8.3* 10:00am blood alt-4230* ast-436* ld(ldh)-350* alkphos-88 totbili-9.1* 03:40pm blood alt-3609* ast-356* ld(ldh)-368* alkphos-89 totbili-9.6* 03:20am blood alt-3040* ast-243* ld(ldh)-392* alkphos-86 totbili-10.1* tylenol levels: 03:40pm blood asa-neg ethanol-neg acetmnp-26 bnzodzp-neg barbitr-neg tricycl-neg 09:03am blood acetmnp-13 09:00pm blood acetmnp-7* 10:54am blood acetmnp-neg 7:25 pm blood (ebv) **final report ** - virus vca-igg ab: positive. - virus ebna igg ab: positive - virus vca-igm ab (final ): negative <1:10 by ifa. interpretation: results indicative of past ebv infection. . cmv igg antibody: positive rpr: non-reactive vzv igg antibody: positive toxo igg: negative hcv viral load: hcv rna detected, less than 43 iu/ml echocardiogram: impression: normal study. no structural heart disease or pathologic flow identified. ruq ultrasound: findings: the liver is normal in echotexture without focal lesion, intra- or extra-hepatic biliary ductal dilatation. the common bile duct measures 2 mm. the gallbladder is normal without gallstones. the main portal vein, left and right branches are patent with hepatopetal flow. the right main and right hepatic arteries are patent, the left hepatic artery was not assessed. the middle, right and left hepatic veins as well as the ivc are patent with normal waveforms. the splenic vein at the portosplenic confluence demonstrates normal color flow, but was not assessed by pulse wave imaging. no free fluid is seen. the pancreas appears normal. ct head: impression: effacement of the sulci and ventricles, more evident at the frontoparietal convexity, concerning for brain edema. ct head: impression: no significant change in diffuse sulcal effacement, suggesting cerebral edema. brief hospital course: 21 y/o f with no pmh s/p acetaminophen overdose and acute liver failure . # acute liver failure/acetaminophen overdose: patient with ingestion of 50 acetaminophen tablets on , which was two days prior to admission. initial lfts in 10,000s, placed on nac. lfts peaked shortly after admission at ast , alt . nac therapy was continued until negative acetaminophen level, downtrending of transaminases, and inr less than 2.0. hepatology and transplant surgery were consulted. given patient's recent use of iv drugs, she was deemed not to be a transplant candidate. her hepatitis c antibody was positive, and her viral load was less than 43, the lower limit of detection. she may have been previously exposed and cleared the virus, but this will have to be established with follow-up hepatitis c levels. she had worsening of her mental status, and a head ct was done showing possible brain edema. she was given a dose of mannitol, had a femoral line placed, and started on hypertonic saline. her mental status improved and she was transferred to the medicine service on . her total bilirubin continued to rise as expected. however, her inr decreased below 2 and the nac infusion was discontinued. her platelets increased. she did not have encephalopathy or asterixis while on the medicine service. she will have follow up with primary care and hepatology as scheduled. . # cerebral edema: ct head with cerebral edema, likely from underlying hepatic failure. given the fact that her acute hepatic failure appeared to be improving, an intracranial pressure was not checked. it was unclear whether her agitation was from delirium, increased intracranial pressure, or a psychiatric condition. she did not have headache or focal neurologic deficits at any point. a repeat head ct was unchanged, but on further discussion with radiology, it was unclear at her young age whether the relative effacement of her sulci was a normal variant or only mild edema. given that her agitation had improved and she was up ambulating, the hypertonic saline was stopped and she was transferred to the general medicine floor. her mental status remained lucid. per the hepatology team, she will be followed clinically. . # agitation/altered mental status: patient with agitation prior to and upon arrival to micu. causes considered were acute liver failure with concomitant hepatic encephalopathy, though hepatology thought this was not the case as her lab values were improving, cerebral edema, infection, and withdrawal. she was started on dexmedetomidine. psychiatry was consulted. she was given a nicotine patch. she was given prn doses of iv haloperidol. she was placed on a section 12 hold and maintained on seroquel 12.5mg po bid prn agitation on the medicine floor. she remained calm. . # urinary tract infection in the micu: she completed a 3-day course of ceftriaxone while in the micu. . # repeat uti: a urine culture finalized with gpc>100,000. will get 250mg po bid for three days through . . # sinus tachycardia: patient with hr 100s-120s, likely from hypovolemia vs. agitation. will continue to monitor. . # depression: psychiatry consulted, recommend transfer to inpatient psych unit once medically stable. she was deemed not to have capacity to make decisions in light of her presentation. . transitional issues: -please check chem-7, cbc, and liver panel 5-7 days after discharge and call the medicine consult team for any concerning abnormalities; we expect the total bilirubin to lab behind in terms of normalization of her lab tests. - 250mg po bid through -f/u with pcp and hepatology re: positive hcv antibody and viral load <43. diagnosis was given to patient on . information sheets about hcv provided. liver clinic appointment scheduled. -etoh cessation -tobacco cessation -ivdu cessation -hepatology f/u -psychiatry f/u -pcp f/u medications on admission: none discharge medications: 1. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). patch 24 hr(s) 2. quetiapine 25 mg tablet sig: 0.5 tablet po bid (2 times a day) as needed for agitation. 3. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for heartburn. 5. 250 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days: ending . tablet(s) discharge disposition: extended care facility: 4 discharge diagnosis: acute liver failure tylenol overdose discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. : it was a pleasure to take care of you at . you were admitted to this hospital with liver failure due to a tylenol overdose. this also caused swelling in your brain. your liver and brain got better. the psychiatry team recommended that you be transferred to an inpatient psychiatric unit. you were also treated for a urinary tract infection. the psychiatry doctors also your labs 5 days to 7 days after your discharge from the medicine unit. please make the following changes to your medication regimen: start nicotine patch 21mcg daily and taper down the dose as directed by your doctor 250mg tabs, one tab twice a day through start famotidine 20mg twice a day as needed for heartburn start tums as needed for heartburn start quetiapine 12.5mg twice a day as needed for agitation followup instructions: please make an appointment to see your primary care doctor e. procedure: venous catheterization, not elsewhere classified diagnoses: tobacco use disorder urinary tract infection, site not specified acute and subacute necrosis of liver depressive disorder, not elsewhere classified cerebral edema encephalopathy, unspecified poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics other specified counseling 

Answer: The patient is high likely exposed to