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: acute alcoholic hepatitis major surgical or invasive procedure: paracentesis history of present illness: this is a 53 year old female with a hx of alcoholism and binge drinking since her teenage years who presents with liver failure. she initially presented to from to with jaundice, and found to have a bili of 30 and an inr of 2.3. during that admission she also developed mild arf, cr. to 1.4, but it improved to 1.1 at the time of discharge. she was also noted to have a leukocytosis of 16.7 but only small ascites on ultrasound, not tapped. she was evaluated for other forms of liver disease which was negative, including negative hepatitis viral serologies, negative , and a ceruloplasmin of 29. it was thought to be alcoholic hepatitis and she was started on 40mg po steroids starting . she was seen in follow up by dr. , gi, and she was feeling "miserable" with decreased po intake. on labs drawn then, her bili had worsened to 41 and her creatinine was 2.2 with a bun of 47. she also had a worsened wbc count to 29k. she was readmitted to , given ivf with no improvement in her renal function and poor uop. she is transferred to for further evaluation and treatment of hepatorenal syndrome. she underwent an abdominal ultrasound prior to transfer with marking for paracentesis but did not get a paracentesis. . the patient states that her last drink was 4 weeks ago. on admission she had c/o mild abdominal discomfort and fullness. she has also experienced dypnea on exertion while moving to the bathroom. patient had emotional breakdown on the floor. she wanted to go home. she was found to be sinus tachycardia to 110s. her oxygen saturation dropped to 88% in ra from 92-93% and came upto 92% on 3lnc. liver team wanted her to be monitored closely and requested icu transfer. . on arrival to the micu her vitals were t 99.4 hr 110 bp 101/53 rr 24 92% 3lnc. she states that she feels calmer. deneis any chest pain, shorntess of breath, palpitations, ha, visual changes, cough, diarrhea, constipations, f/c, rash, focal weakness or numbness. no other complaints. past medical history: alcoholism liver disease prolapsed bladder depression social history: married with children. very heavy drinker until recently but has trouble quantifying currently. denies ivdu family history: nc physical exam: vs: t 99.4 hr 110 bp 101/53 rr 24 92% 3lnc. gen: nad, icteric heent: ncat, eomi, perrl. icteric sclera. op clear, mmm. neck: difficult to assess jvp given prominent carotids, no lad heart: tachycardic, regular rhythm, no m/r/g lungs: bibasilar crackles right greater than left abd: soft +bs, distended, +fluid wave, non-tender extrem: 1+ ble edema, dp 2+ skin: very jaundiced neuro: cn ii-xii in tact bilaterally. strength is in upper and lower extremities and sensation is intact bilaterally. no tremor/asterixis. pertinent results: 10:05am blood wbc-11.4* rbc-2.74* hgb-9.9* hct-27.7* mcv-101* mch-36.2* mchc-35.9* rdw-18.1* plt ct-54* 10:05am blood neuts-94.8* lymphs-2.8* monos-2.0 eos-0.4 baso-0 10:05am blood pt-23.6* ptt-55.5* inr(pt)-2.3* 10:05am blood glucose-75 urean-60* creat-2.4* na-135 k-3.7 cl-105 hco3-13* angap-21* 10:05am blood alt-134* ast-198* ld(ldh)-290* alkphos-117 amylase-104* totbili-40.6* 04:05am blood alt-85* ast-122* ld(ldh)-201 alkphos-91 totbili-32.6* 10:05am blood albumin-3.6 calcium-7.4* phos-4.8* mg-2.7* iron-48 cholest-56 10:05am blood caltibc-47* ferritn-1446* trf-36* 10:05am blood triglyc-144 hdl-11 chol/hd-5.1 ldlcalc-16 10:05am blood cea-5.8* afp-1.8 10:05am blood hbsag-negative hbsab-negative hbcab-negative igm hbc-negative igm hav-negative 10:05am blood ama-negative 10:05am blood -negative 10:05am blood igg-979 iga-316 igm-188 10:05am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 10:05am blood hcv ab-negative 04:47pm blood lactate-2.4* k-2.9* 10:05am blood ca -9 -test 10:05am blood ceruloplasmin-test 05:10am blood hereditary hemochromatosis mutation analysis-test . brief hospital course: 53 year old female with hx of alcoholism admitted to micu with hepatic and renal failure. . # hepatic failure: her hepatic failure was secondary to alcoholic hepatitis/cirrhosis. she was followed by liver team. patient was treated for spontaneous bacterial peritonitis and hospital acquired pneumonia with vancomycin and zosyn. she also received albumin, octreotide and midodrine for hepatorenal syndrome. during her course of hospital stay, her mental status progressively worsened and required intubation in order to give her lactulose and other necessary medications. patient also developed pneumonia most likely secondary to aspiration. goals of care were discussed with the family as her clinical condition worsened. decision was made to make the patient's status comfort measures only as she was not a transplant candidate currently due to recent alcholol intake. patient passed away on . . # respiratory failure: tachypnea on admission. v/q scan not suspecious for pulmonary emboli. lower extremity non invasive sutidies did not show evidence of deep venous thrombosis. intubated on for worsening mental status, underlying multifocal pneumonia and tachypnea, with large amount of aspirate surrounding vocal cords. she had worsening metabolic acidosis which also played a role in her ventilation, as is apparent on her abgs. sputum samples only showed oropharyngeal flora. antibiotics and goals of care as above. . # acute renal failure: renal function worsened during admission, likely secondary to hepatorenal syndrome. lasix initially then pressors did not improved her urine output, and hemodialysis was not an option that would have improved her outcome in the long-term. her electrolytes were repleated carefully given her renal failure. . # metabolic acidosis: secondary to renal failure. . #mental status ?????? patient initialy with evidence of waxing/ levels of consciousness with clear confusion in presence of liver failure suggestive of hepatic encephalopathy. subsequently she was intubated and sedated. when sedation was decreased, she was increasingly confused and agitated as her condition worsened. . # anemia: had been stable 24-26. stool brown, guaiac negative. patient had no prior endoscopies to document varices. she was not actively bleeding during the hospital stay. . discharge disposition: expired discharge diagnosis: expired discharge condition: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage diagnoses: acidosis anemia, unspecified esophageal reflux alcoholic cirrhosis of liver acute kidney failure, unspecified hepatorenal syndrome acute respiratory failure pneumonitis due to inhalation of food or vomitus acute alcoholic hepatitis spontaneous bacterial peritonitis other and unspecified alcohol dependence, episodic 

Answer: The patient is high likely exposed to