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: seizure. major surgical or invasive procedure: lumbar puncture history of present illness: mr. is an 80-year-old man with a meningioma, presenting with seizure in , undergoing recent resection, presenting with delirium and probable seizure. the patient is delirious (see below) and mostly only answers yes or no. history was obtained from his daughter, . in last year, mr. on the floor, amnestic to antecedent events. he went to an ed where nchct showed a left frontal meningioma. he then left ama without antiepileptic drugs. on , he had another seizure and presented to an outside hospital before transfer to . while undergoing mri at , the patient had another seizure (see nsurg note - further details not now available). he was also noted to have a new right facial droop and aphasia. this was attributed to his meningioma and led to resected on . dilantin and keppra were started. surgery went well and the patient was discharged to rehabilitation. for the last two days at rehab. he has been more confused than baseline. it appears that delirium has been present throughout, but worsened, perhaps due to numerous room changes - five his daughter says. has been "walking the halls at night". he has been refusing medications while there, and even his daughter was not able to get him to take any of his medications for the last two days. this included keppra, dilantin, coumadin, then pradaxa. pradaxa was started on the morning of and coumadin stopped. he has been on sc heparin throughout. last night he seemed "altered", more confused, along with having a "low-grade temperature". he was taken to an osh and dilantin level was found to be very low. cxr, head ct, ua were found to be normal, per his daughter. after reloading dilantin, he was returned to rehab. this morning he was found to be unresponsive. when his daughter arrived at rehab., he was also on a stretcher being prepared to be returned to . he did not make eye contact or respond, despite open eyes. she thought that his right facial droop is worse. she did not obtain a description of events earlier that morning, so it is unclear if he had a convulsive seizure. on arrival at , he received iv ativan 2 mg after which time he became more interactive, answering yes or no appropriately. the ed staff were concerned for non-convulsive status and consulted neurology. he was given dilantin 1g in the ed. given suspicion of a aaa, ct abdomen was performed without aneurysm noted. he had been previously independent until the events of . he was still working as a plummer, did daily exercises, watched his weight and diet and took vitamins, his daughter says. independent of all adl's. at baseline he is willful. past medical history: atrial fibrillation, hyperlipidemia, hodgkin's lymphoma social history: the patient is widowed and lives alone. he is retired. he has two healthy children. he had seven siblings, three of them died at ages 73,75, and 79. he never smoked. prior plumber, worked until one month ago. prior heavy smoking, stopped in 's. no alcohol or drugs. family history: no known family history of meningioma, nor seizure. htn and prostate cancer in family. daughter with ruptured cerebral aneurysm and another that is being followed, no other family history of this or renal disease, but daughter has been told that this is likely hereditary. physical exam: vitals: 98.4 f 96 bpm 124/95 mmhg 19 breaths 97% ra general appearance: stuporous, flushed. occasional shaking, concerning for rigor. heent: nc, op clear, mmm. neck: increased tone. lungs: cta bilaterally, distant, c/w emphysema. cardiac: irregular. distant. normal s1/s2. no m/r/g. abdominal: soft, nt, bs+ extremities: warm and well-perfused. severe knee arthropathy, c/w osteoarthritis, wasting of leg muscles, particularly calves, l > r. neurologic: mental status: stuporous. opens eyes to sternal rub, sometimes to loud voice. picking at bedclothes and sensors. only answers yes and no, or other one word responses. makes eye contact and follows. follows some simple commands. echolalia significant with copying of phrases. daughter reports this was present after surgery also and that his language had not improved much since then. cranial nerves: i: not tested. ii: pupils equally round and reactive to light, 2.5 to 1.5 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. limited upgaze. v, vii: facial sensation intact. right facial droop is worse today per daughter. : intact to voice, pillow scratch. ix, x: palatal elevation symmetric. : limited test. weak head turn to left. xii: tongue midline. impression of epc of left index finger. irregular brief contractions too forceful for fasciculation. posture normal with increased axial tone. paratonia in extremities. power limited by mental status, but triceps and biceps, grip strength 5/5, all others antigravity. reflexes: b t br pa ac right 2 2 2 3 2 left 2 2 2 3 2 toes downgoing bilaterally sensation intact to tickle, withdraws to pain throughout. gait: not evaluable owing to mental status. pertinent results: 12:44pm pt-15.8* ptt-27.3 inr(pt)-1.4* 12:44pm wbc-6.4 rbc-3.88* hgb-12.7* hct-35.9* mcv-93 mch-32.8* mchc-35.5* rdw-13.2 12:44pm plt count-145* 12:44pm neuts-76.3* lymphs-10.4* monos-10.0 eos-2.1 basos-1.2 12:44pm phenytoin-9.0* 12:44pm albumin-3.8 calcium-8.5 phosphate-3.4 magnesium-1.9 12:44pm glucose-107* urea n-17 creat-1.4* sodium-135 potassium-4.7 chloride-100 total co2-26 anion gap-14 12:56pm lactate-1.4 02:45pm urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 10:29pm cerebrospinal fluid (csf) wbc-25 rbc-360* polys-5 lymphs-95 monos-0 10:29pm cerebrospinal fluid (csf) wbc-26 rbc-2* polys-1 lymphs-97 monos-0 macrophag-2 10:29pm cerebrospinal fluid (csf) protein-42 glucose-86 brief hospital course: neurology: mr. was admitted initially to the icu initially because of concern for altered mental status. he initially was responsive to sternal rub, but later became febrile and unresponsive with cheynes- breathing. he was started on iv antibiotics and acyclovir and underwent an lp, which showed a white blood count of 26, red blood cells 2, lymphocytes 97%, protein 42, and glucose 86. his cultures have been negative. it is likely that the leukocytosis demonstrated in his csf was likely secondary to his lumbar puncture. he underwent a head ct that showed decrease in his left frontal intraparenchymal hemorrhage. he had a ct of his abdomen to r/o aaa because of concern for abdominal pain that was negative. during his admission, his keppra dose was initially doubled to 1000mg because of concern for ongoing seizure activity. however, after it was clear that his eeg showed no ongoing seizure activity, it was weaned to 500mg again. over the next day, he was transferred back to the neurology floor. because he appeared to be more alert with the decreased dose of keppra, it was thought that it was contributing to his somnolence. therefore, it was eventually weaned off. his phenytoin was increased during this time to 200mg . his corrected phenytoin levels were therapeutic. however, because of ongoing discharges from his left frontal region evident on eeg, he was loaded with more pht for a goal to ~20 (most recent corrected level was 15 prior to discharge). he improved and was at his new neurological baseline at the time of discharge. of note, his eeg remained relatively stable with mild improvement of his slowing in the left frontal region with occasional sharps and delta waves. fen/gi: mr. was started on tube feeds during his admission. he was allowed to have pureed foods at first and then soft mechanical diet with nectar thick liquids after he became more alert. however, he was noted to have a refusal to eat and to take his oral medications. nutrition was involved, but much of his refusal appears to be volitional. resp: stable on ra. cv: mr. remained hemodynamically stable during his admission. heme: mr. was admitted on pradaxa because of his atrial fibrillation. however, he often refused his pradaxa and was therefore transitioned to lovenox subq, which he currently remains on due to his inconsistent po intake. id: mr. remained afebrile during much of his admission after his initial fever. all of his csf, urine and blood cultures were negative during his admission. medications on admission: - metoprolol tartrate, 12.5 - warfarin, prior, seems to have been switched to pradaxa on - keppra 500 mg - colace, bisacodyl, tylenol prn - pradaxa 150 mg - started , when coumadin stopped - amantadine 100 - started in rehab. - dilantin xr 300 mg qhs - heparin 5000 tid discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po tid (3 times a day). 2. docusate sodium 50 mg/5 ml liquid sig: one (1) tsp po bid (2 times a day). 3. senna 8.8 mg/5 ml syrup sig: one (1) teaspoon po hs (at bedtime). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 5. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipatioin. 8. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 10. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day). 11. enoxaparin 80 mg/0.8 ml syringe sig: one (1) inj subcutaneous q12hrs (). discharge disposition: extended care facility: - discharge diagnosis: seizure discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted because of concern for seizure after you came in with unresponsive episodes. it appears likely that you may have had a seizure, likely in the context of not taking your medications. however, it is also likely that one of your medications, keppra, may have caused you to be sleepier than normal. therefore, we took off your keppra and increased your dilantin dose. your eeg did not show any seizures, but was concerning for abnormal activity coming from your left frontal region, where your meningioma was. it is important that you continue to take your dilantin in order to prevent seizures. followup instructions: f/u with dr. in one month. please call to make an appointment. md procedure: venous catheterization, not elsewhere classified spinal tap incision of lung enteral infusion of concentrated nutritional substances diagnoses: chronic airway obstruction, not elsewhere classified atrial fibrillation other convulsions personal history of tobacco use other and unspecified hyperlipidemia hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites personal history of noncompliance with medical treatment, presenting hazards to health other encephalopathy do not resuscitate status dehydration hip joint replacement other and unspecified anticonvulsants causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to