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: history of present illness: the patient is a 28-year-old male with an unknown past medical history who arrived in the emergency department after being found down by emergency medical service. from toxicology note and emergency medical service report (as the patient was unable to give a history), by standards noted the patient to have tonic-clonic activity prior to emergency medical service arrival. when examined by emergency medical service, the patient was unresponsive. he was calm and staring into space. his heart rate was in the 120s, and the systolic blood pressure in the 120s. the patient had tongue lacerations at that time consistent with tongue biting. the patient became agitated with a heart rate of 180 and a respiratory rate of 40s during transport. intubation was attempted in the field and failed. on arrival to the emergency department the patient was somewhat responsive and admitted to cocaine and percocet use. vital signs were notable for a heart rate of 160s to 170s on electrocardiogram, respiratory rate was 30 to 40, temperature was 39, and blood pressure was 86 to 110/palpation. initial gas was 7.18/35/49 with a lactate or 18.8. the patient was intubated for airway protection and for acidosis control; additionally, so that he could be sedated. laboratories on admission were also notable for a blood urea nitrogen of 19 and creatinine of 1.7. serum osmolalities of 333 with a osmolar gap of approximately 20. white blood cell count was 25. creatine kinase was 200 with a troponin level that was pending. glucose was 217. the patient had an anion gap of 28. urine toxicology was positive for cocaine, barbiturates, amphetamine, and opiates. in the emergency department, the patient was resuscitated with six liters of normal saline with an improvement in his blood pressure to 110 to 120/60 to 70 and heart rate down to the 80s. the patient had an additional blood gas after intubation which was 7.4/23/511. the patient was given 2 grams of ceftriaxone intravenously times one. the patient had a normal head computed tomography and had a lumbar puncture which showed no white blood cells, 7 red blood cells, normal protein and glucose. the patient was sedated with ativan and paralyzed with cisatracurium to prevent muscle contractions and hyperthermia. the patient had a subsequent decrease in temperature to 37.3. physical examination on presentation: the patient's vital signs on admission to the medical intensive care unit revealed temperature was 36.8, blood pressure was 115/47, heart rate was 112, and oxygen saturation was 100% on synchronized intermittent mandatory ventilation with a tidal volume of 700, respiratory rate was 14, pressure support of 10, positive end-expiratory pressure was 5, fio2 of 0.05. the patient was sedated and intubated. pupils were equal, round, and reactive to light. the neck veins were flat. the patient had a scar in the laryngeal area. the chest was clear to auscultation bilaterally. cardiovascular examination revealed tachycardia with no murmurs. the abdomen was soft, nontender, and nondistended with normal active bowel sounds. extremity examination revealed no edema. skin examination revealed no rashes, and no evidence of track marks. although, in the back, the patient had a one inch to two inch midline scar in the lumbosacral area with surrounding three inch to four inch surgical scar bilaterally in the same area. neurologic examination revealed the patient was sedated. he had normal tone in all of his extremities. pertinent laboratory values on presentation: laboratories on admission revealed white blood cell count was 25.6 (with differential of 52 neutrophils, 6 bands, and 36 lymphocytes), hematocrit was 45.2, and platelets were 466. inr was 1.3 and partial thromboplastin time was 22.5. urinalysis was unremarkable. electrolytes were as follows; sodium was 145, potassium was 4.9, chloride was 97, bicarbonate was 11, blood urea nitrogen was 19, creatinine was 1.7, and blood glucose was 217. phosphate was 7.2 and magnesium was 2.5. liver function tests were all within normal limits. first creatine kinase was 200. albumin was 5. serum osmolalities were 333 with calculated serum osmolalities of 313. serum toxicology was negative for aspirin, ethanol, tylenol, benzodiazepines, barbiturates, and diglycerides. urine toxicology was positive for barbiturates, cocaine, opiates, and amphetamines. negative for methadone and negative for benzodiazepines. pertinent radiology/imaging: the patient had a cervical spine x-ray which showed no evidence of cervical spine fracture. a chest x-ray revealed no evidence of infiltrates or effusion. hospital course by issue/system: in short, the patient is a 28-year-old gentleman with lactic acidosis, acute renal failure, increased white blood cell count, and fever, and positive toxicology screen. the patient was likely status post a seizure in the field secondary to drug overdose. the hospital course was as follows. 1. seizure issues: the patient was continued on propofol overnight while intubated for seizure prophylaxis. this was stopped, and the patient was extubated the following day. the patient had no further episodes of seizure. on questioning, the patient did admit to have had a seizure some time in the last six months; likely secondary to alcohol withdrawal. 2. acidosis issues: the patient had metabolic acidosis with an anion gap of 28 and a lactate of 20. this was presumably due to seizure activity, hypoperfusion, and hypoventilation during his transfer to the hospital. the patient's anion gap closed with normal saline and with ventilation overnight, and his lactate was 1 on the morning following admission. there was no further evidence of anion gap acidosis. 3. acute renal failure issues: the patient had an elevated blood urea nitrogen and creatinine on admission. this was likely secondary to hypovolemia. this improved with hydration. the patient's creatine kinase levels did rise throughout the course of his hospitalization; however, there was no evidence of rhabdomyolysis. 4. cardiovascular system: the patient's heart rate improved with sedation and hydration. electrocardiogram showed no evidence of acute ischemia secondary to cocaine use; however, the patient did ruled in for a myocardial infarction by enzymes. his troponin t peaked at 1.14 and was trending downward at the time of transfer from the medical intensive care unit to the floor. 5. fever issues: the patient had a fever of 39 on admission. given the combination of fever and mental status changes, it was thought prudent for meningitis and do a lumbar puncture. the patient received 2 grams of ceftriaxone intravenously times one and a lumbar puncture was performed. the lumbar puncture showed no evidence of acute meningitis. the gram stain was negative. cultures were still negative at the time of this dictation. the patient remained afebrile after intubation; including post extubation. 6. substance abuse issues: the patient was admitted with a drug overdose. unclear if this was suicidal in nature. however, per family history and the patient's own history, this did not seem to be the case. the patient initially was calm and appropriate after being extubated and weaned off his propofol drip. given his history of seizure secondary to alcohol withdrawal, the patient was prophylactically treated with valium; however, the patient became extraordinarily agitated later on that afternoon requiring a emergency psychiatric consultation. the patient ultimately required both 4-point leather restraints and chemical restraint. the patient was treated with standing doses of haldol and ativan. at the time of discharge, the patient was sleepy but appropriate when aroused. he still wished to leave. the patient has also been monitored on a ciwa scale for additional ativan as needed. the patient has not needed any additional ativan as of the time of this dictation. at the time of this dictation, the patient was to be transferred to the floor for further monitoring and disposition. medications on transfer: (medications on transfer were as follows) 1. ativan 1 mg intravenously three times per day. 2. famotidine 20 mg intravenously q.12h. 3. haldol 1 mg intravenously three times per day. 4. ativan 2 mg intravenously q.1-2h. as needed for a ciwa scale of greater than 12. 5. tylenol 325 mg to 650 mg p.o. q.4-6h. as needed. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung diagnoses: acidosis acute and subacute necrosis of liver acute kidney failure, unspecified other convulsions acute respiratory failure acute myocardial infarction of unspecified site, initial episode of care poisoning by other specified drugs and medicinal substances, undetermined whether accidentally or purposely inflicted unspecified drug dependence, unspecified 

Answer: The patient is high likely exposed to