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: latex gloves / percocet attending: chief complaint: seizure major surgical or invasive procedure: intubation history of present illness: this is a 63 year old man with a history of generalized tonic-clonic seizures since followed by dr. , cad, diabetes and hypertension who presents minimally responsive with a witnessed seizure by ems. history obtained from wife with son as , staff and medical record. the patient was evidently in his usual state of health recently with the exception of a severe frontal headache, nausea and dizziness that brought him to the ed on . lp and ct head were unconcerning at that time. his wife awoke this morning and found him laying on his side, holding his phone, groaning softly with eyes open. she says he looked 'frozen' but was not shaking. his eyes were gazing forward and not rolled back. there was no urinary incontinence. she immediately called ems. as they arrived she witnessed fine amplitude shaking of all extremities and his head flexing backward. this lasted 5 minutes. report from ems is that he had another episode en route that involved arm shaking (unclear which side), lasting 2 minutes and stopped with 2mg of ativan. his bs at that time was in the 120s and his bp was 200/110. he received another 1 mg of ativan on arrival to the ed. on neuro ros, the pt denies headache, loss of vision, blurred vision, diplopia, dysarthria, dysphagia, he was noted to have a o2 saturation of 93% on nc and not protecting his airway well so he was intubated in the ed. with regards to his prior seizure history, mr. had his first seizure in which was generalized tonic clonic. he also presented with hypertension at that time. he had a full workup including mri and lp which did not show any cause for his new onset seizures. his eeg showed only frontal intermittent rhythmic delta activity (firda) and slowing at that time. he had a cta (presented as code stroke) which showed a 1-2mm aneurysm at the anterior communicating artery. he was initially placed on keppra 1000mg but then was changed to lamictal 150mg by dr. due to patient's complaint of daytime sleepiness, headache, neck stiffness and difficulty swallowing while on keppra. he had a generalized seizure while on keppra due to medication noncompliance. he has not had any seizures on lamictal. his wife thinks he has not been missing any doses of his medications. past medical history: coronary artery disease hypertension type ii diabetes mellitus dyslipidemia chronic renal insufficiency gastroesophogeal reflux disease left shoulder arthritis/rotator cuff injury history of detached retina social history: lives with wife. several children, present at bedside. smoked a few cigs/day for 2-3 years, stopped in . works at in environmental services. he only rarely drinks beer once in a while for holidays. no recreational drugs. family history: parents with cad in their 70s. physical exam: admission exam: vitals: bp 200/110 hr 95 o2 sat 93% general: heent: nc/at, no tongue laceration neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: ctabl cardiac: rrr, no murmurs abdomen: soft, nontender, nondistended extremities: no edema, pulses palpated skin: no rashes or lesions noted. neurologic: -mental status: (after 3mg atican) minimal grimace with sternal rub. gcs 6 (no eye opening or verbal response) -cranial nerves: perrl 3 to 2mm and brisk. no abnormal eye movements no facial asymmetry noted -motor/sensory: normal bulk, tone throughout. no rythmic movements or tremors. withdraws all four extremities to pain. no spontaneuos movement. -dtrs: tri pat ach l 2 2 2 0 r 2 2 2 0 plantar response was mute bilaterally. discharge exam: mse intact- alert, oriented, attentive, language intact cn intact, no nystagmus motor: no pronator drift, full throughout : intact to light touch, no extinction to dss coord: intact fnf gait: steady, normal base and stride. pertinent results: 08:30am blood wbc-5.4 rbc-4.63 hgb-14.5 hct-45.9 mcv-99* mch-31.2 mchc-31.5 rdw-12.4 plt ct-220 08:30am blood glucose-222* urean-19 creat-1.5* na-142 k-4.6 cl-101 hco3-16* angap-30* 08:30am blood alt-21 ast-24 alkphos-100 totbili-0.3 03:24am blood albumin-4.0 calcium-8.7 phos-2.6* mg-2.3 cxr: endotracheal and orogastric tube tips are in standard positions. low lung volumes with streaky opacities in the lung bases, likely atelectasis. possible trace right pleural effusion. head ct: 1. no evidence of an acute intracranial process. the known aneurysm could be assessed by cta, if indicated. 2. chronic right frontal sinusitis with inspissated secretions or fungal colonization. brief hospital course: the patient was intubated for airway protection prior to icu admission. he had no further clinical seizures, and eeg initially showed beta activity from medication effect but no epileptiform activity. eeg improved over first 24 hours with no evidence of seizure activity. he had been loaded with dilantin, and this was allowed to trend down. he was continued on lamictal monotherapy, since it was believed that noncompliance triggered his seizures. on discussion with patient and family, it seems that he often forgets morning dose because of work schedule. they believed that once daily dosing would improve compliance, so he was switched to lamictal xr. he has an appt already set up with dr. in 3 weeks. medications on admission: 1. simvastatin 60 mg po daily 2. aspirin 81 mg po daily 3. metformin (glucophage) 250 mg po daily 4. metoprolol succinate xl 25 mg po daily hold for sbp <100 or hr <50 5. lisinopril 2.5 mg po daily 6. isosorbide mononitrate (extended release) 30 mg po daily 7. lamictal 150 mg discharge medications: 1. simvastatin 60 mg po daily 2. aspirin 81 mg po daily 3. metformin (glucophage) 250 mg po daily 4. metoprolol succinate xl 25 mg po daily hold for sbp <100 or hr <50 5. lisinopril 2.5 mg po daily 6. isosorbide mononitrate (extended release) 30 mg po daily 7. lamictal xr *nf* (lamotrigine) 300 mg oral daily rx *lamotrigine 300 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*2 discharge disposition: home discharge diagnosis: epilepsy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. neuro status: normal exam discharge instructions: you were admitted for seizures. you required intubation (breathing tube) because you could not protect your airway after the seizures. we believe the reason you had seizures was missing doses of your medication. you need to take your seizure medicine regularly as prescribed and not miss doses. to make this easier, we will switch your lamotrigine (lamictal) to an extended release formula that you only need to take once a day. followup instructions: provider: , md phone: date/time: 11:00 provider: , m.d. phone: date/time: 10:20 provider: , od phone: date/time: 11:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube video and radio-telemetered electroencephalographic monitoring diagnoses: esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status personal history of tobacco use chronic kidney disease, unspecified other and unspecified hyperlipidemia cerebral aneurysm, nonruptured personal history of noncompliance with medical treatment, presenting hazards to health rotator cuff (capsule) sprain arthropathy, unspecified, shoulder region generalized convulsive epilepsy, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to