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: progressive weakness major surgical or invasive procedure: none history of present illness: 56 years old left handed man with significant past medical history for asthma, hyperlipidemia presenting with acute progressive weakness. patient stated that he was in his usoh until the morning of when he felt mild pain involving his left shoulder mostly biceps area, followed by weakness in the upper extremities proximally and bilaterally. through the day he developed pain and weakness in both thighs. the weakness progressed to the point that in the evening he was not able to get up from a chair. in the morning of he neede assistance to get out of his bed and to dress himself. he went to see his pcp and around 8:30 in the morning he was not able to walk. he was transfered to the osh and no difficulties to breath was noted, however upon arrival in the icu patient was presenting mild effort to breath. patient denied double vision, difficult to swallow, sensory changes, changes in bladder or movements. ros: patient reported 4 weeks course of respiratory tract infection and 10 days treatment with amoxicillin, last dose was two days ago. no diarrhea, no fever, no recent travel or exposure. there is no history of trauma. past medical history: 1. asthma 2. hyperlipidemia social history: patient lives with his girlfriend. denies cigarette smoking. he drinks two cans of beer daily for at least 5 years. family history: family history: brother had hiv. physical exam: physical exam vs t 99.9 bp 127/80 p 112 resp 17-20 95% in nasal o2 3l general: well nourished with mild respiratory distress heent: mucous membrane moist clear chest: mostly clear to auscultation bilaterally. cvs: regular rhythm abd: soft, nt, nd, +bs ext: no c/c/e, distal pulses strong, no rash neurological exam: ms: alert. oriented to person, place, date and situation. attention: was adequade. speech: fluent w/o paraphasic errors; repetition and naming. l/r confusion: no l/r confusion. cn: i: not tested ii,iii: pupils 5 to 3 mm direct and consensual responses. intact visual field to confrontation test iii,iv,vi: eomi w/o nystagmus, no ptosis, no fatigability v: sensation intact to lt/pp vii: face symmetric weakness bilaterally in the cheeks vii: hears finger rub bilaterally ix,x: voice normal, palate elevates symmetrically : scm/trapezii 5-/5 xii: tongue protrudes midline, no atrophy or fasciculation motor: normal bulk and tone; no tremor, rigidity, or bradykinesia. no pronator drift. &#8206; strength: right upper limb: b/l infraspinatus weakness. neck flexion more than neck extension weakness delt;c5 bic:c6 tri:c7 wr ext:c6 fing ext:c7 grip:c8/ t1 left 4 4 4 5- 5- 5- right 4 4 4 5- 5- 5- ip:l2 quad:l3 hamst:l4-s1 dorsiflex:l4 :l5 pl.flex:s1-s2 left 2 2 2 3 4- 4- right 2 2 2 3 4- 4- deep tendon reflexes: no clonus&#8206; reflex: 1+ bilaterally in biceps, triceps, brachioradialis, 0 patella, 0 ankle. babinski was down doing bilaterally. coord: rapid alternating and point-to-point (fnf, hts, ttf) movements intact : intcat pinprick, vibration, temperature, light touch and joint position intact. gait: not possible to test. pertinent results: ekg sinus tachycardia. atrial ectopy. no previous tracing available for comparison. chest xr findings: the lung volumes are normal. there is no evidence of pleural effusion or pneumothorax. the size of the cardiac silhouette is at the upper range of normal, there are no signs indicative of overhydration. moderate tortuosity of the thoracic aorta. the hilar and mediastinal contours are unremarkable. there is no abnormal parenchymal density, notably no indication for the presence of atelectasis or pneumon emg impression: abnormal study. there is electrophysiologic evidence for moderate median neuropathies at both wrists and for a mild, chronic l5 radiculopathy on the left. the impersistent upper extremity f waves would be consistent with early guillian- syndrome; however, there was no other evidence for this entity. this may be due to the fact that the study was performed only 4 days into the course; if concern remains for a demyelinating polyneuropathy (as in guillian- syndrome), this test could be repeated in weeks as it may be normal in very early cases. the poor activation seen in most muscles tested on needle emg may be due to pain, poor patient effort, or central nervous system dysfunction. lyme serology (final ): no antibody to b. burgdorferi detected by eia. reference range: no antibody detected. negative results do not rule out b. burgdorferi infection. patients in early stages of infection or on antibiotic therapy may not produce detectable levels of antibody. patients with clinical history and/or symptoms suggestive of lyme disease should be retested in weeks. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. this is a concentrated smear made by cytospin method, please refer to hematology for a quantitative white blood cell count.. fluid culture (final ): no growth. 11:22pm hiv ab-negative 09:51pm glucose-99 urea n-17 creat-1.3* sodium-133 potassium-3.5 chloride-95* total co2-26 anion gap-16 09:51pm estgfr-using this 09:51pm alt(sgpt)-33 ast(sgot)-27 ld(ldh)-252* ck(cpk)-63 alk phos-82 amylase-35 tot bili-1.7* 09:51pm lipase-22 09:51pm ck-mb-notdone ctropnt-<0.01 09:51pm albumin-3.8 calcium-8.9 phosphate-3.1 magnesium-2.2 uric acid-5.5 09:51pm tsh-1.9 09:51pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:51pm wbc-16.4* rbc-5.24 hgb-16.9 hct-45.8 mcv-88 mch-32.3* mchc-36.9* rdw-14.2 09:51pm neuts-84.0* lymphs-9.6* monos-6.1 eos-0.2 basos-0.1 09:51pm plt count-312 09:51pm pt-15.5* ptt-32.9 inr(pt)-1.4* 06:30pm cerebrospinal fluid (csf) wbc-3 rbc-7500* polys-0 lymphs-0 monos-0 06:30pm cerebrospinal fluid (csf) wbc-6 rbc-* polys-79 bands-1 lymphs-16 monos-4 06:30pm cerebrospinal fluid (csf) totprot-93* glucose-59 brief hospital course: 56 years old left handed man with significant past medical history for asthma, hyperlipidemia presenting with rapidly progressive weakness involving proximal muscles and muscle pain and arreflexia. there is no evidence of sensory changes. the clinical presentation is suggestive of - syndrome. csf showed elevated protein and emg showed mild signs of early syndrome. patient received 5 days course of ivig with remarkable improvement of the strenght. he started to walk on . physical exam upon discharge showed mostly 5/5 strength in the main muscle group tested: deltoid/ biceps/ triceps/wrist/ finger extension 5-/5 left weaker than right/ip/hams/quads/gastroc/. patient presented pain in diferent areas of the body. neurontin 300mg tid was initiated on . his respiratory status has been stable. as per his pcp level was drawn before discharge to be checked as outpatient. he also received prescription with 10 days taper of prednisone. medications on admission: 1. advair 250/50 one inh 2. theophylline 400mg tid 3. prilosec 20mg po daily 4. allopurinol 300mg po daily 5. zocor 40mg po daily 6. singulair 10mg po daily 7. por-air two inh qid prn discharge medications: 1. theophylline 200 mg tablet sustained release 12 hr sig: two (2) tablet sustained release 12 hr po tid (3 times a day). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 4. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 5. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q4h (every 4 hours) as needed. 6. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: disk with devices inhalation (2 times a day). 7. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 8. prednisone 10 mg tablet sig: 1 + tablet po once a day for 5 days: taper: 5 days: 1+ a day 5 days: 1 a day 5 days: a day and off. disp:*20 tablet(s)* refills:*0* 9. outpatient physical therapy discharge disposition: home with service discharge diagnosis: syndrome discharge condition: stable. remarkable improvement. patient left the hospital able to walk. discharge instructions: you were admitted to this hospital because you had a rapidly progressive weakness. you came to the neuro icu concerning for risk of respiratory failure. you were stable in the icu and no special intervention was necesssary. your clinical presentation, spinal fluid results and emg point to syndrome. you started to reveived ivig in the same night of your admission, and continue for 5 days total. you had a remarkable recovery from your symptoms. however you are having persistent pain in diferent ares of your body, and this is common in . to control the pain you will need to take neurontin and the dose will be adjusted as needed. you will need to continue receiving physical therapy as outpatient. you received steroids for asthma and will have prescription for taper off prednisone: 15mg (1tablet+)for 5 days, then 10mg (1tablet) for 5days,then 5mg ( tablet) for 5 days and then zero dr was contact and he is aware of your condition. please contact your pcp or return to the emergency department if you have weakness, dificulties to walk, numbness, dificulties to swallow or to breath, or other concerning symptoms. followup instructions: provider: . / phone: date/time: 4:00 provider: unit cc8 (sb) follow-up appointment should be in 2 months provider: at 03:00pm procedure: spinal tap incision of lung injection or infusion of immunoglobulin diagnoses: asthma, unspecified type, unspecified other and unspecified hyperlipidemia acute infective polyneuritis shortness of breath 

Answer: The patient is high likely exposed to