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: bactrim ds attending: chief complaint: responsible for her care only for the last two days of hospitalization. the following is a review of the history as obtained on review of her written medical record only ** headache and altered mental status major surgical or invasive procedure: intubation and mechanical ventilation. history of present illness: 25 yo f with mixed connective tissue disease and intersitial pulmonary fibrosis on chronic steroids, presented to the ed with ha, agitation, abnormal behavior. . roommate states she heard moaning at 4 am, then again a little while later. found patient on couch c/o headache - called ems. before ems arrived, ms changed - agitated, not answering questions, combative. in ed, screaming, combative, febrile 105, tachy to 150s, htn to 180s, rectally, htn, tachycardic. not hypoxic; intubated, imaging studies done, lp done, broad spectrum abx. started emperically for bacterial meningitis, including steroids. past medical history: # mixed connective tissue disease - dx , followed by dr. of rheumatology (u1 rnp antibodies) - presented with digital swelling and recurrent wrist pains - positive , polyclonal hypergammaglobinemia, low-positive anticardiolipin, rnp positive, scl-70 negative, ssa positive, esr elevated # seborrheic dermatitis # allergic rhinitis # benign fibrous tumor # mctd with severe lung involvement and pulmonary fibrosis presents for followup # elevated lfts - thought to be due to atovaquone # interstitial pneumonitis social history: exercise - walks to the t, nothing formal no tobacco social etoh - /week no ivdu single bank auditor family history: mother - breast lump removed (? benign or malignant) m aunt - breast ca at age 40 *** mggm - breast ca father - died when patient was young (pna) siblings - 35 yo brother, a/w children - none physical exam: i was not the examining physician at the time of admission: at discharge: pt. afebrile, vss. fully alert and oriented, speech fluent, gait and station intact. no complaints. eomi, perrl, anicteric no jvd or lad cta throughout rrr no mrg soft, nt, abdomen, no hsm, bs present no peripheral edema or rash. picc line present lt. ue. pertinent results: 05:10am plt count-371 05:10am neuts-47.1* lymphs-50.2* monos-2.4 eos-0 basos-0.2 05:10am wbc-12.0*# rbc-4.45 hgb-12.7 hct-39.8 mcv-89 mch-28.5 mchc-31.8 rdw-13.6 05:10am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:10am lipase-27 05:10am alt(sgpt)-39 ast(sgot)-35 ld(ldh)-212 alk phos-47 tot bili-0.6 05:10am glucose-169* urea n-18 creat-1.2* sodium-142 potassium-4.1 chloride-97 total co2-15* anion gap-34* 05:24am k+-3.8 05:24am comments-green top 05:30am urine hyaline-0-2 05:30am urine rbc-0-2 wbc-0 bacteria-none yeast-none epi-0 trans epi-0-2 05:30am urine blood-mod nitrite-neg protein-100 glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 05:30am urine color-yellow appear-clear sp -1.016 05:30am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 05:30am urine hours-random 06:11am lactate-5.6* 06:11am type-art po2-512* pco2-34* ph-7.42 total co2-23 base xs--1 06:45am cerebrospinal fluid (csf) wbc-260 rbc-10* polys-3 lymphs-94 monos-1 atyps-2 06:45am cerebrospinal fluid (csf) protein-127* glucose-50 06:46am cerebrospinal fluid (csf) wbc-325 rbc-25* polys-4 lymphs-94 monos-2 01:04pm calcium-7.8* phosphate-2.7 magnesium-1.8 01:04pm glucose-186* urea n-7 creat-0.8 sodium-141 potassium-3.5 chloride-108 total co2-20* anion gap-17 01:49pm c3-128 c4-29 01:49pm osmolal-298 01:50pm lactate-4.8* 01:50pm type- temp-37.3 comments-green top ct head: impression: normal head ct. mr head: conclusion: mr findings consistent with the clinical diagnosis of meningitis. these findings were discussed directly during a consultation with the infectious disease team caring for the patient. 6:45 am csf;spinal fluid gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 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 (preliminary): no growth. cryptococcal antigen (final ): cryptococcal antigen not detected. (reference range-negative). performed by latex agglutination. results should be evaluated in light of culture results and clinical presentation. fungal culture (preliminary): no fungus isolated. viral culture (preliminary): no virus isolated so far. blood cultures: ngtd. brief hospital course: 1. ams/meningitis. pt. was intubated for airway protection. broad spectrum abx. administered for bacterial meningitis as well as acv emperically for hsv. decadron given emperically for pneumococcal meningitis. id was consulted and followed throughout admission. abx. were slowly removed (vanc stopped, then acv stopped) as cx. remained negative and pt. clinically improved. ultimately pt. was sent home to complete 3 weeks of ampicillin alone over concern for listeriosis, with a picc line. safety labs will be faxed to the clinic (dr. and she will follow up with pcp. 2. mctd/ild, on outpatient , -term. - was initially on decadron as above. after 4 days of empiric rx. with this was converted back to her home dose of 10 mg daily of prednisone. medications on admission: oral contraceptive prednisone, 10 mg. daily. discharge medications: no changes to above - the following added: 1. ampicillin sodium 2 gram recon soln sig: two (2) grams recon soln injection q4h (every 4 hours) for 17 days: stop date . disp:*204 grams recon soln(s)* refills:*0* 2. picc line care sig: one (1) line care each bag change and prn for 17 days: picc line care per ccs protocol. disp:*qs picc line care* refills:*0* 3. saline flush 0.9 % syringe sig: one (1) flush, 10 cc injection q bag change and prn for 17 days. 4. heparin flush 10 unit/ml kit sig: ml intravenous as needed per ccs pic line care protocol for 17 days. disp:*qs kit* refills:*0* 5. lab draws sig: one (1) lab draw once a week for 2 weeks: draw: cbc, chem 7, lfts (alt and ast) on and on and fax results to: dr. at . disp:*2 lab draws* refills:*0* discharge disposition: home with service facility: critical care systems discharge diagnosis: meningoencephalitis and respiratory failure requiring intubation and mechanical ventilation discharge condition: stable. discharge instructions: resume you home medications as you were taking them prior to coming to the hospital. you have stated that you do not need refills on these (there are only two - prednisone and your oral contraceptive). you have been provided a prescription only for the antibiotic prescribed here. if you are sexually active while taking the antibiotic, you should use a second form of birth control in addition to your oral contraceptive (barrier protection such as a condom), as the antibiotic can diminish the efficacy of the pill. you should do this for at least one month following stopping the antibiotic. return to the emergency department for: fevers headache nausea and vomiting neck stiffness visual changes followup instructions: call you primary doctor for a follow up appointment for within two weeks of leaving the hospital. ,: (. when you see doctor , you will need to have a pneumonia vaccination if you are not already up to date on this given you interstitial lung disease. provider: , md phone: date/time: 8:20 provider: , md phone: date/time: 4:30 provider: ,interpret w/lab no check-in intepretation billing date/time: 3:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube diagnoses: acidosis acute respiratory failure postinflammatory pulmonary fibrosis unspecified causes of encephalitis, myelitis, and encephalomyelitis other specified diffuse diseases of connective tissue 

Answer: The patient is high likely exposed to