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: vancomycin / levaquin / erythromycin attending: chief complaint: seizure in the setting of apparent head trauma major surgical or invasive procedure: * pt arrived intubated history of present illness: per admitting resident: patient is a 21 yo man (handedness unknown) s/p renal transplant currently on prograf, prednisone and mycophenolate, who is incarcerated for battery and assault who fell off the top bunk and was found seizing per guard this morning. per guard, patient was stiff and having shaking of all limbs with eyes open but deviated upwards. this shaking abated on its own in less than 1 minute but upon transfer to , patient had more generalized seizures requiring ativan iv total of 10mg and versed 4mg iv x2. in the midst of all this, he was intubated and was loaded with dilantin. given that patient has no hx of prior seizures, patient underwent lp (wbc 6, rbc 1356, glucose 121 and protein of 40) and given empiric abx including ceftriaxone and ampicillin plus decadron for unclear reason then transferred here for further care. patient remains intubated but upon turning off sedation, patient awoke soon and appeared to move all limbs with good resistance. ros unknown. patient normally treated at but brought here because there is no bed at per report. no details known about his renal transplant hx. past medical history: polycystic kidney disease, s/p renal transplant () htn depression social history: - currently in a correcctional facility for assault and battery family history: - unkown physical exam: on admission: t 99 bp 164/113 hr 76 rr 13 o2sat 98% intubated gen: lying in bed, intubated. heent: hard cervical collar. cv: rrr, no murmurs/gallops/rubs lung: clear abd: +bs, soft - well healed kidney transplant scars and bulge present. ext: no edema . neurologic examination: mental status: intubated - initially did not open eyes to verbal or sternal rub but then began moving both arms purposefully as sedation turned off. does not follow commands. . cranial nerves: pupils equally round and reactive to light, 4 to 2 mm bilaterally. positive doll's eyes and corneal's present in both eyes. face appears symmetric. . motor: normal bulk and tone bilaterally. no observed myoclonus or tremor. moves all extremities well with resistance. although unable to test individual muscle groups, appear full strength and without lateralization. . sensory: intact to noxious stim. . reflexes: +2 and symmetric throughout. toes downgoing bilaterally pertinent results: wbc-15.5* rbc-3.02* hgb-8.7* hct-26.3* mcv-87 plt- 182 urea n-47* creat-3.3* glucose-147* lactate-1.5 na+-139 k+-4.3 cl--107 tco2-25 asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg . urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg urine blood-lg nitrite-neg protein-500 glucose-tr ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg . tacrofk-5.0 . 12:40pm phenytoin-8.4* 08:53pm phenytoin-10.3 . ct c-spine without contrast (): findings: there is no fracture. loss of cervical lordosis is presumed related to the hard cervical collar. there is no prevertebral hemorrhage or edema, though the evaluation may be limited by the presence of nasogastric and endotracheal tubes. the limited included lung apices are unremarkable. regional soft tissue structures of the neck are unremarkable, and intracranial contents are better characterized on the concurrent dedicated head ct. impression: no fracture or traumatic malalignment. . ct head without contrast (): findings: there is no intracranial hemorrhage, edema, mass effect, or vascular territorial infarction. the ventricles and sulci are normal in size and configuration. there is no fracture. paranasal sinuses and mastoid air cells are clear. small amount of secretions layering dependently in the nasopharynx and the posterior nasal cavity are presumed secondary to intubation. impression: no acute intracranial abnormality. . mri head without contrast (): formal interpretation is pending at discharge (please see brief summary of hospital course for our interpretation) . chest x-ray (): impression: ett tip at 4.0 cm above the carina. no acute intrathoracic process. . echocardiogram (): conclusions the left atrium and right atrium are normal in cavity size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). the estimated cardiac index is normal (>=2.5l/min/m2). transmitral and tissue doppler imaging suggests normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. no masses or vegetations are seen on the aortic valve. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. no masses or vegetations are seen on the mitral valve, but cannot be fully excluded due to suboptimal image quality. the estimated pulmonary artery systolic pressure is normal. there is a small circumferential pericardial effusion without echocardiographic signs of tamponade. . impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. no valvular pathology or pathologic flow identified. small circumferential pericardial effusion without evidence of hemodynamic compromise. brief hospital course: mr. is a 21 year-old (handedness unknown) man with a past medical history including pckd, s/p renal transplant, and hypertension who initially presented to following an apparent gtc in the setting of head trauma. following the administration of ativan, versed, a dilantin load, and decadron, the performance of an lp, treatment with empiric antibiotics, and the process of intubation, the patient was transferred to the for further evaluation and care. he was admitted to the neurology/icu service from to . . neuro: to evaluate for hemorrhage and other contributory abnormalities, a non-contrast ct of the head was performed. the study was negative for intracranial pathology. an mri was also done to look for evidence of pres in the context of hypertension and the use of prograf. the mri revealed bioccipito-parietal (edema) and right > left frontal cortically-based t2 lesions. the findings could be consistent with pres. alternatively, the results could reflect contusions sustained during the patient's reported fall from a top bunk bed. . to provide seizure prophylaxis, dilantin 100 mg iv q 8h was initiated. following admission, the patient was thought to experience an additional gtc lasting approximately five minutes. in addition to ativan 2 mg iv, he was given phenytoin 1 gram iv x 1. in the course of the evening, the patient's nurse thought she witnessed approximately four further episodes lasting less than one minute; the events were described as bilateral upper and lower extremity shaking without clear head or gaze deviation. in the setting of persistent events, ativan 1 mg iv q 8h was started. the patient had one more event at about 6am; the neurology resident who witnessed the event was uncertain as to whether it represented epileptic activity; however, the patient received ativan 2 mg iv x 1. there were no further clinical events. . the most recent dilantin level was found to be 14.3 (corrected to 23 with albumin of 2.7). as the level was considered supratherapeitic, the 12 pm dose of dilantin was held . . resp the patient arrived intubated; he remained intubated at discharge. . cvs the patient was monitored by telemetry. nifedipine, clonidine, and atenolol were continued. . fek the renal transplant surgical team was consulted. at their recommendation, mr. ' outpatient tacrolimus dosing was continued and a morning level was drawn (7.5). . id the ampicillin and ceftriaxone started at were continued at the time of admission to the . the ceftriaxone was ultimately transitioned to ceftazidime for partial nocardia coverage. acyclovir was initiated to empirically treat hsv. pyramethamine, clindamycin, and folinic acid were started in case of a toxo infection. at the , blood and fungal cultures were drawn (results pending at the time of discharge). the team also called the lab at (; ) to ask the lab to add on cmv, hsv, cryptococcus, nocardia, toxo, and fungal assays. the urinalysis and chest x-ray were unrevealing. . ppx: for prophylaxis, famotidine and sc heparin were adminsitered. . code: full presumed. medications on admission: medications on admission prograf 3mg trazodone 100mg bedtime venlafaxine 75mg daily atenolol 100mg daily clonidine 0.1mg nifedipine sr 90 daily mycophenolate 500mg prednisone 2mg . allergies: reaction unknown vancomycin levaquin e-mycin discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for t>100.4 or pain. 2. tacrolimus 1 mg capsule sig: three (3) capsule po q12h (every 12 hours). 3. mycophenolate mofetil 200 mg/ml suspension for reconstitution sig: one (1) po bid (2 times a day): total of 500 mg. 4. nifedipine 30 mg tablet sustained release sig: three (3) tablet sustained release po daily (daily). 5. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 6. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 7. venlafaxine 75 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (). 8. trazodone 50 mg tablet sig: two (2) tablet po hs (at bedtime). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 10. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 11. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 12. propofol 10 mg/ml emulsion sig: one (1) intravenous titrate to (titrate to desired clinical effect (please specify)). 13. hydralazine 20 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed for sbp>160. 14. dextrose 50% in water (d50w) syringe sig: one (1) intravenous prn (as needed) as needed for hypoglycemia protocol. 15. ampicillin sodium 2 gram recon soln sig: one (1) recon soln injection q6h (every 6 hours). 16. acyclovir sodium 500 mg recon soln sig: one (1) recon soln intravenous q12h (every 12 hours): total of 700 mg . 17. famotidine(pf) in (iso-os) 20 mg/50 ml piggyback sig: one (1) intravenous q12h (every 12 hours). 18. phenytoin sodium 50 mg/ml solution sig: one (1) intravenous q8h (every 8 hours). 19. lorazepam 2 mg/ml syringe sig: injection q2h (every 2 hours) as needed for seizures > 5 minutes. 20. ceftazidime 1 gram recon soln sig: one (1) intravenous q12h (every 12 hours). 21. lorazepam 2 mg/ml syringe sig: 0.5 injection q8h (every 8 hours). 22. clindamycin phosphate 150 mg/ml solution sig: one (1) injection q6h (every 6 hours) for 1 days: total of 600 mg. discharge disposition: extended care discharge diagnosis: seizure secondary to pres vs head trauma discharge condition: on day of discharge: tmax 96.3; tc 95.6; bp 1teens-140s/60-105; hr 70s-80s; o2 sat 100% on cpap/psv fio2 40%, . gen: intubated, sedated heent: apparent soft tissue swelling in lateral aspects of head bilaterally pulm: ctab anteriorly cvs: regular rate, normal s1 and s2 abd: round, + bs, soft, nt, nd ext: rle more externally rotated than lle neurological examination: mental status: sedated cn: perrl, + corneals bilaterally, + nasal tickle response motor: increased tone in le, withdraws ue, le to noxious bilaterally, sustained clonus in le bilaterally reflexes: brisk at biceps, patella bilaterally; plantar responses flexor bilaterally discharge instructions: for the next care team: neuro * please perform an eeg * please follow the corrected dilantin level (last corrected level was 23 on ); a free level had not yet been drawn at the . * please follow the formal interpretation of the mri fek * please connect with the patient's nephrologist id * please consider an infectious disease consult * please follow the results of pending csf cultures ( drawn ) * please follow the results of blood cultures ( drawn ) for the patient: you were initially brought to following a seizure in the setting of head trauma. you were given medication to help prevent further seizures. a procedure called a lumbar puncture was done to look for evidence of infections. you were then given antibiotics to treat potential infections pending the results of the assays. you were then transferred to the for further evaluation and care. a ct of the head showed no evidence of bleeding. an mri of the brain did show some abnormalities that likely represent swelling or bruising. the seizures are thought to be related to the head trauma (from falling out of your bunk bed) or a condition referred to as pres which can be associated with high blood pressures and some of the medications you take. followup instructions: * please coordinate follow-up care per your physicians at . md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: unspecified essential hypertension other convulsions depressive disorder, not elsewhere classified head injury, unspecified accidental fall from bed kidney replaced by transplant 

Answer: The patient is high likely exposed to