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: ceftriaxone attending: chief complaint: meningitis, ceftriaxone desensitization major surgical or invasive procedure: picc line history of present illness: 72-year-old male with history of disease ( and ) and glaucoma who developed bell's palsy after a trip to two weeks ago presents to the for ceftriaxone desensitization for presumed meningitis. . his symptoms started on when he developed a left sided headache. he also had low-grade fever of 100.5 around this time. he saw dr. on who ordered an mri head, which came back negative. his symptoms continued to worsen and he developed left sided numbness and difficulty closing his left eye. he was concerned for closed angle glaucoma, which he has a history of and presented to , where he was ruled out for this and told to see an opthalmologist for the difficulty closing his left eye. he continued to worsen and was seen in the ed on and blood taken in the ed returned positive for . he was seen by neurology who thought that he should be discharged with prednisone and seen by neuro urgent care. they decided not to take the prednisone because his wife read on the internet that you are not supposed to take steroids during an infection. he was referred to a neurologist who saw him yesterday on and did an lp which showed 53 wbc in 4th bottle, 94% lymphs (2rbc, protein 50, glucose 59) and was sent for vzv, hsv and borriella pcr which are pending. given his clinical course and lab results he was presumed to have meningitis requiring ceftriaxone. however, he has a hisory of rash immediately following ceftriaxone in the past so he is being directly admitted to the icu for ceftriaxone desensitization. . on arrival, the patient complains of mild left sided headache with retroorbital pain, which is the same as his prior pain for the past 2 weeks. he denies any other symptoms including chest pain, shortness of breath, cough, chills, sweats, nausea, vomitting, diarrhea, abdominal pain, calf pain, focal weakness, numbness or tingling, seizures, or any other neurologic symptoms. positive neck soreness but no stiffness. past medical history: #. hyperlipidemia, diet controlled. #. ventricular ectopy on stress test. #. history of glaucoma, controlled. #. lipoma removed left hip #. disease twice (, both treated with doxycycline. in he had a tick bite and was treated with 1 dose of doxycycline) social history: retired editor of a sailing magazine. never smoker and drinks glasses of wine weekly. no drugs. lives with his wife in and exercises 3-4 times per week. family history: father: cva age 38 lived till 93, mother cva age 76 lived to 84. brother: melanoma and cad physical exam: gen: pleasant, comfortable, nad, obvious left sided facial droop heent: perrla, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: cta b/l with good air movement throughout cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: no c/c/e skin: no rashes/no jaundice/no splinters neuro: aaox3. cn ii-xii intact except for complete left sided facial droop with inability to close left eye lid, left sided facial numbness in all 3 dermatomes, an inability to smile with left side of face. 5/5 strength throughout upper and lower extremities. no sensory deficits to light touch appreciated. no pass-pointing on finger to nose. 2+dtr's-patellar and biceps. no nuchal rigidity. pertinent results: labs on admission: 03:58pm blood wbc-4.7 rbc-4.40* hgb-14.5 hct-41.2 mcv-94 mch-33.0* mchc-35.2* rdw-12.6 plt ct-233 03:58pm blood neuts-67.9 lymphs-25.9 monos-4.1 eos-1.6 baso-0.5 03:58pm blood plt ct-233 03:58pm blood glucose-95 urean-15 creat-1.0 na-140 k-4.3 cl-104 hco3-28 angap-12 03:58pm blood calcium-8.9 phos-3.1 mg-2.2 03:40pm cerebrospinal fluid () protein-50* glucose-59 03:40pm cerebrospinal fluid () wbc-53 rbc-2* polys-0 lymphs-94 monos-6 03:40pm cerebrospinal fluid () wbc-44 rbc-7* polys-0 lymphs-94 monos-6 . labs on discharge: 03:26am blood wbc-4.5 rbc-4.17* hgb-13.5* hct-38.6* mcv-93 mch-32.4* mchc-35.0 rdw-12.7 plt ct-217 03:26am blood glucose-118* urean-12 creat-0.9 na-139 k-3.9 cl-107 hco3-26 angap-10 . pending labs: - to follow up igm/igg results call at - to follow up blood igm/igg results call medical labs at , be sure to have account # if necessary () brief hospital course: 72-year-old male with history of disease ( and ) and glaucoma who developed bell's palsy after a trip to two weeks ago presents to the for ceftriaxone desensitization for presumed meningitis. . #. subacute meningitis: presumed meningitis given recent exposure, positive , bell's palsy and done as an outpatient with normal glucose, lymphocytic predominence, and negative gram stain. patient's pcp arranged for him to be admitted to the hospital for ceftriaxone desensitizaton given his history of immediate allergy to ceftriaxone. hsv encephalitis is unlikely given the lack of confusion or altered mental status and lack of associated changes on recent mri brain imaging. hsv titer is pending. plan was discussed with infectious disease, neurology (dr. , pcp, , and allergy attendings on call. -patient tolerated ceftriaxone desensitization on -he received his first dose of ceftriaxone 2 grams on -per discussion with neurology (dr. , will proceed with 2 gram iv ceftriaxone for 28 days -picc line was placed on for 28 days of abx -hsv, vzv, culture, igm and igg serologies, and b.burgdorferi pcr in are pending and will be followed by pcp, . #. ceftriaxone allergy: -ceftriaxone desensitization per protocol completed without adverse reaction . #. hyperlipidemia -diet controlled -fish oil as an outpatient . f/u on discharge: - routine picc line care - ceftriaxone 2 gram iv x 28 days with pcp - hsv, vzv, culture, igm and igg serologies, and b.burgdorferi pcr in are pending and will be followed by pcp igm/igg results at ] - igm/igg results medical labs at , be sure to have account # if necessary ()] medications on admission: 1) aspirin 81 mg 2) fish oil discharge medications: 1. ceftriaxone 2 gram recon soln sig: two (2) grams intravenous once a day for 28 days. 2. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 3. fish oil 1,000 mg capsule sig: one (1) capsule po once a day. capsule(s) discharge disposition: home discharge diagnosis: primary: 1. meningitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you came to the hospital because you have meningitis and you needed ceftriaxone desensitization. you tolerated this well. it is very important that you continue to take your ceftriaxone on time every day or else you are at risk of an allergic reaction. it is also important to know that once your course of antbiotics is finished you will still be allergic to ceftriazone. if you need this medication again you will have to come to the hospital again. . we made the following changes to your medications: ceftriaxone 2g iv q24 hours for 28 days please continue to take all your medications as tolerated. followup instructions: you will follow-up with neurology, dr. , on at 11:30 am. if there are any concerns, please call her at . . dr. , your pcp, arrange for you to come in to his office for daily iv antibiotics and weekly blood tests during the four weeks of ceftriaxone. md procedure: central venous catheter placement with guidance diagnoses: unspecified glaucoma other and unspecified hyperlipidemia bell's palsy lyme disease meningitis in other bacterial diseases classified elsewhere personal history of allergy to other anti-infective agent 

Answer: The patient is high likely exposed to