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: depakote / iodine; iodine containing / erythromycin base / tegretol / demerol / morphine attending: chief complaint: increased seizure frequency to sz/day with increased coughing episodes major surgical or invasive procedure: right temporal lobe cyst fenestration to the posterior fossa and placement of rickham reservoir with catheter in the cyst cavity history of present illness: the pt is a 69yo f, who has pmh of seizure, who presented with the cc of cough and increasing frequency of seizure. she was in her usoh until when she cought a cold, which progressed to bronchitis. her cold got better in a week, leaving the cough with yellow sputum. she lost her voice for a month, and was diagnosed with fungal infection of esophagus and vocal cord. her cough once got better (though it did not disappear) in summer , with the anti-fungus medication, which she took from to . her cough exacerbated in . lying back makes this dry cough worse and does wake her up at night. it gets worse from morning towards afternoon, but it is basically consistant for all the day. it is alleviated by albuterol nebs, but comes back after a while. the pt also complained of the increasing frequency of seizure, from once/year to 4-6times/day since last month. her husband described that it starts in lt side getting stiff, and then the rt side gets stiff. it is resolved by rameron in few minutes but repeats 4-6 times in 4 hours. pt and her husband stated that she can hear but cannot respond, and that the is tired but not confused after the seizures. the cough and seizure are associated with 8/10 bitemporal throbbing ha, which is alleviated by tylenol. ros found pain in leg and fall from her bed 2-3 weeks ago, which made a bruise on her leg. denied weight change, fever, chills, sweats, night sweats, chest pain, abd pain, diarrhea or change in urination. past medical history: 1) seizure d/o s/p r temporal lobectomy with multiple admissions for sz 2) -chiari malformation s/p tonsillectomy 3) r temporal lobectomy 4) cad with mi s/p ptca 5) asthma 6) hemorrhoids 7) fibromyalgia 8) depression ) s/p cholecystectomy ) s/p tah social history: pt lives with her husband and brother. she smoked 2ppd x 20yrs and quit 18yrs ago. no etoh. family history: mother died of mi at 72. father died of interstitial fibrosis at 80. physical exam: exam: t 97.9 bp 119/64 hr 85 rr 18 o2sat 97%(ra) gen: lying in bed, nad heent: nc/at, conjunctivae pink, sclerae non icteric, moist oral mucosa neck: no tenderness to palpation, normal rom, supple, no carotid or vertebral bruit, thyroid mass(assymetric to rt) cv: rrr, nl. s1 and s2, no s3 or s4, no murmurs/gallops/rubs lung: b/l coarse crackles worse in rt abd: +bs soft, nontender, distended, no bruit, no masses, no organomegaly ext: nl. turgor, pitting edema in both legs, no cyanosis/clubbing, good peripheral pulses at radial and dorsalis pedis neurologic examination: ms: general: alert, awake, normal affect, co-operative orientation: oriented to person, place, date attention: follows simple/complex commands. speech/: fluent, but has difficulty speaking with the cough memory: registers and recalls at 5 min calculations: 14+38=52 l/r confusion: touches left thumb to right ear cn: i: not tested ii,iii: vff to confrontation, perrl 4mm to 2mm, fundi normal iii,iv,vi: eomi, no ptosis, end-gazed nystagmus on rt v: sensation intact v1-v3 to lt vii: asymmetrical face, weak on lt, orbicular oculi / , orbicularis oris / viii: hears finger rub bilaterally ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue protrudes midline, no dysarthria motor: normal bulk and tone; resting tremor in rt hand, asterixis or myoclonus. no pronator drift. delt tri we fe grip io ip quad hamst df pf c5 c6 c7 c6 c7 c8/t1 t1 l2 l3 l4-s1 l4 l5 s1/s2 l 5 5 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 5 5 5 5 reflex: no clonus, no pathological reflexes(babinski, , hoffmans) tri bra pat an plantar c5 c7 c6 l4 s1 cst l 1 1 1 0 0 flexor r 1 1 1 0 0 flexor sensation: intact to light touch, pinprick, vibration and proprioception throughout. no extinction to dss. coordination: finger-nose-finger normal, heel to shin normal, rams normal. gait: narrow based, steady. romberg: negative pertinent results: 03:58pm urine hours-random 03:58pm urine gr hold-hold 03:40pm urine color-yellow appear-clear sp -1.006 03:40pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 12:50pm glucose-90 urea n-11 creat-1.2* sodium-136 potassium-4.3 chloride-104 total co2-22 anion gap-14 12:50pm estgfr-using this 12:50pm calcium-9.1 phosphate-3.7 magnesium-2.3 12:50pm wbc-6.4 rbc-4.08* hgb-13.7 hct-39.6 mcv-97 mch-33.6* mchc-34.7 rdw-13.5 12:50pm neuts-71.1* lymphs-18.5 monos-6.4 eos-3.0 basos-1.0 12:50pm plt count-270 brief hospital course: 69 y/o rhf with r temporal epilepsy s/p r temporal lobectomy, chiari s/p tonsillectomy who presented with increasing cough. she was on eeeg-ltm. the coughs were associated with r temporal spikes in eeg. she was also having seizures which consisted of left side stiffening and shaking. patient underwent drainage of right temporal cystic area & placement of reservoir in r temporal lobe on . seizures accociated with cough decreased significantly. she continues to have seizures 1-2 per day whose semiology can be partial complex with left sided jerks or episodes in which she would "freeze". patient was febrile for 5 days after surgery; csf collected from shunt from reservoir showed wbc 800 rbc 2800 with 82% eosinophils. eosinophilia and fever prompted a broad infectious work-up as per id recommendation. patient was started empirically on vancomycin, ceftazidine which were stopped on as patient was afebrile and cultures were negative. serologies for toxoplasma, rpr, cryptococcal were negative. ebv pcr, tuberculosis pcr from csf. , cysticercosis, trichinella, lcmv antibodies are pending. in summary: seizures: patient has a baseline seizures per day. semiology can be cough, left side jerks or "freezing episodes". coushing seizures improved significantly after neurosurgical procedure as above **seizures should be treated with ativan 1-2mg at rehab if they last longer than 5 minutes or she has more than 2 seizures within one hour. continue aem as per prescriptions including topamax , lamictal, gabapentin. id: patient has been afebrile for more than 72 hours; off antibiotics since . she should have serologies for toxoplasma, rpr, cryptococcal were negative. ebv pcr, tuberculosis pcr from csf. , cysticercosis, trichinella, lcmv antibodies are pending and should be followed-up in next appointment. the fever etiology is mostly likely non-infectious but a reaction to the neurosurgical procedure: placement of rickham reservoir with catheter in the cyst cavity. medications on admission: fosamax 70mg 1tab weekly lamictal 200mg 3tab daily nevrontin 300mg 4tab daily lipitor 10mg 1tab daily remeron 30mg 1/2tab daily topamax 25mg 4tab daily lasix 20mg 1tab daily rasperadal 3mg 1/2tab daily dulcolax stool softener 100mg 4 daily slow fe iron 2 daily multi vitamin 1 daily lorazepam 1mg 2tab daily albuterol nebs discharge medications: 1. alendronate 70 mg tablet sig: one (1) tablet po qwed (every wednesday). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 5. risperidone 0.5 mg tablet sig: three (3) tablet po daily (daily). 6. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h (every 4 hours) as needed for cough and comfort. 9. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 10. lorazepam 2 mg/ml syringe sig: one (1) injection q5 min prn () as needed for seizures. 11. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day). 12. lamotrigine 100 mg tablet sig: 3.5 tablets po bid (2 times a day). 13. polyethylene glycol 3350 100 % powder sig: one (1) po daily (daily). 14. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for headache. 15. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 16. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 17. acetaminophen 650 mg suppository sig: one (1) suppository rectal q6h (every 6 hours) as needed for fever. 18. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed. 19. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 20. docusate sodium 100 mg capsule sig: capsules po tid (3 times a day). 21. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 22. lorazepam 1 mg tablet sig: one (1) tablet po q6 (): taper 0.5mg/per every 3 days until patient takes 2mg daily. 23. topiramate 50 mg tablet sig: 2 and 1/2tab tablets po bid (2 times a day). 24. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed for nausea. 25. hydralazine 20 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed for for sbp>160. discharge disposition: extended care facility: hospital - discharge diagnosis: epilepsy right tempotal lobectomy -now s/p right temporal lobe cyst fenestration to the posterior fossa and placement of rickham reservoir with catheter in the cyst cavity discharge condition: stable; patient still has seizures per day after procedure. neuro exam: alert and oriented, speech is fluent, comphehension is intact, mild left sided weakness umn pattern discharge instructions: you were admitted with increasing seizure frequency, left sided jerking and cough, some of which was found to be seizures. you had a brain surgery to decompress the cystic area that was in the temporal side of your brain. the coughing seizures improved significantly; although you still have some of the other seizures. you should continue to take your seizures medications as per the prescriptions. if you have more seizures than what you usually have, you should contact your doctor. followup instructions: provider: , md phone: date/time: 1:00 do not hesitate to call if the appoitment is needed earlier than that procedure: venous catheterization, not elsewhere classified other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other exploration and decompression of spinal canal diagnoses: other chronic pain coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension asthma, unspecified type, unspecified depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status acute respiratory failure other acute pain other diseases of trachea and bronchus unspecified hemorrhoids with other complication other specified disorders of nervous system other forms of epilepsy and recurrent seizures, without mention of intractable epilepsy eosinophilia cerebral cysts postprocedural fever 

Answer: The patient is high likely exposed to