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: no known allergies / adverse drug reactions attending: chief complaint: hypotension, altered mental status major surgical or invasive procedure: 1. mechanical ventilation 2. central venous line placement 3. lumbar puncture history of present illness: this is a 52-year-old woman with a pmh significant for bipolar disorder prior suicide attempt, lymphoma, and polysubstance abuse who presented to the ed for altered mental status and vomiting now admitted to the micu for hypotension. per the patient's family, she works as a live in home health aide m-f, and was last seen by her family on and had not been complaining of anything from a physical standpoint. today, her deaf son came to her employers residence to visit, and the patient was in the bathroom for over 20 minutes. at that time, the bathroom door was broken through as it was locked, and the patient was found minimally responsive over the toilet with vomitus surrounding her at which time ems was called. per ems, she was only responsive to painful stimuli. per discussion with the patient's employer, , he noticed a marked mood change today, and he awoke from a nap with a "banging" sound from the bathroom next door that he thinks was the patient hitting her head against something. . in the ed, initial vs 78 67/45 24 99%2lnc. the patient had a negative cth, ctap, and cxr. she was initially responsive to stimuli, and naloxone was administered without improvement. she subsequently became more hypotensive with a sbp 70s, hr 70s and unresponsive, and at that time was intubated. a rij cvl was placed, and she was started on levophed for hemodynamic support. during her ed course, pressors were held for over an hour, but the patient subsequently decompensated with a bp 76/54 and so levophed was restarted. labs notable for mild leukocytosis with neutrophil predominance, negative ua, normal lfts, and a lactate of 1.2. abg in the ed 7.33/48/252 on ac 350x16, 5, 1.0. imaging included negative cxr, cth, and ctap. the patient received 5l ivf, vancomycin, and pip/tazo, and was then admitted to the micu for further management. past medical history: bipolar disorder past suicide attempt 15+ years ago - cutting wrists lymphoma 10+ years ago treated with chemoradiation "brain mets" getting treated in past year per patient polysubstance abuse - etoh, crack cocaine. social history: patient works as a live in hha m-f for . tobacco - active. etoh - active. family history: lymphoma, cva. physical exam: vs: t unable to obtain, 73 116/68 19 100% ac 400x16, 5, 50% gen: intubated heent: pupils 1 mm and minimally reactive. ett in place cv: nl s1+s2 pulm: ctab anteriorly abd: s/nt/nd +bs ext: no c/c/e. neuro: pupils as above. reflexes 2+ patellar and achilles bilaterally. no clonus skin: scabbed lesion over right side of face. . . exam on discharge: t 97 hr 82 bp 110/64 rr 16 95% ra pleasant, a and o x 3 rrr, normal s1, s2, no m,r,g cta bilaterally soft, non-tender abdomen mild lue edema, no erythema, non-tender ambulating without difficulty pertinent results: 11:39pm type-art o2-40 po2-210* pco2-47* ph-7.32* total co2-25 base xs--2 intubated-intubated 11:39pm lactate-0.7 06:36pm type-art temp-35.6 rates-/16 tidal vol-400 peep-5 o2-100 po2-252* pco2-48* ph-7.33* total co2-26 base xs--1 aado2-426 req o2-72 intubated-intubated vent-controlled 06:08pm voidspec-clotted,un 05:40pm lactate-1.9 05:35pm glucose-100 urea n-13 creat-0.7 sodium-142 potassium-3.6 chloride-109* total co2-23 anion gap-14 05:35pm alt(sgpt)-11 ast(sgot)-22 ld(ldh)-207 ck(cpk)-74 alk phos-38 tot bili-0.5 05:35pm lipase-24 05:35pm ctropnt-<0.01 05:35pm ck-mb-3 05:35pm albumin-3.7 calcium-7.6* phosphate-3.0 magnesium-1.2* 05:35pm osmolal-306 05:35pm tsh-1.0 05:35pm cortisol-22.3* 05:35pm digoxin-less than 05:35pm wbc-12.5* rbc-3.47* hgb-11.4* hct-31.8* mcv-92 mch-32.9* mchc-35.9* rdw-14.0 05:35pm neuts-83.1* lymphs-11.6* monos-3.7 eos-0.9 basos-0.7 . ct a/p: minimally distended gallbladder with surrounding fluid. no gallstones detected, although ultrasound is more sensitive. early cholecystitis cannot be excluded vs possibly vigorous fluid adminstration. mildly dilated common bile duct. 2. periportal edema is consistent with recent iv fluid administration. 3. mild prominence of the pelvic venous plexus may represent component of pelvic congestion syndrome in the appropriate clinical setting. . . cerebrospinal fluid (lumbar puncture): negative for malignant cells . . wbc rbc polys lymphs monos eos 01 28* 402 53 7 #4 03 * 68 20 11 1 #1 clear & colorless totprot glucose 25 74 1:16 am csf;spinal fluid #3. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (preliminary): no growth. . urine culture (final ): no growth. . blood cultures 12/29 and pending at time of discharge brief hospital course: # hypotension/ams: unclear unifying etiology at this time. patient presented with ams and vomiting, and subsequently developed hypotension. labs notable for a mild leukocytosis with neutrophil predominance (although no bandemia), as well as normal lfts including lipase, negative ua, and normal bmp without an anion gap. mild acidosis on abg likely respiratory given pco2 of 48 or hyperchloremic. no osmol gap. given ams and hypotension, as well as nausea/vomiting as an initial symptom, would consider meningitis/encephalitis. non-infectious sources include myxedema coma, adrenal insufficiency, or drug overdose given positive tox screen for cocaine and etoh, although unclear at this time. other potential drug overdoses including an av nodal blocker given hypotension without compensatory tachycardia or neuroleptic given mildly prolonged qtc. given cocaine use, could also consider mi with cardiogenic shock. seizure is also possible given confusion, although this would not explain hypotension. early cholecystitis given periportal edema, so can consider ruq u/s. monitored hemodynamics, remained stable on night of admission, and normal vitals signs day after admission. arterial line was placed without complication. received meningitis coverage with vancomyicn, ceftriaxone, ampicillin, and acyclovir, which were discontinued after normal csf; hsv studies were pending at time of discharge. cortisol and tsh were normal. cardiac markers were negative. also received calcium and glucagon trial, without any effect. following extubation, patient was able to provide additional history. reported feeling well on morning of admission, then taking a "bong hit" of marijuana. denied suicidal ideation, intent to harm. reported feeling nauseated and dizzy soon after taking drugs. went to bathroom, episodes of emesis (food). friends were knocking on door, unable to attend to patient immediately, as bathroom door locked automatically. son found patient trying to induce vomiting in bathroom. no witnessed seizure activity. no loss of consciousness. remainder of history as in hpi. day after admission, patient was extubated without incident, and had normal vital signs after norepinephrine was weaned. infectious work up was unrevealing. patient was monitored overnight, advanced diet, antibiotics were discontinued after one-time doses. patient did well, ambulated about unit without difficulty, and was discharged home with close follow up. . # respiratory: patient intubated in setting of unresponsiveness and hypotension. cxr does not suggest acute pulmonary process, and abg does not suggest impaired gas exchange. sedation was weaned on morning after admission, and patient was extubated without incident. medications on admission: 1. depakote mg daily 2. klonopin 1 mg tablet sig: one (1) tablet po once a day. 3. zyprexa 10 mg tablet sig: one (1) tablet po at bedtime as needed. 4. prozac 10 mg capsule sig: five (5) capsule po once a day. discharge medications: 1. depakote 500 mg tablet, delayed release (e.c.) sig: three (3) tablet, delayed release (e.c.) po once a day. 2. klonopin 1 mg tablet sig: one (1) tablet po once a day. 3. zyprexa 10 mg tablet sig: one (1) tablet po at bedtime as needed. 4. prozac 10 mg capsule sig: five (5) capsule po once a day. discharge disposition: home discharge diagnosis: 1. hypotension 2. altered mental status discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you during your hospitalization. you were admitted to the medical intensive care unit with low blood pressure and altered mental status. you required mechanical ventilation and medications to increase your blood pressure. you were able to come off the ventilator when your mental status improved within 24 hours. it is very important that you stop using illicit drugs--these can be very detrimental to your health. . your depakote dose was decreased to 1500 mg daily, please discuss this change with your pcp and psychiatrist. no other changes were made to your medications. . please keep all of your follow-up appointments. . call your doctor or return to the emergency department if you experience chest pain, shortness of breath, headache, dizziness, lightheadedness, nausea, vomiting, diarrhea, pain with urination, blood in your stools, fevers, chills, or any other concerning signs or symptoms. followup instructions: please follow-up with your primary care doctor in 48 hours. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt diagnoses: acidosis tobacco use disorder alcohol abuse, unspecified cocaine abuse, unspecified other malignant lymphomas, unspecified site, extranodal and solid organ sites acute respiratory failure hypotension, unspecified altered mental status bipolar disorder, unspecified cannabis abuse, unspecified 

Answer: The patient is high likely exposed to