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: patient recorded as having no known allergies to drugs attending: chief complaint: seizure major surgical or invasive procedure: intubation history of present illness: mr. is a 79 yo man with a h/o dm, htn, and cva who experianced a tonic-clonic seizure at home and received 2 mg ativan in his home and another 2mg ativan durring a second seizure enroute to the ed. he was intubated in the ed to obtundation and was found to be febrile to 101 thus emperic meningitis treatment was started with decadron/anc/ctx/ampicillin/acv and 1gm dilantin. . initial micu evaluation revealed rigidity, however at the time of subsequent eeg he was no longer rigid and has had no observed seizue since admission. his csf analysis is notable for rbcs only. he was weaned off the ventilator and was extubated on the day after admission in the micu. he was continued on vancomycin for uti (likely eneterococcus). his mentation (per the home aide) appeared to be returning to his baseline at the time of his transfer to the general medicine floor. past medical history: dm status post a right parieto-occipital infarct secondary to right internal carotid artery occlusive disease and status post carotid stenting hypertension, memory loss frontal dementia sleep apnea narcolepsy hypercholesterolemia gait abnormalities anemia fatigue social history: wheelchair bound at baseline cva. lives at home with wife and home health aide. smoked 45 years ago. no current smoking or etoh. family history: nc physical exam: vitals: t:96.4 bp:109/54 p:69 r: 18 o2: 96 on 500x16 50% fio2 peep 5 general: intubated, not responsive despite no sedation heent: sclera anicteric, mmm, oropharynx clear, perrl neck: supple, jvp not elevated lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, gu: foley ext: warm, well perfused, trace bilateral lower extremity edema neuro: perrl, babinsky down-going bilaterally, rigidity in left upper extremity >right, no clonus. withdraws to painful stimuli pertinent results: ct head : findings: there is no evidence of edema, hemorrhage or mass effect. there is no shift of normally midline structures. there is prominence of the ventricles and the sulci, compatible with age-related atrophy. there is extensive periventricular white matter hypodensity, which limits evaluation for subtle infarcts. there are encephalomalacic changes in the right occipital lobe (2a:13) related to prior infarction and in the right parietal lobe. there is mucosal thickening within the ethmoid air cells bilaterally as well as sphenoid sinuses. there are no fractures. renal u/s 1. no hemorrhage, mass effect or shift of midline. 2. extensive periventricular white matter changes limit sensitivity for subtle infarcts. mri could be performed for further evaluation. old right occipital and parietal infarctions. comparison: no previous exam for comparison. findings: the right kidney measures 12.5 cm and the left kidney measures 12.7 cm. a simple cyst is seen in the left kidney measuring 3.4 x 2.8 x 2.0 cm. no hydronephrosis is seen and no stone or solid mass is seen in either kidney. a foley catheter is in place in the urinary bladder which is collapsed. impression: no hydronephrosis. simple left renal cyst. the study and the report were reviewed by the staff radiologist. 09:09pm cerebrospinal fluid (csf) protein-75* glucose-94 09:09pm cerebrospinal fluid (csf) wbc-2 rbc-111* polys-29 lymphs-33 monos-38 09:09pm cerebrospinal fluid (csf) wbc-2 rbc-183* polys-48 lymphs-24 monos-27 eos-1 01:02pm lactate-2.1* 12:01pm glucose-190* urea n-21* creat-1.3* sodium-139 potassium-4.2 chloride-107 total co2-24 anion gap-12 12:01pm calcium-8.0* phosphate-1.9* magnesium-1.6 12:01pm phenytoin-12.3 12:01pm pt-13.7* ptt-27.9 inr(pt)-1.2* 08:37am type-art rates-14/ tidal vol-500 peep-5 o2-100 po2-456* pco2-46* ph-7.32* total co2-25 base xs--2 aado2-211 req o2-44 intubated-intubated vent-controlled 07:34am urine hours-random creat-129 sodium-84 potassium-55 chloride-71 07:34am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-pos mthdone-neg 06:30am urine color-yellow appear-hazy sp -1.017 06:30am urine blood-mod nitrite-neg protein-500 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 06:30am urine rbc-* wbc->50 bacteria-few yeast-none epi-1 trans epi- renal epi- 06:30am urine hyaline-1* cell-1* 06:27am comments-green top 06:27am glucose-188* lactate-7.2* na+-142 k+-4.2 cl--103 tco2-23 06:26am urea n-26* creat-1.4* 06:26am estgfr-using this 06:26am alt(sgpt)-14 ast(sgot)-16 ld(ldh)-126 alk phos-109 tot bili-0.4 06:26am lipase-33 06:26am albumin-4.1 06:26am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:26am wbc-8.8 rbc-4.20* hgb-13.2* hct-36.9* mcv-88 mch-31.5 mchc-35.8* rdw-14.2 06:26am plt count-190 06:26am fibrinoge-414* brief hospital course: mr. was a 79 yo man with a history of a cva, htn and dm admitted following a seizure in his home. # seizure: mr. has a history of a stroke which was likely a nidus for seizure activity when in the presence of an additional insult like a urinary tract infection. urinalysis suggested a uti on admission, and csf analysis revealed no evidence of cerebral or leptomeningeal infection. neurology recommended keppra 1000mg twice daily for one month with outpatient neurology follow up to determine the need for ongoing therapy. he had so seizure activity noted following his admission. he was advised to follow closely with his pcp and keep his outpatient neurology follow up appointment. # uti: his urinary tract infection was found to be enteroccocus susceptible to ampicillin and he was treated with a 10 day total course of antibiotics terminating in oral ampicillin as an outpatient after 6 days of inpatient iv therapy. . # airway protection: he required intubation upon arrival to the ed for airway protection in the setting of profound obtundation, likely as a result of the benzodiazepine and dilantin loading. he was promptly extubated in the micu on the day after admission and continued to breath comfortably for the remainder of his admission. . # dm2: his oral diabetes medications were held throughout admission and his blood glucose was controlled with and insulin sliding scale. he was instructed to resume his home oral diabetes medications upon discharge. medications on admission: alfuzosin - 10 mg tablet sustained release 24 hr - 1 tablet(s) by mouth daily atorvastatin - 20 mg tablet - 1 tablet(s) by mouth daily clopidogrel - 75 mg tablet - 1 tablet(s) by mouth daily donepezil - 5 mg tablet - 1 tablet(s) by mouth daily losartan - 50 mg tablet - 1 tablet(s) by mouth daily at 9 am metformin - 500 mg tablet sustained release 24 hr - 2 tablet(s) by mouth daily metoprolol succinate - 25 mg tablet sustained release 24 hr - 1 tablet(s) by mouth daily modafinil - 100 mg tablet - 1 tablet(s) by mouth daily sertraline - (dose adjustment - no new rx; notes) - 100 mg tablet - 1 tablet(s) by mouth q am tolterodine - 4 mg capsule, sust. release 24 hr - 1 capsule(s) by mouth daily medications - otc blood sugar diagnostic - strip - use twice daily calcium carbonate-vitamin d3 - (otc) - 500 mg (1,250 mg)-200 unit tablet - 1 tablet(s) by mouth daily docusate sodium - (prescribed by other provider; otc) - 100 mg capsule - 1 capsule(s) by mouth daily multivitamin - tablet - 1 tablet(s) by mouth daily polysaccharide iron complex - 60 mg capsule - 2 capsule(s) by mouth q am discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 2. losartan 50 mg tablet sig: one (1) tablet po daily (daily). 3. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 4. metformin 1,000 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 5. detrol la 4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po once a day. 6. uroxatral 10 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 7. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 8. aricept 5 mg tablet sig: one (1) tablet po once a day. 9. provigil 100 mg tablet sig: one (1) tablet po once a day. 10. multivitamin oral 11. calcium-vitamin d oral 12. sertraline 100 mg tablet sig: one (1) tablet po once a day. 13. lipitor 20 mg tablet sig: one (1) tablet po once a day. 14. ampicillin 500 mg capsule sig: one (1) capsule po every six (6) hours for 5 days. disp:*20 capsule(s)* refills:*0* 15. levetiracetam 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: seizure urinary tract infection diabetes mellitus prior stroke discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. you were admitted to the hospital following a seizure you experianced at home. in the ed you were found to have difficulty breathing and required a breathing tube and intensive care monitoring. you were evaluated and treated by the medicine service. you were found to have a urinary tract infection and were treated with antibiotics. your blood and spinal fluid were found to not be infected. you were also evaluated by the neurology service who attribute the seizure to your urinary tract infection in the setting of your prior stroke. you should take your home medications as described in this discharge document and keep your outpatient appointments. the following changes have been made to your medications: 1.) keppra 1000mg by mouth twice daily 2.) ampicillin 500mg by mouth every six hours followup instructions: department: gerontology when: monday at 1:30 pm with: , md building: lm bldg () campus: west best parking: garage department: neurology when: tuesday at 2:30 pm with: , md, phd building: sc clinical ctr campus: east best parking: garage mr. is on the cancellation list to be seen sooner if something opens up. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung spinal tap incision of lung insertion of endotracheal tube diagnoses: acidosis urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified other convulsions hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia iron deficiency anemia, unspecified streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] dementia in conditions classified elsewhere without behavioral disturbance diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy late effects of cerebrovascular disease, hemiplegia affecting nondominant side other frontotemporal dementia 

Answer: The patient is high likely exposed to