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: seizures major surgical or invasive procedure: lp history of present illness: 41yo rh m h/o idiopathic generalized tonic clonic seizures who presents after having seven of them today. his first was at 6:30am on waking, lasting one min. he fell asleep after. he subsequently had 6 more seizures throughout the day, all typical for his generalized event and not preceeded by aura. the second was at 8:30am and threw him out of bed but without significant injury. he missed his am meds due to n/v but was groggy yet interactive. at 11am he seized again, also 1min and afterwards was disoriented for a bit of time. he then got up and went about his day. his subsequent seizures were at 2pm, 2:45 and 3:20pm; in between the latter two he was moaning and moving around in bed. on arrival here, he was awake, alert and agitated to the point of needing to be restrained. he was given ativan 2mg iv at 5:50pm and has not seized since (it is now 7:30pm). please see dr. prior note for further details of his history. in brief, he presented with two gtcs in and was started on dph. he was switched to zns. he had a third seizure in off of medications and was restarted on zns. he has since then increased and decreased his dose on his own but most recently was seen in clinic in and maintained on zns 300mg daily. he was then started on lamictal and due to titrate up to 75mg last week. his wife is unsure if this was done. ros: on review of systems, the pt's wife denied recent fever or chills. no night sweats or recent weight loss or gain. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. denied rash. past medical history: sz disorder as above social history: married. daily mj use family history: negative physical exam: vs 102.6 92 138/52 17 100% gen awake, uncooperative, agitated intermittently heent nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck supple, no carotid bruits appreciated. no nuchal rigidity or meningismus. neg kernig/brudzinski lungs cta bilaterally cv rrr, nl s1s2, no m/r/g noted abd soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted ext no c/c/e b/l skin no rashes or lesions noted neuro ms awake, alert. looking at examiner but not following commands. gets agitated with examination. required one limb restraint. cn cn i: not tested cn ii: btt bilaterally. pupils 3->2 b/l. fundi clear cn iii, iv, vi: eomi no nystagmus cn v: b/l corneal reflexes cn vii: full facial symmetry and strength motor normal bulk and tone. cannot cooperate with formal power testing. moves all limbs equally and purposefully to noxious stimuli. sensory as above reflexes br tri pat ach toes l 2+ 2+ 2+ 2+ 2+ down r 2+ 2+ 2+ 2+ 2+ down coordination unable to assess gait unable to assess pertinent results: 05:25pm blood wbc-21.8*# rbc-5.60 hgb-16.4 hct-48.5 mcv-87 mch-29.2 mchc-33.7 rdw-14.2 plt ct-269 03:08am blood wbc-18.1* rbc-4.91 hgb-14.7 hct-42.3 mcv-86 mch-30.0 mchc-34.8 rdw-14.2 plt ct-327 02:46am blood wbc-12.1* rbc-4.39* hgb-13.0* hct-36.5* mcv-83 mch-29.7 mchc-35.7* rdw-14.4 plt ct-241 06:16am blood wbc-9.1 rbc-4.89 hgb-14.6 hct-40.6 mcv-83 mch-29.8 mchc-35.9* rdw-14.3 plt ct-248 02:46am blood pt-12.7 ptt-26.7 inr(pt)-1.1 05:25pm blood glucose-147* urean-17 creat-1.5* na-141 k-4.9 cl-105 hco3-17* angap-24* 03:08am blood glucose-138* urean-16 creat-1.3* na-143 k-4.1 cl-112* hco3-21* angap-14 02:46am blood glucose-89 urean-13 creat-0.9 na-146* k-3.5 cl-113* hco3-20* angap-17 06:16am blood glucose-96 urean-8 creat-0.8 na-142 k-3.9 cl-109* hco3-23 angap-14 05:25pm blood alt-29 ast-35 ld(ldh)-435* alkphos-82 amylase-114* totbili-0.2 03:08am blood ck(cpk)-352* 05:25pm blood calcium-10.0 phos-4.0 mg-3.1* 03:08am blood calcium-9.0 phos-3.7 mg-2.8* 02:46am blood calcium-9.1 phos-2.2* mg-2.3 06:16am blood calcium-9.6 phos-2.3* mg-2.0 03:08am blood phenyto-25.3* 11:05pm blood phenyto-13.3 05:25pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 07:06pm blood lactate-2.6* 08:05pm blood zonisamide(zonegran)-pnd eeg: mildly abnormal eeg due to the infrequent subtle slowing in the right fronto-central region. this suggests a focal subcortical dysfunction in the right hemisphere, but there was no area of persistent slowing. there were no epileptiform features. mri: similar focal t2-hyperintensity within the right mastoid air cells, likely inflammatory in origin. please note that evaluation is quite limited by motion artifact and that axial t2-weighted and post-contrast imaging sequences were not performed. cxr: no definite evidence for aspiration, pneumonia or other acute cardiopulmonary process. brief hospital course: mr. was admitted to the icu for closer monitoring. he was broadly cultured and empirically started on ctx, vanco and acyclovir. he had been loaded with dilantin in the ed. he did not have further seizures during his admission. the following day he had an lp. it had been attempted unsuccessfully earlier. this showed elevated wbc and protein but normal glucose. the gram stain and culture were negative as was an hsv pcr. an mri did not show any pathology. he remained clinically stable and a picc was placed to treat empirically for bacterial meningitis as the culture was obtained after 24 hours of antibiotics. he will complete a 14 day course of vanco and cxt. his dilantin was tapered prior to discharge and he will taper the lamictal as an outpatient. he was also seen by psychiatry for emotional lability and no treatment intervention was recommended. he will follow-up with neurology and psychiatry as an outpatient. medications on admission: zns 300mg daily lamictal 50/75, ? 75/75 omeprazole 40 discharge medications: 1. zonisamide 100 mg capsule sig: three (3) capsule po daily (daily). :*180 capsule(s)* refills:*1* 2. lamotrigine 100 mg tablet sig: one (1) tablet po bid (2 times a day): please use the lamictal tapering schedule you have at home. :*60 tablet(s)* refills:*0* 3. outpatient lab work please check a vancomycin trough level on and fax the results to dr. (fax ) 4. picc picc care per protocol: flush with saline 3-5cc 5. ceftriaxone-dextrose (iso-osm) 2 gram/50 ml piggyback sig: one (1) intravenous q24h (every 24 hours) for 10 doses: last dose 10/30. :*10 10* refills:*0* 6. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours) for 10 days: last dose 10/30. :*20 1* refills:*0* 7. ativan 0.5 mg tablet sig: one (1) tablet po once as needed for seizure for 1 doses: place 1 tab under the tongue for if you have had more than 1 seizure and call your doctor. :*30 tablet(s)* refills:*1* 8. heparin flush 100 unit/ml kit sig: one (1) intravenous twice a day for 10 days. :*30 1* refills:*0* discharge disposition: home with service facility: critical care systems discharge diagnosis: menigitis, seizures discharge condition: stable discharge instructions: please take all medications as prescribed followup instructions: 1. provider: , phone: date/time: 9:00 2. provider: , md phone: date/time: 4:00 3. provider: , : date/time: 9:00 4. call dr. (psychiatry) phone: for a follow-up appointment , fax: procedure: venous catheterization, not elsewhere classified spinal tap incision of lung diagnoses: acute kidney failure, unspecified dehydration attention deficit disorder with hyperactivity meningitis due to unspecified bacterium generalized convulsive epilepsy, without mention of intractable epilepsy pseudobulbar palsy 

Answer: The patient is high likely exposed to