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: iodine / bactrim / naproxen / shellfish attending: chief complaint: headaches major surgical or invasive procedure: diagnostic cerebral angiogram history of present illness: 40 m had sudden onset severe headache in context of receiving treatment for anaphylaxis to shrimp at another hospital (23:30 on ). he was subsequently discharged. he returned home and had a second sudden onset severe headache during intercourse at 15:30 on and a second time at 18:00 on . presented to osh where ct head was interpreted as normal and lp (19:30) demonstrated 60,000 rbc and 115 wbc. patient referred for further workup. pt has no feves, chills, or persistent neck pain. had some neck pain during headache episodes. headache resolved at present time. pt has some paresthesias in riht hand which are new since this episode. he has classical migranies, and also seizure d/o, neither of which have presented with headaches or neurologic symptoms similar to those he has experienced over the past 2 days. he has not taken his antiepileptics in two days. past medical history: classical migraines seizure d/o etoh abuse polysubstance abuse (used crack cocaine on ) tobacco use social history: previous ivdu, current crack cocaine and alcohol use. 5 cigarettes daily. family history: no brain aneurysms physical exam: t:97.2 bp:103/42 hr:69 r:18 o2sats:96 gen: comfortable, nad. awake and alert, cooperative with exam, normal affect orientation: oriented to person, place, and date speech fluent with good comprehension and repetition naming intact pupils equally round and reactive to light visual fields are full to confrontation extraocular movements intact bilaterally facial strength and sensation intact and symmetric hearing intact to voice palatal elevation symmetrical sternocleidomastoid and trapezius normal bilaterally tongue midline without fasciculations normal bulk and tone bilaterally no abnormal movements, tremors strength full power throughout no pronator drift intact to light touch. toes downgoing bilaterally coordination normal on finger-nose-finger no meningismus pertinent results: ct head: there is no acute intracranial hemorrhage, vascular territorial infarction, edema, or mass effect seen. there is no hydrocephalus or midline shift. there is slight asymmetry of the lateral ventricles, which is likely a normal variant. no fractures identified. visualized orbits, paranasal sinuses, and mastoid air cells are unremarkable. cta head: bilateral intracranial internal carotid arteries, vertebral arteries, basilar artery and their major branches are patent with no evidence of stenosis, occlusion, dissection or aneurysm formation. left vertebral artery is dominant. there is an effective pica termination of the right vertebral artery. left posterior communicating artery is hypoplastic. cerebral angiogram: cerebral vasculitis brief hospital course: mr. was admitted to the neuro-icu for work up to rule out to aneurysm or vascular abnormality. he underwent a diagnostic cerebral angiogram that was negative for aneurysm but demonstrated diffuse cerebral vasculitis. post-procedure he remained flat x2 hours for hemostasis. pulses remained bounding and intact and the groin was without hematoma. there was a mild ooze from groin that did not extend the boundaries of the dressing. stroke neurology was consulted and felt that it was cocaine induced vasculitis. the patient remained neurologically intact throughout his hospital stay and his headache improved. neurology felt that since his headache improved there was no need to start a new for headache control. they recommend follow up in 3 months in outpatient clinic or sooner if his headaches increase in frequency. the patient was counselled on stopping all cocaine use. at the time of discharge the patient was tolerating a regular diet, ambulating without difficulty, afebrile with stable vital signs. medications on admission: topamax 75 mg po bid ativan 1 mg po prn aura fioricet discharge medications: 1. acetaminophen 325-650 mg po q6h:prn pain 2. topiramate (topamax) 75 mg po bid 3. nicotine patch 14 mg td daily rx *nicoderm cq 14 mg/24 hour daily disp #*1 box refills:*1 4. lorazepam 1 mg po q12h:prn seizure activity rx *ativan 1 mg every 12 hours as needed disp #*30 tablet refills:*0 discharge disposition: home discharge diagnosis: cerebral vasculitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving for 24 hours. what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: follow up with neurology in 3 months or sooner if your headaches become more frequent. call ( to schedule an appointment. procedure: arteriography of cerebral arteries diagnoses: tobacco use disorder epilepsy, unspecified, without mention of intractable epilepsy unspecified hereditary and idiopathic peripheral neuropathy cocaine dependence, continuous other and unspecified alcohol dependence, continuous cerebral arteritis opioid type dependence, episodic migraine with aura, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to