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: psychosis major surgical or invasive procedure: lumbar puncture history of present illness: hpi: this is a 59 year-old female with history per her daughter and hcp of admission to hospital for what was thought to be who presents with 1 week of odd behaviour, speaking in tongues, "witnessing miracles". per daughter, patient 't left the house in 4 days, not eating or drinking. praying and acting oddly. sister came to visit and the decision was made to call ems. . in the ed, patient was initially brought to the psychiatric portion of ed where her vitals were noted to be t 101, hr 152, 99/47, 28, sating 99% ra. her serum and urine tox were negative, but wbc was elevated to 15 and lactate to 4.5. an lp was normal, as was cxr, ua and head ct. she was given 1 g ceftriaxone, vanc, and acyclovir. additionally, she was given 40 mg total of valium for agitation. past medical history: per daughter, patient has minimal contact with medical care, but was hospitalized in at for "" (daughter is unsure if she was diagnosed. also, had inpatient psychiatric admission 20 yrs ago at house. . other h/o elevated lfts, htn, asthma. social history: lives alone, volunteers at daughter's first grade class. no t/a/d. no otc or supplements. only topical oils. per daughter, no toxic exposures such as co or poisons. family history: significant for siblings with alcoholism. no bipolar, schitzophrenia or other psyiciatric illnesses. . physical exam: vitals: t: 98.6 bp: 132/71 hr: 114 rr: 21 o2sat: 100% ra gen: well-nourished, acutely agitated, ao x 0, making odd statements neuro: moves all 4 extremities. skin: no jaundice, cyanosis, or gross dermatitis. no ecchymoses. unable to perform rest of exam as patient non-cooperative. pertinent results: admission labs: 07:30pm wbc-15.1* rbc-4.83 hgb-14.6 hct-41.9 mcv-87 mch-30.2 mchc-34.9 rdw-12.5 07:30pm neuts-78.9* lymphs-12.5* monos-7.4 eos-0.2 basos-1.0 07:30pm plt count-365 07:30pm alt(sgpt)-30 ast(sgot)-35 ck(cpk)-195* alk phos-96 tot bili-0.8 07:30pm lipase-83* 07:30pm ck-mb-5 ctropnt-<0.01 07:30pm albumin-4.6 calcium-10.3* phosphate-4.6* magnesium-2.0 07:30pm vit b12-999* folate-greater th 07:30pm tsh-4.5* 07:30pm pth-60 07:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:30pm lactate-4.9* 10:07pm lactate-1.0 09:30pm cerebrospinal fluid (csf) protein-38 glucose-61 ld(ldh)-18 09:30pm cerebrospinal fluid (csf) wbc-1 rbc-0 polys-0 lymphs-0 monos-0 07:47pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:45pm pt-13.6* ptt-24.7 inr(pt)-1.2* 07:45pm urine color-yellow appear-clear sp -1.020 07:45pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-150 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:30pm glucose-104 urea n-18 creat-1.0 sodium-141 potassium-4.2 chloride-104 total co2-16* anion gap-25* . head ct:no hemorrhage or edema. however, round focal hyperdensity in region of sella may represent pituitary lesion or aneurysm. . . brief hospital course: 59 year-old female with history per her daughter of ? who presented with 1 week of odd behaviour, pressured speech and symptoms of psychosis. . plan: # psychosis - given history of psychiatric admissions, this was likely a primary psychiatric disorder such as or schizophrenia. however initial thoughts included infectious cause may also play a role (see below). sw and psychiatry were consulted. psychiatry recommended inpatient psychiatric hospitalization as thought that pt was a danger to herself; she stopped eating, going to the bathroom, and did not leave her home for a few days. pt was sectioned by psychiatry. and overall mental state improved upon transfer to the floor. on pt was calm, and was not needing prn valium or haldol anymore. she was re-evaluated by psych on and given improvement, decision made along w family to not pursue section 12 and rec inpt psych. pt agreed to partial hospital. this was set up and pt was discharged . # fever/wbc elevation: infectious causes for psychosis mostly ruled out given clean lp and ua. hsv pcr is pending, however, pt has improved since admission. unlikely sepsis as lactate cleared completely with fluids. blood/urine cultures thus far have been unrevealing, antibiotics have been discontinued as pt has been afebrile with a stable white count. . . fen - reg diet . dispo - home w fu at partial hospital medications on admission: none discharge medications: none discharge disposition: home discharge diagnosis: acute manic episode leukocytosis fever nos discharge condition: stable discharge instructions: you were admitted with a manic episode. you had no evidence of any infection. you agreed with our psychiatrist to go to a partial hospital to seek psychiatric help. appt time/date is listed below. please attend. . please call your doctor or go to the er for fevers, chest pain, shortness of breath, hallucinations, suicidal thoughts, or any other concerning symptoms. followup instructions: please go to hospital at , , ma tomorrow, , tuesday at 9am. ph: procedure: spinal tap incision of lung diagnoses: acidosis anemia, unspecified fever, unspecified leukocytosis, unspecified manic affective disorder, recurrent episode, severe, specified as with psychotic behavior 

Answer: The patient is high likely exposed to