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: altered mental status/hypotension major surgical or invasive procedure: n/a history of present illness: 64 yo with h/o schizophrenia, mental retardation, cva with residual l sided deficit, and seizure d/o who presents from group home with altered mental status. per group home, patient is independent with adls at baseline and was well all day today until 9:30pm, when she was noted to have upper extremity and head "flinches." per group home, patient thought that she was having a seizure. shortly after, she "stopped talking" and became "unresponsive" x ?1h despite being awake. patient "not herself." also had more trouble ambulating. not much information came with patient from group home; history obtained from the case worker who accompanied the patient. patient denies ha/visual changes/cp/sob/abd pain and complains of needing to urinate despite having a foley in place. ed course: patient initially tachycardic to 130's with bp 122/60. hr to 80s with 500cc fluid bolus. however, pt became hypotensive to 67/37 and dopamine gtt started. also given narcan, asa, ceftriaxone, and flagyl. lp performed in ed and was unremarkable. past medical history: cva- left side deficit (summer ) hyperparathyroid (pth 169 ) seizure disorder chf- echo : mild concentric lvh, lvef >55%, 1+mr schizophrenia/anxiety mental retardation urinary incontinence osteoporosis glaucoma social history: lives in (fairland house), independent adls. + history of remote tobacco, no etoh. has a son who lives in group home. family history: non-contributory physical exam: t 99 bp 122/60--> 67/37 hr 115-130 --> 80s rr 15 98% ra gen: very somnolent, but arousable. confused not oriented to time or place. slightly dysarthric heent: pupils 3mm reactive bilaterally, mmm, op clear, l facial droop neck: supple, no lad; no carotid bruits ctab cv- tachycardic, iii/vi systolic murmur, ?s3 abd- obese, soft, nt/nd ext- no le edema, 2+ distal pulses, skin warm/dry neuro- difficult to assess due to somnolence and inability to follow commands. r grip weaker than l grip. rle weaker than lle. cn 2-12 grossly intact except l facial droop. down-going toe on r, equivocal on l. sensation to light touch grossly intact pertinent results: 11:51pm wbc-4.1 hgb-11.8* hct-35.9* mcv-90 plt count-136* neuts-48.9* lymphs-35.4 monos-14.7* eos-0.8 basos-0.4 pt-12.8 ptt-30.1 inr(pt)-1.0 sodium-145 potassium-3.3 chloride-108 total co2-28 urea n-12 creat-0.8 glucose-113* anion gap-9 calcium-10.1 magnesium-2.0 phosphate-3.2 ast(sgot)-14 alt(sgpt)-12 alk phos-51 tot bili-0.2 ld(ldh)-148 amylase-47 albumin-4.1 ck(cpk)-53 ck-mb-notdone ctropnt-<0.01 03:00am cerebrospinal fluid (csf) wbc-0 rbc-489* polys-33 lymphs-67 monos-0 (tube 1) wbc-0 rbc-42* polys-50 lymphs-50 monos-0 (tube 4) protein-35 glucose-70 urine blood-neg nitrite-neg protein-neg glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg ekg: st @133, nl intervals, nl axis, st depression i,avl, v3-6 head ct: study limited by patient motion. no intracranial hemorrhage or mass effect. cxr:1. stable appearance of retrocardiac opacity that was imaged on the recent chest ct, which may represent sequestration, sequela of prior granulomatous infection, however a neoplastic process cannot be fully excluded. 2. stable calcified mediastinal and hilar lymph nodes. 3. no congestive heart failure or new focal consolidations. brief hospital course: 64 yo f w/ h/o mr, sz d/o on depakote, cva who p/w altered ms in setting of questionable sz episode, initially normotensive in ed, w/ subsequent hypotension requiring dopamine gtt. in pt rec'd only 500ml ns, underwent head ct and lp both of which were negative and was covered w/ ceftriaxone, flagyl (?), and started on dopamine drip, eventually requiring up to 18 mics. admitted to micu, titrated off dopamine gtt over several hours and subsequently remained normotensive, w/ maps>70, but tachycardic in the 110s to 120s. tachycardia resolved with additional 2l ivf. . 1) altered mental status- cva vs seizure vs infection vs toxic/metabolic (h/o hyperparathyroid, although calcium not very elevated). depakote level nl, so sz less likely but by no means ruled out given the compelling story. no ongoing evidence of infxn: ruled out for meningitis (completely aseptic), nl wbcc, afebrile. urine and blood cultures negative. cxr clr. on discharge pth level still pending (although calcium normal). unclear etiology of this episode. felt likely related to previous seizure prior to arival in hospital w/ prolonged postictal period. patient scheduled for outpatient neurology follow up. . 2. unclear etiology. pt with h/o hyperparathyroid. other possibilities included hypovolemia, sepsis, cardiogenic etiology. no obvious source of infection to support sepsis since blood and urine culture remained negative. tte nl, stim was appropriate. felt likely related to hypovolemia given response to fluid administration. . 3. dynamic ekg changes- ekg with demand ischemia. no history of cad/mi. ruled out for mi. tte without significant abnormalities. started on aspirin while in house. . 4. prophylaxis- continued on pneumoboots, bowel regimen while in house. . medications on admission: buspar 10mg tid riperidone 2mg q8pm gabapentin 200mg q8pm depakote 1000mg fosamax qweek cosopt discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. buspirone hcl 10 mg tablet sig: one (1) tablet po tid (3 times a day). 5. risperidone 2 mg tablet sig: one (1) tablet po tid. 6. gabapentin 100 mg capsule sig: two (2) capsule po tid (3 times a day). 7. divalproex sodium 500 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day). 8. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic qday (). discharge disposition: home with service facility: homecare discharge diagnosis: 1) hypovolemia 2) presumed seizure discharge condition: good, vss. bp stable. discharge instructions: 1) please take your medications as directed. 2) please attend your follow up appointments. 3) return to medical care if you develop fevers, headaches, or shortness of breath. 4) continue taking your fosamax as you were previously. followup instructions: 1) provider: / where: neurology phone: date/time: 1:00 . 2) provider: . () :45am procedure: spinal tap incision of lung infusion of vasopressor agent diagnoses: congestive heart failure, unspecified other convulsions unspecified schizophrenia, unspecified hyperparathyroidism, unspecified unspecified intellectual disabilities 

Answer: The patient is high likely exposed to