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: gtcs major surgical or invasive procedure: ett lumbar puncture history of present illness: 57 year old right handed man who is status post cyberknife treatment on for a right frontal meningioma, with recent discharge from epilepsy service for breakthrough sz's in the context of a subtherapeutic dilantin level, had 3 seizures in 15 minutes today and was found in a praking lot w/ gtc sz. he was given 5 mg valium iv in the field. he was taken to an osh and given 3 mg ativan, 1 g dilantin, 10 mg decadron (for known meningioma with edema). he was felt to be not protecting his airway, and intubated, and maintained on propofol. a finger stick was120. in the er, he was found to be febrile to 101.4 f and was given 2 g ceftriaxone, 1 g vancomycin, 800 mg acyclovir, 100 mg doxycycline, and 100 mg thiamine. past medical history: epilepsy (dr & dr ) right frontal meningioma, diagnosed 4 years ago alcohol abuse, stopped 4 years ago, but recent binge on hyperlipidemia macular degeneration social history: mr does not work and is on medical disability, and he likes playing the drums. he lives in with a roommate ( ). he is a drummer. he has smoked cigarettes since age 14, up to 2 ppd. he currently smokes 1 ppd. he has a history of alcohol abuse until 4 years ago. however, he had a 3 day binge on leading to a fall and probably fractured ribs and another smaller drinking 1 week before the last admission. he has a history of illicit drug use and has snorted cocaine and heroin, done mescaline, psilocybin, mushrooms, and marijuana up to 4 years ago. family history: his parents are alive. his father has disease. he has 2 sisters and 2 brothers, and they are all healthy. his 2 daugthers are healthy. physical exam: t- 101.4 f bp- 107/65 hr- 76 rr- 15 o2sat 100% intubated. gen: lying in bed, nad heent: nc/at, moist oral mucosa neck: supple cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: diffusely roncherous abd: +bs soft, nontender ext: no c/c/e, equal radial and pedal pulses b/l. neurologic examination: mental status: rapidly begins to buck the vent off propofol. within this context, he did not open his eyes or follow any commands. cranial nerves: pupils equally round and reactive to light, 2 to 1 mm bilaterally. no btt b/l. eyes set midline without roving mvmts. weak vor. corneals present b/l. facial grimace when bucking the vent symmetric. (+) cough motor: moves all ext spontaneously at least against gravity. sensation: withdraws to noxious stim in all 4 ext. reflexes: +2 and symmetric throughout. toes downgoing bilaterally pertinent results: 7/ 17/ 09: ct cns w/o contrast: right anterior fossa mass likely representing calcified meningioma, although cannot rule out possibility of metastasis. we would recommend an mr with contrast to further characterize the lesion eeg: 7/ 17/ 09: this is an abnormal portable eeg due to slow and disorganized background. these findings suggest a widespread encephalopathy affecting both cortical and subcortical structures. medications, metabolic disturbances, and infection are among the most common causes. there were no areas of prominent focal slowing although encephalopathies can obscure focal findings. there were no epileptiform features seen during this tracing. ecg: rate pr qrs qt/qtc p qrs t 75 156 78 57 csf: traumatic tap. gram stain normal. protein slightly elevated. 07:30pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:30pm wbc-18.5* rbc-4.60 hgb-13.8* hct-38.9* mcv-85 mch-29.9 mchc-35.3* rdw-13.2 07:30pm neuts-94.1* lymphs-2.9* monos-2.5 eos-0.4 basos-0.2 07:30pm plt count-221 07:30pm pt-12.9 ptt-20.7* inr(pt)-1.1 07:30pm urine blood-lg nitrite-neg protein-tr glucose-100 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:30pm albumin-4.1 calcium-8.4 phosphate-3.7 magnesium-2.4 07:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:30pm alt(sgpt)-26 ast(sgot)-20 alk phos-67 tot bili-0.3 07:30pm glucose-144* urea n-11 creat-1.2 sodium-140 potassium-4.1 chloride-108 total co2-23 anion gap-13 brief hospital course: mr was admitted to the neuro icu after being intubated in the field. he was successfully extubated on / 09. he remained seizure-free. there was a pht level of 11 when he was admitted from an osh. once reloaded, he was initially near 20, but then drifted down to 12. regarding the etiology of his new gtc episodes, a cns bleed or worsening mass effect of his meningioma was ruled out. he was also tapped. his csf studies were normal (though traumatic). he started exhibiting a hr 100 bpm while sleeping and required a ciwa scale and once his bp increased, a clonidine patch. he was off the patch, not requiring ativan and with normal vs for >24h before transferring to the floor. given that the seizure occurred with a low-normal dilantin level, zonegran was increased to 400 mg daily. given his recurrent episodes of prolonged seizures, he is at high risk of relapse, and requires careful medical monitoring. medications on admission: dexamethasone - 2 mg tablet - 2 tablet(s) by mouth twice daily (he is on a dexamethasone taper, as per dr most recent note). omeprazole - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day phenytoin sodium extended - (prescribed by other provider) - 100 mg capsule - 2 capsule(s) by mouth twice daily- brand name only - no substitution simvastatin - 20 mg tablet - 1 tablet(s) by mouth daily zonisamide - 100 mg capsule - 3 capsule(s) by mouth once a day increase as instructed discharge medications: 1. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed) as needed for throat pain. 2. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily) for 2 weeks. 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. dexamethasone 2 mg tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 8. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 10. zonisamide 100 mg capsule sig: four (4) capsule po daily (daily). 11. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day). discharge disposition: extended care facility: house discharge diagnosis: primary: 1. status epilepticus secondary: 1. meningioma discharge condition: good condition, normal neurologic exam. discharge instructions: you were admitted with status epilepticus. you were found to have a slightly low dilantin level. no other cause of your seizures was found. your zonegran dose was increased to compensate. please take all medications as directed and keep all follow-up appointments. . if you have any further seizures, difficulty walking, or any other neurologic issue, please call your neurologist, dr. , at . followup instructions: provider: . & phone: date/time: 4:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube diagnoses: pure hypercholesterolemia tobacco use disorder grand mal status macular degeneration (senile), unspecified personal history of noncompliance with medical treatment, presenting hazards to health phlebitis and thrombophlebitis of superficial veins of upper extremities other and unspecified alcohol dependence, unspecified alcohol withdrawal malignant neoplasm of cerebral meninges 

Answer: The patient is high likely exposed to