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: dilantin attending: chief complaint: seizure major surgical or invasive procedure: you were initially intubated and admitted to the icu during this hospitalization. history of present illness: 50 yom found unaccompanied on a park bench by police/ems seizing. no sign of trauma at the scene. fingerstick glucose at the site was 142. en route to the ed, the patient was post-ictal but able to tell ems his name () and that he was a drinker. . in the ed, initial vs were: t 98.4 p 128 bp 145/77 r 24-30 o2 sat 99% on nrb. upon arrival to the ed, the patient seized again; he had 1 tonic-clonic seizure and received 1mg ativan x2. after his seizure in the ed, the patient remained non-responsive and started the gurgle. he was intubated for protection of his airway. ct scan of the head showed no acute ich or acute intracranial pathologic process. encephalomalacia in the l frontal lobe, and there was evidence of prior craniotomy. a foley was placed with good uop and an ogt was also placed. . on the floor, the patient arrived intubated and sedated. initial vs were: t 37.7 p 101 bp 127/79 r 15 o2 sat 97%; vent settings: cmv/assist, fio2 100%, rr 14, tv 500, peep 5. he was finishing his third liter of ns. an abg was obtained on presentation to the icu. . review of systems: unable to obtain. past medical history: # etoh abuse with hx of withdrawl seizures and dt's # seizure disorder traumatic brain injury # hypertension # hyperlipidemia # essential tremor social history: currently homeless unemployed incarcerated in the past daily etoh - quart of vodka daily hx of cocaine use ppd smoker has daughter that lives in family history: pt denies any known family history physical exam: admission exam: vitals: t: 37.7 bp: 127/79 p: 101 r: 15 o2: 97% on vent. general: sedated, intubated. heent: sclera anicteric. pinpoint pupils, minimally reactive to light. ett and ogt in place. scar over the left frontal-temporal area. neck: no lad. lungs: clear to auscultation bilaterally. no wheezes or crackles. cv: regular rate and rhythm. normal s1 + s2. no murmurs, rubs, gallops abdomen: soft, nt/nd. bowel sounds +. no hsm. gu: foley in place. ext: wwp. 2+ dps. no clubbing, cyanosis or edema skin: multiple tattoos with dry skin. neuro: arousable to name. able to squeeze right hand on command. unable to squeeze left hand on command. pertinent results: 11:45pm type-art temp-38.7 po2-120* pco2-43 ph-7.40 total co2-28 base xs-1 comments-axillary t 11:45pm lactate-1.4 08:15pm urine color-yellow appear-clear sp -1.017 08:15pm urine blood-sm nitrite-neg protein-30 glucose-neg ketone-10 bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 08:15pm urine rbc-<1 wbc-1 bacteria-none yeast-none epi-0 08:15pm urine hyaline-3* 08:15pm urine mucous-rare 07:33pm lactate-27.7* 07:20pm glucose-150* urea n-10 creat-1.0 sodium-145 potassium-3.8 chloride-103 total co2-8* anion gap-38* 07:20pm alt(sgpt)-84* ast(sgot)-102* ld(ldh)-343* ck(cpk)-550* alk phos-97 tot bili-0.4 07:20pm lipase-62* 07:20pm albumin-5.0 07:20pm wbc-9.9 rbc-4.46* hgb-14.4 hct-45.6 mcv-102* mch-32.4* mchc-31.6 rdw-14.6 07:20pm neuts-47* bands-1 lymphs-32 monos-16* eos-0 basos-0 atyps-4* metas-0 myelos-0 07:20pm plt smr-normal plt count-266 discharge labs: 06:15am blood wbc-6.0 rbc-4.41* hgb-14.5 hct-41.5 mcv-94 mch-32.8* mchc-34.9 rdw-13.6 plt ct-247 06:15am blood glucose-114* urean-4* creat-0.8 na-136 k-3.7 cl-100 hco3-28 angap-12 06:15am blood alt-45* ast-35 ld(ldh)-200 ck(cpk)-176 alkphos-72 totbili-0.5 06:15am blood albumin-3.8 blood cultures ( and ): no growth to date, final results pending. urine culture ((): no growth - final. mrsa screen (): no mrsa - final. ct head (): technique: non-contrast mdct images were acquired through the brain. multiplanar reformatted images were obtained for evaluation. findings: the study is slightly limited by patient's motion. allowing for the limitations, there is encephalomalacia in the left frontal lobe, with adjacent old left frontotemporal craniotomy, compatible with prior injury with surgical intervention. there is otherwise no acute intracranial hemorrhage, edema, mass effect or major vascular territorial infarct. apart from the ex vacuo effect from the left frontal encephalomalacia, there is no shift of normally midline structures. the ventricles and sulci are prominent, representing age-advanced global atrophy. there is no evidence of acute fracture. scattered anterior ethmoidal opacification is noted with minimal aerosolized fluid in the right maxillary sinus. the remaining visualized paranasal sinuses and mastoid air cells are clear. impression: 1. evidence of old left frontotemporal craniotomy, with severe left frontal encephalomalacia, compatible with old injury with surgical intervention. recommend clinical correlation. 2. no evidence of acute intracranial pathologic process. specifically, no intracranial hemorrhage. brief hospital course: 40yom with no known significant pmhx with a known history of etoh use found by police/ems seizing and who had one tonic-clonic seizure in the ed. #seizure disorder: the patient was intubated for airway protection after seizure in the ed and admitted to the icu. the patient did well in the icu and was extubated the following morning and transferred to the regular medical floor. he has a known history of seizure disorder due to traumatic brain injury several years prior and also has a history of etoh withdrawl seizures. he admits to being non-compliant with his outpatient regimen of keppra and has been non-compliant with clinic follow-up at as well. following transfer to the floor, he was kept on oral standing and prn benzos for etoh withdrawl and then seen by neurology consult regarding the etiology and treatment of his seizures. neurology consult felt that the most likely etiology of his seizures is his underlying epilepsy due to prior tbi. they recommended restarting him on his keppra, and he received an iv keppra load and was started on maintenance keppra as an antiepileptic. at this time, the patient is amenable to restarting anti-seizure medications and states he will continue the medication and follow-up with clinic at in 2 days. #etoh depedence: the patient has a long-standing history of etoh abuse and has been through treatment programs multiple times. on this admission, he was initially placed on iv benzos standing in the icu, then transitioned to standing and prn po benzos, then prn po benzos only. he has not required any benzos in the past 24 hours and remains stable and without signs and symptoms of withdrawl. after discussion with social work, he has indicated that he is not interested in etoh cessation at this time. he was started on multi-vitamin, thiamine and folate, and will be discharged with these prescriptions as well. #code status: full code #pending lab work: pt's blood cultures drawn during this admission are negative thus far, but final results still pending. medications on admission: none discharge medications: 1. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: seizure disorder, epilepsy. etoh dependence. discharge condition: mental status: clear and coherent. activity status: ambulatory - independent. level of consciousness: alert and interactive. discharge instructions: you were admitted to the hospital after presenting via ambulance with seizures. you were initially admitted to the icu, after being intubated and connected to a ventilator machine. you did well in the icu and was then transferred to the floor after being removed from the ventilator and breathing on your own. you were seen by the neurology consult service given your history of seizures and restarted on your prior anti-epileptic medication (keppra). please continue to take your medications as prescribed and please follow-up with your outpatient clinic appointment. your blood cultures drawn during this admission are negative thus far, but final results are still pending. followup instructions: name: , --neurology address: dept of neurology-, bldg, ste 7b, , phone: appt: at 10am note: if you are unable to keep this appt, please give 24 hours notice. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis anemia, unspecified unspecified essential hypertension other and unspecified hyperlipidemia personal history of noncompliance with medical treatment, presenting hazards to health lack of housing other and unspecified alcohol dependence, continuous alcohol withdrawal other conditions of brain generalized convulsive epilepsy, without mention of intractable epilepsy essential and other specified forms of tremor late effect of intracranial injury without mention of skull fracture late effects of unspecified accident personal history of traumatic brain injury 

Answer: The patient is high likely exposed to