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: seizure major surgical or invasive procedure: none history of present illness: the patient is a 40 yo r-handed man with hx of ivdu, hepc, gtc in the past in the setting of withdrawal, who is brought to the ed by police for question of seizures. the patient was taken off the street for shoplifting and was found to carry needles. he denied any ivdu and said he had iddm (also gave a false name and dob). he was doing fine . on early pm, he reportedly was seen "shaking". no information is available regarding this event. he was not lethargic following the event. at 10pm he had another episode; his arms and legs were shaking (twitching and moving, and looked rigid when he was doing it), lasting about 3 minutes. reportedly he was not lethargic, but non-cooperative. he was brought to the ed where he had a similar episode at 1.40 (few minutes). another episode occured at 2.50 when i was examining him: he put his r- hand behind is head, would not respond to vocal stimuli, turned his head to the l. he then started making rhythmic movements in his arms and legs, before going into a gtc sz that lasted about 30s, incontinent for urine. he received 2mg ativan at that point. he continued shaking in his arms and legs and received further ativan inj. while he was being loaded on dilantin. before the seizure, the patient denied any ivdu and denied any medical problems. felt cold and tired and was yawning a lot. review of systems: denies any fever, visual changes, hearing changes, headache, neckpain, nausea, vomiting, dysphagia, weakness, tingling, numbness, bowel-bladder dysfunction, chest pain, shortness of breath, abdominal pain, dysuria, hematuria, or bright red blood per rectum. past medical history: -hepc -explorative abdominal surgery for knife wound -gtc x2 in the setting of heroin withdrawal (mid 90's); been on dilantin social history: occupation: no work; says he lives in . smoking: 1 ppd, unkown how long ethoh. denied iv drug use at admission. recently incarcerated. family history: married: no children. father with mi. physical exam: t 99.3 bp 120/80 hr 68 pox 98% ra gen nad heent: no lesions, mmm chest: lungs clear bilaterally, heart sounds normal with no m/r/g abd: soft nt nd +bs ext: no c/c/e neuro: a/o x3. speech fluent without errors. eomi without nystagmus, perrla, vffc. no facial weakness or asymmetry. facial sensation intact. tongue midline, uvula midline. motor exam with full strength in all major muscle groups. coordination intact - normal in ue and le. senastion intact throughout without extinction. gati: normal. pertinent results: 2211/22/05 06:10am blood wbc-11.9* rbc-4.61 hgb-13.5* hct-38.1* mcv-83 mch-29.2 mchc-35.3* rdw-14.0 plt ct-230 09:30am cerebrospinal fluid (csf) protein-26 glucose-96 09:30am cerebrospinal fluid (csf) wbc-3 rbc-1* polys-71 lymphs-7 monos- 06:45am phenytoin-19.4 05:15am lactate-2.0 06:45am hbsag-negative hbs ab-negative 05:00am glucose-132* urea n-14 creat-0.6 sodium-139 potassium-3.0* chloride-106 total co2-20* anion gap-16 11:55pm lipase-31 11:55pm vit b12-716 11:55pm tsh-0.22* 11:55pm hbsag-negative hbs ab-negative 11:55pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 11:55pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 11:55pm wbc-16.4*# rbc-4.87 hgb-15.0 hct-39.7* mcv-81*# mch-30.7 mchc-37.7* rdw-13.8 11:55pm plt count-287 11:55pm urine blood-sm nitrite-neg protein-30 glucose-neg ketone-50 bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 11:55pm urine rbc-* wbc-* bacteria-mod yeast-none epi-1 9:30 am csf;spinal fluid site: lumbar puncture tube #3. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. urine culture (final ): no growth. head ct:impression: no evidence for acute intracranial abnormality including hemorrhage or mass effect. right maxillary sinus mucus retention cyst. mri with gadolinium brain : no mass lesion noted. there is t2 flair hypodensity in the posterior frontal lobe bilaterally that is likely secondary to chronic white matter changes. there is no obvious evidence of intracranial abscess. the ventricles appear to be normal in size. (neurology resident read). cxr chest: a single upright ap view of the chest shows an endotracheal tube with the tip at the level of t3 and a ng tube with its tip below the diaphragm. the lungs are clear. there is no evidence of pneumothorax. the cardiomediastinal silhouette and the costophrenic sulci appear normal. eeg: this is an abnormal eeg due to the presence of overlying beta activity with suppressive periods during times when propafol medication was being administered. with the alleviation of propafol, what was seen was a pattern similar to a spindle coma with beta being the primary rhythm observed. there was no evidence of statusepilepticus. there is no evidence of any focal or sharp activity seenthroughout this recording suggesting ongoing seizures. repeat eeg with the alleviation of medication in the future to better assess the presence of background activity should be performed if clinically required. brief hospital course: mr is a 40 year old with history of seizures in the setting of alcohol withdrawal, known ivdu (heroin), hepatitis c, was interrogated by police for shoplifting, on the same day developed episode of shaking in all four limbs. patient proceeded to have several such episodes upon arrival at the . he had reported seizures of left side with generalization to entiure body with loss of consciousness. he received 10mg of lorazepam and was loaded with pheyntoin in the ed. the patient was intubated for airway protection as we was poorly responsive after at least 3 seizure events. he was transferred to the neuro icu for monitoring. he was not noted to have any focal deficits however was inattentive and somewhat uncooperative. he was found to have a uti and received antibiotics. he was administered methadone for heroin withdrawal. neuro: patient stabilized and was extubated on . dilantin level was 19.4. the patient received methadone 20mg for opiate withdrawal. his dilantin was discontinued on . a lp was performed which revealed csf: wbc 3 rbc 1 protein 26 and glucose 96. csf gram stain was negative and there were no organisms visualized. head ct was negative for intracranial mass. given the pt.'s use of iv drugs and his seizures, an mri was performed with gadolinium: no abscesses or mass lesions are seen and there are no enhancing structures. an eeg was performed while pt was intubated and revealed predominant beta rhythm. status epilepticus was not observed. cv: the pt. received iv hydrazaline in the icu for high blood pressures but was ablt to be weaned and the pt. did not require anti-hypertensives to maintain normal bps. resp: no acute issues. pt. is stable on room air. id: urinalysis was consistent with borderline uti (6-10 wbcs, nitrite negative) and the patient was started on oral bactrim ds. urine culture is negative however pt will complete a three day course. pt. was negative for hbsag. hiv test was sent but the results are pending at time of discharge. there has been no growth x2days in three sets of blood cultures. his wbc count has fallen to 11.9 from >16 while on bactrim. heme: no active issues dispo: pt. is currently incarcerated and will return to police custody at discharge. discharge condition: stable discharge diagnoses: 1. generalized tonic-clonic seizures 2. opiate withdrawal 3. uti medications on admission: none reported discharge medications: bactrim ds 1tab x 1 day post-discharge discharge disposition: home discharge diagnosis: generalized tonic-clonic seizure opiate addiction/withdrawal uti discharge condition: stable discharge instructions: please take bactrim for one more day addiction counseling please take methadone 20mg refrain from use of iv heroin (or other drugs of abuse) methadone not given at sherrif office - spoke with medical staff @ be aware that patient have withdrawal seizures. followup instructions: no neurology follow-up required pt. will follow-up with medical team at prison facility. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube diagnoses: urinary tract infection, site not specified chronic hepatitis c without mention of hepatic coma other convulsions opioid abuse, unspecified 

Answer: The patient is high likely exposed to