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: unresponsiveness major surgical or invasive procedure: lumbar puncture pt was intubated en route to hospital history of present illness: 26 yo healthy male found down at home earlier on the day of admission. the patient was reportedly in good health, working at a golf in . he did not show up for work on so his coworker reportedly went to his home where the patient was found to be unresponsive, jerking with his eyes rolling back in his head. ems was called and he was transported to an osh where he was given 1g ctx, narcan, valium and intubated for airway protection. loaded the patient with dilantin although they noted no further seizure activity. exam upon arrival to was notable for upgoing toes b/l and lack of response to painful stimuli. labs were notable for ast 60 and ldh of 510. he was given ceftriazone 1g and vancomycin 1g. lp was done. per ed resident, the tap was traumatic with intial blood in the needle which cleared. mri/a head and neck were done with results pending at his time of transfer. . the patient is intubated and sedated and unable to provide additional information. . past medical history: s/p clavicle and shoulder frx with orif s/p ankle fracture syncopal episode 2 yrs ago in , denies any seizure-like component, work up in local ed negative social history: living on for the summer, working as golf pro, tri-athlete, goes to school in the winter. father denies any drugs or illicits. no tobacco. moderate etoh. family history: no h/o seizures, strokes, aneurysms, sudden cardiac death physical exam: on transfer to floor: 98.4 bp 96-111/62-70 53-59 18 100% on ra uop: 800/700 exam: general: awake, alert, oriented, no acute distress- cannot remember events during unresponsive period heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: ctab, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, nt, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact; 4/5 strength bilaterally in ue/le; more weak on r ue than l ue; babinski's downgoing pertinent results: mri/mra head: impression: 1. no focal lesions in the brain parenchyma. correlate with eeg and if necessary clinically, consider follow up for any changes. 2. patent major intracranial arteries as described above. 3. evaluation of the origin of the arch vessels in the cervical arteries is somewhat limited due to inaccurate bolus timing. the arteries are better seen on the delayed images, hence, assessment of any flow-related abnormalities is somewhat limited. within these limitations no flow-limiting stenosis or occlusion or aneurysm noted. 4. small retention cyst in the left maxillary sinus; mild mucosal thickening in the left maxillary sinus along with fluid in the nasopharynx. . on admission: 05:30pm blood wbc-5.5 rbc-4.66 hgb-13.5* hct-40.6 mcv-87 mch-29.0 mchc-33.2 rdw-13.9 plt ct-206 03:32am blood neuts-66.2 lymphs-24.3 monos-8.0 eos-1.2 baso-0.3 05:30pm blood pt-11.8 ptt-25.6 inr(pt)-1.0 03:32am blood glucose-81 urean-14 creat-1.0 na-142 k-4.0 cl-106 hco3-29 angap-11 05:30pm blood alt-25 ast-60* ld(ldh)-510* alkphos-62 totbili-0.5 05:30pm blood lipase-41 05:30pm blood calcium-9.1 phos-4.4 mg-2.4 11:49am blood hiv ab-negative 05:30pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 10:52am blood type-art po2-150* pco2-48* ph-7.37 caltco2-29 base xs-2 05:41pm blood glucose-87 lactate-1.4 na-144 k-4.3 cl-99* calhco3-26 10:50pm cerebrospinal fluid (csf) wbc-1 rbc-319* polys-35 lymphs-49 monos-15 10:50pm cerebrospinal fluid (csf) totprot-39 glucose-63 ld(ldh)-15 micro: rpr negative, lyme negative, csf and blood cx's ngtd eeg: indings: routine sampling: generally a low voltage delta rhythm of hz, with occasional bursts of generalized delta slowing of hz rhythm, was observed throughout the record. there were also brief periods of .5 hz posterior dominant rhythm visualized in the most awake stages. pushbutton activations: there were none. spike detection programs: there were none. seizure detection programs: there were none. sleep: no clear sleep architecture was present. cardiac monitor: normal sinus rhythm and rate of 60 bpm. impression: this is an abnormal veeg telemetry due to the presence of generalized low voltage delta frequency background with occasional bursts of delta slowing for a majority of the recording. although a normal alpha frequency posterior dominant rhythm activity was observed, these events were infrequent and brief. overall, these findings suggest a diffuse encephalopathy, but the etiology is non-specific and could be due to a medication-related effect. no focal abnormalities or evidence of epileptiform activity were observed. xray arm: study: ap and lateral views of the left forearm . comparison: none. indication: 26-year-old male, evaluate for osseous process in left forearm. findings: mild soft tissue swelling of the mid forearm. a healing transverse fracture of the ulnar diaphysis is seen with mild blurring of the fracture line and callus formation surrounding the fracture. no other fractures are identified. no dislocations. the visualized wrist and elbow joints are unremarkable. impression: healing ulnar mid diaphyseal fracture, as above. 8 brief hospital course: summary: 26 yo healthy male found unresponsive transferred via lifeflight, initially intubated for airway protection, extubated on hd2, transferred to the floor for further management . # altered mental status. lp, head ct and mri, and eeg were all performed. lp returned normal; hsv pcr negative. head ct and mri were both unremarkable. tox screen negative. eeg showed possible encephalopathy. on the day of discharge, all viral studies that had returned (hiv, lyme, enterovirus) were negative. antibiotics and antivirals were eventually discontinued as studies returned negative. several infectious studies were pending at the time of discharge - eee, csf lyme, etc. the patient's mental status cleared the day after admission. he was alert and oriented on the day of discharge. the etiology of the unresponsiveness was unknown. both infectious disease and neurology teams were consulted. it was presumed that the event represented a seizure and the patient was started on dilantin and switched to trileptal. contact information for neurology follow-up was provided. . # urethral discharge. the patient complained of some urethral discharge. gc/chlamydial swab returned negative . #l arm swelling: the patient complained of 2 months of l arm swelling. an xray was taken and showed a healing ulnar fracture. ortho was consulted and believed this was a stress fracture related to his training for triathlons. . the patient was placed on subq heparin for dvt prophylaxis and remained full code while admitted. medications on admission: mtv discharge medications: 1. multivitamin tablet sig: one (1) tablet po daily (daily). 2. oxcarbazepine 300 mg tablet sig: one (1) tablet po twice a day: if you are tolerating the medication, please increase dose to 600 mg (twice per day) on monday, . . disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: -unresponsiveness - likely seizure -healing l ulnar stress fracture discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure taking care of you at the . you were admitted to the icu having been found unresponsive. the etiology of your unresponsiveness is still unclear, however, it is presumed this was a seizure. the infectious studies performed on your spinal fluid and blood have, thus far, returned negative. you were also found to have had a healing ulnar stress fracture of your left forearm. you also had an mri and ct scan of the head, which returned normal. your spinal tap showed normal results as well. the following changes were made to your medication regimen: we started oxcarbazepine (trileptal) 300 mg twice per day (this should be increased to 600 mg twice per day on if you are tolerating the medication) you should follow-up with both a neurologist and a primary care provider. is especially important that you see a neurologist to f/u with management of your seizure medication. you should make this appointment in weeks. you can either call with the phone number below or you can call epilepsy clinic at . also, has a primary care practice, which you can reach at . followup instructions: location: , , phone: *please call this number to get established with a pcp and neurologist. it is important that you follow up for management of your anti-seizure medications as well as your broken arm. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung diagnoses: other convulsions other specified cardiac dysrhythmias dizziness and giddiness urethral discharge aftercare for healing pathologic fracture of lower arm 

Answer: The patient is high likely exposed to