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: no known allergies / adverse drug reactions attending: chief complaint: hydrocephlus major surgical or invasive procedure: proxima revision of vp shunt history of present illness: the patient is a 51 year old man with a history of traumatic brain injury s/p ventriculoperitoneal shunt who suffered a fall ten days ago and has had subacute on chronic worsening of his gait. he has a poor baseline level of neurologic functioning, in particular his mental status (disoriented, poor attention). he had an episode of stiffening last night and initially was found to have a mild right facial weakness and right arm drift, possibly secondary to paralysis from a seizure. however, on imaging, he has been found to have an interval increase in ventricular size suggestive of hydrocephalus. past medical history: 1. tbi (left temporal skull fracture) w/ resultant seizure d/o 2. history of status epilepticus 3. anemia 4. former etoh abuse 5. chronic cholecystitis social history: the patient is divorced. he currently resided at neuro rehab center/chip's house. he is a former computer programmer and has 2 teenage children (son and daughter) etoh: former significant abuse per wife : 1ppd since a teenager; stopped after injury family history: father had pick's disease and mother died of a glioma physical exam: general: awake, nad, lying in bed comfortably. head: nc/at, no scleral icterus, no oropharyngeal lesions neck: supple, no nuchal rigidity cardiovascular: rrr, no m/r/g pulmonary: equal air entry bilateraly, no crackles or wheezes abdomen: soft, nt, nd, +bs, no guarding extremities: warm, no edema, palpable radial/dorsalis pedis pulse psych: inattentive, occasionally laughs inappropriately and says "true but false" neurologic examination: - mental status - awake, alert, oriented x name but not month, year, place or situation (near baseline, per wife). cannot recall a coherent story. recall 0/3. attention moderately difficult to attain and maintain. follows simple one step commands, midline and appendicular, but does so sporadically. language volume decreased, repetition intact. no dysarthria. no neglect. perseverative with words and actions. - cranial nerves - perrl 4->2 brisk. vf full to number counting. eomi, no nystagmus. v1-v3 without deficits to light touch bilaterally. no facial asymmetry. hearing intact to finger rub bilaterally. palate elevation symmetric. ] scm/trapezius strength 5/5 bilaterally. tongue midline. - motor - normal bulk and tone. no pronation, no drift. no tremor or asterixis. = ] l 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 5 5 - sensory - no deficits to light touch bilaterally. - reflexes = ] l 2 2 2 2 2 r 2 2 2 2 2 plantar response flexor bilaterally. - coordination - no dysmetria with finger/foot mirrored movements. - gait - slow initiation. wide base. short stride length. present romberg. pertinent results: 06:05am blood wbc-10.1 rbc-3.90* hgb-12.5* hct-37.3* mcv-96 mch-32.1* mchc-33.5 rdw-13.5 plt ct-284 01:45pm blood neuts-71.3* lymphs-19.6 monos-5.6 eos-2.9 baso-0.6 06:05am blood plt ct-284 06:05am blood glucose-108* urean-8 creat-0.5 na-139 k-3.6 cl-109* hco3-22 angap-12 06:05am blood calcium-8.6 phos-2.6* mg-1.7 01:45pm blood asa-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg ct brain - mild ventricular enlargement in a stable and symmetric fashion compared to the prior exam. findings suggest a communicating hydrocephalus, possibly due to shunt failure. slightly more conspicuous hypoattenuation in a confluent nature throughout the periventricular white matter may simply reflect a progression of small vessel ischemic disease, although given the periventricular distribution, an element of transependymal csf flow cannot be entirely excluded. ct brain - 1. right ventriculostomy catheter terminating in the frontal of the right lateral ventricle at the septum pellucidum, stable in position from prior study. clinician to review images to see if positioning is desired. 2. minimally decreased ventricular size by 1-2 mm. 3. encephalomalacia involving primarily the right temporal lobe and left frontal lobe, stable from prior study. prominent extra-axial csf space in the left middle cranial fossa, compatible with a preexisting arachnoid cyst. brief hospital course: mr was admitted to the neurosurgery service and emergently was taken to the or and changed the proximal valve as the old one was fractured right before the valve. post operatively he was neurologically at his baseline, orientated x2, he was perseverative with poor comprehension. neurology was consulted given his seizure history and recent seizures. they recommended an eeg, and ua and tox screen. on post op day one his ct scan showed stable placement of rvp shunt catheter with slight improvement of dilated ventricles. on patient had an eeg for which full report was pending. pt was consulted and they recommend rehab vs. home. now dod, patient is afebrile, vss, and neurologically stable. patient's pain is well-controlled and the patient is tolerating a good oral diet. pt's incision is clean, dry and inctact without evidence of infection. he is set for discharge back to his group home in stable condition and will follow-up accordingly with neurology and neurosurgery. medications on admission: lacosamide, lamotrigine, lorazepam, clonazepam, ibuprofen, diphenhydramine, phenytoin, quetiapine, zonisamide, docusate, sennosides, acetaminophen discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. lacosamide 200 mg tablet sig: one (1) tablet po bid (2 times a day). 4. lamotrigine 100 mg tablet sig: five (5) tablet po bid (2 times a day). 5. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 6. phenytoin sodium extended 30 mg capsule sig: one (1) capsule po breakfast (breakfast). 7. quetiapine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for severe agitation. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 9. clonazepam 0.5 mg tablet sig: one (1) tablet po noon (at noon). 10. clonazepam 0.5 mg tablet sig: three (3) tablet po hs (at bedtime). 11. zonisamide 100 mg capsule sig: one (1) capsule po breakfast (breakfast). 12. zonisamide 100 mg capsule sig: six (6) capsule po hs (at bedtime). discharge disposition: extended care facility: group home discharge diagnosis: hydrocephlus s/p traumatic brain injury, status epilepticus anemia chronic cholecystitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? if you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. to be seen in 6 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. - neurology f/u 10:30a , l. sc clinical ctr, neurology unit cc8 (sb) md procedure: replacement of ventricular shunt gingivoplasty diagnoses: obstructive hydrocephalus abnormality of gait surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation hemiplegia, unspecified, affecting unspecified side localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, without mention of intractable epilepsy mechanical complication of nervous system device, implant, and graft history of fall personal history of traumatic brain injury 

Answer: The patient is high likely exposed to