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: seizure major surgical or invasive procedure: endotracheal intubation history of present illness: the pt is a 45-year-old man who presents with first-time seizure. he was last seen well at 9: 40 pm on before going to bed. early this morning at 3:30 am, his wife observed that he had full body shaking which lasted for about 5 minutes. she describes that his lips were blue, and he was making strange noises. there was no urinary incontinence. ems was called. when they arrived, he was no longer seizing but was very agitated and combative, requiring many men to hold him down. he was taken to . there, upon arrival, he appeared post-ictal initially. then he was able to accurately say his name, his wife's name, and address. then, he became increasingly combative and agitated, and therefore, he was intubated. it was unsure whether his combativeness could be seizure. he received 4 mg of ativan, 10 mg of haldol, and received etomidate and rocuronium. he was placed on propofol and versed drips. he was loaded with dilantin 1000 mg x 1. head ct was done which reportedly did not show an acute intracranial process, but this was not available at time of presentation to review. he was afebrile. blood cultures were obtained, and he was empirically started on vancomycin, ceftriaxone, and acyclovir for meningitis coverage. he received magnesium 2 g iv or mildly prolonged qt interval. of note, a petecchial rash was noted to appear on both arms and chest which seemed to develop either at or during transport. he was transferred to for further management. lumbar puncture was done upon arrival. on neuro , his wife, he does not have history of headaches. yesterday, he was interacting normally with normal speech and gait. within the past year, he had minor head trauma without loss of consciousness described as falling and hitting his head on a brick wall. on general review of systems, per his wife, he has not had fever. he has not had recent vomiting, diarrhea, or abdominal pain. no recent change in bowel or bladder habits. past medical history: his wife describes an episode of waking up with confusion/short-term memory loss which occurred 6-8 months ago. his wife denies history of hypertension, diabetes, or high cholesterol. he has never had a seizure before. no history of febrile seizures or learning disabilities. he has no prior hospitalizations or surgeries. social history: he is married with two children. family history: his wife is not aware of any family history of seizure or stroke. his grandmother has . physical exam: on admission vitals: t: 97.4 p: 69 r: 16 bp: 121/85 sao2: 100% fio2 98 % peep 5 general: intubated heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: + petecchial rash on shoulders, arms, chest neurologic: -mental status: intubated. when examined off propofol, he is not responsive to voice or noxious stimuli. -cranial nerves: pupils 3 and sluggishly reactive. no blink to threat. no horizonatal or vertical oculocephalics present. no facial droop, facial musculature symmetric. no corneals bilaterally. no gag reflex. -motor: flexor posturing of both arms. extensor posturing of both legs. does not withdraw to noxious stimuli. -sensory: does not withdraw to noxious stimuli. -dtrs: unable to elicit reflexes throughout. toes mute -coordination: unable to test. -gait: unable to test. on discharge gen: red sclera on the right eye with some periorbital bruising ms: intact, minimal memory of the event cn: intact strength: full throughout reflexes: symmetric b/l, with toes flexion coordination intact gait normal stride and gait pertinent results: mri: 1. no acute infarction. allowing for the pulsation artifacts, no areas of altered signal intensity on the flair sequence. however, a few scattered t1 hyperintense foci, may relate to pulsation artifacts/slow flow in the venous structures. these are not identifiable on the other sequences. hence, the significance of these findings is uncertain. a followup study, along with mrv can be considered for better assessment if there is continued concern. 2. in the coronal sequences, the hippocampi are grossly symmetric in size; slightly increased t2 signal in the left hippocampus, which is equivocal significance. to correlate with eeg and follwo up as clinically indicated. 3. paranasal sinus disease as described above. cta no acute abnormality is seen. subtle infarcts maybe occult on ct perfusion and if there is continued clinical concern, mri would be more sensitive. ck on discharge: brief hospital course: seizure was admitted after he had a witnessed gtc seizure at home. he required multiple agents post-ictally as he was combative and ended up being intubated. there was initial concern for an infarct given absent cranial nerves on exam, however it was later thought that this could be secondary to paralytics. his mri showed flair abnormalities in the right temporal lobe consitent with a recent seizure. his eeg was pending on discharge but showed no evidence of seizure activity. he was started on keppra 1500 and discharged on this medication. he was ordered for an mri with contrast one week after his discharge. rhabdomyolisis his ck was climbing on hd 3 to a max of . renbal was consulted and he was put on bicarb drip. his creatinine improved during the hospitalization. he was told to get his ck and creatinine checked in 2 days after his hospitalization. medications on admission: fish oil discharge medications: 1. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 2. omega-3 fatty acids capsule sig: 1000 (1000) capsules po bid (2 times a day). 3. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 4. outpatient lab work bun/creatinine ck discharge disposition: home discharge diagnosis: seizure acute kidney injury rhabdomyolisis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the neurology service after you had a seizure while waking up that was described as a generalized tonic-clonic seizure. your wife felt that it lasted at least 5 minutes. following the seizure you were confused and combative and were intubated. a cta was done that showed no evidence of a stroke and an mri showed no evidence of stroke or mass. you were transferred out of the icu, but had elevations in your ck. we kept you on fluids and renal was consulted and felt you would benefit from a bicarb drip. you will need to stay on keppra and will need an mri with contrast of your head which was not done given the acute kidney injury. an eeg was done which showed no evidence of seizure activity. 1. continue on keppra 1500 mg twice daily 2. you will need an mri w/ contrast done in 1 week - this has been scheduled. radiology will call you to make an appointment 3. please come in to get your ck and creatinine checked in 2 days 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: acute kidney failure, unspecified other convulsions rhabdomyolysis spontaneous ecchymoses 

Answer: The patient is high likely exposed to