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: penicillins attending: chief complaint: ms change, seizure and arf major surgical or invasive procedure: intubation/ventilation central venous line placement arterial line placement history of present illness: 62 yo woman with seizure and etoh abuse, found down by neighbour and brought to ed for eval. also noted to have cat feces and scratches all over her body. ed, afebrile, confused, had witnessed seizure during ct scan and received 12mg ativan. also noted to have subtherapeutic dilantin level. seen by neuro, thought most likely to have etoh withdrawal seizure. intubated for airway protection after being aggressively sedated for agitation. received one dose of unasyn in ed for possible cellulitis assoicated with cat-scratch. otherwise, ua and cxr unremarkable. ac 550x14/5/1, abg 7.41/38/521 last seen by her aunt about 4 days ago. no recent sickness per her aunt. past medical history: seizure disorder hypertension spina bifida s/p repair psychosis depression hernia s/p appendectomy s/p cholecystectomy anxiety s/p 2 c-section peptic ulcer disease s/p colonoscopy with polypectomy 12 yrs ago social history: lives in facility in , former smoker, quit 13 years ago, approximately 35 pack year history, drinks of whisky per week, has had several admissions for detox per patient. no ivda. family history: no history of cancer nor heart disease physical exam: gen: nad cv: rrr chest: ctab abd: s, nt/nd +bs ext: wwp pertinent results: 11:30pm glucose-139* urea n-83* creat-1.8* sodium-151* potassium-2.5* chloride-114* total co2-24 anion gap-16 11:30pm tot bili-0.9 11:30pm albumin-2.6* calcium-8.2* phosphate-2.5*# magnesium-1.5* 11:30pm wbc-7.8 rbc-2.95*# hgb-10.1* hct-27.7*# mcv-94 mch-34.1* mchc-36.4* rdw-14.4 11:30pm plt count-189 11:30pm pt-15.0* ptt-23.8 inr(pt)-1.4 10:59pm cerebrospinal fluid (csf) wbc-2 rbc-23* polys-1 lymphs-92 monos-7 10:28pm cerebrospinal fluid (csf) protein-194* glucose-93 10:28pm cerebrospinal fluid (csf) wbc-1 rbc-134* polys-4 lymphs-92 monos-4 08:03pm type-art po2-521* pco2-38 ph-7.41 total co2-25 base xs-0 08:03pm lactate-1.8 08:03pm freeca-1.11* 07:19pm urine hours-random 07:19pm urine osmolal-495 07:19pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 04:50pm urine color-amber appear-clear sp -1.017 04:50pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-sm urobilngn-8* ph-6.5 leuk-neg 04:50pm urine rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-0-2 04:50pm urine hyaline-0-2 04:16pm lactate-2.8* 04:10pm glucose-134* urea n-92* creat-2.3*# sodium-149* potassium-3.0* chloride-101 total co2-28 anion gap-23* 04:10pm alt(sgpt)-36 ast(sgot)-51* ck(cpk)-112 alk phos-78 amylase-134* tot bili-1.7* 04:10pm lipase-93* 04:10pm ck-mb-2 ctropnt-<0.01 04:10pm albumin-3.7 calcium-10.0 phosphate-6.0*# magnesium-1.5* 04:10pm osmolal-343* 04:10pm phenytoin-<0.6* 04:10pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 04:10pm wbc-11.2*# rbc-4.05* hgb-12.9 hct-38.1 mcv-94 mch-31.9 mchc-33.9 rdw-14.2 04:10pm plt count-326 04:10pm pt-14.7* ptt-20.5* inr(pt)-1.4 ct c-spine w/o contrast 4:41 pm the examination is markedly limited by patient motion during acquisition, as the patient was actively seizing during image acquisition. allowing for this, no definite evidence of fracture of the cervical spine is identified. there is probable degenerative change throughout the cervical spine, with facet joints hypertrophy. it is difficult to determine whether the small degrees of apparent scoliotic configuration of the cervical spine represent patient movement or a true scoliosis. there is multilevel intervertebral disk space narrowing, most prominent at c6-7. ct chest w/contrast; ct abdomen w/contrast 4:41 pm 1. no evidence of traumatic injury to the chest. 2. dense structure with adjacent stranding within the anterior abdominal wall could represent a focal hematoma, although soft tissue mass related to a ventral wall hernia is not excluded. 3. hypodensity adjacent to the falciform ligament within the right lobe of the liver could represent focal fatty infiltration versus other hypodense liver mass including hemangioma. when the patient is able, an ultrasound is recommended for further evaluation of this finding. 4. cystic structure in the right adnexa could represent an ovarian or paraovarian cyst. this finding is abnormal for the patient's age, and when the patient is able, pelvic ultrasound should be performed for evaluation of this finding. 5. 4 mm nodule within the right lower lobe. if there is a prior history of malignancy, a 3 month ct is recommended for followup. if there is no prior history of malignancy, a 12 month ct followup is recommended. ct chest w/contrast; ct abdomen w/contrast 1. no significant interval change aside from new small bilateral pleural effusions and atelectasis. 2. no evidence of retroperitoneal hemorrhage or hemothorax. 3. right adnexal cystic structure again may represent a para-adnexal cyst. again, pelvic ultrasound may be useful for further evaluation once the patient is able. 4. ventral wall lesion just above the umbilicus which is approximately 4 cm in diameter and is of uncertain significance. this is unchanged since the prior examination, and could represent a hematoma or other inflammatory lesion--correlate clinically. mr head w & w/o contrast; mra brain w/o contrast impression: bilateral symmetric increased signal within the thalami. the findings are nonspecific and could be secondary to ischemia or could be secondary to wernicke's encephalopathy. consider a followup examination with diffusion-weighted images. the findings were discussed with dr. at the time of interpretation of this study. normal mra of the head. brief hospital course: 62 yo woman with seizure and etoh abuse, found down by neighbour, likely in coma secondary to anoxic brain injury. decreased level of consciousness: patient was intubated initially for concern of inability to protect airway, but following removal of sedative medications, patient continued to have no signs or indications of waking or cognitive function for two weeks. infectious etiologies were ruled out on the night of admission as lumbar puncture revealed no organisms and minimal white cells (2). mri revealed only bilateral thalamic lesions consistent with infarcts vs. wernicke's, however neurology consultants felt that decreased level of consciousness was more likely due to diffuse anoxic brain injury endured during episode prior to presentation. nonetheless, patient had intermittent convulsions during late part of hospital course possibly thought to be seizures, therefore, patient was loaded on phenytoin and re-started on benzodiazepines in order to completely suppress seizure activity on eeg.neurology assessed pt to have anoxic brain injury. lp without evidence of infection. eeg without active seizure. however, had several witnessed seizure in micu requiring large doses of ativan (10mg x3 on ). after several days of continuous eeg, which showed no signs of seizure. she was put on dilantin and was started on benzodiazipine taper. this went on for several days, but she was not able to recover her mental status. after much discussion with the family and neurology, she was made cmo around , as she was deemed very unlikely to recover from this anoxic brain injury. she passed on . anemia - of note with slow bleed, on her hematocrit was 19. unclear source. iron : anemia of chronic disease. /hemolysis labs negative. her anemia was stable while she was in the hospital. . . acute renal failure: this resolved while in the hospital. . ventilation: she was intubated for airway protection and her vent support was stopped on as she was made cmo . her code was change per discussion with family on -2 to cmo as her likelihood of meaningful neurologic recovery was very low. she passed on discharge medications: none discharge disposition: expired discharge diagnosis: cardiopulmonary arrest arrthymia status epilepticus acute renal failure anemia respiratory failure discharge condition: expired discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances transfusion of packed cells diagnoses: anemia of other chronic disease unspecified essential hypertension acute kidney failure, unspecified other convulsions acute and chronic respiratory failure anoxic brain damage infection and inflammatory reaction due to other vascular device, implant, and graft hyperosmolality and/or hypernatremia other and unspecified alcohol dependence, unspecified spina bifida without mention of hydrocephalus, unspecified region alcohol withdrawal malignant neoplasm of pharynx, unspecified 

Answer: The patient is high likely exposed to