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: keflex attending: chief complaint: respiratory failure major surgical or invasive procedure: lumbar puncture history of present illness: 83 y/o m who was in his usual active state until one week prior to presentation when he experienced a headache, lightheadedness, stiff neck, subjective fever and chills. he stayed in bed for much of the week until convinced to go to -. at arrival his vitals wer: t=101.3, hr=100, bp=106/52, rr=24, o2sat=96% 2l. wbc=13, bands 46%? lactic acid=2.0, bun/cr= 44/2.0, hco3= 20. pt was started on levofloxacin. on the 17th the pt experienced hypotension (sbps=70s) and was placed on neosynephrine and given ivf. doxycyclin, gentamicin, and vancomycin were also started on the 17th. of note his albumin is 1.9, total protein 4.8. on he had an abg of ph=7.34, po2=103, pco2=38 at 8pm then ph=7.29, po2=65, pco2=42 at 1 am. pt was intubated just prior to transfer to out of concern for respiratory failure. . pt did handle a dead cat (used a shovel to remove it, did not touch directly) days before his symptoms appeared. he is noted to have had a clinic visit to for a "tick bite" on , no further information available at this time. no sick contacts. traveled to south america in . past medical history: dm2 hypercholesterolemia arthritis turp for bph , pulmonary fibrosis x 15 yrs, dx by pfts/cxr as per daughter, no (pcp unaware of dx) vzv (zoster) on head last year social history: worked in garment industry with cashmere (polluted lives with wife, no etoh, distant tobacco family history: --father died at 85 of alzheimers --mother died at 109 ? --sister 91 alzheimers physical exam: pe: t=98.9, bp=90/56, hr=80-104, rr=18, o2sat high 90s on vt=640, fio2 60%, peep=5, ph=7.38, pco2=34, po2=308 gen: intubated, mildly sedated, arousable heent: injected conjuntiva, mm dry, no elevated jvp cv: rrr, no m/r/g pulmo: rhonchi b/l anteriorly abd: soft, distended, no obvious tenderness ext: warm, 2+ dp/pt, trace edema b/l brief hospital course: a/p: 83 y/o m w/ fever, chills, headache, hypotension 1. intubation: pt presented intubated. abg at osh showed hypoxia. unclear primary lung disease. pt without symptoms at baseline or with illness. pt was hyperventilating to blow off co2 due to primary acidosis. this likely led to increased work of breathing and concern for intubation. pt was extubated after hemodynamically stabilized and weaned down to 4l o2 nasal cannula. pt had expiratory wheezing after extubation, most likely due to mild pulmonary edema from volume resuscitation. this has resolved with diuresis (20mg iv lasix qd x 2 days). 2. hypotension: likely secondary to sepsis, although unclear source. hemodynamically stabilized with levophed drip, which was weaned off . since then, pt's blood pressure has been stable. 3. elevated wbcs: consistent with infectious etiology in association with fever. trended up despite multiple antibiotics, plateaued at ~16. received vanco, doxy, gent. cxr with ? of pna (portable image), diffuse interstitial markings consistent with pulmonary fibrosis. lp clear, no evidence of meningitis. urine cultures and blood cultures show no . sputum culture shows 1+ gpc and grew sparse oropharyngeal flora. per id consult, continuing doxycycline until leptospirosis lab results come back. negative for ehrlichia. hsv titers pending. 4. mental status: symptoms of headache, stiff neck, fever are consistent with meningitis. his change in mental status following these symtoms may indicate a menigoencephalitis. pt was apparently delirious in osh. --ct head, lp negative --after extubation, pt's mental status appears to have returned to normal 5. renal failure: cr=2.o at , now 1.5, likely pre-renal as bun/cr ratio < 20 and improvement with ivf. cr plateaued at 1.5-1.6 6. metabolic acidosis: possibly secondary to early renal failure. resolved with fluid resuscitation. since extubation, pt's respiratory status has improved to near baseline and pt is on regular diet and ambulating. medications on admission: --asa --mvi --glucosamine discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. doxycycline hyclate 100 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 10 days. 5. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. zetia 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: healthcare - discharge diagnosis: primary: sepsis secondary: type 2 diabetes, hypercholesterolemia, arthritis, pulmonary fibrosis discharge condition: stable, good discharge instructions: seek medical attention if having fevers, chills, low blood pressure, confusion followup instructions: pcp: . please follow-up within weeks following discharge from rehabilitation facility procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung diagnoses: acidosis pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis acute respiratory failure postinflammatory pulmonary fibrosis arthropathy, unspecified, site unspecified 

Answer: The patient is high likely exposed to