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: 83 year-old woman with a history of hypertension and previous seizure (gtc) who presented after a witnessed seizure. major surgical or invasive procedure: left eye lens replacement hysterectomy (~30 yrs ago) history of present illness: the pt is an 83 year-old right-handed woman with a history of hypertension and at least one prior seizure who presented after a witnessed seizure. the pt was unable to offer a history at the time of my encounter. therefore, the following history is per the primary team, the medical record, and the pt's daughter. the pt had been in her usual state of health. she was talking in her living room with her daughter this afternoon and acutely developed a "blank stare." her daughter asked her some questions and she seemed "ok", meaning that she was answering appropriately, albeit not very articulately. she thought that she was warm and maybe dehydrated, so she helped her off of the couch and tried to bring her to her room, but she fell down to the ground. the daughter was able to get her back up onto the couch. she was still answering questions appropriately. eventually, the daughter was able to help her back to her bedroom and she laid down on her bed. the daughter stepped out to get her some water and returned to find the pt "convulsing" on her bed. she said that the pt was not responding to her calls, that both of her arms and legs were jerking, and she was "foaming at the mouth." there was no bowel or bladder incontinence. there was no obvious injury as a result of the seizure (the pt remained on the bed and did not fall to the floor). the daughter thinks that maybe she was convulsing for a total of five minutes. afterward, she was "not lucid" and her speech was not understandable. ems was called and arrived shortly thereafter. en route to the , the ed team's sign out from the ambulance crew, she was intubated for respiratory distress. (no ems report was available to me at the time of my evaluation). in the ed, the pt received 1g of iv phenytoin and unknown amount of iv lorazepam. she was started on propofol after i was able to get a detailed neuro exam. the pt was unable to offer a review of systems. the daughter had not noted any recent complaints on the part of the pt. past medical history: -seizure: the pt had one seizure roughly five years ago. at that time, the daughter heard a "thump" in an adjacent room came to find her mother convulsing much as she did today. that episode lasted roughly five minutes. she was taken to an osh where she was apparently admitted overnight. the daughter is unsure of the workup. she is fairly certain that she was not placed on an anticonvulsant. of note, one month ago, the pt's daughter heard her "breathing abnormally" in an adjacent room found her prone on the floor disoriented. there was no witnessed convulsive activity. she was apparently taken to was observed overnight. the daughter thinks she may have had an mri at that time. the daughter is unsure of the discharge diagnosis and is certain that she was not placed on an anticonvulsant. -htn -hypothyroidism -depression - l eye blindness following a lens replacement and retinal detachment -diptheria -measles social history: social hx: pt lives with her daughter. remote history of tobacco use. no history of alcohol or illicit drug use. family history: family hx: no known neurological disease per the pt's daughter physical exam: physical exam: vitals: t: 100.6f p: 63 r: 16 bp: 194/81 sao2: 100% on 100% fio2 general: lying in bed with eyes closed, intubated. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: cervical collar in place pulmonary: lungs cta bilaterally anteriorly cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: 1+ lower extremity pitting edema bilaterally, 2+ radial, dp and pt pulses bilaterally. skin: varicose veins on le bilaterally. neurologic (off sedation): -mental status: open eyes to verbal and noxious stimuli. no verbal output. does not follow commands. -cranial nerves: right pupil 3.5 to 2.5mm sluggish. left pupil surgical and nonreactive. funduscopic exam of right eye revealed no papilledema, exudates, or hemorrhages. could not test eom due to cervical collar. corneal reflex and nasal tickle present bilaterally. no overt facial asymmetry. gag reflex intact. -motor: normal bulk throughout. tone mildly increased in lower extremities. moves all extremities spontaneously and purposefully. withdraws to noxious stimuli in all four extremities. no adventitious movements noted. -sensory: grimaces to noxious stimuli in all four extremities. -dtrs: tri pat ach l 3 3 3 3 2 r 3 3 3 3 2 plantar response was extensor bilaterally. pertinent results: 10:50pm type-art po2-435* pco2-32* ph-7.50* total co2-26 base xs-2 intubated-intubated 10:50pm freeca-1.11* 10:32pm phenytoin-10.5 05:48pm cerebrospinal fluid (csf) protein-35 glucose-73 05:48pm cerebrospinal fluid (csf) wbc-0 rbc-1* polys-0 lymphs-100 monos-0 02:57pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 02:57pm urine blood-tr nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 12:38pm glucose-141* lactate-14.4* na+-139 k+-3.6 cl--99* tco2-16* 12:38pm hgb-12.9 calchct-39 o2 sat-96 carboxyhb-0 met hgb-1 12:38pm freeca-1.19 12:25pm tsh-25* 12:25pm wbc-7.1 rbc-3.70* hgb-12.2 hct-36.4 mcv-98 mch-32.9* mchc-33.4 rdw-12.8 12:25pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg brief hospital course: neurological: mrs presented to the ed intubated and non-convulsive. there she received 1g of iv phenytoin and iv lorazepam. she received a lumbar puncture without complication and results were normal. an mri was performed also with normal findings. she weaned from the vent well and was extubated on hospital day 2. her neurological exam at this point was normal and she was continued on the dilantin for seizure prophylaxis. on day 2 she was transferred from the neuroicu to the neurology floor where she continued to do well with no seizure activity. she has been tapered down on the dilantin and will continue to be tapered over the next 6 days. in place of this she has been started on keppra which seems to have less problems with imbalance in the elderly. she is tolerating keppra well with no complaint of sedation. she will follow up with me in clinic one month from now. eeg performed showed non-specific slowing and no active seizures. cardiovascularly: had some 1st degree heartblock after the iv load of dilantin but was fine thereafter. hypertension initially managed in the icu with 10mg iv hydralazine q6 prn. once extubated, she was able to explain that she takes atenolol but she was unsure of her dose or where she gets her medications from. while waiting to hear back from her daughter, she was tentatively started on lopressor 12.5 to which she responded well. hydralazine was discontinued on transfer to the floor. the day following, her atenolol dose of 25mg daily was confirmed and she was switched from lopressor to atenolol 25mg daily. on the atenolol 25mg daily, she continued to be hypertensive with systolic pressures up to 180. she received a one time dose of hydralazine 5mg iv for immediate treatment and was then started on atenolol 37.5 mg and lisinopril 10mg daily the following morning. she is currently normotensive and tolerating the new regimen well. resp: intubated in the field and weaned and extubated on hospital day 2 without any complication. no other pulmonary issues on this admission. received heparin subcut. tid while in house for dvt/pe prevention. endocrine: after admission to the neuroicu she was found to have a tsh of 35. this was repeated two days later at 7, with normal t4 and ft4 and a slightly low t3. the endocrine service was consulted and recommended that this was likely just euthyroid sick syndrome and that the patient should just be continued on her levoxyl dose of 25mcg with tsh and ft4 levels to be checked by pcp for follow up as out patient. gi: no issues. received protonix 40mg daily as prophylaxis. renal: no issues. id: no signs of infection during hospitalization. medications on admission: atenolol 25mg daily premarin 0.625 daily synthroid 25mcg daily discharge medications: 1. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 3 days. disp:*6 capsule(s)* refills:*0* 3. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po daily (daily) for 3 days. disp:*3 capsule(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. levetiracetam 500 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). disp:*60 tablet(s)* refills:*2* 6. levetiracetam 500 mg tablet sig: three (3) tablet po qpm (once a day (in the evening)). disp:*90 tablet(s)* refills:*2* 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*0* 10. atenolol 25 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*2* 11. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed. disp:*1 * refills:*0* 13. lorazepam 2 mg/ml syringe sig: injection prn (as needed). disp:*6 * refills:*2* discharge disposition: extended care facility: on - discharge diagnosis: seizure disorder discharge condition: doing well with no seizure activity since admission and no complaint of side effects. discharge instructions: you had a seizure. under the law, it is recommended that you do not drive for the next 6 months. also, although you are on an anti-seizure medication you may still have seizures, therefore avoid swimming alone and baths. if you notice any symptoms similar to the last episode or strong weakness on one side, go to the nearest emergency department. followup instructions: - you are schdeuled to go to a short term rehabilitatoin facility. - you are also scheduled for a follow up visit with dr. in neurology clinic on at 4:00pm at the clinical center on the of . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung diagnoses: unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified unspecified acquired hypothyroidism other convulsions euthyroid sick syndrome 

Answer: The patient is high likely exposed to