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: history of present illness: mr. is a 57 year old gentleman with a past medical history of parkinson's disease, depression, anxiety, seizure disorder, coronary artery disease status post inferior myocardial infarction, who was found to be confused and walking in the streets disoriented on the evening of the 14th. ems was called and he was brought to where he had an altered mental status. in the emergency department, he was found to have an ck to 5,000, negative mb fraction of less than 1% with a positive up to 20. he had no ekg changes, however, he did have evidence of an inferior myocardial infarction with qs in the inferior leads with a tall r wave in v2 consistent with a posterior involvement. the patient also had a bedside echocardiogram in the emergency department which showed an ejection fraction of approximately 30% with left ventricular dilation and global left ventricular dysfunction, one plus aortic regurgitation, three plus mitral regurgitation. the patient was found to have a white count to 17.4, being afebrile and an anion gap was 17 with ketones in his urine. he had a negative head ct scan. he had an lumbar puncture with 560 red blood cells in tube four, 470 in tube one, one white blood cell, protein 49, glucose 70, no pmns, no organisms on gram stain. the patient initially received a dose of ceftriaxone, acyclovir and vancomycin. the patient had a follow-up mri / mra with no abnormalities. the cardiology team was consulted and did not feel that the patient was having an acute event that required cardiac catheterization at the time of admission, and that the patient's neurological mental status was more important as an acute issue. they recommended medical management. the patient was started on aspirin, beta blocker, ace inhibitor and a statin. neurosurgery was consulted regarding the red blood cells in the lumbar puncture tube. they recommended an mri which showed no acute bleed or acute parenchymal process. over the patient's emergency department course, the patient's mental status improved. he was alert and oriented times three. he did not recall the events of the day of admission. he said he has been under a lot of stress with his car being stolen last week. he also reported running out of his medicines and not taking them. he reports having dreams that are like seizure-like events in the evening. he does not recall when his last seizure was except for this "seizure events". past medical history: 1. history of seizure disorder. 2. parkinson's disease. 3. coronary artery disease. 4. depression. 5. anxiety / post-traumatic stress disorder. allergies: no known drug allergies. medications as an outpatient: 1. lamictal 150 twice a day. 2. venlafaxine. 3. klonopin 1 twice a day. 4. lorazepam 1 q. h.s. 5. sinemet 25/100 three times a day. 6. sinemet cr 50/200, one tablet four times a day. 7. mirapex one three times a day. 8. he had a history of taking metoprolol 25 twice a day, although according to his primary care physician who was consulted, she said that he was noncompliant. social history: the patient lives alone. he had been a mail carrier until a car accident. he was in a motorcycle accident in . since then, he has been on disability. parkinson's for six years. care in the va system with dr. at the va as the patient's primary care physician. physical examination: on presentation, temperature 98.0 f.; pulse 96; blood pressure 133/60; respiratory rate 20; saturation of 100% on room air. he was alert and oriented times three, disheveled. pupils are equal, round, and reactive to light and accommodation. extraocular muscles are intact. anicteric sclerae. no lymphadenopathy, no jugular venous distention. no bruit. clear to auscultation bilaterally. he has no wheezes, rales or rhonchi. heart is s1, s2, regular rate and rhythm, no murmurs, rubs or gallops. abdomen was nontender, nondistended, soft, with active bowel sounds. he had no cyanosis, clubbing or edema. cranial nerves ii through xii were intact. he had a pill rolling tremor at baseline with increased cogwheel rigidity. laboratory data: on admission, white blood cell count was 17.4, and this was decreased to 12 on the day of discharge. hematocrit was 39 at admission; 31.7 on the day of discharge. platelets were 259 at date of admission and 208 on the date of discharge sodium 137, potassium 4.6, chloride 101, bicarbonate 19 with a gap of 17. bun 36, creatinine 1.0. these were all admission labs on the day of discharge. the patient's creatinine was down to 0.8, bun down to 18, anion gap was down to 7. when the patient presented, he had ketones in his urine. his toxicology screen was negative for alcohol and all other substances. his glucose was within normal limits. his calcium was 8.8, magnesium 2.0, phosphorus 3.1, lactate was 1.0. when he presented, ck 5,712; on the day of discharge, this was down to 1900. on admission his mb index was less than 1.0, his was 20 at admission. his mb index is 0.5 on the date of discharge, and his was 6 on the date of discharge. albumin 3.7, total cholesterol 201, triglycerides 48, hdl 45, ldl 146, b12 331, folate 5.5, tsh 1.8. the patient's lamictal level is pending. the patient's ekg shows sinus tachycardia on admission, left axis deviation, left ventricular hypertrophy as per avl greater than 11 millimeters. he has q waves in the inferior leads and a tall r in v2 consistent with an old inferior posterior myocardial infarction. hospital course by problem: 1. this is a 57 year old male who presents with delta ms , cks with flat mb index. for delta ms includes post-ictal state status post seizure. the patient mentions having events at night that were consistent with seizures but he was not sure if they were dreams or he was dreaming about having seizures, or actually having seizures. delirium secondary to alcohol withdrawal, but his tox screen was negative, although the ketones in his urine and the anion gap were within normal limits, glucose is suggestive of alcoholic ketosis; possible encephalitis but the patient's lumbar puncture and mri/mra were not consistent with this; secondary to psychiatric manifestations of his neurological disorder. the patient carries a diagnosis of parkinson's and possibly could have body involvement. neurology was consulted and was following the patient. an eeg was ordered but the patient refused to participate in the eeg as it would involve the removal of his hairpiece. the patient was continued on his lamictal 150 twice a day on his sinemet 25/100 three times a day, sinemet cr 50/200 four times a day, mirapex one three times a day. he was also continued on his venlafaxine and received ativan as well p.r.n. for agitation. psychiatric saw the patient and generally thought his picture was one of resolving delirium. his mental status has gradually improved during his course, although he does have episodes of confabulation, flat affect and poor insight into his overall medical condition. the patient has threatened to leave against medical advice multiple times during the hospitalization. psychiatric has seen him and felt that he is unable at different times to have insight and weigh the pros and consequences of his leaving the hospital against medical advice at the current time. 2. : due to the high at 20, the patient denies any chest pain and no ekg changes. the patient either had a silent non-st elevation myocardial infarction or demand ischemia possibly secondary to arrhythmia that may have lead to the patient being down. the cks are consistent with rhabdomyolysis not secondary to a large st elevation myocardial infarction as the mb index was negative. the patient was placed on beta blocker, 37.5 three times a day, aspirin 81 q. day; ace inhibitor 12.5 three times a day of captopril and 10 q. day of lipitor. the patient had an echocardiogram repeated at the bedside. ejection fraction was less or equal to 25%. right atrium mildly dilated and left atrium mildly dilated. left ventricular cavity mildly dilated. severe global left ventricular hypertrophy, overall systolic left function severely depressed. right ventricular chamber size is normal. right ventricular systolic function appears depressed. the aortic root is normal in diameter. four plus mitral regurgitation, trivial tricuspid regurgitation, and trace aortic regurgitation. 3. anion gap acidosis: secondary to ketones, alcohol, starvation. the patient's anion gap resolved after hydration. 4. leukocytosis: the patient was afebrile with no evidence of fever. on his hospital stay, blood cultures, urine cultures, sputum cultures were negative. chest x-ray showed no evidence of congestive heart failure or pneumonia. white count decreased to 12 and no evidence of infection. 5. nutrition: the patient received intravenous fluids secondary to rhabdomyolysis and his anion gap. as both of these resolved, the fluids were discontinued. the patient was taking p.o. with a cardiac heart healthy diet and low sodium. 6. prophylaxis: the patient was initially on pneumoboots and subcutaneous heparin and then was ambulating and requiring these discontinued. taking p.o. and not requiring any gastrointestinal prophylaxis. he is full code. discharge diagnoses: 1. change in mental status, delirium. 2. myocardial infarction. 3. coronary artery disease. 4. hyperlipidemia. 5. hypertension. 6. parkinson's. 7. seizure disorder. 8. post-traumatic stress disorder. 9. anxiety. discharge medications: 1. cardiolevodopa cr 50/200, one tablet p.o. four times a day. 2. lipitor 10 mg p.o. q. day. 3. captopril 12.5 mg p.o. three times a day. 4. lorazepam 1 mg p.o. three times a day. 5. metoprolol 37.5 mg p.o. three times a day. 6. aspirin 81 mg p.o. q. day. 7. lamotrigine 150 mg p.o. twice a day. 8. mirapex 1 mg p.o. three times a day. 9. venlafaxine 450 mg p.o. three times a day. 10. cardiolevodopa 25/100, one tablet p.o. three times a day. 11. folic acid 1 mg intravenously q. day. 12. thiamine 100 mg intravenously q. day. 13. acetaminophen 325 to 650 mg p.o. q. four to six hours p.r.n. dr., c. 12-869 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube implant of pulsation balloon removal of external heart assist system(s) or device(s) open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders other convulsions paralysis agitans acute myocardial infarction of other inferior wall, initial episode of care primary pulmonary hypertension diastolic heart failure, unspecified delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to