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 / ceftazidime / tegretol attending: chief complaint: increased seizure frequency. major surgical or invasive procedure: placement of midline intravenous line history of present illness: ms. is a 38 year old woman with a history of rassussen's encephalitis, s/p partial left hemispherectomy and intractable epilepsy who was transferred from hosptial for a flurry of seizures on the day of admission. she was recently admitted to the epilepsy service with increased seizure frequency in the setting of enterococcal bacteremia (uti). she was started on vancomycin/gent and her central line was discharged. a new, left femoral line was placed. further work-up included a tte which was negative and a ct chest and neck to evaluate for hardware infection which was also unrevealing. a picc line was placed and she was discharged to a nursing home to complete 2 week course of iv vanco. during her admission, her seizure frequency decreased as her infection was treated and she had no seizures after . she was discharged on . her mother was not pleased with the care at her nh and believes that was having seizures there on saturday. she saw at least 3 events where she flexed her arms (right>left) and and eyes deviated to the right or upwards. she seemed to return to her baseline afterwards. her mother reported these events to staff who told her that these were not seizures (though according to her mother, has had similar seizures in the past). this morning, had 3 "generalized tonic-clonic" seizures within 30 minutes each lasting about one minute. she was found to be febrile to 101.5. she was given 1 mg ativan at 6:15am without effect. her magnet was not used (mother does not believe has a magnet). she continued to have frequent events and was transferred to where she had several more seizures consisting of eye deviation to the right and "tonic-clonic" movements of her arms. her mother did not witness these events. at the osh, she had a head ct which was negative. she received 2mg im ativan x3. her left picc line appeared to be clotted and a left femoral line was placed. 1g of iv vanco was given. she was then transferred to for further care. according to her mother, has been doing fairly well since discharge with the exception of the witnessed seizures noted above. she has not had cough, sob, abdominal pain/distention, or diarrhea since discharge. her usual seizures consist of right face and arm jerking with right eye deviation. she usually has seizures per month. she rarely has generalized convulsions. past medical history: 1. encephalitis 2. epilepsy 3. partial left hemispherectomy at age 19 complicated by right hemiparesis and partial aphasia 4. mental retardation 5. left thoracolumbar scoliosis 6. vagal nerve stimulator 7. aspiration pneumonias in the past 8. s/p peg placement using t tube 9. s/p tracheostomy 10. mrsa line infection in the past 11. recent admission for urosepsis (enterococcus), discharged (as above) social history: no history of tobacco, alcohol, illicit drug use. family history: unremarkable. physical exam: t101 hr84 bp104/59 rr27 sat100 on ra gen nad, smiling and interactive heent: sclera anicteric, moist oral mucose, op clear neck supple, trach in place, c/d/i chest coarse bs throughout cvs rrr, no m/r/g abd soft, nt, nd, +bs, g-tube site c/d/i ext no c/c/e, left ue picc line site clean, no erythema/calor. left femoral line intact, no hematoma. extremities warm and well perfused. neuro ms - awake, says her name, and nods head to multiple choice question regarding location, but not able to state date. interactive smiles, nods and waves appropriately. follows commands (midline and appendicular). speaks in word phrases. able to point to mom, nose, door. does not repeat or name. pupils equal, round and reactive 3 to 2mm bilaterally, does not blink to threat from right. r exotropia, large amplitude l beating nystagmus in primary gaze and in all directions of gaze. +decreased excursion of right lower face. turns head to voice. tongue protrudes midline, movements slow. motor increased tone in right arm/leg >>left. moves l arm and leg spontaneously and lifts and holds against gravity. r arm and leg do not move spontaneously, able to wiggle fingers and toes on right, otherwise no movement. reflexes: areflexic throughout toes upgoing bilaterally sensory: localizes light touch/tickle througout gait/coordination: unable to assess pertinent results: admission labs: wbc-5.9# rbc-3.39* hgb-10.4* hct-31.3* mcv-92 mch-30.6 mchc-33.2 rdw-13.6 plt ct-292 neuts-60.8 lymphs-35.4 monos-3.3 eos-0.3 baso-0.2 pt-14.1* ptt-30.4 inr(pt)-1.3* glucose-101 urean-14 creat-0.6 na-136 k-4.3 cl-101 hco3-26 alt-54* ast-39 alkphos-201* totbili-0.3 phenoba-35.5 phenyto-11.0 . micro: blood, urine, and catheter tip negative urine negative blood cultures grew pseudomonas blood cultures and femoral line grew pseudomonas blood cultures grew pseudomonas catheter tip with pseudomonas and vre surveillance blood cultures negative sputum grew pseudomonas stool negative for c.diff . studies: ct head - stable apperance of the brain, compared to . no edema or mass effect. . ct chest/abd/pelvis - findings consistent with right upper lobe pneumonia. aspiration could be considered. no evidence of ileus or abscess. peg in place. . u/s ue - dvt within the left brachial veins. normal rue. . cta chest 1. no evidence of central, lobar, or segmental pulmonary embolism. limited evaluation of subsegmental pulmonary artery is due to slow contrast injection through a central line. 2. near complete resolution of right upper lobe consolidation and a new consolidation in the superior segment of the right lower lobe. these findings are suggestive of recurrent aspiration. . brief hospital course: 1 epilepsy: patient was admitted with increased frequency of seizures and development of possible generalized tonic-clonic seizures. she was continued on her keppra, dilantin, and phenobarbital. she received ativan prn increased frequency of facial seizures or seizures lasting longer than 3 minutes. her eegs showed spike and wave discharges that were seen broadly over the left hemisphere but were most prominent in the left fronto-central region; additionally, there were episodes of facial twitching associated with rhythmic movement artifact over the right side of the electrode leads but no obvious electrographic seizure (though evolution of both clinical and eeg appearance consistent with seizures). clinically, the patient did not have generalized appearance to seizures (ie, gtcs) though on eeg monitoring, there were several apparent electrographic seizures with a generalized distribution picked up only on seizure detection programs. as these did not correlate with push-button events, it was not possible to determine what clinical correlate occurred or how long these events lasted. although she had seemed to have increased seizure frequency both at admission and in the micu, when she returned to the floor, she seemed to be at her seizure baseline, with many focal right face twitches during the day but no generalized convulsions. she was discharged on an anticonvulsant regimen including keppra 1500mg po bid, phenytoin 200/100/100mg daily and phenobarbital 60/60/90mg daily. of note, per her neurologist, dr. , her seizure protocol is as follows: seizure protocol: for any seizure spreading beyond the face, swipe magnet over left upper chest for one second, and may repeat x 1 after 1 minute if seizure continues. if seizure beyond the face continues x more than 2 minutes total, give 60 mg phenobarbital via g-tube (may give at any time even if daily dose just given). maximum one such extra dose per day. call dr. office if extra dose given. if seizure beyond the face continues x more than 5 minutes total, call 911. . 2 sepsis / pseudomonas and vre: the day after admission () the patient developed hypotension on the floor and was transferred to the micu where she was found to have pseudomonas bacteremia. she was initially covered with levofloxacin/gent, then started on ceftazidime on (despite reported "kidney" allergy) with good result and returned to the neurology service for a short period of time on until she became hypotensive again. she returned to the micu for sepsis requiring both vasopressin and levophed, blood cultures and catheter tip cultures grew vre and pseudomonas. she was started on linezolid on . she was weaned from all pressors on with a stable sbp 90-100's. she was transferred back to the floor, and remained afebrile and hemodynamically stable on this regimen. she had no further growth from surveillance cultures from to . a picc line was placed on . she completed a 10 day course of linezolid and a 21 day course of ceftazidime. 3 tachypnea: on the floor, she had several episodes of transient tachypnea thought to be associated with mucus plugging or increased secretions, as they resolved with suction through trach. repeated chest x-rays were negative for pneumonia. for tracheal stenosis, the patient has a t-tube in place and needs trach care. she was continued on albuterol and ipratropium nebs. 4 gi: repeatedly pointed to her belly when asked if she was in pain; she did this during the first admission and had an abdominal ct and later several kubs that showed a chronic ileus. because of this chronic finding, stooling was followed as a measure of gut motility; erythromycin was added to simethicone for better gut motility. lfts and pancreatic enzymes were checked and were normal. 5 hyponatremia: during her second micu stay she became hyponatremic. the nephrology service was consulted, and they attributed this to her vasopressin, repeated lr boluses leading to fluid overload and siadh secondary to increased seizures. she was started on sodium tablets to help aid in the excretion of excess fluids. she diuresed well and sodium normalized. she was discharged off of sodium tablets. 6 left brachial vein dvt: l brachial dvt seen on ultrasound. no pe seen on cta of chest. unlikely to embolize from ue. no anticoagulation at this time. if the patient has a recurrence of bacteremia after discontinuation of antibiotics, would consider the possibility of a seeded clot in her lue. 7 fen: tolerating tf via peg tube, has adequate bowel regimen and receives simethicone prn for mild abdominal distention. she was also started on erythromycin for gastric motility. medications on admission: 1. levetiracetam 1500 mg po bid 2. phenytoin 100 mg po tid. 3. olanzapine 2.5 mg po bid 4. fluoxetine 20 mg po qam 5. ranitidine hcl 150 mg po qam 6. cetirizine 10 mg po qd 7. senna 8.6 mg po qam 8. docusate sodium 150 mg po bid 9. bisacodyl 10 mg suppository qhs 10. therapeutic multivitamin (10) ml po qam 11. naphazoline-pheniramine 0.025-0.3 % drops : one (1) drop ophthalmic tid 12. phenobarbital 60mg po bid and 90mg po qhs 14. magnesium hydroxide 30ml po q4-6h as needed for constipation. 15. albuterol sulfate 0.083 % solution 1 inhalation q6h as needed. 17. simethicone 40 mg po tid as needed for abdominal distension. 18. calcium carbonate 500 mg 1 po tid 19. lorazepam 0.5-1 mg iv q4h:prn cluster of 3+ sz in 30 minutes, or single seizure >3minutes 20. heparin flush (100 units/ml) 2 ml iv q12h:prn line flush 21. vancomycin in dextrose 1 g/200 ml piggyback : one (1) intravenous q 24h (every 24 hours) for 9 days: nine days of therapy left - last day. discharge medications: 1. levetiracetam 500 mg tablet : three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 2. olanzapine 2.5 mg tablet : one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 3. cetirizine 10 mg tablet : one (1) tablet po qd (). disp:*30 tablet(s)* refills:*2* 4. senna 8.6 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*2* 6. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po hs (at bedtime). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 7. therapeutic multivitamin liquid : five (5) ml po daily (daily). disp:*qs for one month .* refills:*2* 8. phenobarbital 30 mg tablet : two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. phenobarbital 30 mg tablet : three (3) tablet po hs (at bedtime). disp:*90 tablet(s)* refills:*2* 10. simethicone 80 mg tablet, chewable : one (1) tablet, chewable po qid (4 times a day) as needed. disp:*160 tablet, chewable(s)* refills:*2* 11. naphazoline-pheniramine 0.025-0.3 % drops : one (1) drop ophthalmic tid (3 times a day). disp:*qs for one month .* refills:*2* 12. acetaminophen 325 mg tablet : 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*2* 13. calcium carbonate 500 mg tablet, chewable : one (1) tablet, chewable po tid (3 times a day). disp:*90 tablet, chewable(s)* refills:*2* 14. albuterol sulfate 0.083 % solution : one (1) inhalation q4h (every 4 hours). disp:*qs for one month .* refills:*2* 15. ipratropium bromide 0.02 % solution : one (1) inhalation q4h (every 4 hours). disp:*qs for one month .* refills:*2* 16. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 17. erythromycin ethylsuccinate 200 mg/5 ml suspension for reconstitution : one (1) po q12h (every 12 hours). disp:*qs for one month .* refills:*2* 18. phenytoin 50 mg tablet, chewable : two (2) tablet, chewable po bid (2 times a day). disp:*120 tablet, chewable(s)* refills:*2* 19. phenytoin 50 mg tablet, chewable : four (4) tablet, chewable po qhs (once a day (at bedtime)). disp:*120 tablet, chewable(s)* refills:*2* discharge disposition: home with service facility: offered home care services from vna, declined by group home discharge diagnosis: vre sepsis, resolved pseudomonas sepsis, resolved epilepsy dvt discharge condition: seizures at baseline for patient (see above), pressures remain in systolic 80-100mmhg range, which is this patient's baseline. discharge instructions: please md or return to the ed if the pt develops high and prolonged fever, or increased seizure frequency (she has many focal motor seizures that appear as facial twitches during the day, but should not be having generalized convulsions). please continue present medication regimen and attend all follow-up appointments. seizure protocol: for any seizure spreading beyond the face, swipe magnet over left upper chest for one second, and may repeat x 1 after 1 minute if seizure continues. if seizure beyond the face continues x more than 2 minutes total, give 60 mg phenobarbital via g-tube (may give at any time even if daily dose just given). maximum one such extra dose per day. call dr. office if extra dose given. if seizure beyond the face continues x more than 5 minutes total, call 911. followup instructions: provider: , rn phone: date/time: 10:00 provider: , md phone: date/time: 11:00 pt should follow-up with her primary care doctor within 2 weeks after discharge. phenytoin and phenobarbital levels should be checked once per month. procedure: venous catheterization, not elsewhere classified injection or infusion of oxazolidinone class of antibiotics video and radio-telemetered electroencephalographic monitoring diagnoses: pneumonia, organism unspecified hyposmolality and/or hyponatremia sepsis other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure pneumonitis due to inhalation of food or vomitus infection and inflammatory reaction due to other vascular device, implant, and graft accidents occurring in residential institution gastrostomy status pseudomonas infection in conditions classified elsewhere and of unspecified site tracheostomy status unspecified intellectual disabilities septicemia due to pseudomonas generalized convulsive epilepsy, with intractable epilepsy 

Answer: The patient is high likely exposed to