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: altered mental status major surgical or invasive procedure: intubation history of present illness: 37 year old woman found with altered mental status and seizure-like activity by ems. the patient, who works in housekeeping, had after working for a prolonged period of time in a confined space with several cleaning solvents was noted to act in a confused manner. shortly thereafter, she lost her balance and fell. she proceeded to exhibit facial twitch, ocular fasciculations and upper exremity shaking. ems called. on arrival, ems noted pt was generally unresponsive and continuing to demostrate this seizure-like activity. pt given ativan and narcan. intubation in field unsuccessful pt bought to emergency department. in , pt still exhibiting decreased responsiveness with seizure like activity. pt afebrile p in 80's bp 168/80 hemodynamically stable. lactate on admission was 2.6. pt was sedated, intubated. started on ivf abg 7.36/42/394 1.5 h post intubation, repeat lactate 1.2. head ct showed no sign of bleed or mass effect. chest x-ray was normal. ekg revealed no sign of arrhythmia or ischemic changes. cleared for c-spine injury radiologically. per ed report, pt was found to be mentating appropriately, although agitated when sedation was lightened. transferred to micu for possible extubation. per husband, the patient has never had any similar episodes in past. she has no prior history of feeling dizzy or fainting. no history of heart disease or arrhythmias. no history of seizures. no recent sick contacts. past medical history: r eye injury during childhood, blind in that eye. pregnancy induced hypertension social history: per husband, no use of alcohol. no use of illicit drugs. married. have had some altercation with husband per one report. works in housekeeping, apparently having conflicts with supervisor, question of physical confrontation with supervisor. family history: no history of cardiac arrhythmia disorders, no history of seizure disorder physical exam: vital signs: temp 98.1 p 62 bp 107/53 ventilator setting: ac rr 14 tv 500 peep 5 fio2 0.6 general: intubated, sedated. head: ncat eyes: r eye pupil out, l eye pupil pinpoint, reactive to light. sclerae anicteric. nose: no blood, no edema. mouth: et tube in place. no tongue lacerations per earlier report. neck: collar in place, no gross deformities. no bruits. chest: anteriorly, coarse breath sounds bilaterally, no wheezes or rhonchi appreciated. heart: rr s1 s2 with no murmur rub or gallop. abdomen: obese, no scar, non-distended. no bowel sounds audible. no tenderness elicited, no rebound. no hepatosplenomegaly, no masses. extremities: warm, no trauma. no edema. dp pulse 2+ bilaterally. neurol: corneal reflex preserved. patellar reflex 2 + bilaterally. no babinksi sign. pertinent results: admission cbc: 07:00pm blood wbc-9.3 rbc-4.40 hgb-13.6 hct-38.7 mcv-88 mch-30.9 mchc-35.1* rdw-12.2 plt ct-221 07:00pm blood plt ct-221 03:06am blood neuts-80.4* lymphs-15.7* monos-3.1 eos-0.4 baso-0.2 . admission blood chemistry: 07:00pm blood glucose-128* urean-11 creat-0.8 na-140 k-3.5 cl-106 hco3-20* angap-18 07:00pm blood calcium-9.0 phos-2.6* mg-1.9 . admission lfts 07:00pm blood alt-23 ast-22 ck(cpk)-121 alkphos-95 amylase-21 totbili-0.2 serum toxicology screen 07:00pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . urine studies 08:00pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.0 leuks-neg 08:00pm urine rbc-0-2 wbc-0-2 bacteri-occ yeast-none epi-0 08:00pm urine ucg-negative 08:00pm urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg . arterial blood gases/lactate/carboxyhemoglobin: 07:04pm blood type-art ph-7.38 08:27pm blood type-art rates-/14 tidal v-500 o2 flow-1 po2-394* pco2-42 ph-7.36 calhco3-25 base xs--1 intubat-intubated 03:34am blood type-art po2-211* pco2-46* ph-7.34* calhco3-26 base xs--1 07:04pm blood glucose-135* lactate-2.6* na-144 k-3.6 cl-105 calhco3-24 08:27pm blood lactate-1.2 03:34am blood lactate-1.6 08:27pm blood o2 sat-99 cohgb-1 03:34am blood o2 sat-99 cohgb-0.0 . csf studies 04:33am cerebrospinal fluid (csf) totprot-25 glucose-70 04:33am cerebrospinal fluid (csf) wbc-2 rbc-0 polys-0 lymphs-100 monos-0 csf;spinal fluidgram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (pending): viral culture (pending): . imaging: head ct: there is no acute intracranial hemorrhage, shift of normal midline structures, or hydrocephalus. -white matter differentiation appears preserved. osseous structures and soft tissues appear normal. there is what appears to be a catheter anterior to the right orbit. small amount of air is also seen anterior to the right globe. the soft tissues appear normal otherwise. minimal mucosal thickening is seen within the ethmoid air cells. an endotracheal tube and ng tube are present. . c-spine: no fracture identified within the cervical spine. . head mri, : the ventricles and extra-axial spaces are normal in size. there is no evidence of midline shift, mass effect or hydrocephalus identified. there are no focal signal abnormalities seen in the brain on susceptibility-weighted images. no acute infarcts are seen. note is made of absence of lens in the right globe with difference in signal characteristics with high signal on flair images compared to the left side. clinical correlation recommended. . impression: no evidence of acute infarct or significant intracranial abnormalities on mri of the brain without gadolinium. mucosal thickening left sphenoid sinus. abnormal configuration and signal intensity of the right globe of the eye, clinical correlation recommended. . mra of the head: the head mra demonstrates normal flow signal within the arteries of anterior and posterior circulation. no evidence of vascular occlusion, stenosis or an aneurysm greater than 3 mm in size are noted. . impression: normal mra of the head. . neurological studies: eeg: no epileptiform activity was seen. there were two episodes of tachycardia without eeg changes noted. . brief hospital course: 37 year-old woman with no significant past medical history intubated for altered mental status with possible seizure activity, with small anion gap acidosis (resolved next morning) , negative toxicology screens, and normal imaging studies. transferred to micu for monitoring and possible extubation. chief differential is seizure, possibly secondary to toxic exposure. . on arrival to micu, pt hemodynamically stable, sedated, and intubated. lumbar puncture performed and revealed no evidence of meningitis or encephalitis. sedation was taken off at 8:15, and after pt passed spontaneous breathing trial, extubation was performed without incident. shortly thereafter, pt became briefly unresponsive with eye twitching and increased tone in lower extremities. this resolved spontaneously. neurology was consulted and eeg was performed. no evidence of seizure activity was apparent on this study. per neurology, no antiepileptics were given but a prn order for ativan was placed in case of any seizure like activity. . no evidence of cardiac arrhythmias were seen on ekg or telemetry over admission. blood cultures, urine culture, and csf culture from and pt. afebrile over admission, so infection was ruled out in etiology of the event. toxic-metabolic sources including hepatic encephalopathy were ruled out. no evidence of trauma on ct and mri of head. social work was consulted and met with pt. and her family about the assault. . it was felt that this episode was triggered by psychologic stress surrounding an altercation with her employer. she was started on celexa for depression and instructed to follow up with her pcp about depression and outpatient social work about the assault. medications on admission: no regular medications. occasional tylenol use. discharge medications: 1. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). disp:*1 bottle* refills:*2* 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever. 3. citalopram hydrobromide 20 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: pseudoseizure discharge condition: pt was breathing comfortably in room air, had no further seizure activity. discharge instructions: please take all medications as prescribed please call your doctor or go to the er if you have any fever, pain, shortness of breath, or any other symptoms that concern you followup instructions: please call your doctor, dr. , to make an appointment within the next 10 days. the number for his office is . md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube diagnoses: conversion disorder 

Answer: The patient is high likely exposed to