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: the patient is a 58-year-old man who was transferred from for evaluation of weakness and numbness for the past 72 hours. the patient works as a limo driver to the state of and is a physically demanding job. last wednesday prior to admission the patient contracted a flulike illness and then experienced malaise and general body weakness over the next few days. over the weekend prior to admission the patient continued to have this flulike illness with diarrhea present. on the monday, 24 hours prior to admission the patient called in sick to work because of the flu like illness and at 5:00 p.m. noticed that his legs were stiff and tired. he went out for a beer with his friends and from 5:30 to 6:30 noticed that he could not get out of his chair. after repeated attempts to get out of the chair that were unsuccessful the patient called ems and was transferred to . the patient was tentatively diagnosed with guillain- syndrome as they noticed the pattern of ascending weakness and transferred him to the for further workup. the patient did report that he felt sensory changes relating to ankles spreading down to his toes 24 hours prior to admission after he had taken a nap on monday. these sensory changes were unchanged on his presentation to the . when i first came in to evaluate the patient he provided the history above but rejected my questions many times and stated that he did not seek admission at this time after being cleared by psychiatry as competent. the patient agreed to being admitted to the hospital for further workup. physical examination: the patient's temperature was 97.3 f. blood pressure 194/180. heart rate 78. respiratory rate 20. on initial physical examination the patient had pertinent positives as follows: the patient was in mild respiratory distress. neck was supple with no midline tenderness, no lymphadenopathy. lungs showed moderately low total volume and were clear to auscultation bilaterally. cardiovascular exam was regular rate and rhythm with no murmurs, gallops or rubs. extremities showed good peripheral pulses and no edema. abdomen was soft and nontender. on rectal examination the patient had stool in the vault with good rectal tone. on back there was no tenderness. on neurologic examination, mental status the patient was awake, alert, oriented, cooperative, fluent, following commands. on cranial nerve examination, gaze was midline. pupils were equal and reactive to light and accommodation. extraocular muscles are intact. the patient had full facial strength and sensation. uvula, palate were midline. on motor examination, the patient had 5/5 strength in the upper extremity and lower extremity the patient had a the iliopsoas, at the quadriceps, 4+/5 knee flexors, dorsiflexors of foot and 4+/5 plantar flexors of the foot. on sensory exam, strength, position sense and pin prick were impaired from the ankle down to the toes bilaterally in a stocking distribution. on reflex examination notably the patient was areflexic in both upper and lower extremities. toes were downgoing bilaterally. on coordination exam, the patient finger-nose-finger were not ataxic. the patient was too weak to perform heel-to-shin without bias. laboratory data: the patient had nif of 32 on vital capacity on one to two liters. screening complete blood count showed white blood cell count 18.1. normal chem 7, ck, liver function tests. lumbar puncture showed three white blood cells, zero red blood cells, total protein of 46 and glucose of 79. gram stain was negative. cultures are pending which turned out to be negative. chest x-ray showed a left lower lobe pneumonia. emg obtained on was consistent with acute generalized acquired demyelinating sensory motor polyradicular neuropathy consistent with guillain- syndrome, acute inflammatory demyelinating polyneuropathy. the patient had negative cytology on lumbar puncture. hospital course: the patient was immediately admitted to the intensive care unit with emergent management of respiratory status as the patient's nif was concerning a negative 32. the patient was monitored in the intensive care unit for 48 hours and subsequent q.4h. nifs and forced vital capacities demonstrated the patient was stable from a respiratory point of view. his strength in his upper extremities was unchanged for 48 hours and his lower extremities his exam was unchanged for 48 hours. the patient was then transferred to the general medical floor. on the transfer the patient was covered with ceftriaxone for a left lower lobe pneumonia. on the general medical floor the patient's weakness from day four through day 11 of hospitalization continued to involve his upper extremities, as the patient had serial motor exams documented at his bedside on a work sheet. motor exams demonstrated that the patient developed distal greater than proximal weakness in a at finger flexors and finger extensors distally and 4-/5 at triceps and deltoids proximally. on day seven of admission the patient also developed a facial diplegia involving frontalis ovicularsorus and ocular muscles. vigilant pulmonary monitoring was continued on the general medical floor and the patient's nif had forced vital capacities, remained stable at an average of 1.1 and -70 the 80. the patient was also noted to be diaphoretic during this time of admission and had several blood pressure drops and falls consistent with the autonomic debility seen in guillain- syndrome. the patient's blood pressure was treated with captopril 12.5 mg p.o. three times a day and hydralazine 5 mg intravenous p.r.n. only for systolic blood pressures greater than 200. the patient was also maintained on heparin subcutaneous and meticulous nursing care to prevent ulcers and deep vein thrombosis in his lower extremities which are weak and bed bound. plasmaphoresis was started in the intensive care unit and five treatments were given through the patient's course on the general medical floor. because of the development of the facial diplegia and new upper extremity weakness the patient immediately received five treatments of intravenous immunoglobulin over the next five days from hospital day 11 to 15. the patient's motor exam remains stable over this time and on day 14 of hospital admission the patient's motor exam dramatically improved as his lower extremities were 4+/5 and the patient's upper extremities also improved to a 4+/5 distally. the patient's facial diplegia was unchanged at this time. the patient had several speech and swallow evaluations and it was determined that the patient was able to tolerate food although it did show small amounts of aspiration. the patient was then prophylactically started on flagyl for aspiration pneumonia in addition to ceftriaxone and the patient completed 14 day courses of each. during the patient's time on the general medical floor he developed diffuse sensory polyneuropathy with diffuse loss to pin prick and soft touch bilaterally. the patient was maintained on gabapentin 300 mg p.o. three times a day for the polyneuropathy. the patient was also maintained on famotidine 20 mg p.o. twice a day. the patient's social situation was complicated as he needed mass health free care and placement with a rehabilitation facility. social workers on the neurology team worked diligently to arrange for the patient to have his first choice and priorities met while taking care of administrative issues related to the patient's insurance. on the general medical floor, nifs and fvcs through were stable with fvcs of 1.2 and nifs of -70 to 80. the patient's last chest x-ray on showed residual infiltrates at the site of left lower posterior segments of consolidation suggesting resolving pneumonia. the patient is now having an improving neurologic exam with residual sensory deficits and facial diplegia. this dictation will be addended prior to discharge with discharge medications and orders. , m.d. dictated by: medquist36 procedure: spinal tap incision of lung therapeutic plasmapheresis diagnoses: pneumonia, organism unspecified unspecified essential hypertension drug-induced delirium acute infective polyneuritis 

Answer: The patient is high likely exposed to