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: hia wife reports mr had three generalized clonic - tonic seizures major surgical or invasive procedure: ett history of present illness: the patient is a 73 year old man with a history of tia in , left temporo-occipital stroke in with severe left inferior mca stenosis on coumadin, hypertension, and hyperlipidemia who presents with 3 gtc seizures. this history is taken from the medical record. per his wife, he was in his usual state of health when they went for a walk together, when he fell to the ground, became stiff, and had a gtc that lasted less than 5 minutes. this resolved, and the patient was taken to . in the ed, vitals were temp 100, hr 140, bp 222/106, rr 20, sao2 100% on nrb, fsbg 95. he was reportedly incontinent of urine, responded to name but was not following commands. head ct showed no evidence of hemorrhage or acute edema, there was evolution of left temporal and parietal/occipital infarction, and sinus disease. at approximately 17:15 he had seizure activity and rigid body movements, and was given ativan 2 mg iv x1. he was intubated with etomidate 20 mg iv x1 and succs 120 mg x1, but there was no color change, so the et tube was removed and he was bagged. they attempted to place nasal tube for intubation, but there was trauma with insertion. anesthesia was called to intubate, and he was given etomidate 20 mg x1 and succs 150 mg x1. he was started on a propofol gtt. he had possible seizure activity after the intubation with his head moving side to side, and was given ativan 1 mg iv x1. neurology was consulted, and an lp was performed. he was started on ceftriaxone 2 gm iv and transferred to the micu. in the micu, he was also started on vancomycin 1 gm iv q12 hr, ampicillin 2 gm iv q6 hr, acyclovir 800 mg iv q8hr. all but the acyclovir were subsequently discontinued when his lp came back with 0 wbc. past medical history: - l inferior division mca stroke here in , found to have soft clot in vertebral arteries, as well as l mca intracranial stenosis of the inferior division. tee was negative. he was discharged with residual wernicke-type aphasia on coumadin after being admitted on aggrenox for a prior tia in - htn - hyperlipidemia - pernicious anemia/b12 deficiency - hx prostate ca s/p radical prostatectomy - hx l orbit lymphoma (malt-) yrs ago, s/p xrt; had intracerebral lesion discovered on mri, had further w/u including pet scan at farber or - felt to be small avm that bled - hx tremor at rest x 3 mo, due to see dr. - pna - l5-s1 disc herniation - s/p ccy - s/p l inguinal repair social history: lives with wife, formerly worked as ophthalmologist at ; no tob, rare etoh, drugs. family history: father had mi age 58 yo; his mother reportedly had multiple tias and then had stroke or mi at age 75 years physical exam: vs: temp 101.7, bp 137/71, hr 90, rr 11, sao2 100% on cpap + ps genl: intubated, propofol weaned off for exam. opens eyes on command, does not squeeze bilateral hands on command heent: sclerae anicteric, no conjunctival injection, nasal packing in right nare cv: regular rate, nl s1, s2, no murmurs, rubs, or gallops chest: cta bilaterally anteriorly and laterally, no wheezes, rhonchi, rales abd: +bs, soft, ntnd abdomen neurologic examination: mental status: opens eyes on command, does not squeeze bilateral hands on command. cranial nerves: perrl 3mm->2mm bilaterally. corneal reflexes intact bilaterally. does not blink to threat. normal ocrs motor: normal bulk bilaterally, increased tone in the bilateral upper extremities. right side appears weaker than the left. withdraws all 4 extremities to noxious stimulus. localizes pain with the lue. no observed myoclonus or tremor. reflexes: 2+ and symmetric in biceps, brachioradialis, knees. 1+ an symmetric in triceps. 2 beats of clonus in the left ankle, no clonus on the right. toes upgoing bilaterally. pertinent results: ct head 08/ 27/ 08: 1. no evidence of hemorrhage or acute edema. 2. evolution of left temporal and parietal/occipital infarction. 3. sinus disease. cta head and neck: 08/ 27/ 08: 1. no areas of acute intracranial hemorrhage or acute infarction identified. 2. unchanged moderte-severe stenosis of the inferior division of left m2 branch with some flow noted and decreased caliber distally. 3. atheroslcerotic disease invovling the common carotid arteries at bifurcation causing moderate stenoses and mild at proximal cervical itnernalc arotid arteries, not significantly changed compared to cta of . 4. heterogeneous thyroid with multiple areas of low density and we would recommend ultrasound for further evaluation. 09/ 02/ 08 ct scan: no changes. 10:20pm glucose-131* urea n-18 creat-1.3* sodium-134 potassium-4.2 chloride-100 total co2-26 anion gap-12 10:20pm wbc-11.0 rbc-4.37* hgb-12.6* hct-35.5* mcv-81* mch-28.9 mchc-35.6* rdw-15.7* 10:11pm cerebrospinal fluid (csf) protein-57* glucose-86 10:11pm cerebrospinal fluid (csf) wbc-0 rbc-2* polys-2 lymphs-56 monos-42 08:17pm urine hours-random 08:17pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 06:15pm urine color-yellow appear-clear sp -1.014 05:40pm pt-15.0* ptt-31.1 inr(pt)-1.3* brief hospital course: the patient improved once intubated and treated with pht. he was bridged to keppra with good control of his seizures. a cns infection was ruled out and antibiotics were withdrawn, including acyclovir. he has remained normothermic with stable normal wbc values. he had no recurrent seizures. on 09 02 08 he fell down and hit his head without loc. a ct scan ruled out new hemorrhage. medications on admission: outpatient medications (per omr): -cyanocobalamin 100 mcg po daily -folic acid 1 mg po daily -hexavitamin 1 cap po daily -simvastatin 20 mg po daily -latanoprost 0.005 % drops 1 drop ophthalmic hs -timolol maleate 0.5 % drops 1 drop ophthalmic daily -aspirin 81 mg po daily -irbesartan 150 mg qpm -coumadin 6 mg alternating with 7.5 mg every other day discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 3. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic daily (daily). 4. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*30 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 7. ipratropium bromide 0.02 % solution sig: inhalation q6h (every 6 hours) as needed. 8. simvastatin 10 mg tablet sig: two (2) tablet po at bedtime. disp:*60 tablet(s)* refills:*0* 9. warfarin 4 mg tablet sig: one (1) tablet po at bedtime: on monday, wednesday and friday. disp:*30 tablet(s)* refills:*0* 10. coumadin 5 mg tablet sig: one (1) tablet po at bedtime: on tuesday, thursday, saturday and sunday. disp:*30 tablet(s)* refills:*0* 11. outpatient lab work inr follow up 12. levetiracetam 750 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* discharge disposition: extended care facility: for the aged - discharge diagnosis: generalized tonic clonic seizure (status epilepticus) in the context of previous right parieto-occipital hemorrhagic stroke discharge condition: the patient is back to his baseline. remarkable findings at discharge are: his attention spam is impaired: digit spam forward and backward are abnormal. he also has a right pronator drift. discharge instructions: you have had three episodes of generalized convulsions. you will be discharged on keppra 750 mg q12h. if you experienced mood changes or vomiting or pharyngitis, please contact your primary care doctor. followup instructions: you should follow up with dr. : please call to arrange for an appointment. procedure: spinal tap incision of lung insertion of endotracheal tube diagnoses: unspecified essential hypertension personal history of malignant neoplasm of prostate other b-complex deficiencies other and unspecified hyperlipidemia personal history of other lymphatic and hematopoietic neoplasms other late effects of cerebrovascular disease grand mal status long-term (current) use of anticoagulants personal history of irradiation, presenting hazards to health displacement of lumbar intervertebral disc without myelopathy 

Answer: The patient is high likely exposed to