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: lisinopril attending: chief complaint: nausea, vomiting, headache, altered mental status. major surgical or invasive procedure: lumbar puncture, history of present illness: hpi: this is a 57 yo f with a history of dm2, gastroparesis, blindness presented to the ed c/o n/v and was found to be febrile to 101.8, hypertensive to 208/96 and hyperglycemic to the 400's. she received labetalol iv x 1 and 10mg iv insulin x 3 with little response to her blood glucose and was then initiated on an insulin gtt. she had some coffee ground emesis and an ngt was attempted to be placed but the patient refused. her exam was notable initially for a&o3 and mild epigastric ttp. she was admitted to the icu for further management while on insulin gtt. . on arrival to the micu, the patient was somnolent and intermittently responded to questions. she was no longer following all commands, and was disoriented to place and time. fs was in the 400's on the insulin gtt, her temp was 99.6, her o2 sat was in the 90's, she was placed on minimal o2 by nc for additional support. she did not appear to be seizing. she was sent for stat head ct which was negative for bleed/mass effect. she was started on ivf for ?hyperosmolar ketoacidosis and meningitic dosing of ctx, vanco and acyclovir. she denied headache. lp performed. past medical history: dm2 neuropathy retinopathy with blindness gastroparesis s/p ccy social history: no etoh/tobacco. married. family history: non-contributory physical exam: vs: 99.4, 163/67 (133-167/77-96), 75 (75-91), 18, 100% ra bs: 197, 167, 146, 261, 113 gen: nad, aaox3. lying in bed appears somewhat uncomfortable but able to speak clearly and answer questions appropriately. heent: at, nc, fixed surgical pupils 2mm. eomi, no conjuctival injection, anicteric, op clear, mmm, neck supple, no lad, no carotid bruits cv: rrr, nl s1, s2, ii/vi sm at rusb pulm: ctab, no w/r/r with good air movement throughout abd: soft, nt, nd, + bs, no hsm ext: very warm, dry, +2 distal pulses bl, no femoral bruits, no edema neuro: cn iii-xii grossly intact, 5/5 strength throughout. wiggles toes and squeezes hands to command. pertinent results: 10:25pm lactate-2.7* 10:20pm glucose-493* urea n-42* creat-1.5* sodium-137 potassium-4.2 chloride-98 total co2-21* anion gap-22 05:02pm lactate-2.9* 03:45pm urine hours-random 03:45pm urine gr hold-hold 03:45pm urine color-yellow appear-clear sp -1.018 02:40pm glucose-470* urea n-40* creat-1.3* sodium-134 potassium-4.8 chloride-94* total co2-23 anion gap-22 02:40pm estgfr-using this . lp: 5 wbcs, 1675 rbcs, 59p 33l 8m, protein 63, glucose 233, ldh 33 viral culture negative bacterial culture negative hsv-pcr 1 and 2 negative . : cxr - findings: ap upright and lateral views of the chest are obtained. lung volumes are somewhat low, which limits evaluation. however, there is no evidence of pneumonia or chf. no pleural effusions or pneumothorax is seen. cardiomediastinal silhouette is unremarkable. visualized osseous structures appear intact. scoliosis is noted in the lumbar spine. . : no acute pathology. no evidence of sbo. . : nc head ct 1. no intracranial hemorrhage. 2. frontal lobe predominant mild sulcal prominence, and associated subcortical white matter hypodensity. unclear if this represents chronic small vessel ischemic change, versus a white matter inflammatory or infectious process. mri may be helpful for further evaluation. brief hospital course: 57 yo f with dm2, gastroparesis, admitted for fevers and hyperglycemia found to have altered mental status of unclear etiology, likely associated w/ hyperglycemia and a possible aseptic meningitis. . # altered mental status: most likely d/t infection. fevers at admission were consistent with infectious cause for altered ms. csf (see above) showed low wbc with elevated rbcs, likely traumatic tap. gram stain and cultures were negative. mri showed small vessel ds. patient was treated empirically with ceftriaxone, vancomycin, and acyclovir at meningitis dosing. ceftriaxone and vanco were discontinued when her csf cultures came back negative and her mental status returned to baseline. acyclovir was discontinued when her hsv pcr returned negative. while in the micu, her mental status progressively improved to baseline. at time of transfer to the floors she was mentating and speaking clearly. . # htn: on admission patient was hypertensive to 200s/90s. she was treated temporarily with hydralazine and metoprolol but these were discontinued. at time of transfer to the medical floors her blood pressure was well controlled with her home dose of diovan. as she recovered on the medical floors her blood pressure increased slightly to 180-190/60-70s at time of discharge. she may require additional antihypertensives as outpatient. . # dm2: at time of admission patient required insulin drip to maintain normoglycemia. this was subsequently switched to riss with q2-4 hour fingersticks. as her mental status improved she was on po diet and her home insulin regimen. at time of transfer to floors she was taking 35u glargine qhs (her home dose) and riss. her sugars were well controlled until day before discharge, at which point she became hypoglycemic to 30. the cause was likely low po intake at lunch. she was kept in the hospital for one more night and discharged the following morning with blood sugars in the 150-200 range on her home insulin regimen. . # back pain: c/o chronic arthritis. pain meds were originally held for altered ms at time of transfer. she has been discharged on her home dose of ms contin. . # acute renal failure: resolved in micu with intravenous fluid bolus. medications on admission: lipitor 40 mg qday lantus 40 u qhs asa 325 mg qday humalog 10-15u before each meal reglan 10 mg prior to meals and qhs zofran 4 mg q6h prn lactulose 15ml prn ms contin 30 mg tid alphegan eye drops 1 drop to each eye cosoft eye drops 1 drop to each eye valium 5 mg prn protonix 40 mg po qday diovan 80 mg qday levothyroxine 125 mcg qday\ citalopram 20 mg qday discharge medications: 1. insulin glargine 100 unit/ml solution sig: forty (40) units subcutaneous at bedtime. units 2. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 3. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 4. atorvastatin 40 mg tablet sig: one (1) tablet po hs (at bedtime). 5. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 6. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. 7. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 8. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 10. morphine 30 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). 11. valsartan 40 mg tablet sig: two (2) tablet po daily (daily). 12. zofran 4 mg tablet sig: one (1) tablet po q6h prn. 13. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 14. valium 5 mg tablet sig: one (1) tablet po bid prn as needed for pain. 15. insulin lispro protam & lispro 100 unit/ml (75-25) suspension sig: 10-15 units subcutaneous before meals. discharge disposition: home with service facility: vna discharge diagnosis: primary hyperglycemia hypertension mental status changes . secondary diabetes mellitus type ii discharge condition: vital signs stable. mentating at baseline. discharge instructions: you were admitted for treatment of hypertension and hyperglycemia. we believe that you had a viral infection that caused these symptoms. we examined your cerebrospinal fluid and cultures were nagative for bacterial or viral infection. your chest x-ray and abdominal films were normal. . we did not make any adjustments to your medications. . you should schedule follow-up with your primary care provider in the next two weeks to discuss this hospitalization. . if you have any change in mental status, any nausea or vomiting, or any other worsening of your symptoms please call your physician or come to the emergency department. followup instructions: please schedule follow-up with your primary care provider in the next two weeks to discuss this hospitalization. md, procedure: spinal tap incision of lung diagnoses: acute kidney failure, unspecified polyneuropathy in diabetes encephalopathy, unspecified background diabetic retinopathy gastroparesis diabetes with neurological manifestations, type ii or unspecified type, uncontrolled unspecified viral meningitis diabetes with ketoacidosis, type ii or unspecified type, uncontrolled benign essential hypertension diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to