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 / dilantin attending: chief complaint: transfer from chb after status epilepticus major surgical or invasive procedure: extubation history of present illness: per admitting resident: 54 year old woman with history of seizure disorder, smoker, who presents intubated after having been on and off seizures for 30 min. she is a patient of dr. , has partial complex seizures. she was having increased seizure frequency when she was last seen in clinic by dr. in , one every other day. "almost all are staring spells with oral automatisms and touching her lips. she is not aware of the start of them and may not be aware of the entire seizure or not for the reports of her children and coworkers"; her boyfriend says that she rarely has gtc seizures, last one was 2 months ago. she has been on lamictal 900mg; stopped keppra on due to side effects. of note, her first seizure occurred at age 16 and led to a fall and head injury. she works at the at the neurology department and was seen to have r sided twitching that evolved to gtc seizures, intermittently, for a period of 30 min. she received 15 diastat; was intubated in er; sedated on versed and received a total of 8mg ativan. her wbc was 20; had a temperature 38.9 c and she was given 2mg ceftriaxone. an lp was performed with 0 wbc 1 rbc (unknown protein and glucose values right now). she was loaded with 1g dilantin. a head ct was read as negative at and she was transferred here. on arrival here she had t 98.9 bp 103/60 p 93 rr 19 sat 100, intubated. she received 1g of vancomycin. she was found to have a uti. she had no jerks and eyes were midline. past medical history: -epilepsy (as above) -asthma -eating disorder -fibroids social history: lives with 2 daughters, smokes 5 cigarettes per day as per previous notes, works at neurology department as a secretary; no history of alcohol abuse family history: paternal uncle with seizures, sister with esrd on hd, htn, and "sa" (?substance abuse) physical exam: exam on admission: t 98.9 bp 103/60 p 93 rr 19 sat 100; intubated gen: lying in bed, intubated heent: nc/at, moist oral mucosa neck: supple cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema neurologic examination: mental status: intubated,on versed, grimaces to noxious stimuli cranial nerves: pupils equally round and slugshly reactive, 3 mm bilaterally. normal doll's, corneal and gag reflexes. motor: she moves all extremities symmetrically and spontaneously sensation: she retracts all extremities symmetrically to noxious stimuli reflexes: b t br pa pl right 2 1 1 1 1 left 2 1 1 1 1 toes were downgoing bilaterally. coordination: not able to perform gait: not able to perform romberg: not able to perform exam at time of discharge: pertinent results: labs on admission: 10:52am blood wbc-30.5* rbc-3.93* hgb-12.3 hct-35.6* mcv-91 mch-31.4 mchc-34.6 rdw-12.6 plt ct-298 02:12am blood wbc-18.5* rbc-3.45* hgb-10.4* hct-32.1* mcv-93 mch-30.3 mchc-32.6 rdw-13.3 plt ct-254 02:12am blood neuts-88.0* lymphs-8.1* monos-3.7 eos-0.1 baso-0.1 10:52am blood pt-14.2* ptt-21.5* inr(pt)-1.2* 02:12am blood glucose-92 urean-8 creat-0.7 na-144 k-3.3 cl-114* hco3-23 angap-10 10:52am blood alt-38 ast-26 ld(ldh)-257* ck(cpk)-122 alkphos-74 totbili-0.4 10:52am blood albumin-4.5 calcium-9.5 phos-2.6* mg-2.0 10:52am blood ctropnt-<0.01 10:52am blood lipase-11 03:35pm blood tsh-0.99 03:35pm blood phenyto-18.7 toxicology: 10:52am blood asa-4 ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg urine studies: 10:52am urine rbc-0-2 wbc-* bacteri-mod yeast-none epi- 10:52am urine blood-neg nitrite-neg protein-25 glucose-neg ketone-tr bilirub-neg urobiln-neg ph-7.0 leuks-tr 03:34pm urine blood-mod nitrite-neg protein-30 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.0 leuks-neg imaging: ct head: prelim - no acute intracranial process cxr - no pulmonary pathology ct abd/pelvis; 1. abnormal perfusion of the left kidney with areas of decreased enhancement within the cortex. these findings are worrisome for an acute pyelonephritis. please clinically correlate. 2. low attenuating lesion within segment ii of the liver, indeterminate in etiology, this may represent an atypical hemangioma. further workup is recommended, and can commence with an ultrasound. 3. enlarged uterus with multiple fibroids. there is also enlargement of the right ovary. therefore, an ultrasound of the pelvis may be warranted for further evaluation and to ensure stability. liver ultrasound; impression: nonspecific subcentimeter hypoechoic lesion within the left hepatic lobe, corresponding to ct abnormality. findings not characterizable as hemangioma and mr may be performed to further assess as clinically indicated. urine culture; yeast brief hospital course: 45 year old woman with history of seizure disorder (complex partial seizures and occasional gtc) who was transferred from chb after a seizure cluster (30 mins) in setting of 38.9c, wbc of 20k. on trasfer, she was intubated and her lp and ct head were reportedly negative. patient was loaded with dilantin at chb with subsequent level of 18. she was admitted to neuro icu for further treatment and monitoring. neuro: suspected status epilepticus. infectious evaluation was as below. routine eeg did not show epileptiform activity. she was extubated and restarted on lamictal 600mg (dosing reported by patient). dilantin was discontinued, she was temporarily bridged with ativan 1mg iv q8h while she was not able to take po. after extubation, patient appeared encephalopathic, with impaired attention, intrusion saccades and lateral gaze nystagmus without focal features. it was felt that worsening of her seizure frequency was most likely due to either an infectious process, medication non-adherence or non-epileptic seizures (an event was witnessed while in icu: report of a gaseous odor, staring for 10 seconds, bilateral arm shaking that was suppressible by examiner (total duration of 30 seconds) and no post-ictal confusion). the patient was transferred to the floor and refused further eeg monitoring during the hospitalization because she was very angry her hair was cut at time of presentation when leads were initially placed. she was maintained on the lamictal 600 but voiced concern over her dosing multiple times. the patient initially stated she was taking this dose at home, however there were several conflicting reports as to her actual dose she was taking. was and she had been receiving lamictal 100 mg tabs, directed to take 5 tabs , and given 300 tabs per month. this was last filled . when this was discussed with the patient, she stated that she was taking 500 mg , but still had pills left from her last refill (which appeared to be inconsistent with the number of pills dispensed at that time). the last note from the patient's epileptologist, dr. , reported a plan to take lamictal 900 mg daily. given the conflicting reports, it was decided to discharge the patient on this dose. she had an episode in which she vomited and then became unresponsive with tonic posturing, eyes open and midline with occasional frequent blinking, and was unresponsive to noxious stimuli. the episode lasted approximately five minutes and resolved after 1 mg ativan. she had no further episodes and neurological examination at time of discharge was nonfocal with fluent speech, eomi with no nystagmus, and steady gait. id: temperature at chb of 38.9c max, wbc of 30k. she had a history of chills and malaise 2 days prior to her event. no cough, no subjective fever, no diarhea, but had llq tenderness. bcx have showed no growth to date. ua was contaminated and repeat ua showed mild leukocyte count with elevated rbcs, which were treated as a uti with ceftriaxone started. this was changed to po bactrim on day 5. a urine culture only grew out yeast, which was presumed to be a contaminate. a ct abdomen/pelvis was concerning for acute pyleonephritis and she was continued on a 7-day antibiotic course for this. her leukocytosis has trended down and has been afebrile for the past 4 days prior to discharge. a respiratory culture was negative. pulm: patient was extubated on hd 1 w/o complications. cxr did not show evidence of pna. gi: patient was complaining llq pain x 1 week, which was attributed to pyleonepritis as above and had resolved with antibiotic treatment. also, on ct abd/pelvis, a subcentimeter liver lesion was noted and ultrasound was performed for further evaluation which was also non-diagnostic. the patient's pcp was regarding this finding, which can be followed up as an outpatient. f/e/n: during the hospitalization there was also some concern by the primary team of weight loss since her last admission and anorexia, and it is advised that the patient continued to be evaluated for this by her pcp. medications on admission: -lamictal 600mg discharge medications: 1. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 3 days. disp:*6 tablet(s)* refills:*0* 2. lamotrigine 100 mg tablet sig: four (4) tablet po qam (once a day (in the morning)). 3. lamotrigine 100 mg tablet sig: five (5) tablet po qpm (once a day (in the evening)). discharge disposition: home discharge diagnosis: seizure disorder pyelonephritis discharge condition: fluent speech, attentive. eomi, no nystagmus. no asterixis. full strength throughout, steady gait. discharge instructions: you were admitted to from after you were found to have a suspected seizure. at you underwent a lumbar puncture (negative) and a cat scan of your head(negative), were intubated and were transferred to our hospital. you were found to have an infection in your kidney and treated with antibiotics. you were also found to have a small lesion in your liver on the cat scan and ultrasound. please follow this up with your pcp. continue your medications as prescribed, avoid driving or any other activities (such as unsupervised swimming) that may put you or others in danger should you have recurrent events. followup instructions: please follow with the following appointments: neurology: , m.d. phone: date/time: 9:30 primary care: , m.d. date/time: 5:20 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: hypocalcemia hemangioma of intra-abdominal structures coronary atherosclerosis of native coronary artery tobacco use disorder asthma, unspecified type, unspecified disorders of phosphorus metabolism encephalopathy, unspecified leiomyoma of uterus, unspecified acute pyelonephritis without lesion of renal medullary necrosis localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, with intractable epilepsy other disorders of eating 

Answer: The patient is high likely exposed to