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: seizure, fevers major surgical or invasive procedure: none history of present illness: mr. is a 68 yo m w/pmhx x for seizures and mental retardation who was admitted from the ed as a transfer from an osh after a 40 minute episode of status epilepticus. he was in his usoh at his nursing home today when he developed acute onset of seizures for approx 40 minutes prior to arrival of ems. he was given valium and versed and brought to , where he was intubated for airway protection, and given dilantin, ativan, and ceftriaxone and vancomycin. he was noted to have fevers to 105 at . from there, he was transferred to our ed, where he was extubated without difficulty. he was noted to have elevated cardiac enzymes, and a bedside echo was performed which showed no acute wall motion abnormalities. an lp was attempted and was unsuccessful. patient is currently nonverbal. . ros: limited patient currently nonverbal past medical history: seizures mental retardation dvt pe chf depression anxiety gerd social history: lives at a nursing home. family nearby, including brother. sister in . no alcohol, drugs or smoking per family. family history: nc physical exam: on presentation: vs: 102.2 130/80 hr 100 rr 16 o2sat 100% ra gen: pleasant appearing in nad. unable to follow commands, and currently not speaking. heent: mmm. perrl. no scleral icterus. hrt: tachycardic. no murmurs, rubs, or gallops. lungs: ctab anteriorly. abd: s/nt/nd ext: excoriations over anterior shin. neuro: negative kernig's and brudzinski's. not following commands, but appears to be moving his rue more than his lue. dtrs symmetric bilaterally. pertinent results: 139 102 22 / 167 agap=17 ------------- 2.8 23 0.9 \ trop-t: 0.32 alt: 19 ap: 135 tbili: 0.3 alb: ast: 33 ldh: dbili: tprot: phenytoin: 9.1 lactate:4.5 86 15.6 \ 12.9 / 227 ------ 36.1 n:92.2 l:2.5 m:4.9 e:0.3 bas:0 . echo: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). the aortic root is moderately dilated at the sinus level. the ascending aorta is moderately dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is an anterior space which most likely represents a fat pad. impression: mild symmetric left ventricular hypertrophy with overall normal systolic function (focal wall motion abnormality cannot be fully excluded). moderately dilated ascending aorta and aortic root. . ekg: nsr. no acute st-t changes. cxr: negative for infiltrate. <br> : mri c-spine: indication: new paralysis, seizure, fever. comparison: no previous studies. technique: sagittal t1-weighted, t2-weighted, and stir images of the cervical spine, with axial gradient echo images. following intravenous gadolinium administration, sagittal and axial t1-weighted images were obtained. findings: vertebral body height, alignment, and bone marrow signal are normal. there is no evidence of discitis, osteomyelitis, epidural collection, leptomeningeal enhancement, or paravertebral collection. at c3/4, there is a broad-based disc/osteophyte complex resulting in mild spinal canal stenosis. there is no deformation of the spinal cord. at c5/6, there is a large right paracentral disc extrusion extending inferiorly, which indents the right anterior aspect of the spinal cord and displaces the cord to the left. there is no evidence of cord signal abnormalities. there is moderate spinal canal stenosis. the protrusion also extends into the right neural foramen, resulting in moderate narrowing. at c6/7, there is a broad-based disc/osteophyte complex which results in mild spinal canal stenosis. there is no deformation of the spinal cord. the imaged portion of the posterior fossa appears unremarkable. impression: 1. no evidence of discitis, osteomyelitis, epidural collection, or paravertebral collection. 2. large right paracentral and foraminal disc protrusion at c5/6, which indents the right anterior spinal cord and results in moderate spinal canal stenosis. the right neural foramen is moderately narrowed. 3. mild spinal canal stenosis at c3/4 and at c6/7. <br> mri head without contrast: findings: there is no focus of abnormal slow diffusion to suggest infarct. mra is limited, and evaluation of the intracranial vessels is not possible; however, the vertebral, basilar, and internal carotid arteries appear grossly patent. there is no evidence of hemorrhage. no shift of midline structures identified. impression: limited study, demonstrating no evidence of hemorrhage or infarct. limited mra demonstrates patent vertebral, basilar, and internal carotid arteries; however, evaluation of the intracranial vessels is not possible. brief hospital course: 68m with mental retardation (documented prior baseline ms is that of a 2year old), h/o pe/dvt on chronic lifelong, chf, hypokalemia now with multiple medical issues including suspected cord compression with quadriparesis (though with some improvements in neuro status able to move extrem (still can't move rue), presumed meningitis, initially severe hypokalemia, nstemi (demand induced), and seizures upon presentation, with working dx of meningitis). pt initially admitted to before transfer to inpatient floor. <br> # suspected cord compression with quadriparesis: neurology and neurosurgical team followed patient. patient was put into a cervial -j collar and this should be continued for 4-6 weeks until seen by neurosurgery as outpatient. neurosurgery may consider future intervention but wanted to wait until after infection cleared. follow up appointment were arranged with neurology and neurosurgery. <br> # suspected meningitis: there was a high suspicion for meningitis, given constellation of fevers, wbc, seizure. neurology team recommending against lp given cord compression. mri was done and was considered poor yield given sig time on abx. patient will be given empiric vanc/ctx/amp/acyclovir for 14 day treatment course. patient will follow up with neuro as an outpatient. <br> # seizures: the patient had seizures at admission. the apateitn had no further episodes after that. the patient was continued on his fosphenytoin 100 iv q8 initially. neuro though it would be best to transition to keppra. plan is for 3 days, then plan for 500mg qam/1000mg qpm for 3 days, then for 1000mg for 3 days, then for 1000 qam/1500mg qpm for 3 days, then 1500mg continuously then. once at 1000/1500mg dosing will start slowly weaning off phenytoin (switched to fosphenytoin from phenytoin as less risk for crystalization in picc) <br> # nstemi: demand related. echo showed no evidence of wall motion abnormality patient was given asa, lipitor and low dose beta blocker <br> # chronic diastolic chf: patient appeared euvolemic during his hospital course. diuretics held due to persistent hypokalemia. fluid status should be monitored closely at ltac and diuretics should be restarted as needed. <br> # hypokalemia: renal was consulted. they felt that it was likely diuretic related. they did not feel that there was an underlying kidney disorder. patient will be discharged on daily kcl. her k should be monitored closely at his ltac. <br> # h/o dvt/pe: has been anticoagulated chronically as an outpt. patient was continuexd on warfarin. his inr should be monitored closely aat ltac facility. <br> # fen: nectar thick liquids and pureed solids diet # access: picc # ppx: anticoagulated, # code: dnr/dni # comm: (sister) c: # dispo: patient will be discharged to ltac fior further care. medications on admission: warfarin 6 mg qd furosemide 60 mg qd metolazone 2.5 mg qd senna 2 tabs qd phenytoin 200 mg phenytoin 100 mg qd fluoxetine 20 mg qd discharge medications: 1. ceftriaxone in dextrose,iso-os 2 gram/50 ml piggyback sig: one (1) intravenous q12h (every 12 hours) for 5 days. 2. ampicillin sodium 2 gram recon soln sig: one (1) recon soln injection q6h (every 6 hours) for 5 days. 3. acyclovir sodium 500 mg recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 5 days. 4. vancomycin 500 mg recon soln sig: one (1) recon soln intravenous q 12h (every 12 hours) for 5 days. 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day. 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever, pain. 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 12. fluoxetine 20 mg/5 ml solution sig: one (1) po daily (daily). 13. fosphenytoin 50 mg pe/ml solution sig: one (1) injection q8h (every 8 hours): once keppra is at goal dose of 1000mg po bid, please taper off this medicationover ensuing days 9i.e taper to then daily then off). 14. levetiracetam 500 mg/5 ml solution sig: one (1) intravenous qam (once a day (in the morning)) for 1 days. 15. keppra 1,000 mg tablet sig: one (1) tablet po qam for 6 days: start on . 16. keppra 1,000 mg tablet sig: 1.5 tablets po qam: start on . 17. levetiracetam 500 mg/5 ml solution sig: two (2) intravenous qpm (once a day (in the evening)) for 4 days. 18. keppra 1,000 mg tablet sig: 1.5 tablets po qpm: start on . 19. warfarin 4 mg tablet sig: one (1) tablet po at bedtime. discharge disposition: extended care facility: hospital- discharge diagnosis: # cord compression # seizures # meningitis # hypokalemia (thought most likely due to your prior water pills) # nstemi # diastolic chf # history of dvt/pe - on life long blood thinners (warfarin) discharge condition: stable discharge instructions: -please continue his c-collar till re-evaluated by your neurosurgeon as below. take your medications as prescribed. -patients diuretics have been held in setting of hypokalemia. patient has appeared euvolemic but should be clinically monitored and diuretics should be reintroduced as deemed necessary. -monitor patients chemistries and inr while at rehab. -continue gradual increase in keppra dose (500mg qam/1000mg qpm for 1 more day, then 1000mg for 3 days, 1000 qam/1500mg qpm for 3 days, then 1500mg continuously. -taper off phenytoin dose once keppra at dose of 1000mg po bid. followup instructions: -please have patient arranged to have follow-up with his pcp: , 1-2 weeks after discharge from rehab -provider: . & phone: date/time: 4:30 -provider: , md phone: date/time: 1:00 md procedure: venous catheterization, not elsewhere classified transfusion of other serum diagnoses: subendocardial infarction, initial episode of care esophageal reflux congestive heart failure, unspecified hypopotassemia grand mal status long-term (current) use of anticoagulants personal history of venous thrombosis and embolism hyperosmolality and/or hypernatremia other disorders of neurohypophysis chronic diastolic heart failure quadriplegia, unspecified unspecified intellectual disabilities meningitis, unspecified hydantoin derivatives causing adverse effects in therapeutic use intervertebral disc disorder with myelopathy, cervical region 

Answer: The patient is high likely exposed to