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: cipro attending: chief complaint: seizures major surgical or invasive procedure: nasal intubation history of present illness: (history obtained from osh and our medical records) the pt is a 49 year-old man with pmh of seizure disorder who presents as a transfer from ed after having seizures. per osh records, patient presented after with report of a 20 minute gtc seizure after which he was minimally responsive, followed by a 2nd gtc for which he received ativan. unfortunately no further details available. in the osh ed there was a report of 1 episode of shaking thought to be seizure activity. they reported vitals wnl, no acute findings on nchct, and a inr 7. he received a total 9mg ativan, fosphenytoin 1g, and vitamin k 10 prior to transfer. past medical history: seizure disorder - gtc followed here by dr. , most recently discharged from on on lamictal 100 and dilantin extended 300mg po daily. paranoid schizophrenia, epilepsy with short-term memory loss/developmental delay, history of dvt and pe in , htn, hld, retroperitoneal bleed in , diverticulitis, bph, bilateral jaw fracture treated here social history: lives in alone in an apartment, sister checks in on him frequently. denies tobacco, alcohol or ellicit drug use. family history: no fhx of dvt, pe. mom had breast ca, father lung ca. physical exam: admission exam: physical exam: (prior to intubation, while receiving midaz/propofol/ketamine/fentanyl in prep for intubation) vitals: t: p: 106 r: 17 bp: 119/62 sao2: 100% on face mask general: eyes closed, moaning heent: nc/at, jaw wired shut neck: supple. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: eyes closed spontaneously. moaning. nonverbal, not following commands. -cranial nerves: perrl 3 to 2mm and brisk. no blink to threat bilaterally, corneal on right, no corneal on left. eomi on ocr, no nystagmus. no facial droop -motor/sensory: moving left arm and leg more spontaneously than right side. localizes pain in all extremities equally. grimaces/localizes to pain throughout -dtrs: tri pat ach l 2 2 2 2 1 r 2 2 2 2 1 plantar response was mute bilaterally. ---- pertinent results: 12:40am wbc-11.6* rbc-3.63* hgb-11.4* hct-37.0* mcv-102* mch-31.4 mchc-30.7* rdw-14.2 12:40am plt count-252 12:40am pt-121.8* ptt-45.9* inr(pt)-12.6* 12:40am albumin-2.8* calcium-7.7* phosphate-2.9 magnesium-1.5* 12:40am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:40am alt(sgpt)-13 ast(sgot)-31 alk phos-121 tot bili-0.3 12:50am glucose-59* lactate-0.7 na+-139 k+-1.5* cl--130* tco2-12* 12:50am po2-73* pco2-21* ph-7.27* total co2-10* base xs--14 comments-green top 01:20am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 01:20am urine color-yellow appear-clear sp -1.012 01:20am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 01:20am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:20am phenytoin-14.8 04:57am pt-26.8* ptt-35.3 inr(pt)-2.6* 02:21pm pt-15.9* inr(pt)-1.5* cxr findings: the endotracheal tube ends about 6 cm above the carina. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. impression: ett ends 6 cm above the carina, could be advanced by about 2cm for optimal position. brief hospital course: 49yom h/o developmental delay, epilepsy, htn, dvt/pe p/w recurrent generalized convulsions without return to baseline. epilepsy/seizures - he reportedly had at least two 20 minute long seizures and an additional episode at the ed. he was given at least 9mg of lorazepam, 1000 mg of fosphenytoin, and then a propofol infusion for a few hours before this was held on the morning of admission. 24h eeg was initiated which did not reveal any signs of clinical seizures. he was continued on fosphenytoin 100 q8h with a corrected level of 22 in the absence of po access to deliver his prior lamotrigine (his jaw was wired shut due to his prior maxillary repair surgery, and one nares was occupied by the nasotracheal tube). his sister reported that a was visiting him and was helping him take his medications by mouth daily; she thought the pht second taper may have already ended prior to this admission, but she did not know his current home ltg dose. after discussing his case with omfs, a nasogastric tube was placed and he was restarted on his home dose of ltg (100 ). two doses of pht were held to help him wake up. he woke up and was extubated and transferred to the epilepsy floor. he had no further seizures since the transfer. dvt/pe/supratherapeutic inr - his inr upon arrival was 12. he was given prothrombin complex concentrate which brought the inr to 2.6. warfarin was delivered through the ngt. when the inr dropped below 2, he was started on a heparin gtt to bridge him to a therapeutic inr. he was then transitionned to sub cutaneous lovenox as a bridge until his inr became therapeutic. his coumadin dose was increased to 7.5mg, then decreased to 5mg. he reached therapeutic inr on and therefore the lovenox was discontinued. swallowing status - he was eating a liquid diet and taking pills at home after his last admission. a bedside dysphagia screen was performed by the 11 nurses which he passed. orthostatic hypotension: he was found to be orthostatic when pt started to walk with him on . he was given fluid boluses, placed on maintenance fluids and encouraged to drink plenty of fluids. he improved over the subsequent days. given the history of seizures and him being on coumadin, his sister as well as the neurology team are concerned about him living at home by himself. we will plan for discharge to a skilled nursing facility for a short stay (less than 30 days). medications on admission: suspected medication list 1. gabapentin 100 mg capsule sig: one (1) capsule po tid 2. simvastatin 40 mg tablet sig: one (1) tablet po daily 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid 4. acetaminophen 650 mg/20.3 ml solution sig: one (1) cup po q6h (every 6 hours) as needed for pain. 5. oxycodone 5 mg/5 ml solution sig: ml po q4h (every 4 hours) as needed for pain. disp:*200 ml* refills:*0* 6. doxazosin 4 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 9. risperidone 1 mg tablet sig: one (1) tablet po bid (2 times a day). 10. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day). disp:*900 ml(s)* refills:*2* 11. coumadin 5 mg tablet sig: one (1) tablet po once a day: please take 5 mg . goal inr . disp:*30 tablet(s)* refills:*0* 12. lamotrigine 100 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po bid (2 times a day). 13. ensure liquid sig: one (1) can po three times a day. 14. dilantin extended 100 mg capsule sig: three (3) capsule po once a day. discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. lamotrigine 100 mg tablet sig: one (1) tablet po bid (2 times a day). 3. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. gabapentin 100 mg capsule sig: one (1) capsule po tid (3 times a day). 6. risperidone 1 mg/ml solution sig: one (1) mg po bid (2 times a day). 7. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. 8. phenytoin 125 mg/5 ml suspension sig: two hundred (200) mg po bid (2 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 10. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 11. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain or t > 99. discharge disposition: extended care facility: academy manor of - discharge diagnosis: increased seizure frequency. discharge condition: condition: stable. mental status: alert and oriented ambulatory: indepedent, but need to make sure he is not orthostatic therefore will require supervision to walk. discharge instructions: mr. , you were admitted to us because of prolonged generalized seizures. you required assistance with your breathing, and a tube was placed through your nose to help you with the breathing. when you improved, you did not require the tube anymore. we believe you had your seizures because some changes were made to your medications, and we restarted you on your regular home medications in the hospital. you had no further seizures since you were admitted to us. your inr has also been lower than the goal of . we started you on lovenox until your inr reached 2 then we stopped it followup instructions: provider: , md phone: date/time: 9:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances other intubation of respiratory tract diagnoses: unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia pneumonitis due to inhalation of food or vomitus grand mal status long-term (current) use of anticoagulants personal history of venous thrombosis and embolism diverticulosis of colon (without mention of hemorrhage) aftercare for healing traumatic fracture of other bone orthostatic hypotension paranoid type schizophrenia, chronic personal history of pulmonary embolism physical restraints status lack of normal physiological development, unspecified 

Answer: The patient is high likely exposed to