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: unsteadiness and headache major surgical or invasive procedure: : bedside external ventricular drain placement : 3rd ventriculostomy history of present illness: mr. is a 56-year-old rh man with a pmh remarkable for recurrent neurocysticercosis involving his fourth ventricle (initially diagnosed in ), s/p vp shunt placement *2 (last time 2 years ago), with secondary seizure disorder who p/w unsteadiness and headache. he had been seen last time in the neurology clinic in . his exam was basically reflecting a normal mental status and no focal deficits. the id team followed him. concern was raised by his new headaches in . he had imaging in which revealed a new cyst;suggestive of recent exposure to and oral ingestion of t. solium eggs. however, he had completed three o and p examinations of the stool which were negative, arguing strongly against an autoinfection cycle. in addition, he has been seizure controlled on lev. the id team has been considering the possibility of getting the relatives checked to rule them out as a source for a re-infection. it was thought that the lesion was calcified and hence not active. therefore, treatment was held to avoid an abrupt lysis of the parasite that could possibly worsen his symptoms. on the day of admission, he recalls having a constant headache of pressure quality in is retro-orbital area bilaterally that would wake him up. he has been nauseous without vomiting. according to his family he has been yowning often. in addition, he has been feeling tired and unsteady, though he has not fallen as per pt's report. he has remained afebrile. no diarrhea, no productive or dry cough. no sick contacts. past medical history: 1. neurocysticercosis: *diagnosed in with cyst in 4th ventricle, resected at hospital (path confirmed dx), reportedly received anti-parasite treatment * at hospital reportedly treated again (albendazole/prednisone); worsened dizziness at this time * multiple admits for severe ha: persistent lymphocytic pleocytosis and actually treated empirically for tuberculosis meningitis; ventriculitis vs trapped 4th ventricle on mri * vp shunt placed * vp shunt revised 2. seizure disorder: possible new seizure activity; keppra initiated 3. dyslipidemia 4. hypertension 5. anxiety 6. low back pain social history: immigrant from to us in ; he previously worked handling food, is not currently working. he lives with his wife and has 5 children; 4 children currently live at his home. he does not use tobacco, alcohol, or other drugs. family history: non-contributory physical exam: on admission: o: t: 98.7f bp: 140 / 74 hr: 57 r 12 100% o2sats in ra gen: wd/wn, comfortable, nad. heent: no jvd neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: bradyphrenic. orientation: disoriented. inattentive. language: speech fluent (portuguese), comprehension intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested pupils: 5 mm bl and symmetrical, sluggishly reactive to direct and consensual stimuli.paralysis of upgaze. accommodative paresis and pupils become mid-dilated and show light-near dissociation. convergence-retraction when attempting upward gaze down-going stripes on an optokinetic drum. eyelid retraction, "setting-sun sign". early papiledema. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : unable to perform. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. mobilizing 4 limbs at antigravity level. no pronator drift. sensation: intact to noxious stimuli. reflexes: 2+ overall. toes downgoing bl coordination: normal on finger-nose-finger. gait unsteady, wide based, slow cadence, short stride, unable to perform tandem gait. on discharge: xxxxxxxxxx pertinent results: labs on admission: 03:50pm blood wbc-8.5 rbc-4.96 hgb-15.4 hct-45.6 mcv-92 mch-31.1 mchc-33.9 rdw-13.6 plt ct-174 03:50pm blood neuts-43.2* lymphs-45.4* monos-5.8 eos-4.9* baso-0.7 09:47pm blood pt-13.3 ptt-27.2 inr(pt)-1.1 03:50pm blood glucose-106* urean-14 creat-1.2 na-143 k-4.2 cl-107 hco3-24 angap-16 01:07am blood alt-30 ast-18 ld(ldh)-181 ck(cpk)-146 alkphos-64 totbili-0.3 01:07am blood triglyc-321* hdl-40 chol/hd-6.2 ldlcalc-142* 01:07am blood albumin-4.4 calcium-9.4 phos-4.6* mg-1.7 uricacd-8.2* cholest-246* 01:07am blood tsh-1.1 06:21am blood vanco-11.6 09:49pm blood lactate-2.6* 01:07am blood ck-mb-2 ctropnt-<0.01 09:05am blood ck-mb-1 ctropnt-<0.01 06:19pm blood ck-mb-1 ctropnt-<0.01 01:07am blood lipase-164* 01:07am blood alt-30 ast-18 ld(ldh)-181 ck(cpk)-146 alkphos-64 totbili-0.3 labs on discharge: xxxxxxxxxxxxxxxx imaging: head ct : head ct without iv contrast: again demonstrated is a ventriculoperitoneal shunt, now with an additional catheter tip in comparison to . there has been interval decrease in size of the right lateral ventricle, and no longer is seen transependymal migration of csf or surrounding vasogenic edema. however, there is interval increase in size of the left lateral ventricle, previously measuring 10 mm, and now measuring 21 mm (2:15). the tip of the first ventriculostomy catheter terminates in the frontal of the right lateral ventricle. the tip of the second terminates just to the left of the left lateral ventricle, and no interval comparison is available to demonstrate whether this represents a change in position. there has been interval development of encephalomalacia surrounding the catheter tract via right frontal approach (2:19). in addition, the third ventricle is now dilated, with convex curvatures on both sides of midline, measuring 19 mm (2:11). no site of hemorrhage or edema is identified. the fourth ventricle is not dilated. the osseous structures demonstrate a right frontal burr hole at the site of catheter placement, and a large midline suboccipital subtotal cranial defect measuring 4.2 cm (2:6). the visualized paranasal sinuses and soft tissues also are unremarkable. impression: 1. non communicating hydrocephalus suggestive of shunt failure. interval increase in size of left lateral ventricle and third ventricle with a non- dilated 4th ventricle. 2. no hemorrhage or site of edema. 3. unchanged postsurgical skull defects. skull ap&lat/c-sp/cxr/abd slg views mr screening : findings: there are two intracranial ports of the shunt on the current radiograph, whereas there was only one port on the prior radiograph. the apparent discontinuity in the shunt immediately before the intracranial course most likely represents the non-radiopaque portion of the shunt immediately before the burr hole in the skull vault. the visualized cervical, thoracic, and abdominal course of the shunt appears intact. the shunt terminates in the left lower quadrant. the heart is enlarged, lungs are clear. the visualized bowel gas pattern is unremarkable. conclusion: two intracranial ports visualized of the vp shunt with apparent discontinuity in the shunt at the level of the burr hole which may represent non-radiopaque tubing. the remaining visualized shunt appears intact. please also correlate with the report of ct brain done today. head ct : head ct without iv contrast: as in the prior study, a right frontal approach ventriculoperitoneal shunt is in place, with non-communicating hydrocephalus suggestive of shunt failure. the left lateral ventricle is dilated greater than the right, measuring 23 mm (2:37). allowing for slice selection, this is not clearly changed since the prior study, where the measurement was 22 mm. however, a new left frontal approach ventriculostomy drain is in place, and there is apparent decrease in degree of dilation of the third ventricle, now measuring 12 mm (2:34). there is no hemorrhage, edema, mass effect, shift of midline structures, or evidence of major vascular territorial infarction. there is expected pneumocephalus in the left frontal lobe at the site of ventriculostomy drain placement. the remainder of soft tissues and osseous structures are unremarkable. impression: 1. continued evidence for non-communicating hydrocephalus, with dilated lateral and third ventricles and non-dilated fourth ventricle. 2. interval placement of left frontal approach ventriculostomy drain with catheter tip terminating in third ventricle. an associated decrease in degree of third ventricle dilation. 3. no site of hemorrhage. eeg : negative for any abnormal signal. head ct : vp shunt is unchanged. left frontal catheter has been removed, with expected pneumocephalus along the tract. minimal blood products were present previously and likely unrelated to tube removal. however, there is a new low-density fluid collection along the left frontal lobe that appears to cause some sulcal effacement in the left cerebral hemisphere. close interval followup with repeat imaging is recommended as clinically indicated. ventricular size has decreased compared to prior study. brief hospital course: mr. is a 56-year-old rh man with a pmh remarkable for recurrent neurocysticercosis involving his fourth ventricle (initially diagnosed in ), s/p vp shunt placement *2 (last time 2 years ago), with secondary seizure disorder who p/w unsteadiness and headache. on the day of admission, he reports that he has been having a constant headache of pressure quality in is retro-orbital area bilaterally that would wake him up. he has been nauseous without vomiting. according to his family he has been yawning often. in addition, he has been feeling tired and unsteady, though he has not fallen as per pt's report. upon admission, an external ventricular drain was placed to alleviate the elevated pressure in his head. he was also started on acyclovir, which unfortunatley infiltrated and caused a reddened blister reaction. plastic surgery was consulted, and made recommendations to apply bacitracin and xeroform to the area, but no further treatment was indicated. his examination revealed soft compartments. on , his external drain was raised to 20cm h20, which was tolerated well. early in the morning of , the patient disconnected himself from the drain tubing. upon rounds at 6:30 am, the external drain was removed uneventfully, and skin was approximated with several skin staples. the wound was clean, dry and intact. post-procedure head ct was also done, and without acute consequence from drain removal. he did not tolerate the evd removal and 24h later presented with a right partial 6th cranial nerve palsy (new onset). his mental status was mildly depressed (oriented *3) but more drowsy and bradyphrenic. an urgent ct scan w/o contrast evidenced increased hydrocephalus and severe dilatation of his 3rd ventricle. he received an emergent 3rd ventriculostomy. on the patient had a fever of 102. he also had pain in the neck with mild stiffness of the neck. blood cultures were negative till date . pt evaluated the patient and felt that he was safe to be discharged home without services. medications on admission: 1. htn: atenolol - 25 mg qd, hydrochlorothiazide - 25 mg qd 2. hlp: atorvastatin 20 mg qhs 3. seizure disord: levetiracetam 750 mg 4. meclizine - 25 mg 5. ranitidine 150 mg discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 4. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). discharge disposition: home with service facility: of discharge diagnosis: vp shunt failure elevated intracranial pressure discharge condition: neurologically stable. right partial 6th cranial nerve palsy. discharge instructions: general instructions ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair only after sutures and/or staples have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ?????? please return to the office in days(from your date of surgery) for removal of your staples/sutures and a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ?????? please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ?????? you will need a ct scan of the brain without contrast. procedure: intravascular imaging of intrathoracic vessels ventricular shunt to extracranial site nec diagnoses: obstructive hydrocephalus unspecified essential hypertension sixth or abducens nerve palsy other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure epilepsy, unspecified, without mention of intractable epilepsy mechanical complication of nervous system device, implant, and graft cysticercosis palsy of conjugate gaze extravasation of other vesicant agent 

Answer: The patient is high likely exposed to