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: history of present illness: this is a 41 year old male with a history of alcohol abuse and recent decreased alcohol intake, who presented on with a questionable history of a seizure. the last ten days, the patient's wife noted that the patient had only taken in two to ten beers a day, down from his normal of 18 to 24 beers a day. the day prior to admission, she witnessed only one beer. in addition, on the day of admission, the patient's wife heard a thud and found the husband thrashing on the floor. it was unclear whether this was tonic/clonic seizure. this continued for about 15 minutes until ems arrived and gave intravenous ativan. in the emergency department at an outside hospital, the patient received haldol and ativan for agitation and was oriented only to himself and described a loss of vision. he was diaphoretic and had blood pressures of systolic 120 to 130 and a heart rates of 100 to 130. out there, he had a hematocrit that was measured at 25 and ldh was greater than . he was intubated and sedated for transfer to via life flight and a cervical collar was also applied for travel. during that flight, the patient received fentanyl, etomidate, apifloxemide, vecuronium and versed as well as ativan. in the emergency department, the patient's head ct scan was negative and a chest x-ray was negative for acute cardiopulmonary process and 12 mgs of ativan were given intravenously. of note, the patient did say that he had had shakes in the past due to alcohol, but no seizures. also of note, the patient repeatedly said, "i'm sorry" and seemed to recoil from imaginary things in the room during this episode on the day of admission. there was also a question of a right facial droop. the patient was able to talk during this episode and was quite agitated. past medical history: 1. history of alcohol abuse. 2. low back pain. 3. chronic anxiety. allergies: no known drug allergies. medications: 1. naprosyn. 2. ephedrine. 3. xanax. 4. percocet. 5. viagra. social history: one to two packs per day of tobacco and alcohol 24 beers a day. the patient owns a large business of restaurants and has increased stress in his job recently. family history: coronary artery disease and diabetes mellitus. physical examination: upon presentation, temperature 99.4 f.; pulse 106; blood pressure 103/71; respirations 25 and the patient was intubated at 100% fimv of blood pressure support. in general, the patient was intubated and sedated with an abrasion over his left eye. the pupils were 1 mm bilaterally and not reactive. there were moist mucous membranes and they were pale. on heent examination also, there was cervical spine collar. lungs were coarse throughout. the cardiovascular examination was notable for tachycardia but a regular rhythm, with normal s1 and s2. the abdomen was benign with 3 cm hepatomegaly. guaiac was negative. extremities showed no cyanosis, clubbing or edema and two plus dorsalis pedis and posterior tibial pulses. dermatologic examination revealed no rashes or petechiae. neurologic examination revealed a person who is agitated, moving all four extremities with brisk deep tendon reflexes throughout. laboratory: upon presentation, white blood cell count was 5.2, hematocrit was 21.8, platelet count was 151. sodium was 122, potassium 4.1, chloride 89, bicarbonate 23, bun 28, creatinine 1.1, magnesium of 2.8. liver function tests were normal as well as cardiac enzymes. a urine toxicology was positive for benzodiazepines and opiates. serum toxicology was negative. peripheral smear revealed negative schistocytes, negative intracytoplasmic inclusions and positive polychromasia. a cervical spine x-ray was negative for fracture. chest x-ray was negative for pneumonia or effusions. a head ct scan again was negative for hemorrhage, masses or ischemic changes. an ekg was done which revealed sinus tachycardia at 105, with a slightly increased pr interval at 0.24 seconds with a normal axis, left atrial abnormality and peaked t waves. there were some diffuse st elevations, likely j-point elevation in lead i, ii, avl, v3, v4, v5 and v6. hospital course: the patient was admitted to the medical intensive care unit and was intubated for his decreased mental status. by systems: 1. neurologic: the patient had agitation, hallucinations and delirium and neurologic was consulted to help as to the etiology of the mental status change. it was felt that the patient might have been undergoing seizure activity due to alcohol withdrawal or acute alcohol delirium. the patient's sodium was noted to be low and he was treated and later became normonatremic. in addition, a lumbar puncture was done and was clear and colorless revealing only a protein of 31, a glucose of 66, one white cell and zero red cells, with 7% polys, 87% lymphs and 6% monos. the patient was checked for babesiosis on peripheral smear and was found to have babesiosis, and the mental status was attributed to either alcohol withdrawal and babesiosis contributing to it, or just alcohol withdrawal. the mental status started to improve on day three. when it was felt that he could be extubated, he was extubated and tolerated it well. the patient remained moderately sedated but was alert and oriented times three, reporting some pain in both of his arms. on neurological examination, it was noted that he did have a right sided facial droop thought to be possibly bell's palsy or a new onset event. however, he continued to be agitated and was kept on ativan for ethanol withdrawal. on day four of his hospitalization, he was transferred to medicine when it was felt that his mental status had improved and he was able to ambulate and tolerate p.o. 2. infectious disease: the patient was treated for babesiosis with atovaquone and azithromycin starting on day one of his admission. he was also started on doxycycline for concern of lyme but was discontinued when that test returned negative. in addition, he had an hiv test which turned out to be negative during his hospital course. infectious disease was consulted and recommended at least a ten day course of atovaquone and erythromycin. ehrlichieae was sent out but was still pending as of this dictation. the patient continued to do well on the atovaquone and the azithromycin and was told to follow-up with infectious disease in clinic one week post discharge for all final laboratory results. 3. hematologic: the patient had a drop in hematocrit with decreased haptoglobin and increased ldh, indicating hemolysis from babesiosis. however, it was somewhat puzzling why the patient had such a significant hemolysis without much parasite burden noted to be only 0.1% on the peripheral smear. the patient had a hematology consultation and they recommended transfusion for red blood cells to support his low hematocrit which had dropped as low as 18 on the day of admission. after three blood transfusions, by the fourth hospital day, the patient's hematocrit was rebounding on its own. 4. renal: the patient had some slight renal insufficiency with a prerenal component with a bun and creatinine ratio of greater than 20 and a fena of less than 1%. the patient did have blood in his urine and myoglobinuria was considered. the patient was continued on intravenous fluid hydration and the creatinine slowly corrected to his baseline. upon discharge, his creatinine was 0.5 with a bun of 5.0. a creatinine kinase was checked and was as high as 1797, however, this was a decrease from 3,990 on the day prior to discharge. this attempted to support an episode of rhabdomyolysis status post shaking on the day of admission. 5. pulmonary: the patient was intubated and sedated for agitation and decreased mental status for airway protection and post-extubation did well and oxygenated well on room air. 6. cardiovascular: the patient was tachycardic during his hospital course and this was thought to be secondary to anemia, anxiety as well as alcohol withdrawal. the patient was asymptomatic with this tachycardia and upon the day of discharge, his heart rate was approximately 84. 7. fluids, electrolytes: the patient's sodium, as i mentioned, had corrected from 122 to 135 over the course of seven hospital days. condition at discharge: good. discharge status: to home. discharge diagnoses: 1. babesiosis. 2. history of alcohol abuse and apparent alcohol withdrawal while on this admission. 3. transient renal failure secondary to prerenal causes. 4. low back pain. 5. anxiety. discharge medications: 1. atovaquone 750 mg p.o. twice a day. 2. azithromycin 600 mg p.o. q. day. 3. ativan. 4. ibuprofen. discharge instructions: 1. the patient is to follow-up in infectious disease clinic one week post discharge and the patient was to make this appointment on his own. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung diagnoses: acidosis acute kidney failure, unspecified hyposmolality and/or hyponatremia acquired hemolytic anemia, unspecified other and unspecified alcohol dependence, unspecified opioid abuse, unspecified alcohol withdrawal other disorders of muscle, ligament, and fascia babesiosis 

Answer: The patient is high likely exposed to