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 attending: chief complaint: found unresponsive, seizing. major surgical or invasive procedure: extubation lumbar puncture history of present illness: mr. is a 70 year old man with hx of left mca stroke, s/p l cea, pvd, htn, dm, etoh abuse and no previous hx of seizures was reportedly found down on the floor, having gtc seizure at 9:30am. he was last seen awake and alert yesterday evening while at his son's birthday gathering. of note, in am of that day, c/o of cp and pressure to the family, which improved in the afternoon. the evening prior to the event, while at dinner, had been feeling "heartburn" and was noted to be diaphoretic. he was found to be unsteady on his gait later in the evening and had some "mouth twitching movements" while at dinner, but was awake, alert and able to interact with family. of note, he reported increasing doe over the past month. this morning, his son found him on the floor of his bathroom, with movements felt to be a gtc seizure (arms and legs shaking synchronously, unresponsive). he was noted to have an injury of his left foot and on his head. there is a mention of someone hearing a sound at 7am when he likely fell down. ems was called, he was found to have gtcs. at osh, he was taken to osh where he was febrile to 104.4f, tachycardiac to 160's with sbp 140's. he was given adenosine for his tachycardia. ekg showed st elevation v1-v4 as well as ii, iii, avf. troponin was 0.4. he was started on heparin gtt. patient also received 6mg ativan iv and unknown amount of valium (at least 10mg en route to ). it is not clear from the records when pt. actually stopped seizing. at osh, he was then intubated with for airway protection (propofol and succinylcholine used for this purpose). his head ct was reportedly normal and he was transferred to for further care. . on arrival to , initial (5pm) vs were f hr 123 bp 156/90 rr28 100% on ventilator (unknown settings). he was noticed by staff to have bilateral rhythmic twitching of les and received 2mg of ativan. he was started empirically on iv ceftriaxone 2g, vancomycin 1g, ampicillin 2g, acyclovir 900mg. he was loaded with dilantin, 1500mg and midazolam/fentanyl for sedation. in addition, ekg showed st elevations in v1-v4 (1mm in v1,4 and 3mm in v2-3). he now received aspirin 600mg in addition to the heparin gtt. by 1900, he was noted to be hypotensive to low 80s systolic and had received a 500cc ns bolus with increase of bp to 100s. in on the way to the floor while at ct, bp was 79/51, hr 116, received 500cc ns bolus and sbp improved to low 100s. . neurology and cardiology were consulted in ed. per neurology, the etiology of sz was unclear, and ddx included "anoxic from an mi and brain hypoperfusion; infection is a suspicion given t104; alcohol withdrawal given recent heavy drinking per family; a brain ischemic process is also a possibility but no clear evidence on exam." per cardiology, it was felt that he could be having an mi, but in setting of a seizure and possible stroke they felt this was the latter were the more likely explanations. patient was admitted to micu for further management. . of note, family suspects that patient had been drinking heavily last week. on the floor, vs were 98.4f, 102/62, 89, 15, on 90%fio2, tv 500. he was unresponsive to verbal or tactile stimuli. . he had here positive stool and no lavage but coffee ground emesis in the ed. past medical history: -previous lmca stroke 10 years ago perioperatively s/p l endarterectomy -hx of etoh abuse -htn -dm -pvd - occlusion social history: former cook. cuurently retired. lives in n. , in senior comm. living. widowed and divorced. - tobacco: quit 10 yrs ago. 50+ ppy hx. - alcohol: currently using, unknown amount. - illicits: marijuana in the past. family history: non-contributory physical exam: vs t:98.4f bp:102/62 p:89 rr:15 90%fio2, tv 500 general: intubated, sedated. no response to vocal or tactile stimuli heent: sclera anicteric, dmm, oropharynx clear, right edematous ear, w/ external bleeding, unable to visualize tm. neck: supple, no jvd, no lad lungs: clear to auscultation bilaterally cv: regular rate, normal s1 + s2, no murmurs, gallops abdomen: soft, non-tender, non-distended, no hepatomegaly. ext: warm, trace pulses in b/l les, no clubbing or edema. abrasion on left. neuro: eyes closed, does not respond to commands, grimaces to noxious. perrl, corneal, oculocephalic and gag intact, withdraws rue flexor, lue extensor, flextion bilaterally. has a mild righ facial. toe up on left, equivocal on right. no clonus. increased tone in rue and rle. dtrs symmetrically in ues and les. pertinent results: 05:45pm blood wbc-15.8* rbc-4.83 hgb-16.3 hct-46.6 mcv-96 mch-33.6* mchc-34.9 rdw-13.4 plt ct-191 09:18pm blood wbc-15.5* rbc-4.61 hgb-15.7 hct-45.5 mcv-99* mch-34.0* mchc-34.5 rdw-13.5 plt ct-200 03:13am blood wbc-17.3* rbc-4.27* hgb-14.5 hct-41.5 mcv-97 mch-34.0* mchc-35.0 rdw-13.5 plt ct-198 02:39pm blood wbc-10.8 rbc-3.85* hgb-13.2* hct-37.6* mcv-98 mch-34.2* mchc-35.0 rdw-13.6 plt ct-166 03:28am blood wbc-14.1* rbc-4.17* hgb-14.2 hct-40.7 mcv-98 mch-34.0* mchc-34.8 rdw-13.4 plt ct-210 . . 05:45pm blood glucose-215* urean-15 creat-0.8 na-136 k-3.2* cl-98 hco3-18* angap-23* 09:18pm blood glucose-248* urean-15 creat-1.1 na-136 k-4.0 cl-102 hco3-17* angap-21* 04:43am blood glucose-264* urean-17 creat-1.0 na-136 k-3.6 cl-104 hco3-20* angap-16 11:37am blood glucose-173* urean-17 creat-0.9 na-137 k-3.4 cl-104 hco3-16* angap-20 05:53pm blood glucose-171* urean-17 creat-1.0 na-139 k-4.1 cl-105 hco3-18* angap-20 03:13am blood glucose-208* urean-17 creat-1.0 na-142 k-3.9 cl-106 hco3-19* angap-21* 02:39pm blood glucose-259* urean-18 creat-0.9 na-140 k-3.4 cl-110* hco3-21* angap-12 03:28am blood glucose-251* urean-19 creat-0.9 na-141 k-4.3 cl-108 hco3-23 angap-14 . . 05:45pm blood alt-160* ast-199* ck(cpk)-* alkphos-72 totbili-0.8 09:18pm blood alt-153* ast-207* ck(cpk)-1760* alkphos-63 amylase-24 04:43am blood alt-151* ast-195* ck(cpk)-1508* 03:13am blood alt-177* ast-194* alkphos-64 totbili-0.8 03:28am blood alt-203* ast-152* alkphos-145* totbili-0.7 . . 05:45pm blood ctropnt-1.01* 09:18pm blood ck-mb-45* mb indx-2.6 ctropnt-1.02* 10:38pm blood ck-mb-47* mb indx-2.7 ctropnt-0.81* 04:43am blood ck-mb-50* mb indx-3.3 ctropnt-0.72* 11:37am blood ck-mb-43* mb indx-3.2 ctropnt-0.60* 03:13am blood ck-mb-29* ctropnt-0.55* . . brief hospital course: patient was a 70 year old man with hx of left mca stroke, s/p l cea, htn, dm, pvd, etoh abuse and no previous hx of seizures who deveoped cp, indigestion symptoms, diaphoresis and chest pressure, and was found the next morning with gtc seizure, of unclear duration. he was intubated at an osh and had ste at v1-4 with reciprocal changes in ii, iii, avf. . # status epilepticus. he was found to be in status epilepticus. he had a known lmca infarct, thus reduced sz threshold, however, in setting of fever to 104, must r/o encephalitis and meningitis. in addition, it was possible that he is withdrawing from etoh (athough had "only a glass" of wine yesterday). in addition, there was concern for a stroke (mechanism would be a stump embolus if actually has complete occlusion). utox and stox negative. given the patients seizures, likely stroke, fever and leukocytosis, hypoxia, and overall grim outlook the family elected to institute comfort measures only for mr. . mr. was made comfortable and given morphine for pain control. he expired on . medications on admission: family thinks he takes multivitamins only discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: acidosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified alcohol abuse, unspecified acute respiratory failure hypotension, unspecified cerebral edema grand mal status late effects of cerebrovascular disease, hemiplegia affecting unspecified side encounter for palliative care cerebral embolism with cerebral infarction hemorrhage of gastrointestinal tract, unspecified perichondritis of pinna, unspecified 

Answer: The patient is high likely exposed to