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 / sulfonamides / aspirin/calcium carbonate attending: chief complaint: headache, left sided weakness major surgical or invasive procedure: sedation and endotracheal intubation for mri left subclavian central line placement history of present illness: patient unable to give coherent history. information garnered from online notes, chart notes, and husband. is a 71 year old right handed female with past medical history of hypertension, diabetes, sarcoidosis who presented to on as a transfer from an outside hospital. patient was in her usual state of health until 3 days prior to admission. at that time, she developed a sudden onset "pressure" headache in right periorbiral area with radiation to the right frontotemporal area, rated in severity. there were no exacerbating or alleviating factors. no history of fevers. one day prior to admission, she had an unwitnessed fall at home. her husband also thought that her left hand was weak. he took her to hospital on . on exam there, she was noted to have right exotropia, weakness of the left arm, and ataxic gait. she was sent for head ct there. while in ct scanner at 8.45pm, she had a generalized tonic clonic seizure lasting 3 minutes. afterwards, she was postictal and combative. she received ativan and haldol. she was also loaded with dilantin 1 gram iv. head ct showed old left occipital infarct. at hospital, she stayed in the emergency department overnight. apparently, she continued to have headaches. she was seen in the am on by a neurologist who described right exotropia, mild left facial weakness, left drift and left sided neglect. she was therefore transferred to on for consideration of stroke. on arrival here, she complained only of persistent headache and nausea. she denies visual changes, weakness, numbness. from while in ed, multiple attempts to get mri unsuccessful due to patient agitation. received ativan iv 4 mg iv, haldol 5 mg iv and an additional dilantin 1gram. repeat ct scan failed to show an evolving infarct. past medical history: 1. diabetes mellitus 2. hypertension 3. sarcoidosis 4. osteoporosis 5. gastroesophageal reflux disease 6. status post splenectomy for sarcoid 7. status post right lower lobectomy 8. status post tah/bso 9. stroke as a newborn 10. right eye exotropia (s/p surgical correction) 11. depression all: aspirin, pcn, sulfa social history: married. lives with husband. 4 children. retired from retail work. no tobacco, alcohol, drug use. family history: family history of coronary artery disease, diabetes mellitus. physical exam: bp 123/90 p 78 r 17 o2 sat 88% - 95% 3l general: elderly female, agitated, c/o ha and needing to have a bowel movement heent: ncat neck: supple, no carotid bruits lungs: clear to auscultation cv: regular rate and rhythm neurologic examination: mental status: awake, prefers to close eyes but easily opens to voice, agitated oriented to person, place, month, and year but gives day as 10th attention: can say days of week backward and forward language: fluent, no paraphasic errors, naming, repitition and comprehension intact. neglects l side. when shown her l arm, initially says "it's dr." then able to say it "might" be hers with prompting. cranial nerves: l hemianopsia versus visual neglect. pupils equally round and reactive to light, 5 to 2 mm bilaterally. r exotropia. mildly decreased adduction b/l. facial sensation normal bilaterally. l umn pattern facial weakness. mild dysarthria. uvula midline. tongue midline. motor: not cooperative with detailed testing but clearly has l pronator drift. l arm distal >> proximal weakness and mild l leg weakness. deltoid , bicep and tricep , wrist . overall seems to have better strength but limited by neglect and by agitation/non cooperative. l leg roughly . r arm and leg appears to be full strength. sensation was intact to light touch reflexes: b t br pa pl right 2 2 2 2 2 left 3 3 3 2 2 toes withdrew b/l coordination and gait not tested pertinent results: 05:45am blood wbc-20.2* rbc-3.80* hgb-12.0 hct-35.2* mcv-93 mch-31.6 mchc-34.1 rdw-15.5 plt ct-946* 09:00pm blood wbc-12.6* rbc-4.53 hgb-13.6 hct-39.2 mcv-87 mch-30.0 mchc-34.7 rdw-12.7 plt ct-471* 03:00pm blood neuts-82.6* lymphs-12.9* monos-3.6 eos-0.6 baso-0.3 06:02pm blood esr-27* 05:45am blood glucose-104 urean-14 creat-0.7 na-144 k-3.3 cl-106 hco3-27 angap-14 05:00pm blood alt-21 ast-31 alkphos-90 05:45am blood calcium-9.7 phos-4.3 mg-2.0 03:00pm blood caltibc-273 ferritn-204* trf-210 08:20am blood %hba1c-6.4* 09:20am blood triglyc-246* hdl-49 chol/hd-4.5 ldlcalc-124 04:41am blood tsh-0.25* 04:08am blood free t4-1.0 08:20am blood crp-3.15* 12:00am blood anti-tg-less than antitpo-11.3 08:10am blood bartonella hensalae/ igg/igm antibody panel-pnd 09:21pm blood herpes simplex (hsv) 2, igg- test 09:21pm blood herpes simplex (hsv) 1, igg-test 12:14pm blood angiotensin 1 - converting -test 10:39am urine color-yellow appear-clear sp -1.015 10:39am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-mod 10:39am urine rbc-2 wbc-48* bacteri-few yeast-none epi-3 03:34pm cerebrospinal fluid (csf) wbc-1 rbc-14* polys-0 lymphs-100 monos-0 03:34pm cerebrospinal fluid (csf) wbc-1 rbc-13* polys-5 lymphs-45 monos-50 03:34pm cerebrospinal fluid (csf) totprot-27 glucose-124 02:06pm cerebrospinal fluid (csf) neuronal nuclear antibodies, western blot-pnd 12:48pm cerebrospinal fluid (csf) west nile virus serology-pnd 12:48pm cerebrospinal fluid (csf) eastern equine encephalitis serology-pnd 09:03pm cerebrospinal fluid (csf) ebv-pcr- test 03:34pm cerebrospinal fluid (csf) angiotensin 1 converting enzyme-test 03:37pm cerebrospinal fluid (csf) angiotensin 1 converting enzyme-test 10:33am cerebrospinal fluid (csf) herpes simplex virus pcr- test brief hospital course: she was admitted to the stroke neurology service for workup of new seizures and left hemiparesis. in am on had event with decreased oxygen saturation, decreased level of responsiveness and foaming at the mouth. no withdrawal at lue. later on, had lp with op 15, no pleocytosis, normal protein and glucose. (1 wbc, 2 rbc, prot 22, gluc 94). concern that lue weakness and altered ms could be due to seizure activity. reloaded with dilantin . eeg with right frontal slowing. in am on , had witnessed seizure with eyes deveiated to the left, nystagmus, right arm flexion, foaming at the mouth. prolonged seizure activity for ~10 minutes. broke after 4 mg iv ativan. also bolused with 500mg iv dilantin. transferred to icu out of concern for non-convulsive status epilepticus. started on acyclovir for emperic treatment of hsv encephalitis. icu course is remarkabe for leukocytosis with cxr with evolving right lower lobe infiltrate; started on levofloxacin and flagyl. was on continous bedside eeg while in icu. eeg with right frontal pleds which resolved and later showed diffuse slowing overall with some voltage reduction over the right hemisphere in comparison to the left. mri/mra/mrv under conscious sedation showed right-sided, primarily posterior leptomeningeal enhancement. mra and mrv were normal. briefly on depakote and then discontinued. dobhoff placed and tube feeds started . retapped on with 1 wbc, 14 rbc, 100% lymphs, prot 27, gluc 124. she was transfered to the floor on . ppd placed and was negative. 1. neuro her clinical course, mri and eeg findings were consistent with encephalitis. the etiology of this encephalitis remains unclear as the workup has been negative thus far. infectious etiologies (hsv, ebv, varicella, and tuberculosis) negative. west and eastern equine encephalitis testing is pending. cns sarcoid was considered, although presentation and findings were not typical for sarcoid. serum ace was normal and csf ace level was normal. limbic encephalitis was also considered in the differential, but seems less likely because she has improved relatively quickly. anti- ab in the csf is still pending at the time of discharge. anti and anti thyroglobulin levels were normal. given the negative workup thus far, it seems that the most likley diagnosis is a viral encephalitis. she gradually improved over the course of her admission. she was started on steroids which were tapered-she is being discharged on 20mg po qd-which should be tapered on to 10mg for two days, then discontinued. she has not had further seizures-her dilantin level (corrected) was 10.7-her dose of dilantin was increased to 200mg on . please follow up her dilantin level next week. 2. cv: her bp was mildly elevated initially-acei was added to her regimen with good response. continue plavix (asa allergy) cont metoprolol and lisinopril continue lipitor 3. gi: pt c/o gerd symptoms often-she was started on ppi and symptoms resolved continue protonix 4. id: initially developed aspiration pna-completed 14 day course of levofloxacin. she was noted to have +ua, ucx showed mixed flora. abx were cahnged to ceftriaxone. repeat ua showed 48wbcs, ucx is pending. she has been asymptomatic and afebrile. will d/c patient on cipro. f/u ucx and change antibiotics if needed. 5. heme: patient had chronically elevated platelets which have steadily increased. heme was curbsided and recommended fe studies-which were normal. ?reactive thrombocytosis vs. essential. she should follow up with hematology-the hematology office will call her with date of appointment. heme fellow pager: . 6. endo: pt has dm and was on oral meds for glycemic control prior to admission. she was changed to nph and riss. continue nph 18u qam and 10uqhs would change to oral meds once prednisone is discontinued 7. psych: pt has been delerius during the course of her admission, probably a combination of encephalitis, seizures, and medication effect. her mental status is much improved and she is more attentive. she has been having primarily visual, but also auditory hallucinations-?steroid psychosis. she was started on seroquel with some relief. the seroquel can most likely be d/c'd as the steroids are tapered and her mental status continues to improve. 8. rehab: pt was seen and evaluated by pt and ot. she is being discharged to acute rehab for continued therapy. medications on admission: medications prior to admission: 1. metformin 500 mg po bid 2. toprol xl 50 mg po qd 3. amaryl 2 mg po qd 4. dicyclomine 20 mg po qid 5. celexa 30 mg po qd 6. nifedipine xl 60 mg po qd 7. home oxygen discharge medications: 1. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (). 2. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (). 3. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 4. lactulose 10 g/15 ml syrup sig: fifteen (15) ml po tid (3 times a day) as needed for prn. 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal qd () as needed. 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 7. trazodone hcl 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 9. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po qd (). 10. prednisone 20 mg tablet sig: one (1) tablet po qd () for 2 doses. 11. prednisone 10 mg tablet sig: one (1) tablet po qd () for 2 doses. 12. lisinopril 5 mg tablet sig: 0.5 tablet po qd (). 13. quetiapine fumarate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 14. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day). 15. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day). 16. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 17. magnesium oxide 140 mg capsule sig: one (1) capsule po bid (2 times a day). 18. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for heartburn. 19. cipro 500 mg tablet sig: one (1) tablet po every twelve (12) hours for 7 days. 20. nph: 18u qam and 10uqhs discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. encephalitis 2. status epilepticus 3. diabetes 4. aspiration pneumonia 5. steroid psychosis 6. urinary tract infection 7. thrombocytosis discharge condition: improved, no seizures. minimal left hand weakness. still has occasional episodes of confusion, but mental status much improved. discharge instructions: please contact neurology or the emergency department if there is headache,increased confusion, seizure, increased sleepiness, paralysis, change in sensation, shortness of breath, chest pain, abdominal pain. followup instructions: 1. clinic dr. and dr. where: neurology phone: date/time: 2:30 2. clinic-they will call with date and time of appointment 3. please follow up with your pcp after discharge from rehab md, procedure: venous catheterization, not elsewhere classified spinal tap incision of lung enteral infusion of concentrated nutritional substances arteriography of cerebral arteries magnetic resonance imaging of brain and brain stem diagnoses: esophageal reflux urinary tract infection, site not specified unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other convulsions sarcoidosis depressive disorder, not elsewhere classified pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified lung involvement in other diseases classified elsewhere family history of diabetes mellitus unspecified diseases of blood and blood-forming organs unspecified non-arthropod-borne viral diseases of central nervous system hemiplegia, unspecified, affecting nondominant side unspecified drug-induced mental disorder 

Answer: The patient is high likely exposed to