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: no known allergies / adverse drug reactions attending: chief complaint: seizures major surgical or invasive procedure: none history of present illness: 25 year old right handed woman with a history of epilepsy who presents for evaluation in the setting of seizure today. the patient was seen emergency days ago () for a seizure after missing a dose of her medication. she does not currently have a neurologist and so she was referred for follow-up in neurology urgent care. over the last few days, the patient reports feeling tired. she has had an irregular work schedule and has not been sleeping well because of her daughter who is 10 months old. she admits to missing a few doses of her medications here and there because of this. the patient reports waking this am in bed, incontinent of urine and with a headache. this is typical when she has a seizure in her sleep. she felt tired though the day but did go to work. while at work she was apparently noted to be staring off while shorting forks and spoons. she wasn't quite her self and so she was sent home. the patient decided to come to the ed as she felt as though she may have another siezure. seizure history: the patient had her first seizures at age 19. she was noted to be dropping things and then a week or so later she had what is now suspected of being a generalized seizure in the shower. she was not initially treated, but over the following months she had several more seizures which she describes as "grand-mal". she does not remember her seizures but has been told she has full body jerking. in addition to these, the patient reports having other seizures which involve her staring off. in retrospect she may have had these types of seizures as a child, as she was put into special education for difficulty paying attention and starring off in class. she has never seriously injured herself from seizure. she does occasionally have an aura to her seizures- she will become intensly nauseasted and have an unpleasent smell. seizures are more frequent during her menses. she has no other identified triggers. her most recent seizure free period was 2 months and this occured 10 months ago after the birth of ther daughter. after that, her seizures seemed to increase in frequency from 1-2 times monthly to up to 4 times monthly. previous aeds: the patient was intiailly treated with trileptal, but this was ineffective and also impaired her mood. she was later transitioned to keppra and was having seizures per month on this medication. this wast swithed to depakote and lamictal 2 months ago as she was felt to have poor control. this was done through hospital, and the patient was not followed by a neurologist since that change. ros: neurologic review of systems was negative for headache, loss of vision, blurred vision, diplopia, dysarthria, dysphagia, vertigo, tinnitus or hearing difficulty. she reports mild lightheadedness currently. she denied difficulties producing or comprehending speech. denied focal weakness, numbness, parasthesiae. no bowel or bladder incontinence or retention. denied difficulty with gait. on general review of systems, the patient reported 4 colds in the last 6 months and both she and her daughter just recently got over an upper respiratory cold. she otherwise denied recent fever or chills, cough, shortness of breath. chest pain, tightness, palpitations, nausea, vomiting, diarrhea, constipation or abdominal pain. there have been no recent change in bowel or bladder habits. ros otherwise as above. past medical history: - anemia - iud placement 4 months ago (pt denies any change in seizure frequency with this) - seizure as above social history: lives with her boyfriend and daughter. she just recently started working at tgifs. she does not smoke or drink but does drink red bulls (1-2 per shift at work). family history: mother with seizures cousin with seizures physical exam: t98.6 hr 88 bp 125/71 rr 18 100% general: awake, cooperative, nad. head and neck: no cranial abnormalities, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple,no nuchal rigidity pulmonary: lungs clear to auscultation bilaterally cardiac: slightly tachy, normal rhythm, no murmurs. abdomen: + bs extremities: well perfused. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. slow at attention tasks but able to complete . language is fluent with intact repetition and comprehension. normal prosody. there were no paraphasic errors. pt. was able to name both high and low frequency objects. speech was not dysarthric. the pt. had good knowledge of current events. there was no evidence of apraxia or neglect. -cranial nerves: i: olfaction not tested. ii: perrl 4 to 2mm and brisk. visual fields full on confrontation. funduscopic exam revealed no papilledema, exudates, or hemorrhages. iii, iv, vi: eomi without nystagmus. normal saccades. v: facial sensation intact to light touch. vii: no facial droop, facial musculature symmetric. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and sternocleidomastoid bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, tone throughout. no pronator drift bilaterally. no rigidity. no adventitious movements, such as tremors, noted. no asterixis. delt bic tri wre ffl fe io ip quad ham ta edb l 5 5 5 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 5 5 5 5 5 -sensory: no deficits to light touch, proprioception throughout. no extinction to double simultaneous stimuli. -deep tendon reflexes: tri pat ach l 2 2 2 2 1 r 2 2 2 2 1 plantar response was flexor bilaterally. -coordination: no intention tremor, no dysdiadochokinesia noted. no dysmetria on fnf or hks bilaterally. -gait: slow to stand, felt lightheaded and wanted to sit back down. pertinent results: 07:42pm cerebrospinal fluid (csf) protein-48* glucose-58 07:42pm cerebrospinal fluid (csf) wbc-1 rbc-1* polys-0 lymphs-87 monos-13 06:59pm glucose-86 urea n-15 creat-0.7 sodium-137 potassium-4.4 chloride-107 total co2-19* anion gap-15 06:59pm alt(sgpt)-23 ast(sgot)-24 ld(ldh)-232 ck(cpk)-91 alk phos-58 tot bili-0.6 06:59pm albumin-4.6 calcium-9.0 phosphate-3.0 magnesium-1.9 06:59pm valproate-88 06:59pm wbc-6.7 rbc-4.21 hgb-11.5* hct-35.7* mcv-85 mch-27.4 mchc-32.3 rdw-14.9 06:59pm plt count-345 06:59pm pt-13.0 ptt-23.9 inr(pt)-1.1 08:01am valproate-63 12:43am urine hours-random 12:43am urine ucg-negative 12:43am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 12:43am urine color-yellow appear-clear sp -1.023 12:43am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 10:19pm glucose-119* urea n-20 creat-0.7 sodium-135 potassium-4.0 chloride-101 total co2-25 anion gap-13 10:19pm alt(sgpt)-26 ast(sgot)-21 tot bili-0.2 10:19pm calcium-9.7 phosphate-3.7 magnesium-1.9 10:19pm hcg-less than 10:19pm valproate-20* 10:19pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:19pm wbc-7.6 rbc-4.02* hgb-11.3* hct-33.8* mcv-84 mch-28.1 mchc-33.5 rdw-14.9 10:19pm neuts-56.7 lymphs-36.7 monos-3.7 eos-2.1 basos-0.9 10:19pm plt count-345 brief hospital course: 25w h/o nonepileptic psychogenic events, possibly epilepsy and depression initially presented with seizure cluster on in the context of missing doses of her aeds and being sleep deprived, was intubated and sedated and admitted to the neuroicu. she was loaded with depakote after being found to have a subtherapeutic level. after one day she was extubated and transferred back to the floor where she continued to have seizures and required transfer back to the icu. she was then loaded with keppra and was tapered off depakote. she was placed on ltm monitoring where several events were captured which did not have an eeg correlate to suggest epileptic activity. she was again transferred back to the floor on and continued on ltm with the plans to wean keppra and lamictal off to try and capture more events to determine if she has epileptic seizures in addition to nonepileptic seizures. on the floor, her medications were weaned while on monitoring. several events were captured without eeg correlate. she was then loaded back on keppra and her lamictal was restarted and discharged to follow up with epilepsy. she will need to have outpatient psychiatry arranged. medications on admission: depakote 500mg lamictal 50mg ativan 1mg prn seizure. discharge medications: 1. lamotrigine 25 mg tablet sig: two (2) tablet po qam (once a day (in the morning)) as needed for seizure. disp:*60 tablet(s)* refills:*0* 2. lamotrigine 25 mg tablet sig: three (3) tablet po qpm (once a day (in the evening)) as needed for seizure. disp:*90 tablet(s)* refills:*0* 3. levetiracetam 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: seizures- nonepileptic versus epileptic discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital for multiple events concerning for seizure. you were given extra doses of depakote and you continued to have events. we then loaded you with keppra. you were placed on eeg and you continued to have events which on eeg did not appear to be epileptic seizures (the type of seizure that we treat with medication) but instead were nonepileptic seizures. we had recommended that you continue the admission to futher wean down your medications so that we could evaluate for epileptic seizures. unfortunately, you decided to leave against medical advice. we changed your medications during this hospital stay. your depakote was discontinued and keppra was added and increased to 1000mg twice a day. you will continue on lamictal 75mg in the morning and 50mg at night. followup instructions: please call epilepsy clinic to schedule a follow up appointment with dr. for 1-2 weeks following this admission. this way she can schedule a future ltm admission. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube diagnoses: depressive disorder, not elsewhere classified epilepsy, unspecified, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to