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: rigidity, neuroleptic malignancy syndrome major surgical or invasive procedure: intubation right ij central venous line placement ng tube placement history of present illness: 61 yo female with recent diagnosis of parkinsons, who was admitted to osh on . her initial presentation was documanted as "semi-responsive state with significant tremor and delirium". patient has long history of depression and alcohol abuse. she also was progressively declining with regard of her cognitive function, and coordination over the past several months. months ago she was diagnosed with parkinsons an perscribed amantadine 100 mg and sinemet 25/100 tid. over the past month she was found to significantly overdosing her self on these medication (one month supply used within 2 wks). he over all presentaion of confusion, tremorness, hallucinations and ms . he neurologist was called by her partner and eval was recommended. in the osh she was admitted and given empiric abx (elevated wbc) and benzodiazepines for concern of etoh withdrawal or infection. she did not respond to benzodiazepines but her presentation rather worsened. she was seen by psych, thought to be in delirium, and given haldol as well as zyprexa in high doses. again her clinical presentation deteriorated (fever, tremeor, obtundation), and requiring intubation for airway protection. neurology consult expressed concern for nms in the setting of sudden decrease in antiparkinsons as well as antipsychotic use with fevers to 104, elevated ck, arf, and leucocytosis. transfer to care center was recommended. she was found to have gram negative uti. . other medications included a course of levofloxacin, clindamycin, librium, klonipin, ativan drip, valium, trazadone, amanatadine 100 , bupropion 100 mg . past medical history: htn parkinson's alcohol abuse (3 glass of vodka or whiskey) asthma depression social history: etoh daily, lives with boyfriend family history: non-contributory physical exam: t= 100.9 bp= 115/60 hr= 83 rr=21 o2=100% . physical exam general: sedated heent: conjunctival pallor. no scleral icterus. perrl, mmm. op clear. cardiac: regular rhythm, normal rate. normal s1, s2. lungs: ctab, good air movement biaterally. abdomen: soft, +bs extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neuro: 1+ reflexes, equal bl. clockwheel rigidity. pertinent results: n/c ct head: impression: no acute intracranial process . ap cxr : no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute pneumonia, though some respiratory motion degrades the image. endotracheal tube tip lies approximately 3.5 cm above the carina. nasogastric tube extends well into the stomach. the cardiac silhouette is at the upper limits of normal in size on this frontal radiograph. . lab results on admission: 10:41pm wbc-23.6* rbc-3.07* hgb-9.7* hct-29.9* mcv-97 mch-31.7 mchc-32.5 rdw-14.4 10:41pm neuts-82.4* lymphs-15.9* monos-1.4* eos-0.1 basos-0.2 10:41pm plt count-213 10:41pm pt-17.6* ptt-50.7* inr(pt)-1.6* 10:41pm fibrinoge-511* 10:41pm ret aut-0.8* 10:41pm glucose-224* urea n-29* creat-1.2* sodium-147* potassium-4.1 chloride-109* total co2-28 anion gap-14 10:41pm alt(sgpt)-70* ast(sgot)-723* ld(ldh)-987* ck(cpk)-3714* alk phos-214* tot bili-1.0 10:41pm lipase-39 10:41pm ck-mb-6 10:41pm albumin-3.4 calcium-7.2* phosphate-1.9* magnesium-1.4* iron-109 10:41pm d-dimer-637* 10:41pm caltibc-195* haptoglob-368* ferritin-greater th trf-150* 11:22pm urine blood-mod nitrite-neg protein-25 glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-5.0 leuk-neg on discharge: 05:40am blood wbc-11.5* rbc-3.17* hgb-9.9* hct-30.4* mcv-96 mch-31.3 mchc-32.7 rdw-14.9 plt ct-363 05:40am blood wbc-11.5* rbc-3.17* hgb-9.9* hct-30.4* mcv-96 mch-31.3 mchc-32.7 rdw-14.9 plt ct-363 08:44pm blood neuts-84.1* lymphs-12.3* monos-2.7 eos-0.7 baso-0.2 05:40am blood glucose-80 urean-9 creat-0.6 na-143 k-3.8 cl-104 hco3-28 angap-15 05:40am blood alt-39 ast-49* ck(cpk)-173* alkphos-165* brief hospital course: assessment and plan: 61 yo with a history of alcoholism and recently diagnosed parkinson's disease, who presented to osh with acute change in her mental status and was transferred b/c of concern for nms. . # acute ms change: the main differential is neuroleptic malignancy syndrome (nms), alcohol withdrawal or acute delirium. given that she did not improve with benzodiazepenes and acute worsened with typical neuroleptics at the outside hospital, nms seemed most likely. she was started on high dose sinemet (25/100 x2 tabs q6hrs) and amantadine with slow improvement in her rigidity. she was also sedated and required intubation for mental status changes. her lumbar puncture showed no signs of infection and her antibiotics were stopped. neurology was consulted, and as she improved, they suggested slow weaning of the sinemet dose. even as her rigidity improved, she was significantly agitated and there was concern for alcohol withdrawal. her agitation improved with benzos, and she initially required a midazolam drip. she was extubated as her mental status had improved and was weaned down to home plus few prn doses of diazepam due to alcohol withdrawl per the ciwa scale. on she improved further and had her ng tube pulled and tolerated a clear fluid diet. she was transferred to the floor for further monitoring and consideration of placement. . #parkinson's disease - pt was restarted on double her home dose of anti-parkinsonian medications, given she had been on these doses prior to admission. she was started on a slow taper. her outpt neurologist should continue to taper her sinemet until she reaches the lowest dose that will control her symptoms. . # fever/leukocytosis: on admission she had low-grade fevers and a leukocytosis to 23.6 with 83% bands, raising concern for meningitis. she was treated empirically with vancomycin/meropenem/acyclovir for two days until she was afebrile and had a clean lp. she had a normal cxr, negative blood cultures and negative urine cultures. she grew coag positive gram positive cocci on sputum cultures while intubated but at that point was afebrile without respiratory symptoms. fever and white count were most secondary to nms. . # acute renal failure: the patient presented in mild renal failure with a creatinine of 1.2, raising concerns for rhabdomyolysis (ck 3714). her creatinine improved with hydration down to 0.6 and her ck trended down slowly with improvement of her nms. on presentation she was hypernatremic with low potassium, calcium, magnesium and phosphate, likely secondary to muscle breakdown and nms. her electrylytes were repleted and normalized. the hypernatremia improved with hydration. . # elevated transaminases: the patient had elevated liver function tests with ast>alt suggestive of alcoholism. a right upper quadrant ultrasound was normal. . # anemia: the patient presented with a normocytic anemia. she had one spurious lab value on that was in-line with her baseline on repeat. hemolysis labs were negative. her iron stores were normal with elevated ferritin, suggesting anemia of chronic disease. . # coagulopathy: on admission the patient had a mild coagulopathy with elevated pt and ptt. this normalized without any intervention. . # etoh abuse: the patient has a history of significant alcohol abuse, drinking approx 15 ounces of hard alcohol per day. prior to admission, her partner reports that she had hallucinations that improved after drinking alcohol. after her nms improved, she had significant agitation that improved with benzos, suggesting she may have been withdrawing. after extubation she was put on a q2hr ciwa with po valium for scores over 10. after one day her she had no ciwa requirement. psychiatric nursing was consulted for her h/o etoh abuse. . code status: patient was full code. . emergency contact: partner : , son : for rehab: daily physical therapy. pt has appointment with dr. in - ( on medications on admission: home meds: v b12 1,000mg daily vit c 500mg daily centrum hctz 25mg daily oxazepam 30 mg bupropion 100 po bid percocet 5/325 tab atenolol 50mg simvastatin 20mg daily prilosec 20 mg daily clonidin 0.1 cabidopa/levodopa 25/100 tid amantadine 100 trazadone 50 qhs loratadine 10 daily singulair 10 daily - on transfer: neosynephrine, s/p 2xffp, 1 uprbc on osh: bactrim iv q12h zovirax 500 mg iv bid azactam 2g iv bid vanco 1g iv bid lactulose 30 ml ppi combivent propofol drip symmetrel/amantadine 100mg daily tenormin 50 mg sinemet 25/100 2 tabs q6h librium 20 mg q6h prn clondine 0.1 valium tid discharge medications: 1. carbidopa-levodopa 25-100 mg tablet sig: two (2) tablet po bid (2 times a day). 2. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po daily (daily). 3. amantadine 100 mg tablet sig: one (1) tablet po once a day. 4. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 5. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep. 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. oxazepam 15 mg capsule sig: two (2) capsule po bid (2 times a day). 8. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). 9. b-12 dots 500 mcg tablet sig: two (2) tablet po once a day. 10. multivitamin capsule sig: one (1) capsule po once a day. 11. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain. 12. thiamine hcl 100 mg tablet sig: two (2) tablet po daily (daily). 13. docusate calcium 240 mg capsule sig: one (1) capsule po once a day. 14. senna 8.6 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: country rehabilitation & nursing center - discharge diagnosis: primary: neuroleptic malignant syndrome, parkinson's disease secondary: hypertension, alcohol withdrawl discharge condition: stable, afebrile discharge instructions: you were admitted for treatment of neuroleptic malignant syndrome. you were treated with conservative management and tempororily on the breating machine for airway protection. your muscle rigiditity and mental status improved and you were discharged to rehabilitation to regain your strength. medications changed during this admission include - -sinemet 25/100, please take two tabs upon awakening, two tabs before bedtime. please take one tab at 2pm. -you may stop taking your blood pressure medications (atenolol and clonidine) at this time as your blood pressure is well controlled. - please stop taking buproprion and do not restart unless instructed by your doctor. - please stop taking simvastatin at this time. you should discuss when to restart this medication at your next doctor's appointment. - please stop taking percocets. - docusate and senna, medications to help you move your bowel were started. please call your doctor or go to the emergency room if you develop fevers chills, chest pain, shortness of breath, confusion, or any other concerning symptom. followup instructions: please follow up with your neurologist in one week. he should continue to taper down your sinemet slowly until you are on the lowest dose that will control your symptoms. please follow up with your primary care doctor when you return home from rehab. you should discuss restarting your blood pressure and cholesterol medications at your next visit. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube diagnoses: anemia of other chronic disease urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified acquired coagulation factor deficiency asthma, unspecified type, unspecified depressive disorder, not elsewhere classified paralysis agitans rhabdomyolysis other and unspecified alcohol dependence, continuous alcohol withdrawal neuroleptic malignant syndrome 

Answer: The patient is high likely exposed to