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: patient recorded as having no known allergies to drugs attending: chief complaint: dizziness; s/p fall major surgical or invasive procedure: none history of present illness: 40m w/ no significant past medical history was having "dizzy spell and palpitations" several times during the week preceding hospitalization. he reported having an episode of dizziness a few minutes prior to him falling from a standing postition. wife witnessed, no apparent seizures, no slurred speech. patient initially aox1 and responding inappropriately. mental status slowly improved with time. pt presents to with short term memory impairment, dizziness and headache. past medical history: subjective heart racing 1 kidney (donated kidney to mother} social history: married, lives with spouse. etoh use, nonsmoker, no ilicit drug use family history: mother- disease; father; deceased colon ca physical exam: on admission: o: t:97 bp: 136/84 hr:73 r:19 o2sats:100% 2l n/c gen: mild discomfort heent: pupils: 3->2 b/l eomi neck: cervical collar - no tenderness to palpation lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to 3->2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch bilaterally. toes downgoing bilaterally coordination: normal on finger-nose-finger. on discharge: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx pertinent results: labs on admission: 04:30pm blood wbc-8.1 rbc-5.25 hgb-16.0 hct-42.8 mcv-82 mch-30.6 mchc-37.5* rdw-13.3 plt ct-208 04:30pm blood neuts-59.7 lymphs-31.6 monos-2.9 eos-4.8* baso-1.0 08:09pm blood hypochr-normal anisocy-normal poiklo-normal macrocy-normal microcy-normal polychr-normal 04:30pm blood pt-13.1 ptt-23.5 inr(pt)-1.1 04:30pm blood glucose-135* urean-23* creat-1.2 na-137 k-3.3 cl-100 hco3-27 angap-13 04:30pm blood calcium-9.4 phos-2.5* mg-1.9 04:30pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg labs on discharge: xxxxxxxxxxx imaging: head ct : impression: 1. multifocal, small regions of right-sided subdural hemorrhage with adjacent regions of subarachnoid hemorrhage. no significant midline shift or mass effect. 2. soft tissue swelling along the left occipital parietal region with adjacent linear nondisplaced left occipital fracture extending towards the condyle. c-spine : impression: mild superior endplate deformity with slight loss of height involving the anterior portion of c6, likely within normal limits. otherwise, no evidence of acute fracture within the cervical spine. known left occipital bone fracture as described in head ct. mrv : impression: 1. asymmetry of the transverse sinuses may be due to anatomic variation, right dominant transverse sinus. 2. apparent tubular filling defect in the right jugular vein may be due to flow related artifact vs. thrombus. head ct : edema of right frontal contusion, similar in appearance since prior scan with slight decrease in hemorrhage of foci seen. brief hospital course: patient is a 40 year old male with 4mm rt sdh, sah, fx of left occipital bone after fall from standing position - felt dizzy with palpitations and was found to have new onset of afib. cardiology consulted. asa 325', atenolol 12.5mg begun. pts cervical spine was also cleared clinically. pt continued to have non focal neurologic exam. repeat ct of brain done on showed the frontal blood collection as slightly increased in size. neuro exam remaining unchanged with short term memory impairment. pt needing frequent reminders for instructions and details. mri/v was completed on revealing no definite thrombus. left transverse sinus is smaller than the right. be anatomic variation. right jugular with filling defect as well. tte showing basal wall hypokinesthis. because of the hypokinesthis, cardiology felt it would be better to obtain a cardiac mr prior to eps study which was done on without complication. the patient had an implanted cardiac holter recorder (reveal) placed in the cath lab. patient reported frontal headache without positional component on - repeat ct of head showed stable edema of right frontal contusion, similar in appearance since prior scan with slight decrease in hemorrhage of foci seen. the patient and his wife will be obtaining cd copies of all images done during his hospitalization at . images will be for the medical providers who will follow him when he returns to where he will need neurology follow-up with continuing dilantin for at least 3 months plus neuropsych evaluation before returning to work. also, needs cardiology follow-up as well. medications on admission: none discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily): please dispense enteric coated tablets. disp:*30 tablet(s)* refills:*0* 2. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day) for 30 days: discontinue on . disp:*90 capsule(s)* refills:*0* 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for headache. disp:*50 tablet(s)* refills:*1* 9. atenolol 25 mg tablet sig: tablet po twice a day: hold for hr less than 54 and systolic blood pressure <90. disp:*30 tablet(s)* refills:*2* 10. alprazolam 0.25 mg tablet sig: one (1) tablet po tid; prn as needed for anxiety. disp:*42 tablet(s)* refills:*0* 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: new onset atrial fibrillation traumatic sdh, sah from fall while standing. discharge condition: stable discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? you have been prescribed an anti-seizure medicine, take it as prescribed for 30 days. you should have your blood drawn every three days to ensure an adequate level. this should be monitored by your pcp /or neurologist. ?????? call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. followup instructions: neurosurgery follow up recommendations: *you will need to follow up with a neurologist for your head injury, and neuro psychiatry testing once back in . you will need to continue on dilantin for one month. dilantin blood levels must be checked every three days and reported to your pcp or neurologist. *cardiology follow up also will occur in . you will need an electrophysiologic cardiologist to follow your monitor. you will be given prescriptions for enough medication to cover for one month. procedure: catheter based invasive electrophysiologic testing ambulatory cardiac monitoring revision or relocation of cardiac device pocket diagnoses: atrial fibrillation open wound of scalp, without mention of complication syncope and collapse fall from other slipping, tripping, or stumbling closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 

Answer: The patient is high likely exposed to