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: history of present illness: the patient is a 67 year-old male who at 12:30 a.m. on presented with the worse headache of his life at an outside hospital. he complained of positive nausea, vomiting, and was diaphoretic, and felt cool and clammy. the patient was awake, alert and oriented times three at presentation. he became obtunded and apneic episode at that point. he was sedated and intubated at 2:17 a.m. on arrival. the patient's ct showed a large intracranial hemorrhage around the circle of going both posteriorly and anteriorly. he was then transferred to . medications on admission: 1. protonix. 2. coreg. 3. lipitor. 4. zestril. 5. aspirin. 6. lisinopril. 7. prilosec. allergies: no known drug allergies. past medical history: coronary artery disease. myocardial infarction. hypertension. he has an automatic internal defibrillator in place. past surgical history: positive for a coronary artery bypass graft and pacemaker placement. physical examination: the patient was afebrile. pulse of 60. blood pressure 133/94. respirations 20. 100 percent. he is intubated. the patient is heavily sedated and intubated upon arrival. no response to painful stimulating. he had a positive gag, positive corneal and negative babinski. he flexed arms to pain bilaterally and localized pain to his lower extremities. he had increased tone in his lower extremities and decreased tone in his arms. ct showed blood from a bibasilar hemorrhage, blood in the basilar cistern, lateral ventricles, posterior of the right frontal with third and fourth ventricle dilation. laboratories on admission: white blood cell count was 10.8, hematocrit 39.6, platelets 151, inr 1.2, pt 13.6, ptt 21.2, sodium was 138, 3.9, 108 for his chloride, sugar was 167. ck was 207, ckmb was 5, troponin was less then .001, amylase was 75. hospital course: the patient was admitted to the neurosurgery service under dr. service. blood pressure was to be kept at less then 130. he was started on dilantin 100 mg q 8 and head of bed was kept greater then 30 degrees. neuro checks were done q one hour and placed on strict i and o. a cta was performed, which showed a vertebral artery aneurysm. on at 11:30 in the morning mr. went to the neuro interventional angio suite where he underwent a cerebral angiogram. he was found to have wide neck aneurysm of a heavily calcified left intracranial vertebral artery proximal to the vertebral basilar junction. he found that there was no right vertebral flow and his bilaterally icas did not have an aneurysm. he is brought back to the intensive care unit. his blood pressures kept less then 130 and dr. discussed possible coiling options with the family at that time. postoperatively after his diagnostic angio mr. was found not to open his eyes to sternal rub or following commands. his pupils were 4 mm, sluggish, reactive. he had a positive corneal and gag reflex. no blink to visual threat. he had increased tone in his lower extremities. he localized to pain in all four extremities moving his legs spontaneously. at 8:30 p.m. on he was brought back to the interventional neuro angio suite where he had a stent deployment times two and coil-through- stent embolization of his left vertebral artery aneurysm. before the procedure he had a ventriculostomy drain placed without any complications. postoperatively, his blood pressure is kept in the less then 120 range. his drain is open at 15. he is started on plavix 75 mg q day and aspirin 325 mg po q day. on his intracranial pressures were ranging from 9 to 11. he had been sedated at that point. his pupils were bilateral at 2 with a conjugate gaze, moving spontaneously on the right, following commands in his upper and his lower extremities. he continued to receive intravenous dilantin. his dilantin was 8.3 that day. his drain was kept at 15 cm. later in the day on he had his aicd interrogated and it was found to be functioning normally. it is a single lead icd. after his coiling procedure mr. was placed on heparin. on mr. was weaned from the ventilator and extubated. he tolerated his extubation without difficulty. cat scan on showed a large amount of subarachnoid hemorrhage within the basilar cistern and third and fourth ventricles as well as the posterior . it appeared stable from previous cat scans. there was a small amount of subarachnoid hemorrhage overlying the sulci bilaterally. the ventricular size appeared decreased compared with previous studies. also on mr. had periods of congestive heart failure. chest x-ray showed failure. he was given lasix and pan cultured and did better post receiving lasix. he was started on tube feeds. he continued to have nipride to keep his blood pressure in the below 130 range and he continued to receive heparin at 700 units an hour. at this point he had no positive cultures. on mr. eyes would open spontaneously to stimulation. he showed his thumbs bilaterally, wiggled his toes bilaterally. he was receiving lasix prn. he received dilantin to have his dilantin level greater then 10. he continued to have a drain in at 15 mm. cerebral spinal fluid showed no microorganisms. he had been ruled out for an myocardial infarction. on his heparin drip was stopped and his femoral sheath was discontinued per dr. . cardiology also saw mr. for his continuing problems with congestive heart failure and they felt that he was volume overloaded and they agreed to keep his volume status balanced and to aim for negative fluid balance. the patient had an echocardiogram and it showed his ejection fraction was 30 percent. at this point his cardiac medications included coreg, lipitor, lisinopril, nimodipine, lopressor, hydralazine, lisinopril and carvedilol. he was on a nipride drip. during the evening of mr. became more tachypneic and was reintubated at that time. his failure was unable to be controlled with lasix and his co2 was becoming very low and he ended up being reintubated without any problems. a head ct on showed stable appearance of his brain since his previous study. his examination on his left pupil was 2.5 to 2. his right pupil was the same. his icts were 8 to 11. he was wiggling his toes, would stick out his tongue, grasps were 4 to 6. his sodium was up from 145 to 148, which was felt to be due to his strict fluid balance. his cultures from showed a sputum with gram positive cocci in pairs. the only antibiotics he had been on at that point were kefzol for his drain prophylaxis. on mr. went back to the diagnostic angio suite and had a diagnostic cerebral angiogram, which showed no evidence of aneurysm, that his stent was patent and his coils were intact. on levaquin was started due to continued fevers that mr. has had since . on he was started and levaquin due to gram positive cocci in his sputum. on his blood cultures showed 1 out of 2 gram positive cocci. he continued to have a fever without definitive cause. he had bilateral lower extremity ultrasounds, which were negative. chest x-ray showed bilateral small effusion. his antibiotics were changed from kefzol to vancomycin to cover positive blood culture that he had. his dilantin was changed to depakote also trying to see if the source of the fever could be from dilantin. he was started on depakote 750 mg t.i.d. on the mr. continued to spike fevers up as high as 101.7. at this point he would show his thumbs bilaterally. he would localize his right upper extremity, localized to 50 percent in his left upper extremity, withdrew both of his lower extremities. he seemed to be intermittently following commands somewhat more unresponsive. his drain was lowered to 8 to see if that would help with his alertness. an id consult was obtained to see if the source of the fever could be obtained, which they recommended a chest ct and possible change of lines. they also added ceftazidine and flagyl to cover possible c-diff. he had an abdominal ct, which was negative and he had a chest ct on which showed a left sided pulmonary embolism and small to moderate bilateral pleural effusion. also at this point on the 9th his mental status was slightly worsened. a pulmonary consult was obtained and it was recommended to start mr. on a heparin drip with goal ptt of 50 to 60. we felt that the possible mortality of this pulmonary embolism was higher then the risks of intracranial bleeding so he was started on a drip at that point. on mr. was only intermittently following commands. he squeezed weakly on the right. attempt to squeeze on the left localized in his bilateral lower extremities. he continued to have the ventriculostomy drain at 15. we wanted to obtain an mri of his head and c spine just to rule out a stroke or any problems with his cord that could be causing his decreased weakness and changes in mental status, however, given his aicd placement he was never able to have an mri. later it was felt to be more toxometabolic given his fevers and his pulmonary embolism and the severity of his subarachnoid hemorrhage all added together to cause him to have more of a decreased mental status later in his hospital course. he had periods of low sodiums. he had been placed on a sodium drip during the week of through intermittently. he had periods of cpap and pressure support in attempt to wean his ventilator during this week also. he continued on empiric antibiotics of the vancomycin, ceftazidine and flagyl. the vanco was for his ventriculostomy drain for prophylaxis. his cultures from the week of through showed no growth. his c-diff was negative. also during the week of he had periods of recurrent tachycardia and bigeminy and trigeminy at different points. on he had a percutaneous tracheostomy placed without any difficulty. at this point his fevers, temperature maximum was 99.4. he was withdrawing to pain. he would stick out his tongue. he had a weak grip on the right. cardiology saw him regarding the tachycardia which they felt was related to high catecholamine state and to treat with beta blocker doses as tolerated. he continued to be on aspirin and beta blockers. cat scan from showed interval decrease in the intraventricular and subarachnoid blood. he was continued to be attempted to wean from his ventilator. his heparin drip continued at a rate of 1800 units an hour for a goal ptt of 60 to 80. on mr. was found not to really respond to noxious stimuli. he did not follow commands. his pupils were reactive. he did withdraw his right upper extremity. he did not withdraw his left upper extremity. he did withdraw both lower extremities. we got a stat head ct and we opened up his drain at 12 mm above the tragus and his head ct showed that it was stable, no new bleeding. again we felt that his mental status changes are related to toxometabolic issues from his pulmonary embolisms, his fevers, which have now resolved and an electroencephalogram showed encephalopathy. on his intravenous antibiotics were discontinued and later in the day a lumbar puncture was performed. in order to check an opening pressure we felt that this current icd monitor did not show an accurate reflection of his icd given the amount of hydrocephalus that appeared on his cat scan. however, his opening pressure was 12 and he was found to have normal pressure. on mr. eyes opened to voice. he grimaced to noxious stimulus. he did not follow command localized in his right upper extremity, slight movement in his left upper extremity. he had slight withdraw with his left leg and was felt to have a left hemiparesis. on mr. had a peg tube placed without any difficulty. he had a normal gastric mucosa. no abnormalities were identified. on he had a head ct. there was persistent ventricular dilation not significantly changed from his prior studies. the week of mr. was successfully weaned from the ventilator and tolerating a trach mask without any difficulty. on a repeat head ct showed stable appearance of his ventricular dilation. no change. on a repeat lumbar puncture was performed with an opening pressure of 10. neurologically mr. would open his eyes to stimulation. he would move his right side spontaneously. his toes were upgoing. he was not really following commands. discharge instructions: mr. receives the following care, he has a trach collar at 70 percent, which most likely can be weaned as tolerated. he receives impact with fiber at 80 cc an hour. he has tolerated that without difficulty. he does have a central line in place. we will leave that in place upon discharge. he has been afebrile. his last fever was on . he is not currently on any antibiotics. his current medications include a heparin drip at a rate of 1250 units per hour. that may change prior to his discharge. his goal ptt is 40 to 50 that was lowered due to some increased hematuria. he is receiving epoietin 4000 units sq two times a week on tuesday and saturday. panadol 40 mg intravenous q 24, indocin 2.5 mg po t.i.d., metoprolol 25 mg po b.i.d., valproic acid 100 mg po t.i.d. he should be weaned off the valporic acid over the next two weeks to off unless he shows any signs of seizure activity. nystatin oral solution 5 ml po q.i.d., aspirin 325 mg po q day, plavix 75 mg po q day. he should follow up with dr. office in two weeks. he will call if you have any questions. he will be provided an appointment prior to his discharge. under no circumstances should his heparin be stopped. he needs to continue on heparin, plavix and aspirin until follow up with dr. . he needs acute neuro rehab and physical therapy and occupational therapy. mr. was discharged neurologically in stable condition, mentally responsive upon discharge. mr. is positive vre from one rectal swab so he has been on vre precautions. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries intravascular imaging of intrathoracic vessels arterial catheterization temporary tracheostomy transfusion of packed cells endovascular (total) embolization or occlusion of head and neck vessels other nonoperative cardiac and vascular measurements diagnoses: obstructive hydrocephalus congestive heart failure, unspecified unspecified essential hypertension subarachnoid hemorrhage bacteremia old myocardial infarction iatrogenic pulmonary embolism and infarction automatic implantable cardiac defibrillator in situ 

Answer: The patient is high likely exposed to