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: on initial presentation to the neurology service, mr. is a 55-year-old man with a complicated past medical history who was well until when he was bit by a spider. following this, he developed renal failure secondary to membranoproliferative glomerulonephritis. he also had an sma aneurysm which ruptured and resulted in a large hematoma. this was subsequently clipped, but his postoperative course was complicated by hypertension, bradycardia as well as agitation and visual hallucinations. he also had multiple seizures and head turning to right, end gaze preference and he was loaded on dilantin. mri showed increased flare signals without associated effusion restriction within the occipital lobes and within the watershed visions of the mc and aca and this was through to represent either a hypertensive leukoencephalopathy or watershed infarcts. he was hospitalized for nearly two months but then discharged to rehab. the patient was admitted again on after having a seizure at home. he had complained of an unsteady gait for at least the day prior to possibly a week prior to this period. on the day of admission his wife found him lying on the couch, incontinent of stool and bleeding from a scalp laceration. on arrival of the emts he had a witnessed seizure. he was taken then to where he was intubated for airway protection. a ct scan of the brain revealed 2 by 3 by 3 cm right cerebellar hemorrhage. he was then loaded on dilantin and given one unit ffp. he was then transferred to the for further management. in the icu his course was notable for labile blood pressure and was extubated easily. he also had persistent nausea, vomiting. repeat mri on showed substantially less t2 signal abnormality within the cerebrum and to a lesser extent within the cerebellum. there is an area of t2 hypointensity in the right cerebellum consistent with hemorrhage, with a mild degree of mass effect exerted upon the fourth ventricle which remained midline in position. there was also questionable tiny minimally elevated signal within the left cerebellar hemisphere just above an area of t2 hyperintensity. the patient was stabilized on the neurology service without anymore further episodes of seizures on dilantin and topamax. however, patient complained of chest pain at rest and at that point was transferred to the medicine service for further management and care. past medical history: 1) glomerulonephritis with renal failure. 2) sma artery aneurysm status post coiling in . 3) peptic ulcer disease status post endoscopy in 10/99 with no ulcers. 4) cva bilateral watershed infarcts left greater than right and bilateral occipital lobe infarcts. 5) seizures starting in , was on dilantin transiently but is currently off. 6) renal insufficiency. 7) hypertension. 8) pe status post ivc filter placement. 9) icu delirium in . 10) history of upper gi bleed. 11) status post common bile duct stent. 12) status post peg. 13) echo with ef of 20%, global hypokinesis, focal anterior and septal apical akinesis. allergies: sulfa, aspirin, naproxen. medications: on admission, coumadin 4 mg po q day, celexa 20 mg po q day, losartan 25 mg po q day, metoprolol 50 mg po bid, ipratropium, protonix 40 mg po q day, lisinopril 40 mg po q day, atorvastatin 20 mg po q day, isordil 50 mg po q day, tums 500 mg qid, colace 100 mg po bid, meclizine 12.5 mg , clonidine patch. social history: remarried to his second wife with children. former marketing representative. polysubstance abuse over 20 years ago. no alcohol or tobacco use recently. prior to that, 20 pack year tobacco history. physical examination: on initial admission, temperature 97.9, pulse 74, blood pressure 124/56. in general the patient appeared older than stated age, lying in bed in no apparent distress. heent: anicteric sclera, normocephalic, intubated. neck, moderately stiff with flexion but no leg raising or signs of discomfort, no lad, jvd or bruits. lungs, vented breath sounds bilaterally. cardiovascular, regular rate and rhythm, distant s1 and s2, no murmurs, gallops or rubs. abdomen, normal bowel sounds, soft, nontender, non distended. extremities, no cyanosis or erythema, however, 3+ edema at ankles. skin, petechiae over the left hand dorsum but none on ankle. laboratory data: on admission, white blood cell count 16.2, hematocrit 34.8, potassium 3.5, co2 18, creatinine 1.6, glucose 150, inr 1.6. hospital course: 1. neuro: upon transfer from the neurology service to the , the patient remained neurologically intact with no further episodes of seizures. he was continued on topiramate and dilantin with dilantin level being monitored carefully. patient will continue on dilantin and follow-up with neurology upon discharge from the hospital. 2. cardiovascular: the patient was transferred to the medicine service for chest pain at rest. the patient was ruled out for an mi and had a cardiac catheterization which revealed no evidence of obstructive coronary disease in this right dominant system. moderate diastolic biventricular dysfunction and no evidence of significant renal artery stenosis. in light of patient's diastolic dysfunction, and radiographic evidence of pleural effusions, he was diuresed with some improvement in his breathing status and eventually was discontinued from supplemental oxygen. however, patient's pleural effusion continued to exist, likely secondary to third spacing from hypoalbuminemia. the patient's blood pressure was initially very difficult to control despite being on multiple medications, however, eventually his blood pressure was well controlled on titrated doses of ace inhibitor, , beta blocker and clonidine patch. 3. renal: patient's bun and creatinine remained stable throughout the course of his stay on the medicine service. he was followed by the renal team given his history of mpg in the past. he continued to have significant proteinuria. therefore, patient was continued on both and ace inhibitor for decreasing his level of proteinuria. patient will need to be followed up in the renal clinic upon discharge from the hospital. 4. gi: during his course of stay on the firm, the patient developed partial small bowel obstruction. ct of his abdomen showed markedly dilated small bowel with contrast passing through to the level of the splenic flexure of the colon. findings consistent with partial sbo. patient was seen by the surgery service and they recommended placing an ng tube to suction. with ng tube to suction, patient's small bowel obstruction resolved over the course of days. the patient's diet was slowly advanced. ct also showed slight interval decrease in the size of ovoid fluid collection in the right mid abdomen consistent with patient's known intraperitoneal hematoma from his prior admission. hospital course was also complicated by decrease in his hematocrit and guaiac positive stools. patient's hematocrit was stabilized with packed red blood cell transfusion. he remained hemodynamically stable. at the time of this dictation the gi service was to see patient. in light of patient's sbo and hemorrhagic cerebellar stroke as well as gi bleed, patient's coumadin was withheld. patient's anticoagulation was to be resumed after gi service evaluates patient. please see addendum to the this discharge summary for further details. during the course of this stay, patient's biliary stent which was placed in by dr. was removed by the ercp service. a sphincterotomy was performed and the bilious fluid was noted to be likely infected. therefore patient was continued on two weeks of levofloxacin for presumptive cholangitis. 5. heme: during the course of patient's stay in the hospital he had a picc line placed for inadequate nutrition to supplement his diet with tpn. however, on day #3 of his post picc line placement he developed a left upper extremity venous thrombosis at the site of the picc line, therefore the picc line was discontinued and patient was started on heparin per approval from the gi service in light of possible gi bleed as documented by guaiac positive stools and hematocrit drop. since patient was tolerating po and as his diet was being advanced, there was no further need to replace the picc line. discharge diagnosis: 1. status post cerebellar bleed. 2. status post resolved partial sbo. 3. status post venous thrombus in left upper extremity in the setting of picc line. for further details on patient's discharge condition, discharge medications and disposition, please see addendum to this discharge summary. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances angiocardiography of left heart structures endoscopic sphincterotomy and papillotomy diagnoses: intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension other convulsions intracerebral hemorrhage peripheral vascular complications, not elsewhere classified hemorrhage of gastrointestinal tract, unspecified cholangitis unspecified intestinal obstruction 

Answer: The patient is high likely exposed to