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: ivh c subsequent aspiration pneumonia development major surgical or invasive procedure: none history of present illness: the patient is a 78 year-old male with a history of hypertension and atrial fibrillatin on coumadin who was noted by his family members to have decreased activity and difficulty formulating speech on the day of admission. he was only able to answer questions with ??????yes or no??????. the family denied that the patient had any complaints of headache, nausea/vomiting, fever, seizure, syncope, weakness, numbness or tingling or difficulty walking. he was brought to an outside hospital where his bp upon arrival was 134/84 and inr 2.4. a noncontrast head ct revealed a large left frontal lobe hemorrhage. he received ffp and vitamin k and was transferred to for further management. past medical history: a fibrillation (was initially on coumadin) htn hypothyroidism social history: the patient moved from in . he lives with his wife and daughter and has four children. he is predominantly chinese- speaking with minimal english. he does not use tobacco or illicit drugs and occasionally drinks red wine. contact : -yen (daughter) , cell . family history: brother and sister have a history of intracranial hemorrhage thought to be secondary to hypertension. physical exam: upon transfer from the neurosurgery team to medicine team: tm102, 129/68, 96-142/40-80, hr 112 (73-120), rr 20, 99% (100% fm) fs 122-163 gen: nad, not alert & oriented, aphagic, opened eyes minimally to voice and tactile stimuli heent: perrl, eyes midline, head deviated to l, ngt present, neck supple resp: diffuse rhonchi, increased upper airway congestion, b/l dry crackles of bases cardio: irregular irregular, tachy, no mrg abd: bs present, nt/nd gu: external foley present neuro:ii - perrl; vii face symmetric; viii opens eyes to voice; xii tongue midline; motor - no atrophy noted, + babinski r, - on l; dtrs 3+ r, 2+ l; moves left side more than right extremity: no edema, pedal pulses palpable b/l, no decubitus ulceration, no cyanosis/clubbing pertinent results: 10:01pm glucose-123* urea n-10 creat-0.7 sodium-139 potassium-2.9* chloride-99 total co2-30* anion gap-13 10:01pm phenytoin-17.7 10:01pm wbc-8.3 rbc-4.31* hgb-13.4* hct-39.7* mcv-92 mch-31.2 mchc-33.9 rdw-13.7 10:01pm pt-13.9* ptt-27.0 inr(pt)-1.3 01:14pm urine color-yellow appear-clear sp -1.019 01:14pm urine rbc-0 wbc-0 bacteri-none yeast-none epi-0 brief hospital course: 1. intraventricular hemorrhage the patient was admitted and initially managed in the n-sicu. neurosurgery was involved and decided not to place a drain. in the n-sicu, repeat head ct showed some extension of the hemorrhage. the patient was treated with ffp and vitamin k and started on aggressive blood pressure control, dilantin for seizure prophylaxis, and levofloxacin for a consolidation on chest x-ray. coumadin was held. subsequent serial head ct examinations revealed stabilization of the patient??????s intraparenchymal hemorrhage, and he was transferred to the neurology floor for further management. the patient became increasingly somnolent while on the neurology floor. serial head ct examinations showed no interval change in the hemorrhage. the patient has not had a seizure and is being tapered off dilantin. the patient has become increasingly alert and able to follow commands. he remains aphasic with a right hemiparesis, predominantly of the right lower extremity, upon discharge. has a follow up head ct in 3 weeks scheduled and will then follow-up with neurosx on at 9am. 2. a.fib blood pressure control was achieved with lopressor, valsartan, and amlodipine. coumadin was held due to hemorrhage. patient was initially tachycardic and lopressor was added to regimen. this was tapered up eventually to 50 mg tid, however, pt became bradycardic with this. now on 50 mg and appears to remain stable. he was monitored on telemetry throughout his admission, he has remained stable with his rate dependent right bundle branch block. telemetry will not be necessary at rehab. 3. aspiration pneumonia initially, levofloxacin was started for a lll consolidation. serial chest xray revealed increased opacity in the left lung, and the patient was switched to iv ceftriaxone empirically. urinalysis was negative. sputum, urine, and blood cultures were all negative. ngt became dislodged and upon re-insertion ngt possibly was dislodged into trachea. pt was then transferred to the medicine service in which he was started on abx therapy of ceftriaxone/flagyl. restraints and aspiration precautions were followed. throughout his stay, his lung exam continued to improve. he also required a 100% face mask initially and has been tapered down to 2l nc. he still has persistant crackles b/l bases, but this is improved. he will continue his atrovent/mucomyst nebulizer treatment and chest pt. he is stable and will complete his course of abx for pneumonia. 4. htn pt remained stable on his out-pt multiregimen bp control. goal maintained of sbp 110-130s) 5. nutrition due to aspiration risk, ngt was in place temporarily. nutrition followed and recommended that pt receive a j-tube. this was placed once patient's respiratory status stabilized. tube feeds have been ongoing and functioning well. 6. hypothyroidism pt remained stable on his out-patient regimen of levothyroxine. medications on admission: digoxin 0.25 mg qd toprol 150 mg qd coumadin 5 mg qd norvasc 10 mg qd isosorbide dinitrate 30 mg qd isordil levothyroxime 100 mg qd discharge medications: 1. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 2. digoxin 250 mcg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 3. amlodipine besylate 5 mg tablet sig: two (2) tablet po qd (once a day). disp:*60 tablet(s)* refills:*2* 4. erythromycin 5 mg/g ointment sig: ophthalmic qid (4 times a day). disp:*30 30* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for no bmx24 hours. disp:*30 capsule(s)* refills:*0* 6. valsartan 80 mg capsule sig: one (1) capsule po qd (once a day). disp:*30 capsule(s)* refills:*2* 7. ipratropium bromide 0.02 % solution sig: inhalation q6h (every 6 hours). disp:*2 soln* refills:*2* 8. cefpodoxime proxetil 200 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*9 tablet(s)* refills:*0* 9. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*14 tablet(s)* refills:*0* 10. phenytoin 100 mg/4 ml suspension sig: one (1) po q12h (every 12 hours): continue for 3-4 days on q12h, then 3-4 days of q24 hrs and then d/c. disp:*20 tabs* refills:*0* 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp <120, hr <55. disp:*60 tablet(s)* refills:*2* 12. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 13. acetylcysteine 20 % (200 mg/ml) solution sig: 1-2 mls miscell. q6h (every 6 hours). disp:*30 ml(s)* refills:*2* 14. potassium chloride 20 meq packet sig: one (1) packet po qd (once a day): hold for k> 5.0. disp:*30 packet(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: left frontal lobe intraventricular hemmorrage with subsequent development of an aspiration pneumonia discharge condition: stable discharge instructions: - jejunum-feeding tube placed; needs dressing changed once every day. gently cleanse around the skin entry site of the catheter with dilute hydrogen peroxide. dry and apply sterile gauze dressing. sutures/anchors need to be removed x 7-10 days by rehab following procedure (). the cotton roll skin anchors should be removed using scissors to cut the black suture under the cotton roll. the roll should be thrown away. the remaining suture beneath the skin will retract inside. call interventional radiology for any catheter related questions or problems. weekdays: x42552- ; x72101- . nights/weekends: interventional radiology fellow/resident (pager# ) catheter security: a) every shift,check to be sure the catheter and the connecting tubing and the drainage bag are securely attached to the patient and are not kinked. b) if the catheter appears to be pulling out or pulls out, please notify interventional radiology immediately. save the catheter for us to inspect. do not throw it away. - continue cefpodoxime/flagyl until - dilantin taper as directed and then discontinue - continue chest physical therapy, atrovent nebulizer/mucomyst for upper respiratory congestion - continue restraints if needed for upper extremity (esp left upper extremity) to prevent patient from dislodging jejunum tube, if needed. followup instructions: - head ct scheduled in 3 wks at - neurosurgery follow up appoinment on , 9am at md, procedure: other enterostomy enteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension hyposmolality and/or hyponatremia unspecified acquired hypothyroidism atrial fibrillation intracerebral hemorrhage hypopotassemia other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus 

Answer: The patient is high likely exposed to