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: iodine / aspirin / nsaids / e-mycin / ciprofloxacin / levofloxacin / phenylephrine attending: chief complaint: syncope major surgical or invasive procedure: craniotomy history of present illness: this is an 89 year old male with a history of dementia, hypertension, esrd on hemodialysis and recent admission for fevers and failure to thrive who presents from dialysis with a syncopal episode. per notes he received 2.5 hours of his dialysis session but during the last 15 minutes he was noted to slump in his chair and to lose consciousness for 2-3 minutes. there was no overt seizure activity noted. no tongue biting or loss of bowel or bladder function. no head trauma. per ems on arrival he was arrousable but not at his baseline. he was immediately transferred to . as per recent discharge summary his baseline is "confused" and has been deteriorating rapidly over the past several months with episodes of delerium and generalized failure to thrive. . in the ed, initial vs were: t: 98.3 p: 90 bp: 150/62 r: 14 o2 sat 95% on nrb, fs 98. he had a cxr which was unchanged from prior films. ekg showed normal sinus rhythm, left axis deviation, normal intervals, no acute st segment changes, no change from prior dated . he had a head ct which shows a large new left sided fluid collection with mass effect. exam in the emergency room was notable for inability to follow commands and withdrawal to painful stimuli. he was seen by neurosurgery who felt that he would be a candidate for burr hole placement if this were within the patient's goals of care. he is admitted to the micu for further management. . on the floor he is unable to respond to questions. he screams out with painful stimuli to extremities. he is able to follow commands to smile and close his eyes tightly. otherwise further history is unable to be obtained. past medical history: -esrd on hd -av graft thrombosis and stenosis -dementia -malnutrition/failure to thrive -asthma -pulmonary hypertension secondary to vsd -anxiety/depression -chronic bronchitis/copd -traumatic type ii dens fracture with chronic left jaw, eye, ear, and neck pain -hypertension -hypercholesterolemia -incontinence of stool -benign prostatic hypertrophy -12-mm left superior parietal meningioma -macular degeneration and anterior ischemic optic neuropathy -pancytopenia, possible mds -left renal calculi s/p lithotripsy . social history: born in . married for 55 years. three children. attended college at and got his doctorate in political science from . in he retired as a professor of political science. he smoked a pipe decades ago. no alcohol history. family history: per records) sister with disease who, in her final years became demented. brother has disease. physical exam: 99.8 bp: 139/50 p: 87 r: 17 o2: 94% on ra general: alert, unable to respond to questions of orientation, no acute distress heent: sclera anicteric, mm dry, poor dentition neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, loud hsm at apex radiating to axilla abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly, well healed surgical scars in left abdomen gu: no foley ext: warm, well perfused, 1+ pulses, no clubbing, cyanosis or edema, left upper extremity fistula with palpable thrill neurologic: perrl, eomi, blinks to threat bilaterally, smiles symmetrically, will not stick out tongue, increased tone in upper and lower extremities throughout, withdraws upper extremities to pain, screams in pain to painful stimuli in lower extremities and withdraws slightly, reflexes 2+ and symmetric in biceps, triceps, brachioradialis and patellar, toes downgoing, gait not tested. pertinent results: wbc 8.4 n66.3 l21.6 m9.9 e1.4 b0.9 hct 35.8 mcv 102 plts 223 pt 13.8 ptt 36.2 inr 1.2 142 100 18 --------------------gluc 106 4.1 35 2.2 alt 14 ast 19 ldh 187 ck 12 alkp 150 tbili 0.4 ce negative x1 ca 9.3 phos 2.0 mg 1.7 alb 3.3 dilantin 17.7, 19.2 serum tox negative ua negative for blood, negative for infxn 100 protein, negative glucose, 10 ketones bcx negative x2, ucx negative ekg us rhythm. left anterior fascicular block. cannot exclude a prior inferior myocardial infarction. compared to the previous tracing of precordial r waves are more prominent. cxr us rhythm. left anterior fascicular block. cannot exclude a prior inferior myocardial infarction. compared to the previous tracing of precordial r waves are more prominent. ct head impression: lentiform left frontoparietal fluid collection measuring 2.6 cm, new with mass effect. attenuation values suggest mostly csf densoty with some hemorrhagic elements. this may represent a subdural hygroma mostly containing csf secondary to hypotension. eeg markedly abnormal portable eeg due to the very frequent and occasionally rhythmic and persistent sharp waves with following slowing, primarily in the left posterior temporal region or left hemisphere but occasionally with a generalized distribution, and due to the slow and disorganized background. the background abnormalities signifies an encephalopathy. the focal sharp waves indicate an area of cortical hypersynchrony in the left hemisphere, likely more posteriorly. they suggest a focal lesion in that area. the repetitive discharges suggest brief electrographic seizures, but there was no definite clinical effect. the discharges certainly indicate potential for longer seizures at other times. ct head 1. stable large predominantly chronic subdural fluid collection overlying the left frontoparietal convexity reaching that vertex; the overall appearance is suggestive of a chronic process, either "liquefied" subdural hematoma or true hygroma, with fibrovascular strand formation. 2. while the significant degree of mass effect on the subjacent brain is unchanged, there is further subfalcine herniation, with 12 mm rightward shift of the normally-midline structures; this measured 8 mm on the admission study. 3. no new cerebral edema or hemorrhage. ct head 1. status post left subdural evacuation with post surgery changes. 2. persistent left subdural fluid collection with mass effect, with mild decrease in size and attenuation when compared to prior study. cxr slight improvement of the left lower lobe atelectasis with stable small left pleural effusion, otherwise unchanged. brief hospital course: 89yom with a history of dementia, hypertension, esrd on hemodialysis and recent admission for fevers and failure to thrive who presents from dialysis with a syncopal episode found to have a new left sided fluid collection on head ct. had focal seizures activity on eeg and per neuro started on dilantin. pt was taken to or for evacuation of fluid collection with neurosurgery. mac was used and pt was not intubated. on day after procedure, pt noted to be unresponsive, tachypneic and very stridourous. bronched, but no obvious abnormality seen. discussion with family and pt was made cmo. pt deceased at 2035. medications on admission: fluticasone 110 mcg 2 puffs mirtazapine 15 mg qhs simvastatin 10 mg daily captopril 6.25 mg po tid discharge medications: deceased discharge disposition: expired discharge diagnosis: deceased discharge condition: deceased discharge instructions: deceased followup instructions: deceased md procedure: incision of cerebral meninges fiber-optic bronchoscopy diagnoses: anemia in chronic kidney disease end stage renal disease unspecified protein-calorie malnutrition other chronic pulmonary heart diseases other convulsions other persistent mental disorders due to conditions classified elsewhere ventricular septal defect hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease dysthymic disorder other and unspecified hyperlipidemia hypoxemia chronic obstructive asthma, unspecified encephalopathy, unspecified subdural hemorrhage syncope and collapse 

Answer: The patient is high likely exposed to