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 / penicillins attending: chief complaint: sdh s/p fall bilateral wrist fractures major surgical or invasive procedure: trach peg history of present illness: 62 year old male from h/o pineal schwannoma, s/p vp shunt placement, on plavix, fell down 8 stairs today and was found unconscious at the bottom of the stairs. he was brought to an osh where he was moving his extremities but not following commands. he was intubated for airway protection and received dilantin prior to transfer to . past medical history: pineal schwannoma, s/p radiation - s/p vp shunt placement - angioplasty tia , seizure disorder social history: from , staying with family here. family history: n/c physical exam: admission exam: t:97.2 bp:127/77 hr:78 rr:18 o2sats:100% vented gen: intubated, off sedation for exam. heent: pupils: equal, minimally reactive eoms-unable to test left conjunctival hematoma/periorbital hematoma. + right corneal, absent left corneal right shunt easily depressible and refills well. neck: in cervical collar. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: unresponsive, no eye opening, gcs 6t cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2 mm bilaterally, minimally reactive. iii-xii: unable to test motor: normal bulk and tone bilaterally. no abnormal movements, tremors. right side moving to noxious. left side withdraws to deep noxious. discharge exam eyes open to voice. rue/rle spontaneous, lue plegic, lle withdraws to noxious, right gaze deviation, pupils 3/2.5 pertinent results: admission ct head: there is a vp shunt present on the right side. right sided sdh that extends along the tentorium. it measure about 1 cm at the greatest thickness. there is slight mass effect on the right lateral ventricle. ct head : no interval change since prior examination. stable right subdural hematoma with sulcal effacement and 4mm leftward midline shift. stable pineal mass. stable right vp shunt. no new hemorrhage mr : 1. two foci of diffusion restriction in left parietal lobe, suspicious for acute infarcts. 2. stable right subdural hemorrhage with stable mild mass effect and reactive hyperemia. ct head 1. no significant change when compared to prior exam. right subdural hematoma layering along the right convexity and right tentorium is similar in appearance. stable midline shift towards the left by approximately 2 mm. 2. no significant change in ventricular configuration. 3. stable calcified mass lesion in the pineal region. 4. sinus opacification, similar in appearance. labs: wbc 13.0 hgb 13.6 hct 38.9 plts 239 pt: 11.5 ptt: 24.2 inr: 1.0 fibrinogen: 263 na:140 cl:102 bun:14 glu:146 k:4.2 tco2:24 cr:0.7 lactate:2.1 1 source: line-cntrl troponin 0.41*1 troponin 0.55*1 troponin 0.46 troponin 0.21 troponin <0.014 brief hospital course: the patient was admitted to the neurosurgery service in the icu for close observation. because he takes plavix, he was given platelets to help control the extension of bleeding; however, the patient developed hives at the cessation of the infusion, and no further platelets were administered. he was given benadryl for the reaction, and the hives subsequently subsided. his neuro exam improved, as he moved all extremities spontaneously off sedation. his ck/troponins were closely watched, as his troponin started to elevate to as high as .46 on . ortho waited to take the patient to the or for fixation of his l fa until his troponin decreased. on he had an eeg, which was negative for seizure activity. a repeat head ct on demonstrated a stable sdh; however, given the stability and relatively small size of the sdh and the fact that the patient had a non-improving neuro exam, an mri was obtained. several focal areas of acute l parietal infarcts were discovered. stroke neurology was consulted for further management recommendations; however, they did not feel that these hyperdensities were strokes, but was likely evident of . regardless, they, too, felt that his ct/mri findings could not fully account for his poor mental status exam, and felt confident that his exam would improve. indeed, on hd #7, the patient's exam began to improve, as he moved his rue/rle spontaneously, followed simple commands, and opend his eyes to voice. a meeting was held with nsurg, cardiology, and ortho, and the plan was for ortho to wait for his fractures to be repaired in the or until his troponin was lower and stable. the patient underwent a trach/peg. the patient was considered to be stable enough to transfer out of the icu to the stepdown unit. his troponin level had decreased to 0.14. ortho decided not to take the patient to the operating room, and casted his bue fractures at the bedside. he was seen by pt on and screened by rehab,and a speech and swallow consultation was also obtained. while in the stepdown unit his exam remained stable on as he prepared to go to rehab. his troponin level decreased to 0.04 as well. an appointment was made for outpatient followup with dr. in orthopedics for . his tube feeds were also restarted via his peg. speech adn swallow evaluated him and cleared him to take po's with pureed solids, nectar thick liquids, and pmv at all times when taking po's with small volumes. he was also screened for rehab. on he was accepted by hospital for rehab and was prepared for discharge. also on this day it was noted that he had thick secretions coming from his trach and as such a sputum culture and cxr were obtained. on he was discharged to hospital for rehabilitation. medications on admission: plavix 75 mg q noon lovastatin 20 mg qpm phenobarbital 60 mg qpm dilantin 100 mg qam, 200 mg qpm discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever. 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic qid (4 times a day). 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 8. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 9. phenobarbital 30 mg tablet sig: two (2) tablet po hs (at bedtime). 10. phenytoin 125 mg/5 ml suspension sig: one (1) po qam (once a day (in the morning)). 11. phenytoin 125 mg/5 ml suspension sig: two (2) po qpm (once a day (in the evening)). 12. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 13. heparin sq heparin 5000u tid discharge disposition: extended care facility: - discharge diagnosis: r sdh sah pineal gland mass (poss. meningioma) bilateral radial fractures bilateral hand fractures discharge condition: mental status:confused - always level of consciousness:lethargic but arousable activity status:bedbound 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. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin prior to your injury, you may safely resume taking this now, on ?????? continue to take your dilantin, as it was prescribed to you before you came to the hospital 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. please follow up with the orthopedic clinic on at 1000am also, please follow up with dr. in the brain clinic to follow up on your pineal gland mass. please call ( to make an appointment to be seen within 1-2 weeks of your discharge. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy diagnoses: other primary cardiomyopathies subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery obstructive hydrocephalus unspecified protein-calorie malnutrition acute respiratory failure accidental fall on or from other stairs or steps cerebral edema other left bundle branch block epilepsy, unspecified, without mention of intractable epilepsy encephalopathy, unspecified ventilator associated pneumonia presence of cerebrospinal fluid drainage device other closed fractures of distal end of radius (alone) closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness multiple closed fractures of hand bones other benign neoplasm of connective and other soft tissue of head, face, and neck 

Answer: The patient is high likely exposed to