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: dilantin / tegretol / gold salts attending: chief complaint: ha and visual field cut at neurology clinic major surgical or invasive procedure: ventricular drain placement mri history of present illness: 50 year old rh woman with h/o protein c defficiency and venous sinus thrombosis. was recently discharged on lovenox and reportedly was doing fine initially. sister and mother at bedside report that she first started comlaining of headache 2-3 days ago. also complained that she couldn't see characters on the right side of the tv. she presented today in neurology clinic for follow up where she complained of headache and was noted to have a right field cut on exam. patient is inattentive, aphasic and perseverating so unable to give a coherent history other than talking about her headache. describes the headache as "hurts on the top of my head" and reports that its worse when she's lying down in bed. complains of nausea but started vomitting only after coming to ed. according to sister and mother, the patient was looking better this am and was only complaining of "feeling terrible" and her headache. was more attentive and able to express herself. was discharged on lovenox rather than coumadin reportedly because the thrombus was not responding to coumadin. for further details of initial presentation on please see admission note from that date. patient unable to give coherent ros. past medical history: -cortical venous thrombosis and associated stroke - had presented with l leg clumsiness, slurred speech, headaches; on coumadin therapy since -venous sagittal sinus thrombosis with associated venous infarcts, on neurology service - had presented with left sided weakness -seizures since (during pregnancy), with several seizure types including staring, focal lue sz, and "complex partial with secondary generalization" -headaches, on ppx with verapamil -protein c deficiency -gestational dm -juvenile rheumatoid arthritis social history: lives with son; has boyfriend . tob, no etoh, no drugs. currently disabled family history: aternal and paternal grandparents with strokes, per old notes physical exam: t 97.6 hr 72-81 bp 153-170/86-98 rr 14-18 93-98% ra general appearance: looks somnolent, pale and has emesis basin in hand. heent: moist mucus membranes, clear oropharynx neck: supple, no bruits heart: regular rate and rhythm, no murmurs lungs: clear to auscultation bilaterally abdomen: soft, nontender +bs extremities: warm, well-perfused skull & spine: neck movements are full and not painful to palpation in the paraspinal soft tissues mental status: the patient is somnolent but awakens to voice and can stay awake for conversation during parts of the exam, and at other times falls asleep in exam. able to follow some simple commands but not all. unable to follow complex commands and inattentive throughout exam. oriented to person, but names "" as hospital and cannot say date. appears unable to convey her thoughts/questions and perseverates frequently. no dysarthria. memory unable to be tested as inattentive. cranial nerves: the visual fields show right homonymous hemianopsia, although testing accurately was difficult given her inattentiveness. patient not able to cooperate with fundoscopic exam, but portions of disc visualized did not appear crisp. eye movements are normal, with no nystagmus. pupils react equally to light, both directly and consensually, 4->2. sensation on the face is intact to light touch bilat. no drpp 10:27pm urine color-yellow appear-clear sp -1.010 01:02pm glucose-119* urea n-12 creat-0.9 sodium-136 potassium-3.6 chloride-101 total co2-21* anion gap-18 01:02pm ck(cpk)-48 01:02pm ctropnt-<0.01 01:02pm ck-mb-notdone 01:02pm calcium-9.3 phosphate-3.5 magnesium-2.2 01:02pm wbc-7.0 rbc-4.06* hgb-12.6 hct-36.8 mcv-91 mch-31.1 mchc-34.3 rdw-14.7 01:02pm neuts-84.2* lymphs-12.0* monos-2.2 eos-0.3 basos-1.1 01:02pm pt-14.8* ptt-34.5 inr(pt)-1.3* 01:02pm lmwh-greater th head ct(): large hemorrhage within previous edematous region in the left temporal/occipital portion of the brain, as well as intraventricular hemorrhage. in the setting of a known hypercoagulable state, an infarct, probably of venous origin, with hemorrhagic transformation is suspected, with neoplastic disease a secondary diagnostic consideration. brief hospital course: 1. neurologically: was not reversed with any agents and did not receive any blood products. hob was elevated and initially was hyperventilated. received several doses mannitol over first 24 hours and then was weaned off on day 3. systolic pressures controlled with rtc metoprolol and prn labetolol/metoprolol with goal sbp around 140-150 and map to be less than 130. over the first several hours of admission mental status waxed and wained. in the late hours of was reportedly more somnolent. had the ventricular drain placed at around 0100 on based on her worsening clincal exam. was placed contralaterally (on right) without complication. went into respiratory distress shortly after vent drain placement and was emergently intubated. follow up cts over the next 24 hours showed increaseing hemorrhage and mass effect. scans eventually stablilized and she remained intubated, eventually without propofol, and an exam showing spontaneous left sided movements but unresponsiveness. around days , pupils were unequal with left 1.5mm larger than right and sluggish. also had bilaterally upgoing toes temporarily. around , left toe was noted to be down going on plantar response and pupils were noted to be equal and brisk bilaterally. she was given cefazolin iv daily for cns vent drain infection prophylaxis. also received 3 days of 1mg tpa to vent drain to prevent clotting off of drain. additional ipsilateral drain was consdiered and discussed with neurosurgery but thought not to be indicated. icps were initially around 30s for first 12 hours but came down to 4-10 after vent drain adjusment in the first 12 hours. vent drain output was initially low but increased to 1800cc/day on day 6 of the vent drain. plan on was to increase icp to around 20 and use tpa to try and lyse the intraventricular clot on the left side. received seizure prophylaxis with topamax which was increased from 100 to 200 . gabapentin was also increased to 900 tid. all anticoagulation was held initially. eventually received prophylactic doses of heparin (5000 u sc tid) starting ). became more arousable and with more left sided spontaneous movemnts on with ct scan essentially unchanged. from to cts essentially unchanged except for some small edema. mannitol restarted at 12.5 grams iv q6. icp goal changed from 10 to 20 on with hope that ventricular tpa administration will break hematoma in contralateral ventricle. on day 9 () of vent drain, tubing replaced at bedside by neurosurg. evd was ultimately discontinued on . eeg performed with some spike/sharp wave activity in right frontal region but no clear epileptiform activity but correlating with head and shoulder shaking. she will continue on topamax and gabapentin at current doses. 2. cardiovascular: ruled out for mi. pressures controlled with metoprolol, verapamil 80mg ng q8 as well as prn iv doses of labetolol and metoprolol. was on telemetry. had pneumoboots throughout the admission. had negative dopplers for dvts. on ,m she had episode of supraventricular tachycardia to 190s, converted by cardiology via adenosine 6 mg iv x one and then transiently on diltiazem. diltiazem ultimately discontinued per cardiology recommendations and metoprolol discontinued after patient persistently normotensive. transthoracic echocardiogram was unrevealing. 3. respiratory: intubated for respiratory distress within 12 hours of admission. developed fevers around day 5 and sputum sample showed multiple organisms with cultures pending at this time. was started on levaquin . cxr on looked clear. was to be extubated but waiting for vent drain to be replaced, so extubated . she underwent tracheostomy placement on , with downsizing of trach on . a cuffless trach was placed on . however, patient was unable to use passy muir valve; ent was consulted at found a large granuloma in the airway, likely secondary to intubation. she will see dr. of ent for follow-up as an outpatient. ent would like her on proton pump inhibitor for reflux treatment. 4. gi: was started on tube feeds around 24 hours after intubation and tolerated. gi prophylaxis with famotidine. peg was placed on . she should continue on proton pump inhibitor therapy until ent follow up. reglan started for nausea out of concern for motility issues. liver function tests and abdominal imaging were unremarkable. 5. endocrine: received riss with qid accuchecks. had some borderline hyponatremia off and on which was just managed with fluid restriction. 6. renal: stable. 7. infectious disesae: received levaquin for suspected pneumonia and was on prophylactic cephazolin for vent drain. blood cultures were negative times 2 and urine negative x 1. continued to be febrile on levaquin and cephazolin so id consulted on and recommended d/c cefazolin and start vanco 1gm iv q12 in addition to the levaquin. continued to pan-culture including csf and stool studies (with cdiff) but no clear infectious source. id agrees that fever and white count can be as a result of the ich itself. she also underwent a course of acyclovir for vesicular appearing lesions on her buttocks in setting of hsv1 direct antigen positivity, but hsv csf pcr returned negative so acyclovir discontinued. 8. hematology: protein c defficiency. hematology consulted day 1 and agreed with holding any further anticoagulation but not reversing initially. was initially given no heparin. did not receive any reversing agents. factor 10a level returned 2.0 which is supratherapeutic. hematology recommended that anticoagulation could be reconsidered after the hemorrhage had been stable at least 7 days. prophylactic doses of heaprin sc started . also, 1mg doses of tpa given for several days through ventricular drain initially to prevent clotting of drain and later with the intention of lysis of the intraventricular hematoma. heparin gtt was restarted on . it was discontinued on in setting of therapeutic inr while on couamadin. goal inr will be 2.5-3.0 on coumadin. she was also anemic at times during this admission. underwent transfusion of one unit on . iron was low and supplementation was started. 9. psych: patient started on valium and celexa for depression and anxiety. medications on admission: 1. gabapentin 300 mg capsule sig: three (3) capsule po tid (3 times a day). 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 3. enoxaparin 60 mg/0.6 ml syringe sig: one (1) subcutaneous (2 times a day). disp:*40 syringes* refills:*0* 4. indomethacin 50 mg capsule sig: one (1) capsule po bid (2 times a day). 5. topamax 100 mg tablet sig: one (1) tablet po twice a day. 6. verapamil 240 mg tablet sustained release sig: one (1) tablet sustained release po once a day. 7. glycerin 50 % solution sig: one (1) oz po tid (3 times a day). (did not take yet today) discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). disp:*60 1* refills:*2* 3. topiramate 100 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 4. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed. disp:*1 inhaler* refills:*0* 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 6. ferrous sulfate 300 mg/5 ml liquid sig: one (1) po daily (daily). disp:*30 1* refills:*2* 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 8. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 9. zinc oxide-cod liver oil 40 % ointment sig: one (1) appl topical prn (as needed). 10. diazepam 2 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 11. diazepam 2 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for anxiety. 12. dolasetron 12.5 mg/0.625 ml solution sig: 12.5 mg intravenous q8h (every 8 hours) as needed. 13. warfarin 2 mg tablet sig: two (2) tablet po hs (at bedtime): goal inr is 2.5 -3.0. 14. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 15. gabapentin 250 mg/5 ml solution sig: 1000 (1000) mg po tid (3 times a day). 16. lansoprazole 30 mg susp,delayed release for recon sig: thirty (30) mg po bid (2 times a day). 17. lidocaine hcl 2 % gel sig: one (1) appl mucous membrane prn (as needed). 18. metoclopramide 10 mg tablet sig: ten (10) tablet po qid (4 times a day). 19. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 20. mineral oil-hydrophil petrolat ointment sig: one (1) appl topical tid (3 times a day) as needed for dry skin. 21. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: five (5) ml po q6h (every 6 hours) as needed for pain. discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. intracranial hemorrhage 2. history of sinus venous thrombosis 3. protein c deficiency discharge condition: fair. making improvements in function and mobility. ambulating well with assistance and following commands. unable to speek secondary to trach. discharge instructions: please return to ed or call ems if significant changes in level of function, new weakness, sensory changes, or if headache and nausea/vomiting develop. follow up with appointments as below. followup instructions: 1. , m.d. phone: date/time: 10:45 2. , m.d. phone: date/time: 1:00 3. dr. from ent at monday at 8:45 at in , ma. call with questions. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus transfusion of packed cells removal of ventricular shunt ventricular shunt to extracranial site nec replacement of ventricular shunt gingivoplasty diagnoses: pneumonia, organism unspecified other convulsions intracerebral hemorrhage anxiety state, unspecified other specified cardiac dysrhythmias iron deficiency anemia, unspecified primary hypercoagulable state herpes simplex without mention of complication phlebitis and thrombophlebitis of intracranial venous sinuses polyarticular juvenile rheumatoid arthritis, chronic or unspecified 

Answer: The patient is high likely exposed to