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 admission, the patient is a 77 year old male who was found by his wife this afternoon laying in bed and incontinent. after stimulating mr. , she was able to wake him and he walked to the bedroom closet where he voided on the floor, stating he was in the bathroom. he was last seen by wife at approximately 9:30 a.m. when he dropped her off at work. he did not show up at lunch that noon. mr. has complained of headaches and left retro orbital pain for the last three to four days. mr. has had episodes of epistaxis for which he has been cauterized and placed on antibiotics. past medical history: non insulin dependent diabetes mellitus. hypertension. atrial fibrillation. carotid stenosis. gout. chronic obstructive pulmonary disease. thyroid cancer, which he had resected in . mitral valve replacement. medications on admission: 1. levoxyl .75 mg. 2. multi-vitamin. allergies: no known drug allergies. social history: he is retired from the and he lives with his wife. laboratory data: on admission, his laboratory studies show a white blood cell count of 7.4. hematocrit is 43.2 and platelets are 81. pt is 13.1; ptt is 22.2 and inr is 1.1. sodium is 139; potassium of 4.5. bun is 14 and his creatinine is 0.8. ck of 101. troponin of .40. ck mb of 6. physical examination: on physical examination, the patient's vital signs were 173/83; pulse of 85; spot is 99 percent. head, eyes, ears, nose and throat showed no blood in his nares. heart showed a regular rate and rhythm. lungs were clear bilaterally. abdomen was soft and nontender with bowel sounds in all four quadrants. extremities showed no edema. neurologically, he was awake but drowsy at times; oriented times one; he could only recite his name. repetition was intact. he had no drift. he followed two step commands. he had a right facial droop. no diplopia. extraocular movements intact. ip's and grips were . pupils were 2 mm and slightly reactive bilaterally. assessment: 77 year old male with diffuse subarachnoid hemorrhage and blood throughout, including intra ventricular blood in fourth ventricle; cluster of blood around the left carotid artery. the patient was only oriented to person. follows two step commands. dr. and , nurse practitioner, examined the patient and spoke at length with family of subarachnoid hemorrhage and possibility of an aneurysm. plan: at this time, he is to have a cta. nipride to titrate blood pressure less than 130. a line. type and cross for two to six units and platelets. will reassess with cta. cervical spine films to rule out fractures. addendum: mr. has a 6 mm left internal carotid artery aneurysm at the bifurcation of mca by radiology. dr. notified and called dr. . will bring to angio suite in a.m. for diagnostic carotid artery angiogram with possible coiling. discussed subarachnoid hemorrhage and aneurysm at length with the family. risks and benefits of the procedure were discussed. mrs. signed consent. spoke with cardiology regarding positive troponin. recommended beta blocker. further work-up when stabilized. will continue to rule out laboratory studies. hospital course: the following day, on , the patient was awake to stimulation only. prefers his eyes closed. his neurologic examination continued to decline. he was neurologically drowsy with a right sided hemiparesis. cta showed a complicated fusiform aneurysm and left internal carotid artery. he was to go to angioscopy today for a diagnostic and possibly coiling angiogram. the patient was taken to the angioscopy suite and underwent placement of a right ventricular drain for subarachnoid hemorrhage. the procedure went without complication. his examination was unchanged. the patient was intubated at that time. following angiography, the patient was sedated and intubated. he wasn't following commands. he tried to localize upper extremities and withdrew his lower extremities. plan at that time was to keep his blood pressure under 130; keep his ventricular drain at 15 and was given ancef for prophylaxis. the following day, the patient was opening his eyes and sticking out his tongue, following some commands, still with a right hemiparesis. he was neurologically stable at that time. endocrine was consulted to deal with his thyroid problem. was placed on dilantin and his drain was kept at 15. that same day, cardiology was consulted. the patient was extubated. the assessment of the patient in surgical intensive care unit was subarachnoid hemorrhage, status post coiling of aneurysm. cardiology notes his troponin is up and he had electrocardiogram changes. there was a question as to whether he had suffered an ischemic result. electrocardiogram was unlikely to be myocardial ischemia, elevated troponin may represent demand ischemia in the setting of acute illness. back rupture myocardial infarction was extremely unlikely. they recommended continuing a beta blocker and to add aspirin if not surgically contraindicated. endocrine, on that day recommended he should continue on his levoxyl dose of 175 mg q. day. otherwise, there is no endocrine intervention required. for the next several weeks, the patient was neurologically stable. however, he did show spikes of fever on the 12th and was cultured. he had blood cultures done and cerebrospinal fluid cultures done. on , his blood culture was preliminarily negative as well as his cerebrospinal fluid culture being negative; however, this was only a preliminary diagnosis. dictation ended , dictated by: medquist36 d: 17:29:53 t: 18:03:31 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances other permanent tracheostomy percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries ventricular shunt to abdominal cavity and organs intravascular imaging of intrathoracic vessels transfusion of packed cells endovascular (total) embolization or occlusion of head and neck vessels diagnoses: obstructive hydrocephalus acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified subarachnoid hemorrhage hyperosmolality and/or hypernatremia meningitis due to gram-negative bacteria, not elsewhere classified 

Answer: The patient is high likely exposed to