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: s/p fall with significant right sided subdural hemorrhage major surgical or invasive procedure: : right craniotomy for sdh : peg history of present illness: 7m on coumadin for an embolic stroke in and fell at 0500 on while he was getting out of bed. this fall was unwitnessed, however his wife heard him fall and went immediately to the bedroom to his side. he was brought to ed and then was transferred to for further evaluation. upon arrival to the ed his inr was 5.6 he was reversed with vitamin k, profiline, and ffp. past medical history: embolic stroke , htn social history: resides at home with wife. family history: non-contributory physical exam: on admission: en: lethargic, but arousable, comfortable, nad. heent: pupils:3-2.5 on right and 2.5 to 2 on the left eoms pt not cooperative with exam. neuro: mental status: awake to voice-lethargic, inconsistently following simple commands only orientation: oriented to person, place "rehab", and date is correct with prompting. recall:unable to perform at this time. language: slow to respond, answers with one word after much prompting. cranial nerves: i: not tested ii: pupils round and reactive to light, 3-2.5 on right and 2.5 to 2 on the left. visual fields cut on left. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength- left facial droop viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal on right, decreased on left. xii: tongue midline without fasciculations. motor: strength full power on right, plegia on left- contracted left arm. unable to perform pronator drift secondary to long standing left sided paresis sensation: intact to light touch bilaterally. toes upgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin exam on discharge: oriented x 2. perrl. dysarthric. moves right side strongly. left arm plegic. left leg withdraws to pain. pertinent results: labs on admission: 02:30pm blood wbc-9.9 rbc-2.04* hgb-5.0* hct-16.2* mcv-79* mch-24.5* mchc-31.2 rdw-17.2* plt ct-354 02:30pm blood neuts-76.5* lymphs-13.5* monos-9.6 eos-0 baso-0.3 02:30pm blood pt-49.3* ptt-32.4 inr(pt)-5.6* 02:30pm blood glucose-138* urean-29* creat-1.2 na-137 k-4.2 cl-105 hco3-19* angap-17 02:30pm blood ck(cpk)-386* 02:30pm blood ctropnt-<0.01 imaging: ct head : unchanged large 4.3cm right temporo/parietal/occipital acute on chronic shd with no shift of midline or herniation. severe right frontal encephalomalacia with dilation of the right frontal of lateral ventricle. compression of right lateral ventricle temporal . stable left frontal parenchymal hemorrhagic contusion. ct torso : no traumatic injury to the torso. cxr : findings: in comparison with the study of , there is little change. nasogastric tube again extends well into the stomach. there may be mild atelectatic changes at the left base, but no evidence of acute focal pneumonia. brief hospital course: patient transferred to following a fall while at home on the morning of . of significance, patient was on coumadin therapy for a prior embolic cva in . upon admission to , he received ffp, vitamin k, and profiline to reverse effects of anticoagulation. because of the size of the right subdural hematoma, and his neurologic examination, he was emergently taken to the or for evacuation. post-operatively, he was returned to the icu. the patient was stable enough to be transferred to the neurosurgical floor afterwards. he was lethargic but able to open his eyes to voice and follow some commands when he was first transferred. on he was observed to have a mild amount of respiratory effort. chest x-ray was performed for the concern of a developing pneumonia, and was read as negative by radiology. he was prophylactically started on a course of antibiotics. general surgery was contact on for consideration of peg placement due to persistantly poor performance during speech and swallow examinations. this was placed on without incident. the patient was also given a course of nystatin for oral thrush. he was seen by physical and occupational therapy who determined he would be an appropriate candidate for rehab. he was discharged to an appropriate facility on . medications on admission: diovan, tramadol, coumadin, ceplex, tylenol discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for oral thrush for 7 days: stop on . 12. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 6 days. discharge disposition: extended care facility: - nh discharge diagnosis: 4.3cm right temporo/pariteal/occipital acute on chronic sdh dysphagia requiring feeding tube placement discharge condition: neurologically improved discharge instructions: general instructions ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? 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, and ibuprofen etc. **you may not resume your coumadin(warfarin) until 1 month from discharge. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion 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. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in 7 days for a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . ??????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. -follow-up with neurology for discussion of restarting coumadin. procedure: incision of cerebral meninges enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: anemia, unspecified unspecified protein-calorie malnutrition hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) candidiasis of mouth other late effects of cerebrovascular disease cerebral edema long-term (current) use of anticoagulants late effects of cerebrovascular disease, hemiplegia affecting unspecified side encephalopathy, unspecified subdural hemorrhage subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness fall from other slipping, tripping, or stumbling dysphagia, unspecified 

Answer: The patient is high likely exposed to