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: no known allergies / adverse drug reactions attending: chief complaint: headache major surgical or invasive procedure: angiogram with coiling of acomm aneurysm history of present illness: hpi: 62 y/o female who presents to after being seen at and transferred for a subarachnoid hemorrhage. patient developed a sudden onset headache and neck pain this morning at 10am, denies nausea and vomiting, changes in vision, loss of bowel or bladder function. blood pressure at outside hospital was greater than 200. she was placed on a nicardipine drip and also recieved labetalol. she was weaned off nicardipine in route and had a systolic pressure in the 130s upon arrival. past medical history: pmhx:htn social history: social hx: pt. moved here from 3 months ago, lives with daughter family history: family hx: mother died of an aneurysm physical exam: physical exam: hunt and : 1 : 2 gcs e: 4 v: 6 motor:5 gen: wd/wn, comfortable, nad. heent: ntnc neck: rigid lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. no c/c/e. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: hindi speaking, few words in english cranial nerves: i: not tested ii: pupils equally round and reactive to light,3 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch toes downgoing bilaterally pertinent results: cta impression: 1. subarachnoid hemorrhage in anterior interhemispheric fissure, right sylvian fissure and basal cisterns. 2. aneurysm arising from anterior communicating artery pointing anteriorly. ct head findings: the previously seen subarachnoid hemorrhage in the right sylvian fissure, anterior interhemispheric fissure and basal cisterns has decreased in size and extent. coil embolization is seen in the region of the anterior communicating artery. some residual subarachnoid blood is in the interhemispheric fissure, right sylvian fissure, and right ambient and collicular cistern. ventricle size has decreased compared to . no evidence of new hemorrhage. no hydrocephalus. no evidence of infarction. no shift of normally midline structures. there is mucosal thickening in the bilateral maxillary sinuses with aerosolized secretions on the left and mucosal thickening in the ethmoid air cells and sphenoid sinus. the mastoid air cells are well aerated bilaterally. impression: decrease in size and extent of subarachnoid hemorrhage. no hydrocephalus. ct head with angiogram 1. decrease in the previously noted diffuse subarachnoid hemorrhage with small foci of subarachnoid hemorrhage, persistent as described above and also a few foci of hemorrhage along the tentorial leaflets and the right atrium. 2. mildly prominent ventricles as before. no increase in the size of the lateral ventricles. 3. patent major intracranial arteries; however, there is mild decrease in the size of the distal vertebral and the basilar artery and the a1, a2 segments and the m1 segments of the middle cerebral arteries on both sides and also parts of the posterior cerebral arteries, related to a component of vasospasm. the superior cerebellar arteries are not well seen. limited assessment of the coiled aneurysm. cta head 1. caliber and overall appearance of the intracranial vessels is now similar to the "baseline" study of , and improved since interval study of . no definite evidence of vasospasm at this time. 2. complete interval clearance of subarachnoid hemorrhage. no new blood or edema. lenis no dvt brief hospital course: pt was received as a transfer from after ct imaging revealed sah on . she underwent a cta which confirmed and acomm aneurysm. she was taken to the angiography suite and underwent uneventful coiling of the aneurysm. she was recovered in the icu. dilantin and nimodipine were intiated and baseline tcd's were obtained. on , the patient was extubated. the transcranial dopplers were found to be grossly normal tcd evaluation but technically limited due to bone windows. the patient exam: the patient was able to eye open and was found to be sleepy. she was easily arouseable. oriented to person place and time. the patient was able to move all extremities and there was no pronator drift. there was right nasal labial flattening noted.eoms were intact. on , sqh was initiated. transcranial dopplers were inconclusiove. non contrast head ct did not show any hydrocephalas. there was no new hemorhage. the patient was mobilized out of bed to the chair. she was nauseous with headache but otherwise intact. the angio site in the right groin was clean/dry with no hematoma. the dilantin level was 17.3. on , patient remained stable on ecxamination. tcds were inconclusive so a cta of the head was ordered to evaluate for vasospasm. she remains in icu for close vasospam monitoring. on and patient had high fevers up to 102.6, a normal wbc and normal lfts, she was taken off of dilantin to elevate that as a source of fevers. she remained neurologically stable. on , her cta showed improved caliber of the vessels and her sah had resolved. she had quite a bit of nausea and vomitting. she remained in the neuro icu. on , patient was transferred to sdu in stable condition. pt/ot was consulted and evaluated the patient on , they recommended dc home when stable. on she developed a fever and cultures were obtained. urine cultures were negative. cxr was clear and blood cultures have shown no growth to date. she remained afebrile on . pt was dc'd home in stable condition on and will follow up with dr. accordingly. medications on admission: not known discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for headache. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. discharge disposition: home discharge diagnosis: ruptured anterior communicating artery aneurysm subarachnoid hemorrhage lethargy nausea pyrexia dysphagia discharge condition: aox3. activity as tolerated. no lifting greater than 10 pounds. discharge instructions: angiogram with embolization and/or stent placement medications: ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: please call the office of dr. to be seen in _4-6_ weeks at you will need an mri mra of the brain with dr protocol at that time procedure: arteriography of cerebral arteries endovascular embolization or occlusion of vessel(s) of head or neck using bare coils diagnoses: anemia, unspecified unspecified essential hypertension subarachnoid hemorrhage fever, unspecified other and unspecified coagulation defects 

Answer: The patient is high likely exposed to