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: syncope major surgical or invasive procedure: : angiogram with embolization of right acom aneurysm history of present illness: pt is a 50 yo male w/ pmhx sig for htn and lip cancer s/p resection who presented to hospital after episode of loss of consciousness found to have a reported sah. earlier in the afternoon, he went to speak with a neighbor who was building a fence and took down a portion of the patient's fence. pt was angry and confronted neighbor and apparently lost consciousness. the next thing he remembers is waking up at an osh with a large headache. a head ct revealed sah blood in the suprasellar cistern, sylvian fissure, and intra hemispheric fissure. pt was hypertensive to the 180s/115s. he was given iv labetolol and transferred to for further management past medical history: 1. lip cancer s/p resection 2. hypertension social history: lives with father. former 3 ppd smoker quit in . rare etoh. family history: father - cad, htn, cva, dm, cpod, chf. mother -deceased emphysema. physical exam: on admission: vitals: t 98.6; bp 180/113; p 67; rr 17; o2 sat 96% 3l general: lying in bed nad heent: ncat, dry mucous membranes neck: supple pulmonary: cta b/l cardiac: regular rate and rhythm, with no m/r/g carotids: no blood flow murmur abdomen: soft, nontender, non distended, normal bowel sounds extremities: no c/c/e. neurological exam: mental status: a & o x3, attentive - relays coherent history. fluent speech with no paraphasic or phonemic errors. adequate comprehension. follows simple and multi-step commands. cranial nerves: i: not tested ii: perrl, 3-->2mm with light. optic discs sharp difficult to visualize. vff. iii, iv, vi: eomi. no nystagmus. v, vii: facial sensation intact, facial strength viii: hearing intact b/l to finger rubbing. ix, x: palatal elevation symmetrical. : scm xii: tongue midline without fasciculations. motor: normal bulk. normal tone. no pronator drift. full strength. sensation: intact to light touch. reflexes: 1+ in ues, 2+ patellas. toes downgoing bilaterally. coordination: fnf intact. pertinent results: labs on admission: 08:00pm blood wbc-16.7* rbc-4.65 hgb-14.1 hct-42.5 mcv-91 mch-30.4 mchc-33.3 rdw-13.4 plt ct-371 08:00pm blood neuts-88* bands-0 lymphs-9.0* monos-2 eos-1 baso-0 08:00pm blood pt-14.3* ptt-26.8 inr(pt)-1.2* 08:00pm blood glucose-121* urean-17 creat-1.0 na-139 k-4.4 cl-101 hco3-27 angap-15 cta on admission: impression: diffuse subarachnoid hemorrhage in the basal cisterns, sylvian fissure, interhemispheric fissure, and in the sulci of the frontal lobe bilaterally. no midline shift of normally placed structures. aneurysm at the anterior communicating artery measuring 6 x 3 mm, pointing inferiorly and anteriorly, with irregularity on right. no vasospasm. pre-op chest x-ray: impression: ap chest reviewed in the absence of prior chest radiographs: lungs are fully expanded and clear and the mediastinum is midline. there is no evidence of volume loss, or central adenopathy. study does not represent a reasonable assessment of central airways, however. lung periphery is clear. heart size top normal. no pleural abnormality. post-embolization ct: attending note: less apparent sah could be due to redistribution. no new hemorrhage. no loss of gw differentiation. ventricles slightly prominent but unchanged. decrease in extent of diffuse subarachnoid hemorrhage, no new hemorrhage. status post coiling of the acom aneurysm. mri of head : technique: axial t2-weighted images of the brain were obtained. arterial spin-labeling mr perfusion study was performed. dynamic susceptibility contrast mr perfusion study was performed during intravenous gadolinium administration. findings: a complete evaluation of the brain was not performed with this study. axial t2-weighted images demonstrate multiple foci of high signal in the subcortical and deep white matter of the cerebral hemispheres, corresponding to hypodensities noted on the head ct of , which are nonspecific. the ventricles and sulci are normal in size and configuration. there is a mucus retention cyst in the left maxillary sinus and mild mucosal thickening in the left sphenoid sinus. no perfusion abnormalities are identified on the mr perfusion study. impression: 1. no evidence of perfusion abnormalities. 2. multiple foci of high t2 signal in the white matter of the cerebral hemispheres, which are nonspecific in a patient of this age. further evaluation may be performed by a complete brain mri. brief hospital course: mr. was admitted after being transferred from an osh with a spontaneous sah. a cta revealed an aneurysm at the anterior communicating artery measuring 6 x 3 mm. the patient was admitted to the icu for hourly neuro checks and was started on nimodipine. on he had an angiogram by dr. and the aneurysm was coiled at that time. the procedure went well and he felt that the vessel was secured afterwards. the patient went back to the icu following the angio. he was neurologically intact throughout his whole stay in the icu. mr. did have headaches and some nausea and vomiting that improved with medication. his blood pressure was maintained at < 200 systolic in order to profuse the brain. on the patient had a cta which was reviewed by dr. who felt there was no significant vasospasm present. the patient was also treated with dilantin to prevent seizures during his hospital course. on the patient was transferred to the stepdown unit since he was doing well neurologically. he had q 2 neuro checks. the patient was given metoprolol, lisinopril, and nimodipine while in the stepdown unit. his blood pressure was still elevated, but < 200 systolic. on he had an episode of an acute headache and vomiting. the headache resolved after he vomited and the patient had no neurologic changes. he had a stat head ct which revealed no hydrocephalus and no new hemorrhage. he was evaluated by physical therapy who felt that he was safe to ambulate without assistance and that he was safe to be discharged. neurologically he was oriented x 3, cranial nerves intact, full strength and sensation throughout, no pronator drift. the patient was discharged with enough nimodpine for the weekend and his pharmacy will have the remaining portion ready on monday morning. he will complete a total of 21 days of therapy on . medications on admission: 1.lisinopril 40 mg q day 2.hctz 25 mg q day 3.amlodipine 10 mg q day 4.labetolol hcl 200 mg q 12 5.clonidine hcl 0.1 mg 6.benicar 40 mg q day. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. albuterol 90 mcg/actuation aerosol sig: 6-8 puffs inhalation q4h (every 4 hours) as needed. 4. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day) for 4 weeks. disp:*112 capsule(s)* refills:*1* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: no driving while on narcotics. disp:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day) for 1 months. disp:*90 tablet(s)* refills:*0* 7. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours) for 9 days. disp:*108 capsule(s)* refills:*0* 8. nimodipine 30 mg capsule sig: two (2) capsule po every four (4) hours for 3 days. disp:*36 capsule(s)* refills:*0* 9. lisinopril 40 mg tablet sig: one (1) tablet po daily (daily). 10. outpatient lab work please have your dilantin level drawn prior to your appointment with dr. . discharge disposition: home discharge diagnosis: diffuse sah, r acom aneurysm discharge condition: neurologically stable discharge instructions: angiogram with embolization medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? 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) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? 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 to make an appointment to be seen in 4 weeks by dr. . you will need to have a ct scan without contrast prior to your appointment. you need to have a dilantin level drawn prior to seeing dr. . you need to follow-up with your pcp on for blood pressure management. you are taking nimodipine to prevent vasospasm for a total of 21 days. you are on lisinopril and metoprolol. your other blood pressure medications were stopped in the hospital. procedure: endovascular (total) embolization or occlusion of head and neck vessels diagnoses: unspecified essential hypertension subarachnoid hemorrhage cerebral aneurysm, nonruptured personal history of other malignant neoplasm of skin unspecified chronic bronchitis 

Answer: The patient is high likely exposed to