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: headache, ?seizure. major surgical or invasive procedure: factor viii infusions history of present illness: the pt is a 36 year old male with a history of hemophilia a, hiv (cd4 count 500 per pt) who presented from osh on with a subdural hemorrhage. the pt. stated that he began to develop a diffuse, "throbbing" headache on the morning of admission. he is an attorney and was giving a deposition in a courtroom on the day of when he suddenly fell to the ground, had what was described as a generalized seizure lasting several minutes, and was barely responsive afterwards. the first thing that the pt recalled after giving the fall and possible seizure is awaking in the hospital with a "terrible" headache. he was taken to an osh where workup included a head ct which showed a subdural hematoma over the left frontal lobe, interhemispheric fissure, and around the midbrain. the patient was then transferred to the for further care. on transfer to , the pt complained of fatigue and a headache. the was described as "throbbing" and diffusely located. he also admitted to photophobia. no neck stiffness, recent n/v/fevers/recent travel. he is compliant with his medications. the pt. denied recent neck/back manipulations. he stated that this sort of episode has never happened before. there has been no remote head trauma. the pt. was admitted to the neurologic icu where he remained for one day. during this time, he underwent two serial head cts which showed stable size of the left frontoparietal subdural hematoma. he was also loaded with dilantin for seizure prophylaxis. a hematology/oncology consult was obtained in light of the pt's diagnosis of hemophilia a. they recommended q8h factor viii infusions, which the pt. has received. as the pt. remained hemodynamically stable, experienced no further seizures and had a stable size sdh, he was transferred to the floor on hospital day 2. at the time of my encounter, the pt. again complained of fatigue and headache. he stated that there has been no change in the quality of the headache since onset as described above. he rated the intensity despite morphine and demerol. he otherwise offered no complaints. discussion with the pt's parents and brother later on the day of transfer revealed that the pt. had been complaining of headache for about 4 days prior to the aforementioned incident on the day of admission. in addition, the pt's brother stated that he had spoken to a workmate who was in court with the pt. at the time of the incident who did not recall any seizure-like activity. per this witness, the pt slumped over on a table in a sitting position and became less responsive during the deposition but did not have any abnormal movements. obviously this could not be confirmed with the pt. past medical history: 1. hemophilia a/factor vii dependent 2. hiv, cd4 count 500 per pt. 3. hepatitis c. social history: he does not drink alcohol, smoke tobacco, or use illicit drugs. he is an attorney and works as an assistant attorney general. he is single. family history: no family members with hemophilia, seizures. physical exam: pe: t-98.6f bp-134/60 hr-88 rr-18 gen: lying in bed, asleep in no apparent distress heent: ncat, oropharynx clear neck: supple, no carotid bruits chest: clear to auscultation b/l cv:regular rate, normal s1s2, no m/r/g ext: no c/c/e, 2+ dorsalis pedis pulses b/l neurologic exam: ms: asleep but easily arousable. oriented to person, place and time. the patient is unable to say moyb. he can do dowb. fluent speech, repetition, naming intact. able to read and write. memory registration, encodes with interference. recall at 5 minutes. no apraxia, neglect, frontal signs. calculation intact. cn: visual fields intact to confrontation pupils normal round 4mm->2mm with light. eomi without nystagmus. normal facial sensation and musculature. hearing intact to finger rub. palate rises symmetrically. tongue midline. motor: normal tone and bulk. no tremors or fasciculations. pronator drift absent. strength: 4-/+ = mild/moderate/great resistance tri wrf wre fif ilio quad ham fof foe l 5 5 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 5 5 5 5 reflexes: there are reflexes throughout/ plantar reflexes flexor bilaterally. sensory: intact to pinprick, vibration, proprioception and temperature throughout. coordination: intact ftn b/l. intact . gait: romberg sign absent narrow based, stable, good arm swing. tandem intact. pertinent results: labs on admission: 08:35pm blood wbc-14.2*# rbc-4.77 hgb-13.8* hct-41.2 mcv-86# mch-28.8 mchc-33.4 rdw-14.8 plt ct-135* 08:35pm blood neuts-80.2* lymphs-15.2* monos-4.4 eos-0.2 baso-0.1 08:35pm blood pt-12.7 ptt-33.8 inr(pt)-1.1 05:36am blood wbc-11.3* lymph-18 abs -2034 cd3%-66 abs cd3-1346 cd4%-21 abs cd4-428 cd8%-44 abs cd8-886* cd4/cd8-0.5* 08:35pm blood facviii-27* 08:35pm blood glucose-106* urean-23* creat-0.9 na-140 k-3.2* cl-104 hco3-26 angap-13 05:36am blood alt-24 ast-19 ld(ldh)-176 ck(cpk)-131 alkphos-96 amylase-140* totbili-1.3 08:35pm blood calcium-8.9 phos-3.0 mg-2.2 imaging: head ct (): findings: there is a left frontal and parietal acute subdural hemorrhage measuring 9 mm adjacent to the left frontal lobe, where it appears widest on axial images. there is mass effect on the left cerebral hemisphere and narrowing the left lateral ventricle, with minimal shift of the normally midline structures to the right. subdural blood continues across the left tentorium and is be present in the left middle cranial fossa, under and around the temporal lobe. no parenchymal hemorrhage is identified. the density values of the brain parenchyma are within normal limits and the - white matter differentiation is preserved. the surrounding osseous and soft tissue structures are unremarkable. the visualized paranasal sinuses are normally aerated. impression: acute left subdural hemorrhage causing mass effect on the left cerebral hemisphere with slight shift of the midline head ct (): ct head findings: the small left frontal convexity subdural seen on the prior day's scan is unchanged in size, again exerting mass effect on the adjacent brain parenchyma. once again, subdural blood traverses over the left tentorium, but is again unchanged compared to the prior study. no new foci of intracranial hemorrhage are identified. the left ventricle is mildly effaced, the ventricles are otherwise unremarkable. there is no obvious blurring of the -white interface or focal effacement to suggest infarction. bone windows demonstrate no evidence of fracture. the orbits are unremarkable, and the sinuses are clear. impression: no significant change in the size or associated mass effect of the left subdural hematoma compared to the prior day's study. no new foci of hemorrhage are identified. head mri (): findings: a thin rim of subdural hematoma is identified extending from the left frontal to the occipital region without significant mass effect on the adjacent brain. the maximum width of the subdural is approximately 3 mm. a thin rim of subdural is also seen along the tentorium on the left side. there is no midline shift or mass effect. there is no evidence of slow diffusion to indicate acute infarct. there is no evidence of focal signal abnormalities within the brain. on susceptibility weighted images, there is no evidence of acute or chronic blood products in the brain parenchyma. following gadolinium, no evidence of abnormal parenchymal or vascular enhancement seen. impression: small left-sided subdural from frontal to occipital region with extension along the tentorium, unchanged from the previous ct of . no mass effect or midline shift seen. no evidence of slow diffusion or intraparenchymal abnormalities. no evidence of abnormal enhancement. brief hospital course: 1. left frontal subdural hematoma: it was felt that the most likely scenario was that the pt. had low factor viii levels secondary to underlying hemophilia a and sustained a spontaneous sdh. the hematology/oncology service consulted on the pt. and recommended q8h factor viii infusions and p.o. steroids (both were scheduled as tapered doses on discharge as below). the pt had serial head cts which demonstrated stable size of the hematoma. he is to follow-up with a repeat head ct with the neurosurgical service in 8 weeks to document size. there was question of whether the pt actually had seizure. since it was felt that if the pt were to seize off anti-seizure medication, in the context of hemophilia, he would be at risk to develop another intracranial bleed. therefore, the decision was made to discharge the pt. on an anti-convulsant. the pt. was originally loaded with and maintained on phenytoin. he developed a diffuse papular rash on this medication, however, and the regimen was changed to keppra prior to discharge. the pt. also had a signficant headache and blurred vision with a mild degree of photophobia during the hospital stay. he was initially placed on intravenous morphine and demerol prn with little effect. he was therefore placed on a dilaudid pca. when his requirements were determined, he was transitioned to p.o. dilaudid prior to discharge. he was also started on verapamil for headache in the context of hypertension when this was unsuccesful, neurontin was also added. his headache control was tolerable on this regimen, by time of discharge. 2. hypertension: the pt. developed difficult-to-control hypertension during the course of the hospital stay after he was taken off of labetalol drip. he was placed on captopril with increasing doses, eventually reaching 50mg tid. beta-blockers were held since he was significantly bradycardic on telemetry (hr in 40s). he was also placed on verapamil as above. 3. hiv: the pt. was maintained on his usual haart regimen. the infectious disease service consulted on the pt and felt that an infectious workup was not warranted given the pts constellation of symptoms. medications on admission: 1. factor viii replacement. 2. ambien. 3. zoloft. 4. prilosec. 5. nsaids for arthritis. discharge medications: 1. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 2. abacavir 300 mg tablet sig: two (2) tablet po daily (daily). 3. clotrimazole 10 mg troche sig: one (1) troche mucous membrane qid (4 times a day). 4. fosamprenavir calcium 700 mg tablet sig: two (2) tablet po q12h (every 12 hours). 5. lopinavir-ritonavir 133.3-33.3 mg capsule sig: three (3) cap po bid (2 times a day). 6. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 7. lamivudine 150 mg tablet sig: two (2) tablet po daily (daily). 8. verapamil 120 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). disp:*30 tablet sustained release(s)* refills:*2* 9. prednisone 10 mg tablet sig: six tablet po once a day for 1 days: take 60mg daily on , take 40mg daily on , take 20mg daily on , take 10mg on , take 5mg on . . disp:*14 tablet(s)* refills:*0* 10. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain/headache. disp:*50 tablet(s)* refills:*0* 11. captopril 25 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 12. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). disp:*180 capsule(s)* refills:*2* 13. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day): take 1 tab po bid for one week, then take 2 tabs po bid thereafter until instructed otherwise. disp:*100 tablet(s)* refills:*2* 14. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 15. ambien 5 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. discharge disposition: home discharge diagnosis: 1. left frontal subdural hemorrhage 2. hemophilia a/factor viii dependent 3. hiv 4. hepatitis c 5. hypertension discharge condition: pt. was still complaining of headache (although overall improved since admission) and some residual photophobia and blurred vision. discharge instructions: continue with medications listed below. please attend all follow-up appointments. call your doctor or go to the emergency room if you have worsening headache, blurred vision, seizures, dizziness, worsening nausea/vomiting or any concerning symptoms. continue factor viii replacement as follows: -one infusion every 8 hours for 3 more days -then one infusion every 12 hours for 3 days -than one infusion daily thereafter or until instructed otherwise by dr. . followup instructions: please call dr. () for follow-up appointment within the next week. provider: (h3) general 2 radiology where: radiology phone: date/time: 3:00 please follow-up with neurosurgery in 8 weeks. please call dr. office at to schedule an appointment. you will need to have a ct of the head performed prior to this appointment. please call radiology to schedule an appointment in 8 weeks. please call the clinic at to schedule an a follow-up appointment with dr. and dr. in weeks. procedure: transfusion of coagulation factors diagnoses: unspecified essential hypertension unspecified viral hepatitis c without hepatic coma subdural hemorrhage asymptomatic human immunodeficiency virus [hiv] infection status congenital factor viii disorder 

Answer: The patient is high likely exposed to