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 major surgical or invasive procedure: none history of present illness: this is a 67 year old with a history of hypertension, type ii diabetes mellitus, cri who initially presented on with headache following mechanical falls at home 2 weeks ago. his wife notes that he has had three falls in the last 2 weeks. his first fall was two weeks ago while he was being weighed on a scale. he lost his balance, fell backwards and hit the back of his head on a shelf. his second fall was one week ago, he was on his way to the bathroom with his walker and fell on the left side of his head. his third fall was three days prior to admission, he was on his walker when his wife noted that his legs buckled. no head trauma was noted following this third fall. his wife reports witnessing these falls and denies loc, associated chest pain, sob, palpitations, and lightheadedness. he walks with a walker at baseline. his wife notes that in the last two weeks, she has noticed a deterioriation in his mental status. she has found him increasingly confused and tired. he has also been reporting headaches for the last two weeks. 3 days prior to admission, he also began to have nausea and vomitting along with the headache. his last inr at home was 4.3 five days prior to admisison. he was brought to the hospital ed on where he was noted to have a sdh. . he received 5 mg vitamin k at the osh prior to transfer to the . at ed, he given ffp x 4 units. he also received lasix iv and dilantin. he was seen by the neurosurgury team who recommended nsicu and he was subsequently transferred to the icu. he was deemed stable from a neurosurgical perspective on and there were plans for his discharge. however early morning on , he began to have black guaiac positive stools and had atrial fibrillation with rvr to the 130s. his coumadin has been held and he received 10mg sc vitamin k on presentation () and an additional 10mg sc vitamin k on . additionally, he received 1 unit ffp on . inr is currently 1.7. . of note, he has been on home hospice for heart failure since 3 weeks ago. on review of systems, his wife denies fever, chills, cough, weight loss, abdominal pain, and diarrhea. past medical history: 1. atrial fibrillation on anticoagulation 2. congestive heart failure (per med c/s note, diastolic with relatively preserved ef 50%, dry weight around 285 to 290 lbs, uses metolazone 2.5 mg when weight increase to 190 lbs. on standing k repletion). 3. hypertension 4. type ii diabetes mellitus 5. chronic renal insufficiency (most recent baseline cr 3) 6. gout social history: lives at home with wife, on hospice for chf, no tobacco, alcohol, ivdu family history: dm, cad physical exam: t: 100.4 at 8 am, t 99.6 bp: 150/60 hr: 88 (88-102) r: 16 o2sats: 99% 4l gen: sleeping, somnolent but arousable, falling asleeping throughout the exam heent: pupils: r 3-2 mm, l 2-1.5 eoms intact neck: supple. lungs: clear to ascultation anteriorly cardiac: irregular, irreg. s1/s2. abd: soft, nt, bs+, obese extrem: le venous stasis changes bilaterally. neuro: cnii-xii grossly in tact. moves all extremities freely. neurological exam limited by somnolence. ct head: 1. acute right-sided subdural hematoma, stable when compared to outside study. 2. bilateral superior ophthalmic vein enlargement, left greater than right. these findings can be seen with carotid cavernous fistula and/or cavernous sinus thrombosis. clinical correlation is suggested. . ct head: stable appearance of right-sided acute subdural hematoma. unchanged left greater than right superior ophthalmic vein enlargement. . cxr: in comparison with study of , the pulmonary vessels now appear to be essentially within normal limits. enlargement of the cardiac silhouette persists. no evidence of acute focal pneumonia at this time. pertinent results: ct head: 1. acute right-sided subdural hematoma, stable when compared to outside study. 2. bilateral superior ophthalmic vein enlargement, left greater than right. these findings can be seen with carotid cavernous fistula and/or cavernous sinus thrombosis. clinical correlation is suggested. . ct head: stable appearance of right-sided acute subdural hematoma. unchanged left greater than right superior ophthalmic vein enlargement. . cxr: in comparison with study of , the pulmonary vessels now appear to be essentially within normal limits. enlargement of the cardiac silhouette persists. no evidence of acute focal pneumonia at this time. brief hospital course: 67 y/o male with a history of type ii dm, congestive heart failure (class iv), atrial fibrillation, hypertension, chronic renal insufficiency, who was admited with a supratherapeutic inr and sdh following fall, complicated by intermittent seizure activity. . sdh with opthal vein engorgement: his repeat ct scan was stable on . however, he was found to have new seizures on , with focal motor activity of lue, suggesting that sdh may be progressing. we attempted to reimage his head on , and onward, but due to his tenuous respiratory status and severe orthopnea, repeat ct was unfeasible. per extensive discussion with his wife about pt's comfort, decision was made to provide supportive care with management of seizure activity and pain. he was continued on valproic acid for seizure prophylaxis. he was given ativan 0.5 prn for persistent seizure activity lasting for a prolonged period of time (>2-3 mins). . pain: he had continued headaches and back pain throughout this hospitalization. as noted above, goals of care shifted towards focusing on pt's comfort, even if it meant that this would be at the cost of increased sedation. he was started on concentrated morphine. he has a peripheral iv if morphine gtt in case morphine gtt is required. . gib: there were concerns of melanic stools during this hospitalization and likely ugib on on the neurosurgical service. he does have a long standing history of epistaxis, this may explain his guaiac positive stools. he remained hemodynamically stable otherwise. egd could not be done on due to desats when lying flat. on the evening of with hct drop to 24 from baseline of 27-28. he received 1 unit prbc on with appropriate response. as above, with changes in goals of care, lab draws were discontinued on . . chf: based on osh echo results, mainly diastolic, with relatively preserved ef. prior to admission, at home with hospice for class iv hf. at home on lasix 80 mg and metolazone. diuretics were held in the setting of metabolic abnormalities (primarly hypernatremia) and gib. he appeared fluid overloaded on and in respiratory distress and his home regimen of lasix reintroduced. on , diuretics were discontinued following meetings with his wife who expressed her wishes to discontinue all medications that could potentially prolong his life. diuretics and anti-hypertensives were discontinued at this time. . atrial fibrillation: on admission he was rate controlled on digoxin, ccb, and bb. however, due to change in goals of care, his rate control agents were discontinued. . pt is dnr/dni, with comfort measures only. his current medications include keppra for seizure prophylaxis, ativan for prolonged seizures, and morphine for comfort. medications on admission: insulin ss lantus 45u qpm potassium 20 meq lasix 80 mg metolazone 2.5 mg sliding scale levothyroxine 175 mcg daily alopurinol 100 mg daily colchicine 0.6 mg daily digoxin 0.125 mg qpm renal caps daily diltiazem sr 180 mg qam coreg 25 mg coumadin 7.5 as directed clarinex 5mg qpm iron 300 mg lyrica 100 mg tid lidoderm patch 12 hrs qpm klonopin 0.5-1 mg qid celexa 10 mg qpm percocet q4-6 hrs prn procrit 15,000 u qmonday discharge medications: 1. morphine concentrate 20 mg/ml solution sig: one (1) po q1h (every hour) as needed. 2. morphine concentrate 20 mg/ml solution sig: one (1) po q4h (every 4 hours). 3. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 4. lorazepam 0.5 mg iv q4h:prn 5. valproic acid 250 mg capsule sig: three (3) capsule po every six (6) hours. discharge disposition: extended care discharge diagnosis: primary subdural hemorrhage gastroinstestinal bleeding congestive heart failure atrial fibrillation focal motor seizure secondary chronic renal insufficiency gout hypothyroidism discharge condition: poor, tachycardic, 89-90% ra discharge instructions: you were admitted with a bleed in your head. you were evaluated by our neurosurgical staff. you also had bleeding in your gastrointestinal tract. you were seen by the gastrointestinal doctors and were blood transfusions. your bleeding could not be further assessed on ct scan due to your respiratory status. it is possible that your bleed is progressing. you also had seizures during this admission. you are currently receiving comfort care. your medications include keppra for seizure prophylaxis, ativan for prolonged seizures, lidocaine for pain and morphine for comfort. if you have any of the following symptoms, you should return to the emergency room: worsening headache, blurry vision, worsening drowsiness/sleepiness, loss of consciosness, chest pain, shortness of breath or any other serious concerns. followup instructions: n/a md, procedure: non-invasive mechanical ventilation transfusion of packed cells transfusion of other serum diagnoses: abnormal coagulation profile congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation unspecified fall chronic kidney disease, unspecified long-term (current) use of anticoagulants epilepsy, unspecified, without mention of intractable epilepsy headache subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness hemorrhage of gastrointestinal tract, unspecified backache, unspecified mononeuritis of unspecified site home accidents acute on chronic combined systolic and diastolic heart failure other specified disorders of circulatory system 

Answer: The patient is high likely exposed to