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: penicillins / bactrim / ibuprofen / lipitor attending: chief complaint: s/p syncopal fall major surgical or invasive procedure: none history of present illness: 75f who was at the top of concrete steps holding a door open then her husband heard her scream and saw her at the bottom of the steps with loc for 2-3 minutes. ems was called and patient was a gcs 14 and brought to . a head ct showed bifrontal sah that is traumatic appearing. past medical history: high cholesterol social history: married, retired, lives with husband, denies tobacco and etoh. family history: nc physical exam: on admission: physical exam: gen: wd/wn, comfortable, nad. intermittent vomiting heent: no bruising neck: c-collar in place extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. slight confusion. orientation: oriented to person, place, and date- not year. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. 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 coordination: normal on finger-nose-finger on discharge: gen: elderly woman sitting in chair in nad heent: op clear cv: rrr pulm: ctab abd: soft, nt, nd ext: no edema neuro: ms - wernicke's aphasia, therefore unable to test orientation as pt answers nonsensically. she is able to follow commands through mimicry but not to voice. cn - eomi, perrl 4->3, face symmetrical, tongue midline motor - 5/5 strength throughout although most instructions done through mimicry sensation - intact to lt throughout gait - walking independently, narrow based, good arm swing. pertinent results: head ct bifrontal subarachnoid hemorrhage and r occipital nondisplaced fracture ct head interval development of three foci of intraparenchymal hemorrhage in the left frontal and temporal lobes, which are consistent with progression of contusions in these regions. there is also interval increase in size of bifrontal subarachnoid hemorrhages as well as focus of intraparenchymal hemorrhage in the right temporal lobe. echocardiogram suboptimal image quality. normal study. no structural cardiac cause of syncope identified ct head stable-appearing bifrontal and bitemporal intra- and extra-axial hemorrhage and evolving right cerebellar hemorrhage. lenis : impression: no evidence of bilateral lower extremity dvt. admission labs: 10:18am blood wbc-5.3 rbc-4.51 hgb-14.2 hct-44.2 mcv-98 mch-31.4 mchc-32.0 rdw-12.6 plt ct-241 10:18am blood pt-9.6 ptt-28.4 inr(pt)-0.9 10:18am blood urean-17 creat-0.8 05:45pm blood ck(cpk)-47 10:18am blood ctropnt-<0.01 05:45pm blood ck-mb-2 ctropnt-<0.01 01:56am blood ck-mb-1 ctropnt-<0.01 01:56am blood calcium-9.0 phos-2.7 mg-2.1 03:27am blood hiv ab-negative 03:27am blood hbsag-negative 10:18am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 03:27am blood hcv ab-negative 10:17am blood ph-7.37 comment-green top 10:17am blood freeca-1.15 10:17am blood hgb-14.1 calchct-42 o2 sat-88 cohgb-2 methgb-1 discharge labs: 05:40am blood wbc-11.0 rbc-4.09* hgb-12.9 hct-39.3 mcv-96 mch-31.6 mchc-32.9 rdw-12.8 plt ct-325 05:39am blood glucose-112* urean-10 creat-0.6 na-137 k-4.3 cl-100 hco3-28 angap-13 05:39am blood calcium-9.3 phos-4.3 mg-2.0 brief hospital course: this is a 73 year old female seen in the emergency room after sustaining a syncopal fall down 7 stairs at church. on , the patient was admitted to neurosurgery in the tsicu. a syncope work-up was ordered. on admission the patient was oriented to self, place, month, not year. on ,in the morning the patient was somulent on am rounds. a nchct was performed which was consistent with worsening contusions. a eeg was performed which showed no seizure activity. in the late afternoon the patient's mental status was improve and patient was sitting up out of bed in a chair. the patients eyes were open spontaneously and the patient was able to follow simple commands. she was imulsive and attempting to get out of her chair. the husband and daughter were updated regarding the patients status at 2100 the patient became very aggitated, was combative and was given ativan 1mg. on , the patient's echo was negative for structural abnormality and ef was 55%. the eeg was discontinued.the patient was oriented to name, pupils were ractive, the patient was able to follow commands in all 4 extremities. there was no pronator drift. the patients husband stated that the patient definitely tripped and fell and was not dizzy and then fell. the carotid ultrasound was discontinued. : nchct was stable and she was transferred to the sdu. her foley was discontinued and she was able to void on her own. she was seen by the physical therapists on and cleared for rehab. her phosphorus was repleted. she was denied rehab from because patient in restraints. on , patient continued to be aggitated and in restraints. on her na was found to be 129 and she was started on nacl tabs 2q6. her exam remained stable and her restraints were discontinued on . on her sodium continued to be low and clinically she was lethargic. a picc line was placed and she was started on a 3% saline drip at 10cc/hr. her serum nas were followed serially and the 3% drip was titrated to maintain na > 135. she was also placed on a strict free water restriction - no free water. on her na was stable at 135. she removed her own picc and the 3% was stopped as her na was within the normal range. on her na remained stable at 137. she was tolerating a regular diet, ambulating without difficulty, afebrile with stable vital signs. her husband has been instrumental during her hospital stay in redirecting her and helping her with taking medications. on and patient remained stable and awaited rehab placement. she c/o leg pain, so bilateral lenis were completed which were negative. medications on admission: epipen prn levothyroxine 75mcg qd lovastatin 40mg qd omeprazole 20mg qd calcium mvi qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. levothyroxine 50 mcg tablet sig: 1.5 tablets po daily (daily). 3. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 4. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 5. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. lovastatin 40 mg tablet sig: one (1) tablet po daily (). 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold for hr <50, sbp <100. 9. epipen 0.3 mg/0.3 ml pen injector sig: one (1) intramuscular once a day as needed for allergic reaction. 10. calcium 500 500 mg calcium (1,250 mg) tablet sig: one (1) tablet po twice a day. 11. multivitamin tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: hospital - discharge diagnosis: traumatic subarachnoid hemorrhage right occipital nondisplaced fracture syncope discharge condition: mental status: confused - always. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mrs. , you were seen in the hospital because of a head bleed after a fall. you were monitored, and once you were stable you were able to be sent to rehab. general instructions ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber to prevent constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace). ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. we made the following changes to your medications: 1) we started you on docusate 100mg twice a day to help prevent constipation. 2) we started you on keppra 500mg twice a day to help prevent seizures. 3) we started you on tylenol 650mg every 6 hours as needed for pain or fever. 4) we started you on subcutaneous heparin three times a day to help prevent blood clots in your legs. you will only need to take this while you are in rehab. 5) we started you on metoprolol tartrate 12.5mg twice a day to help control your heart rate and bp. this medication will likely be stopped in the near future if your heart rate and bp remains controlled. if you experience any of the below listed danger signs, please contact your doctor or go to the nearest emergency room. it was a pleasure taking care of you on this hospitalization. followup instructions: ??????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 prior to your appointment. this can be scheduled when you call to make your office visit appointment. ??????we recommend you see dr in the traumatic brain injury (tbi) clinic the phone number is . if you have any problems booking this appointment please ask for . procedure: central venous catheter placement with guidance diagnoses: pure hypercholesterolemia hyposmolality and/or hyponatremia unspecified acquired hypothyroidism accidental fall on or from other stairs or steps cerebral edema syncope and collapse closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness physical restraints status 

Answer: The patient is high likely exposed to