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 attending: chief complaint: fall major surgical or invasive procedure: : right craniotomy for sub dural hematoma evacuation history of present illness: this is an 82 year old man who took a sleep aide for the first time last night. he rolled out of bed and hit his head around 4:30am. he was confused and disoriented and his family brought him to the ed. ct head showed a small right sdh. inr was 2.8 due to coumadin use. neurosurgery was consulted. past medical history: afib, cardiac catheterization, htn, gout, herniorrhaphy social history: he does part time consulting for the railway. he does not smoke. etoh use is rare. he lives with wife and son. family history: nc physical exam: on arrival physical exam: o: bp: 131 /101 hr: 86 r 17 o2sats 100% ra gen: wd/wn, comfortable, nad. heent: pupils: 1.5 to 1.0 eoms intact extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. some tangential thinking. orientation: oriented to person, place, and date (). recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 1.5 to 1.0 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. 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: patient is alert, oriented to date, hosptial, and self cn 2-12 grossly intact no drift motor strenght on isolated muscle exam testing. patient needs assistance with ambulation. wound c/d/i, slight boggyness under skin flap. staples removed pertinent results: ct brain: findings: there is a right parietal/temporal subdural hematoma measuring 6 mm in maximum transverse diameter, with slight extension along the right tentorium and falx. there is minimal mass effect on the adjacent sulci. however, the sulci and ventricles are overall mildly enlarged due to mild cerebral atrophy. there is no shift of normally midline structures. no parenchymal edema is seen. there is a hematoma in the midline posterior scalp at the vertex. there is no fracture. the bilateral mastoid air cells and paranasal sinuses are well aerated. impression: 1. small right subdural hematoma. 2. posterior scalp hematoma at the vertex. no fracture. ct brain findings: there is marked interval expansion of the known right convexity subdural hematoma with acute blood products. there is new leftward shift of the normally midline structures by approximately 1.5 cm. there is effacement of the subjacent sulci and near-complete effacement of the right lateral ventricle. the third ventricle is compressed, and the left lateral ventricle is now dilated, indicating entrapment. new effacement of the perimesencephalic cistern suggests mild right uncal herniation. small amount of subdural blood products is again seen along the right tentorium and falx. bilateral carotid calcifications are present. visualized paranasal sinuses and mastoid air cells are well aerated. no suspicious lytic or sclerotic osseous lesion is identified. a midline posterior scalp hematoma is again seen at the vertex. impression: 1. rapid interval enlargement of right subdural hematoma with new leftward shift of the normally midline structures by 1.5 cm, subfalcine herniation and likely mild right uncal herniation. 2. effacement of the right lateral ventricle, compression of the third ventricle and entrapment of the left lateral ventricle. cxr findings: comparison is made to the prior chest radiograph from . there is an endotracheal tube whose distal tip is almost 10 cm above the carina and high; this could be advanced approximately 2-3 cm for more optimal placement. there is a feeding tube whose distal tip is at the ge junction and the side port is in the lower esophagus. this could be advanced approximately 15-20 cm for more optimal placement. the cardiac silhouette is upper limits of normal. there is a left retrocardiac opacity and left-sided pleural effusion. ct brain impression: 1. unchanged small extraaxial, likely subdural hematoma overlying the right temporal lobe. 2. new extraaxial, likely epidural fluid collection underlying the right frontal/parietal craniotomy. increased effacement of right sulci, but unchanged compression of the right lateral ventricle and unchanged mild leftward shift of normally midline structures. 3. unchanged two foci of right frontal intraparenchymal hemorrhage 4. new minimal intraventricular hemorrhage. ct brain: 1. no evidence of acute intracranial hemorrhage. small residual right temporal subdural hematoma and right frontal intraparenchymal hematoma are stable since first post-operative study. 2. hypodense right frontoparietal extra-axial collection has steadily increased in size compared to first postoperative study of , , as has an associated extracranial, subgaleal collection of similar attenuation. these findings raise concern for ongoing csf leak. 3. stable mass effect upon the right hemispheric sulci and right lateral ventricle, with associated 5 mm leftward shift of midline structures. no central herniation. 4. unchanged left frontal hypodense lesion with hyperdense rim. ct brain: unchanged from previous ct. brief hospital course: mr. was admitted to the neurosurgery service after initial evaluation in the emergency room. during the course of the next few hours his mental status worsened, a repeat ct of the head showed interveral evolution of his subdural hematoma and the patient was taken to the operating room for evacuation. he underwent a right sided craniectomy for subdural hematoma evacuation. post operatively he was transferred intubated to the neurosurgical icu. he was successfully extubated the following morning. on there was concern for increased lethargy and he underwent a ct head which showed a slight increase in the collection under the crani site. he was kept in the icu. overnight, there was concern for increased lethargy and a ct was once again repeated without change. he remained in the icu for observation and then was subsequently transferred to sdu on . a speech and swallow eval was obtained which he passed and his diet was advanced. he remained stable and was ultimately transferred to floor status. medications on admission: zolpidem 50 mg po qhs amlodipine 5mg po qd hctz 25 po qd doxazosin 40mg po qd allopurinol 300 po qd coumadin 2 mg poqd trandolapril 4 mg po qd discharge medications: 1. therapeutic multivitamin liquid sig: one (1) tablet po daily (daily). 2. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 3. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 4. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 5. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 6. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 7. doxazosin 4 mg tablet sig: one (1) tablet po hs (at bedtime). 8. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 9. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 10. trandolapril 2 mg tablet sig: two (2) tablet po daily (daily). 11. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 13. phenytoin 125 mg/5 ml suspension sig: one (1) po q8h (every 8 hours). discharge disposition: extended care facility: - discharge diagnosis: right subdural hematoma, acute brain compression, requiring surgery dysphagia atrial fibrillation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin prior to your injury, you may safely resume taking this on . ?????? you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment 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. procedure: incision of cerebral meninges enteral infusion of concentrated nutritional substances diagnoses: unspecified pleural effusion unspecified essential hypertension gout, unspecified atrial fibrillation compression of brain long-term (current) use of anticoagulants retention of urine, unspecified pulmonary congestion and hypostasis accidental fall from bed subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness physical restraints status dysphagia, unspecified 

Answer: The patient is high likely exposed to