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: s/p post coital seizure referred for ich major surgical or invasive procedure: s/p angiogram and aneurysm coiling s/p repeat angiogram history of present illness: 50 y/o male referred from with ich. patient was having sexual intercouse with his wife earlier this evening and had a seizure prior to orgasm. patient became stiff and unresponive with urinary incontinance. he was verbally unresponsive at the time and ems services responded to the scene. ct at revealed sah and the patient came to this facility. patient had repeat ct and our service was consulted. past medical history: hypercholesteremia appendectomy social history: patient drives a bakery truck family history: non-contributory physical exam: physical exam upon admission: bp: 144/94 hr: 60 r 16 99% ra o2sats gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms-intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. 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, 5 to 4 mm bilaterally. visual fields are full to confrontation. 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, propioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right +2 +2 +2 +2 +2 left +2 +2 +2 +2 +2 toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin pertinent results: labs on admission: cbc: 16.7/15.8/43.2/170 chem 7: 139/3.8/103/27/23/1.0/166 inr: 11.4/25.0/1.0 ct/mri on admission: impression: large amount of subarachnoid hemorrhage. extension into the ventricular system. at the current time, no evidence of hydrocephalus. mri/mra or cta is strongly recommended to assess for suspected aneurysm. cta on admission: 1. 4.5 mm aneurysm at junction of right aca and a.comm. 2. hypoplastic proximal segment of the right aca. 3. large sah. 4. interval increase in intraventricular blood. brief hospital course: 50 y/o male referred from with ich. patient was having sexual intercouse with his wife earlier this evening and had a seizure prior to orgasm. patient became stiff and unresponive with urinary incontinance. he was verbally unresponsive at the time and ems services responded to the scene. ct at revealed sah and the patient came to this facility. patient had repeat ct and our service was consulted. the patient was admitted to on . that day he had an angiogram with a coiling of an aneurysm at the junction of the anterior comm. artery and the right anterior cerebral artery. the procedure went well and he went to the icu where he received nimodipine, dilantin, had his bp monitored by an arterial line, and was kept flat. the patient underwent a repeat cerebral angiogram on . it showed a small residual aneurysm remaining which appeared unchanged from the original coiling. the coils remained in the proper position and there was no evidence of vasospasm. on this date the patient also began to have hyponatremia. he was started on sodium tablets. : ct/cta showed no vasospasm and ? slight hydrocephalus. while he was in the icu, the patient had some episodes of confusion where he believed he was late for work and he was reassured by the staff and his wife. also complained of headaches. he was continued on nimodipine and sodium tablets. his sodium remained low. : ct stable with no hydrocephalus. he was transferred to the neuro step-down unit. he was continued on nimodipine and his bp was monitored closely. : he was febrile to 103.8, had blood and urine cultures sent to the lab and was started on keppra. he had leni's done which were negative and his cxr was negative. : the cultures did come back with enterococcus present in both the urine and the blood. id gave recommendations for treatment. the patient was started on ampicillin and gentamicin. he was also given acyclovir because there was suspicion of a viral meningitis. viral cultures and viral pcr were sent. the patient did have nuchal rigidity at the time. the patient's fevers decreased throughout the rest of the hospital stay. he had been afebrile for several days by the time of discharge. he had a negative tte which indicated no vegetation on his heart valves. therefore id recommended stopping the gentamin after completing 5 days. the viral cultures and viral pcr were negative so the acyclovir was discontinued. physical therapy evaluated the patient a few days prior to discharge and stated that he was physically safe to go home as long as he had supervision due to his periods of confusion. his family arranged to be able to provide 24 hour supervision for the patient. id recommended having the patient complete a full 14-day course of the ampicillin. he had completed 7 days of antibiotics already, so he was sent home with a 7-day supply. he was also sent home with his nimodipine, sodium tablets and other medications seen in the next section of this summary. the patient was instructed to have his na level drawn weekly and to send the results to our office. he is to continue the na tablets until his na normalizes. at discharge he was eating, voiding, ambulating well and had no headache. medications on admission: lorazepam discharge medications: 1. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever. 2. acetaminophen 500 mg tablet sig: two (2) tablet po q8h prn (). 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*80 tablet(s)* refills:*0* 6. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 7. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours). disp:*60 capsule(s)* refills:*0* 8. sodium chloride 1 g tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* 9. outpatient lab work must have sodium level drawn weekly. must fax results to our office . continue sodium tablets until sodium is normal. 10. ampicillin 500mg po q6 hours x 7 days. discharge disposition: home discharge diagnosis: s/p aneurysm coiling discharge condition: neurologically stable discharge instructions: ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion 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 ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: follow up with dr. in 6 months with formal angiogram to include neck vessels. call to make appointment. procedure: venous catheterization, not elsewhere classified spinal tap incision of lung arteriography of cerebral arteries arterial catheterization endovascular (total) embolization or occlusion of head and neck vessels diagnoses: pure hypercholesterolemia tobacco use disorder urinary tract infection, site not specified unspecified essential hypertension hyposmolality and/or hyponatremia subarachnoid hemorrhage bacteremia streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] 

Answer: The patient is high likely exposed to