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: ms change . major surgical or invasive procedure: none history of present illness: hpi: 88 m w/ presented to osh after having fallen while carrying groceries from his car. wife thinks it was a mechanical fall. no head trauma. no loc. he was noted to have an acute ms change within 30 minutes. t=101.8 upon arriving to osh ed. electively intubated for airway protection and transferred to . . ed course: -- u/a - 11-20 wbcs, occasional bacteria -- wbcs - 28.9 w/ 91% lymphs -- ucx and bcx sent -- ceftriaxone and vancomycin started -- cxr - abnormal opacity involving both lungs. the finding represents both airspace and interstitial disease. diagnostic considerations include pulmonary edema in the setting of chronic interstitial changes. bilateral pleural effusions are present as well. -- ct chest - severe emphysema and moderate pulmonary edema. left lower lobe consolidation could represent pneumonia, aspiration or atelectasis. mild stranding in left upper quadrant around the splenic flexure of uncertain etiology. -- ct head - negative -- ekg - sinus tachycardia, pvcs, nl axis, nl intervals, no significant st interval or t wave changes. . past medical history: pmh: -- paf -- htn -- dyslipidemia -- transitional cell bladder ca -- bcg tx -- lung mass (seen on staging ct ) -- left lower lobe 4x4x3cm, concerning for malignancy. pt has to present refused intervention. -- tte () - nl lv size and function, ef=60-65%. -- glaucoma -- osteoporosis . social history: lives with wife. . family history: non-contributory . physical exam: vent: vt=550, pressure=10, peep=5, fio2=50, rr=20 t=100.2 bp=120/70 hr=90 rr=20 o2sat=97% gen: lying in bed intubated, sedated heent: no lad cv: rrr pulmo: ctab anteriorly abd: bs+, nt, nd ext: warm, no c/c/e neuro: pinpoint pupils, reactive, b/l. reactive to painful stimuli. moving all extremities, but not to command. toes are neither upgoing or downgoing. . pertinent results: mri :impression: 1. multiple punctate foci of increased diffusion signal are suggestive of multiple watershed infarcts in the cortex between the mca/aca distribution and mca/pca distribution. this could be secondary to an episode of global hypotension and/or hypoxia. 2. no evidence of intracranial mass. 3. left choroid plexus xanthogranuloma. 4. fluid layering in the nasopharynx, possibly secondary to patient unresponsive state or intubation. . 07:45pm urine blood-sm nitrite-neg protein-500 glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 07:45pm urine rbc-* wbc-* bacteria-occ yeast-none epi-<1 07:38pm lactate-2.2* 07:28pm type-art po2-303* pco2-48* ph-7.38 total co2-29 base xs-2 06:24pm urine blood-sm nitrite-neg protein-500 glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 06:10pm glucose-141* urea n-16 creat-0.8 sodium-137 potassium-3.3 chloride-99 total co2-27 anion gap-14 06:10pm ck(cpk)-170 06:10pm ck-mb-18* mb indx-10.6* ctropnt-.78* 06:10pm calcium-9.9 phosphate-2.9 magnesium-2.0 06:10pm wbc-28.9* rbc-5.27 hgb-16.0 hct-49.2 mcv-93 mch-30.3 mchc-32.5 rdw-14.9 06:10pm neuts-91.1* bands-0 lymphs-3.9* monos-4.4 eos-0.1 basos-0.6 06:10pm pt-27.9* ptt-29.8 inr(pt)-2.9* brief hospital course: a/p: 88 m w/ presented from osh intubated after having fallen. . the patient was admitted from an osh intubated to the micu. he was noted to have had a fall complicated by altered mental status. non-contrast head ct was negative for intracranial bleed. there was high concern for an infectious process due to a leukocytosis. ct torso revealed no focal inectious etiology. the patient was noted to have a positive ua and a question of a pneumonia. the patient was initiated on ceftriaxone and vanco at meningeal dosing. lp was not done due to elevated inr and minimal clinical indications. mri/a of the head on the day of admission revealed numerous watershed infarcts. these were felt to be consistent with either an episode of hypotension (which the patient was not known to have had) or embolic phenomena. the patient was known to have a. fib but tte did not reveal any intra-cardiac thrombi. the patient was already fully anticoagulated on admission and heparin gtt was initaited at the time of infarct discovery. it is possible that the patient is hypercoaguable secondary to malignancy. repeat mri/a on hospital day 4 revealed progression of the patient's infarcted area. he was successfully weaned from the ventilator. after discussion with the family regarding the patient's poor prognosis, he was advanced to comfort measures only and transferred to the medicine floor service. on the medicine service he received ativan, morphine and scopolamine as needed for comfort. the patient expired at 09:55am on when he was found to have no pulse, no spontaneous breaths and no pupillary reflex. the patient's family was contact. they declined an autopsy. medications on admission: meds: --aspirin 81 mg daily --terazosin 2 mg --oxybutynin 5 mg hs --tylenol prn --atenolol 50 mg daily --coumadin 5 mg m, w, f --coumadin 2.5 mg t, th, sat, sun --alendronate 40 mg every mon --simvastatin 5 mg hs --brimonidine 0.2 1 drop in each eye daily --travoprost 0.004% 1 drop each eye daily --calcium, mvi discharge medications: none discharge disposition: expired discharge diagnosis: cerebrovascular accident discharge condition: none discharge instructions: none followup instructions: none procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation unspecified glaucoma other and unspecified hyperlipidemia acute respiratory failure osteoporosis, unspecified personal history of malignant neoplasm of bladder secondary malignant neoplasm of lung fall from other slipping, tripping, or stumbling closed fracture of intertrochanteric section of neck of femur cerebral thrombosis with cerebral infarction 

Answer: The patient is high likely exposed to