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: unresponsive, right hemiparesis major surgical or invasive procedure: left hemicraniectomy arterial line central venous access chest tube intubation tracheostomy peg history of present illness: the patient is a 48 year old man with a history of atrial fibrillation (not on anti-coagulation), hypertension, right basal ganglia bleed in now presenting as a transfer from an osh for unresponsiveness and right-sided weakness. the history as per the wife (through translator) is that she woke up at 6 am and was unable to wake up her husband. appeared to be moving his the right side less as well (no facial droop appreciated). his last known well state was at 12 am. she activated ems and he was taken to an osh. there he was noted to have eyes open but was not following commands. they performed a head ct and discovered that he had hypodensities in the left- mca distribution with surrounding parenchymal edema. he was transferred here for further management including intensive care services. he arrived in our er at about 9:30 am. past medical history: -atrial fibrillation not on anti-coag -iddm -htn -right basal ganglia bleed that left him with some residual left sided weakness social history: -lives with wife and daughter -works as a cook -current smoker (since teenage years) -etoh use -cantonese speaking family history: -unknown at this time physical exam: vitals: 98.8 178/90 78 (irreg) 98% room air general: middle-aged man lying still on stretcher neck: supple lungs: clear to auscultation cv: irregular rate and rhythm abdomen: non-tender, non-distended, bowel sounds present ext: warm, no edema neurologic examination: patient with minimal response (eye opening to sternal rub); non-verbal; not following commands; weak corneal reflex; weak gag reflex; left eye deviation; no dolls eye response; withdraws to pain on left arm and leg, no response on right; some spontaneousmovement on left arm; absent reflexes on right; brisk on left pertinent results: ct (head): 1. large left mca infarct with loss of the /white matter differentiation. 2. there is hyperdensity of the left mca, suggesting acute thrombosis of this vessel. nchct ( - most recent): status post large left mca stroke and left craniectomy with interval decreased brain swelling, but persistent herniation of the left hemisphere through the craniectomy defect. small hemorrhages are present within the infarcted left cerebrum. cbc: 9.2/42/391 normal lfts on usually needs k and mg replacement. brief hospital course: pt was found to have a large left mca infarction with swelling and impending herniation. after discussion with the family, the decision was made given the patient's young age of 48 to proceed with craniectomy to avoid impendeding brain stem herniation. on he had left frontal, parietal, temporal, occipital craniectomy with duraplasty and placement of subgaleal drain. he was admitted to the neuro-icu for continued management. he was transferred to the step-down unit on . the left mca stroke was likely due to cardioembolic source (afib not on coumadin). pt was initially started mannitol, then taken to or for craniectomy. initially, he was started on dilantin for seizure ppx. this was later switched to depakote due to concern for drug fever. head ct remained stable. started on aspirin 325. he should be continued on depakote for seizure prophylaxis as he will need to go to the or eventually for skull replacement. check vpa level q week. ** he will need a repeat noncontrast head ct in weeks with scan sent to dr. for review to determine when he should have his skull replaced. ** in the meantime, he has a helmet to wear to protect his brain. exam upon discharge: awake, alert, looks at examiner when she enters the room, nonverbal, does not follow commands or mimic, tracks money to the right, will turn his head to the right but has a left gaze preference. left arm/leg is strong. right face droop. right pareisis. will move arm and leg proximally just a little to noxious stimuli. pt has a hx of afib. rate is controlled with diltiazem, metoprolol. he will occasionally go into rapid afib with hr 150's but most of the time he is asymptomatic. htn was controlled with dilt, betablocker, and captopril. respiratory wise, he was initially intubated in the er for airway protection. on , early am noted to have rul ptx, chest tube was placed. ptx resolved. he developed pna during his course with pseudomonas in sputum (pan-). he was treated for pna. trach was placed . he has been stable from a respiratory standpoint. id: he was initially started on levoflox for presumed aspiration pneumonia and cefazolin post craniectomy. on , sputum cx was positive for klebsiella (pan ) and pseudomonas (pan ). on he was started empiric vancomycin for empiric coverage of csf vs line infection. on , id was consulted. he was started on gent and zosyn. vanco was continued. on , flagyl was started for c.diff infection. zosyn was changed to ceftaz on . on , gent and cef d/c'd. wbc decreasing and pt remains afebrile. last set of cultures () shows pansensitive pseudomonas in sputum, blood and urine cx negative. finished a 14 day course of flagyl for positive c.diff on . he then became tachycardic, tachypnic, diaphoretic on and was sent to the icu as he met criteria for sepsis. he was called out the next day and he was never hemodyamically unstable. found to have a pseudomonas uti. he will complete a 10 day course of cipro for the pseudomonas on . diabetes: pt placed on nph and riss for coverage. please adjust nph and insulin as needed per finger sticks qid. gi/fen: pt had peg placed. continued on ppi and tube feeds. ppx: pneumoboots, sc heparin, ppi medications on admission: -prazosin 1 -lipitor 10 qd -verapamil 180 -toprol xl 50 qd -nph -clonidine 0.3 -protonix discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. heparin sodium (porcine) 5,000 unit/ml solution sig: 5000 units injection tid (3 times a day): for dvt prophylaxis. 4. diltiazem hcl 60 mg tablet sig: one (1) tablet po qid (4 times a day). 5. valproate sodium 250 mg/5 ml syrup sig: 500 mg po q6h (every 6 hours): please check a level each week, goal 50-100. this is for seizure prophylaxis. 6. docusate sodium 150 mg/15 ml liquid sig: po bid (2 times a day). 7. acetaminophen 160 mg/5 ml elixir sig: 325 - 650 mg po q4-6h (every 4 to 6 hours) as needed. 8. albuterol sulfate 0.083 % solution sig: 1 neb ih inhalation q6h (every 6 hours) as needed. 9. citalopram hydrobromide 20 mg tablet sig: one (1) tablet po daily (daily): via peg tube. 10. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily): via peg tube. 11. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed): to reddened skin. 12. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush: swish and suction. 13. insulin nph 45 units am, 10 units pm regular insulin sliding scale with finger sticks qid. 14. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours): to complete a 10 day course, started on , last day will be . 15. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day): hold for sbp<110. 16. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day): hold for sbp<110, hr<55. 17. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for congestion. discharge disposition: extended care facility: hospital discharge diagnosis: left mca stroke atrial fibrillation dm htn discharge condition: stable - awake, alert, nonverbal, does not follow commands, left gaze preference, right hemiparesis. discharge instructions: please keep follow up appointments. please call your doctor or return to the emergency room if you experience worsening or new weakness, respiratory distress or other concerning symptoms. followup instructions: 1. follow up with neurosurgery (dr. ) to have skull replaced in approximately one month. (. you will need a repeat noncontrast head ct to evaluate your readiness for surgery in weeks. **please have this ct sent to dr. .** 2. please call your primary care doctor to arrange an appointment after discharge from rehab. dr. , 3. please call to arrange follow up in stroke clinic after your discharge from rehab. md, procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy transfusion of packed cells other repair of cerebral meninges diagnoses: urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition atrial fibrillation sepsis pneumonia due to pseudomonas iatrogenic pneumothorax alkalosis intestinal infection due to clostridium difficile infection and inflammatory reaction due to other vascular device, implant, and graft cerebral embolism with cerebral infarction aphasia hemiplegia, unspecified, affecting unspecified side pseudomonas infection in conditions classified elsewhere and of unspecified site septicemia due to pseudomonas hyperaldosteronism, unspecified spastic hemiplegia and hemiparesis affecting unspecified side 

Answer: The patient is high likely exposed to