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: doxycycline / penicillins attending: chief complaint: headache and confusion major surgical or invasive procedure: cerebral angiogram history of present illness: 34y rh female transferred to neurosurgical team for management of iph from hospital. previously known to dr and question of transfer to his care tomorrow. significant background includes previous presumed seziures and associated fall with r frontal intraparenchymal hemorrhage in . . over the last 1 week the patient describes having memory problems. she is not aware that anyone else noticed any difficulties. she describes a posterior headache for 2 days starting 5 days ago. this was described as a pressure feeling without radiation, associated nausea, or dizziness, photo or phonophobia. she treated the headache with tylenol cold preparation with some effect. the headache went away for a day and the following day she dropped her son at the bus and went into work, continuing to feel non-specifically unwell. again she felt difficulty with remembering things and felt slightly confused and was brought to osh by her boss who appreciated she did not look well. she suspects she may have bitten her tongue, possibly 6 days ago (before onset of headache), but had no incontinence at that time. she now feels sleepy, and describes having some trouble with finding words when asked in hospital-for example when asked to recite numbers, the words would not come out. she has significant neck discomfort not worse with neck movement, and improved now with analagesia. she feels sensitive to light and has had some le numbness and tingling and nonspecific weakness of the legs. no history of head trauma. . at the osh bp was 150/91. a ct head and mri were performed at osh prior to transfer here suggesting r frontal hemorrhage. chemistry, cbc, coags were reportedly normal. the patient was treated with decadron, dilantin, ativan and zofran prior to transfer. . review of omr notes details the relevant history as follows. the patient was admitted in following loss of memory for a period of 3 days. she presented with confusion and disoriention and a bruised forehead. she had bitten her tongue and had urinary incontinence suggestive of seizure. mri showed r orbitofrontal intraparenchymal hemorrhage. there was some discussion of possible vascular malformation, but repeat mri was felt to be consistent with evolution of hemorrhage. the hemorrhage was felt likely secondary to trauma sustained due to seizure. an eeg at the time of admission had no epileptiform activity and was repeated a year later and was normal. the patient was treated with dilantin until seizure free for 1 year, then medication was withdrawn. past medical history: migraine headaches intraparenchymal hemorrhage in following presumed fall associated with seizures as above premature birth (7 months), nicu 4 weeks-normal development and schooling social history: lives with 14y son. employed in qc position for wyeth laboratories. occassional etoh. denies tobacco or other drugs. family history: mother and father htn, siblings and other family on father's side sickle cell anaemia. physical exam: exam: t-97.9 bp-119/56 (115-134/56-69) hr-102 rr-16 o2sat 98% ra gen: lying in bed, sleepy, eyes closed. rouses easily to voice. heent: nc/at, moist oral mucosa, healing lesion l tongue c/w tongue bite neck/back: tenderness to palpation mid c-spine, remaining spine non-tender, normal rom, supple, no carotid bruit cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema . neurologic examination: mental status: resting eyes closed, rouses looking sleepy with parital ptosis (consistent with drowsiness to family) cooperative with exam, normal affect. oriented to person, place, and date. attentive, says backwards, slowly with only single error (-- and then completes correctly). speech is fluent with normal comprehension and repetition; naming intact. no dysarthria. intact-holds close (usually wears contacts-not currently available). registers , recalls in 5 minutes. no right left confusion. no evidence of apraxia or neglect. . cranial nerves: pupils equally round and reactive to light, 3.5 to 2 mm bilaterally. visual fields are full to confrontation. extraocular movements intact bilaterally, no nystagmus. sensation intact v1-v3. facial movement symmetric. hearing intact to finger rub bilaterally. palate elevation symmetrical. sternocleidomastoid and trapezius normal bilaterally. tongue midline, movements intact . motor: normal bulk bilaterally. tone normal. no observed myoclonus or tremor no pronator drift tri wf we fe ff fabd ip h q df pf te tf r 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 l 5 5 5 5 5 5- 5- 4 5 5 5 5 5 5 5 . sensation: intact to light touch, pinprick. decreased vibration l foot, and unreliable position sense at toes but drowsy and losing concentration. no extinction to dss. . reflexes: +2 and symmetric throughout. toes downgoing bilaterally . coordination: finger-nose-finger normal. . gait/romberg: not tested. pertinent results: admission chemistry 136 101 8 252 agap=18 4.3 21 0.9 . ca: 10.3 mg: 1.9 p: 3.2 . phenytoin: 10.0 . wbc 10.5 hgb 13.1 plt 328 hct 38.5 . pt: 13.5 ptt: 29.1 inr: 1.2 . cta head : on the non-contrast ct, there is a new, 2.1 x 1.4 cm hyperdense area in the right inferior frontal lobe, with some surrounding hypodensity consistent with intraprenchymal hematoma with some surrounding edema. rest of the brain is unremarkable on the non- contrast study. . ct angiogram of the circle of : bilateral intracranial ica, eca and mca are patent and normal in caliber. bilateral distal vertebral, basilar and bilateral pca are patent and normal in caliber. . on the prior mr studies, a tiny enhancing vessel, likely a cortical vein, was noted at the anteromedial aspect of the resolving hematoma in the right frontal lobe. however, the new hematoma, noted on the present study, in the same region, limits assessment of vascularity in this region. hence, it is impossible to exclude vascular malformation on the study. . impression: 1. new 2.1 x 1.4 cm right inferior frontal parenchymal hematoma, in roughly the same distribution as the hemorrhage in . 2. as the hematoma limits accurate assessment of enhancing vessels in this region, underlying vascular lesion, such as arteriovenous malformation, in this region cannot be excluded. . eeg : background: included a well-formed 10 hz alpha frequency in posterior areas bilaterally during wakefulness. hyperventilation: could not be performed. intermittent photic stimulation: could not be performed. sleep: the patient appeared to remain awake or drowsy throughout the record. no normal stage ii sleep was evident. cardiac monitor: showed a generally regular rhythm. impression: normal eeg in the waking and drowsy states. there were no areas of persistent focal slowing, and there were no epileptiform features. . cerebral angiogram: findings: the right internal carotid artery injection shows no aneurysms or vascular malformations. note is made of filling of the right posterior cerebral artery as well as crossfilling of the left anterior cerebral artery. . no abnormalities of the right external carotid artery circulation are seen. . no aneurysms or vascular malformations are seen with the left internal carotid artery injection. post-injection, the patient developed vasospasm of the cervical portion of the left internal carotid artery. however, there was no compromise of distal flow. 1-inch nitro paste was administered with resolution of the vasospasm. . the left external carotid artery injection shows no significant abnormalities. . impression: cerebral angiogram of the internal and external carotid arteries bilaterally showing no aneurysms or vascular malformations. . transient vasospasm of the cervical portion of the left internal carotid artery which resolved without sequela. brief hospital course: 34y woman presents with recurrent r frontal hemorrhage with possible seizure following previous similar episode in . . the patient was admitted to the intensive care unit overnight under neurosurgical care and transferred to the step down unit under neurology care the following day. dilantin was restarted to prevent seizures, and pt. was transitioned to trileptal on the floor because the team felt that this would be a more appropriate drug for outpatient seizure prophylaxis. she was discharged with instructions to taper off dilantin and increase trileptal over the next several weeks. eeg was perfomed and showed no evidence of epileptiform activity. she was covered with decadron given concern for possible swellling with the hemorrhage, and this was tapered down, and should be tapered off the day after discharge. cta was performed to evaluate the etiology of the hemorrhage and showed no underlying mass or avm (although they felt that avm could not be excluded) angiography was performed and showed no aneurysms or vascular malformations. transient vasospasm of the cervical portion of the left internal carotid artery was noted. pt. was given a 21 day course of nimodipine for this. neurologic exam was normal on the day of discharge. pt. was asked to follow up with dr. from neurology and with her pcp. should have repeat angiogram in months to evaluate for avm or aneurysm that may have been obscured acutely by hemorrhage. medications on admission: tylenol cold prn discharge medications: 1. oxcarbazepine 150 mg tablet sig: one (1) tablet po twice a day: increase dose as instructed, by 300mg every 3 days until final dose of 600mg . continue at this dose. disp:*180 tablet(s)* refills:*2* 2. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day): decrease dose as instructed by 100mg per week. begin to taper after trileptal is up to 600mg . disp:*90 capsule(s)* refills:*2* 3. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours) for 21 days. disp:*252 capsule(s)* refills:*0* 4. dexamethasone 4 mg tablet sig: one (1) tablet po every twelve (12) hours for 2 days: take one pill tonight. take one pill tomorrow, then stop. disp:*2 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: r orbitofrontal hemorrhage discharge condition: stable discharge instructions: please call your doctor or go to the er if you have any headache, double vision, nausea, vomiting, blurry vision, vision loss, weakness, numbness, tingling, or any other symptoms that concern you. please take all medications as prescribed. followup instructions: neurology: please call dr. office at on monday morning to set up a follow up appointment in the next month. primary care: please call dr. office at to set up a follow up appointment in the next 2-4 weeks md, procedure: arteriography of cerebral arteries diagnoses: intracerebral hemorrhage epilepsy, unspecified, without mention of intractable epilepsy migraine, unspecified, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to