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: transfer from osh for ich for nsurg eval, history obtained from niece major surgical or invasive procedure: multiple ct scans noninvasive ventilation ngt placement eeg history of present illness: yo man with h/o hypothyroidism who was found down in kitchen by his neighbors when they spotted his kitchen light on at midnight on . ems arrived, helped him off the floor, and then the patient refused any additional help or transfer to the hospital. the next day, his niece health care proxy) asked police to visit him, they did and then called ems. ems notes that patient was disheveled, had urinated on himself, naked from the waste down, confused. taken to good hospital where he was rehydrated for rhabdomyalysis. found to have an ich. transferred to for neurosurgical evaluation the following day. patient is unable to tell a coherent story, but does complain of hip pain. at baseline he is entirely self sufficient - gardens, shovels, drives a standard. past medical history: hypothyroidism h/o deafness in left ear since age 5 h/o +ppd atypical nevus vertigo (?) bph social history: former botanist (worked at arboretum), no smoking, no etoh. dnr/dni (confirmed with hcp niece ) family history: son with some type of cancer physical exam: vitals: 100.8 (rectal), 105-114/40-50's, hr 65-96, rr 20's, satting well on ra gen: comfortable, nad heent: nc/at, anicteric sclera, dry mm neck: supple, no carotid bruits, no thryoid nodules chest: coarse breath sounds cv: rrr without mur abd: firm (tense muscles, hypertonic throughout) but +bs, no hsm extrem: no edema, thin extremities, radial pulses 2+ neuro: mental status: awake, alert, fluent, inconsistently follows commands, would not repeat anything for me, oriented to self and year but not place "i'm at a police station", unable to maintain a coherent stream of thought or action, left neglect vs. visual field defect, + snout, + glabellar tap cranial nerves: pupil exam: 2->1mm bilat eom exam: right gaze preference but does past the midline upon attempted tracking facial symmetry: left lower face droop gag reflex: intact motor: moves right side more so than the left side, unable to perform formal testing. sensory: withdrawls x 4 but less vigorously on the left reflexes: br tri pat ach toe r 2 2 2 3 2 down l 3 3 3 3 2 down pertinent results: head ct on : there has been no significant change in the large right temporal lobe intraparenchymal hemorrhage with surrounding edema and mass effect on the right lateral ventricle. the quadrigeminal plate and suprasellar cisterns are unchanged in appearance with no evidence of uncal or tentorial herniation. a small amount of blood is again noted within the occipital of the left lateral ventricle. there have been no other changes compared to the study of 7 hours earlier. most recent head ct on : there is a large right cerebral intraparenchymal hemorrhage with surrounding edema. the appearance is not significantly changed in the interval. there is stable mass effect with narrowing of the sulci in the right cerebral hemisphere. stable periventricular low-attenuation white matter changes are present in the left cerebral hemisphere. no new areas of hemorrhage are present. the ventricles are nondilated and are stable. cxr on : 1) new infiltrate right lung base, compatible with pneumonia. 2) resolving left lower lobe pneumonia. right knee plain films: osteopenia. chondrocalcinosis. joint effusion. no fracture detected. hip plain films: severe osteopenia. no obvious fracture. if clinically indicated, repeat lateral views can be obtained at no additional charge to the patient. eeg : this is an abnormal routine eeg due to the presence of more prominent delta frequency slowing seen over the right fronto-temporal region as well as an attenuation of faster theta frequency rhythms present over the left hemisphere but less prominent over the right. there is also an assymetry in the posterior predominant background rhythm with the left hemisphere reaching the 7 hz theta frequency range while the right hemisphere is in the 4 hz delta frequency range. these findings suggest subcortical dysfunction affecting the right hemisphere more prominent in the fronto-temporal regions. in addition, the background rhythm over the left hemisphere is slowed and occasional generalized delta frequency slowing is also seen suggesting deep, midline subcortical dysfunction that may reflect an underlying encephalopathy. no epileptiform abnormalities were seen. brief hospital course: yo man, dnr/dni, found down in his kitchen, refused help when ems arrived. ems returned the next day, found him disshelveled on , urinated on self. brought to good hospital. large right temporal lobe bleed seen on ct. transferred to on for neurosurgical evaluation. no intervention was made. etiology of bleed is likely amyloid angiopathy given patient's age and location of bleed, although underlying mass cannot be excluded. patient had no history of hypertension. the lobar bleed remained stable and did not expand. he was placed on low dose beta blocker for bp control. he was originally placed on dilantin for seizure prophylaxis, although it is possibly he could have had a seizure at home given that he was found dissheveled and incontinent of urine. he remained seizure free while in house. he was transitioned from dilantin to keppra as he became sleepy several days into his admission. keppra was eventually weaned off after he had been on an antiepileptic for 2 weeks after his bleed, and he still remained sleepy. eeg showed no epileptiform activity. his mental status waxed and waned. 2 days after admission he became sleepy and confused. he underwent infectious workup for this, as well as eeg and dilantin was changed to keppra. eeg unrevealing. he was found to have a lll (presumed aspiration) pneumonia and was treated with 7 days of levofloxacin. on the 7th day of levofloxacin, he spiked a temperature and cxr revealed a new rll pneumonia as well as resolving lll pneumonia. his antibiotics were changed to zosyn and sputum culture obtained. sputum grew mrsa and thus zosyn was discontinued and vancomycin was initiated on . he should complete a 10 day course of vancomycin. last day of antibiotics will be . picc line can be removed after antibiotics course is complete. his alertness improved, but confusion remaines at time of discharge (disoriented, thinks it is , etc.). repeat head cts have shown stable intraparenchymal bleed. exam at discharge: awake, alert, not oriented to place/time but is oriented to self, when asked how old he is he usually says "too old!". follows axial and midline commands. no blink to threat on the left. left lower face droop. moves all extremities and lifts to gravity but moves the right better than the left. diffusely hypertonic, hyperreflexic. toes are positioned in an upwards position. another major issue during hospitalization was nutrition. ngt placed and tf initiated for approximately 2 weeks as he was confused and failed repeated swallow evals, then patient began pulling out his ngt repeatedly despite restraints. he underwent multiple swallow evaluations when he began to become more alert and never fully did well with swallowing. multiple discussions were held with patient's daughter ( ) who insisted that his wishes were to not have a permanent feeding tube, and since he kept pulling out his ngt, we decided it would be best to let him eat a modified diet as ngts and even peg tubes do not fully prevent aspiration. he should be fed a puree diet with honey tickened liquids. no solids. no thin liquids. crush meds in puree. sitting upright with all meals and 30 min afterwards, aspiration precautions. see page 1 for further instructions. other issues: after admission he had episodes of apnea x 20-30seconds in duration, every few minutes. he spent the night in the icu with noninvasive ventilation (bipap) and did well, went to the floor quickly. he was found to have a right knee effusion, not warm to the touch. aspiration was attempted on but no fluid could be withdrawn. the effusion resolved the next day. plain films showed no fracture. plain films of hips showed no fracture as well (he initially c/o hip pain in the ed). b12 borderline low, macrocytic anemia - po b12 supplementation - given banana bag upon admission, thiamine/folate/mvi po hypothyroidism - con't levothyroxine, tsh normal at 3.5 rhabdomyalisis: - ck's trended down with ivf mild transaminitis - ast/alt/amylase/lipase followed closely, etiology? -> resovled spontaneously ppx: ppi, sc heparin, oob, pneumoboots code: dnr/dni comm: contact was maintained with the family. fyi: the legal health care proxy is : . however, talks over all decisions with and agrees with patient's sister who is very involved with his care although lives in . cell : ( home: ( . she was very clear that he would not want a permanent feeding tube, nor life support. is to be contact for all major medical decisions. dnr/dni. pcp is . at the medications on admission: levothyroxine 50mcg loperamide oxybutinin lorazepam meclizine diphenoxylate discharge medications: 1. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day) as needed for dvt prophylaxis. 2. multivitamin capsule sig: one (1) cap po daily (daily): please crush in purree. 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily): please crush in puree. 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily): please crush in puree. 5. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily): please crush in puree. 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold for sbp<110, hr<55, please crush in puree. 7. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation: crush with puree. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation: crush with puree. 9. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever, pain: please crush with puree or give rectally. 10. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 11. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po once a day: please give with honey-thick liquid. 12. levothyroxine sodium 50 mcg tablet sig: one (1) tablet po once a day: please crush in puree. 13. vancomycin hcl 10 g recon soln sig: one (1) gram intravenous q12h (every 12 hours) for 10 days: for mrsa pneumonia. started on , to complete a 10 day course. last day . 14. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 15. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous daily (daily) as needed: 10 cc ns followed by 200 units (2cc)heparin each port in picc line daily. discharge disposition: extended care facility: health care - discharge diagnosis: right temporal-parietal lobe hemorrhage, likely secondary to amyloid angiopathy. mrsa pneumonia hypothyroidism discharge condition: improving - still confused but fluent, resolving pneumonia satting well on room air and afebrile, moves left side less so than the right but still with some strength against resistence. discharge instructions: please take all medications. please call your doctor or return to the emergency department if you experience worsening weakness, headache, unresponsiveness or other worrisome symptoms. followup instructions: when you leave rehab, please call for a stroke clinic followup appointment. i am unable to make an appointment for you at this time. pcp is . at the , please followup on fri at 10:30am, , , in , ma. md, procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation arthrocentesis diagnoses: hyposmolality and/or hyponatremia unspecified acquired hypothyroidism infection with microorganisms resistant to penicillins intracerebral hemorrhage pneumonitis due to inhalation of food or vomitus other vitamin b12 deficiency anemia delirium due to conditions classified elsewhere rhabdomyolysis disorder of bone and cartilage, unspecified hemiplegia, unspecified, affecting unspecified side other nonspecific abnormal serum enzyme levels unspecified circulatory system disorder 

Answer: The patient is high likely exposed to