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: no known allergies / adverse drug reactions attending: chief complaint: s/p seizure, bilateral subacute sdh major surgical or invasive procedure: intubation and mechanical ventilation history of present illness: patient is a 69 year old gentleman who was sent to from an osh after he was found to have bilateral subacute subdural hematomas. the patient initially poresented to the osh after calling ems stating that he was about to have a seizure which he subsequently did. when ems arrived he was post-ictal and taken the the osh. upon arrival in the osh ed he then seized two more times. he had a ct which showed the bilateral subacute subdrual hematomas and he was deemed to need trasnfer to facility. upon arrival he was still postictal and neurosurgery was called to evaluate him. per his son at the bedside he was acting slightly different thne after some seizures he has had. upon questioning the patient regarding a falls history, he stated he fell and struck his head a few days ago on a toilet. the patient was not amenable to full exam and requested that it be stopped. also of note is the patient has afib and is on coumadin and had an inr of 6 at the osh which was treated with ffp and vitamin k. his inr was 2.4 upon arrival to our facility and the er gave him tow additional units of ffp. the patient denies headaches, nausea, vomitinging, dizziness, or changes in bowel or bladder habits. past medical history: atrial fibrillation - on coumadin seizures - left hand rhythmic shaking, complex partial seizures etoh abuse ischemic stroke - r parietal (years prior) social history: lives in . retired exterminator. states drinks whiskey daily (unknown quantitiy). non-smoker family history: unknown physical exam: physical exam : gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms intact bilaterally without nsytagmus 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 self, hospital, and language: with paraphasic errors, appears post-ictal cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4mm to 3mm 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: patient would not participate in motor exam. the patient moves all extremities readily and with good strength sensation: did not allow examination but states he has no numbness of tingling in his extremities or face coordination: would not participate in exam discharge physical exam : physical exam: vs - 95.6 115/62 98 18 95ra general - thin man in bed, comfortable in nad heent - perrla, eomi, mmm, op clear lungs - cta -w/r/r heart - irreg irreg, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions neuro: aox3, cn2-12 grossly intact, gait normal, strength 5/5 all 4 extremities. pertinent results: ct head 1. bilateral subacute subdural hemorrhages as described above. no acute hemorrhage. 2. hypodensity in the right parieto-temporal region suggests encephalomalacia from prior infarct. ct head relatively stable bilateral subacute subdural hemorrhages as described above. there is a new focus of slight hyperdensity to the right frontal subdural hematoma in the inferior right frontal lobe which may be representative of more acute hemorrhage/evolution of blood products ct head stable size, density, and degree of mass effect of the bilateral subdural hematomas. no evidence of new hemorrhage is present. ct head 1. no significant change in size of bilateral hematomas with mild mass effect 2. no new area of hemorrhage cxr what was previously symmetric bibasilar opacification, attributed to dependent edema, has improved on the left and worsened on the right suggesting that edema has cleared and right lower lobe pneumonia is developing. small bilateral pleural effusions are new. heart size is normal. no pneumothorax. video swallow: history: 69 year-old-man, with dysphagia. findings: swallowing videofluoroscopy was performed in conjunction with the speech and swallow division. the patient had an indwelling nasogastric tube. multiple consistencies of barium were administered. there was persistent but improved oral and pharyngeal weakness, resulting in penetration with liquids and pharyngeal residue after solids. there was no gross aspiration. impression: no gross aspiration. mild penetration with liquids. ct abdomen: impression: 1. bilateral non-hemorrhagic pleural effusions, left greater than right. 2. cholelithiasis without ct evidence of acute cholecystitis. 3. left adrenal adenoma. 4. severe atherosclerotic calcification of the aorta, celiac artery and sma. 07:40pm blood wbc-8.0 rbc-3.66* hgb-11.6* hct-35.5* mcv-97 mch-31.5 mchc-32.5 rdw-14.3 plt ct-191 04:03am blood wbc-6.7 rbc-3.48* hgb-11.4* hct-34.5* mcv-99* mch-32.9* mchc-33.2 rdw-15.0 plt ct-148* 03:29am blood wbc-5.3 rbc-3.01* hgb-9.8* hct-30.2* mcv-100* mch-32.6* mchc-32.4 rdw-15.1 plt ct-129* 02:49am blood wbc-6.0 rbc-3.16* hgb-10.1* hct-31.9* mcv-101* mch-31.9 mchc-31.5 rdw-14.9 plt ct-180 07:35am blood wbc-7.2 rbc-3.12* hgb-10.1* hct-31.3* mcv-100* mch-32.5* mchc-32.4 rdw-14.8 plt ct-303 07:10am blood wbc-9.1 rbc-3.29* hgb-10.7* hct-33.4* mcv-102* mch-32.5* mchc-32.0 rdw-14.9 plt ct-507* 07:35am blood wbc-8.1 rbc-3.43* hgb-10.9* hct-34.1* mcv-100* mch-31.7 mchc-31.9 rdw-14.5 plt ct-358 07:40am blood wbc-7.7 rbc-3.21* hgb-10.5* hct-31.9* mcv-99* mch-32.6* mchc-32.9 rdw-14.2 plt ct-308 07:05am blood pt-12.5 ptt-26.0 inr(pt)-1.2* 07:40pm blood glucose-88 urean-11 creat-0.7 na-140 k-4.0 cl-101 hco3-31 angap-12 02:32am blood glucose-100 urean-8 creat-0.6 na-144 k-3.8 cl-109* hco3-26 angap-13 03:29am blood glucose-92 urean-7 creat-0.7 na-144 k-3.7 cl-106 hco3-32 angap-10 02:32am blood glucose-122* urean-18 creat-0.7 na-142 k-3.6 cl-105 hco3-32 angap-9 05:05am blood glucose-96 urean-20 creat-0.7 na-145 k-3.9 cl-105 hco3-36* angap-8 05:50am blood glucose-96 urean-13 creat-0.7 na-143 k-4.3 cl-99 hco3-39* angap-9 08:30am blood glucose-102* urean-22* creat-0.8 na-143 k-4.2 cl-102 hco3-37* angap-8 08:39am blood glucose-91 urean-19 creat-0.8 na-145 k-4.3 cl-104 hco3-34* angap-11 07:50am blood glucose-99 urean-22* creat-0.7 na-148* k-3.7 cl-104 hco3-37* angap-11 07:10am blood glucose-93 urean-28* creat-0.7 na-147* k-4.1 cl-102 hco3-36* angap-13 07:30am blood glucose-91 urean-25* creat-0.8 na-149* k-3.8 cl-105 hco3-36* angap-12 07:25am blood glucose-83 urean-21* creat-0.8 na-139 k-3.6 cl-96 hco3-34* angap-13 07:05am blood glucose-85 urean-13 creat-0.7 na-140 k-3.6 cl-100 hco3-31 angap-13 07:35am blood glucose-119* urean-11 creat-0.7 na-141 k-4.2 cl-101 hco3-33* angap-11 07:25am blood glucose-98 urean-12 creat-0.7 na-138 k-4.4 cl-99 hco3-32 angap-11 07:40am blood glucose-101* urean-12 creat-0.6 na-138 k-4.6 cl-99 hco3-33* angap-11 07:40am blood glucose-101* urean-12 creat-0.6 na-138 k-4.6 cl-99 hco3-33* angap-11 02:52am blood alt-13 ast-17 alkphos-88 03:29am blood alt-12 ast-16 alkphos-97 totbili-0.6 01:46am blood alt-13 ast-26 ld(ldh)-169 alkphos-81 totbili-0.6 06:20pm blood vitb12-1207* 06:20pm blood osmolal-298 05:05am blood ammonia-33 06:20pm blood tsh-2.0 07:40pm blood valproa-54 07:40pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: brief hospital course mr. is a 69y/o gentleman with afib on coumadin, hx of seizure disorder and etoh abuse who was admitted for subdural hematomas and seizures. his course was complicated by dts and delirium. after being stabilized in the icu, he was transferred to the medical floor where his delerium was managed with haldol. he also suffered from profound dysphagia with significant aspiration while delerious, which improved after his delerium resolved. #. subacute subdural hematomas: stable subacute bilateral subdurals. he was initially admitted to the neurosurgical service and was given 2 units of ffp and started on vitamin k for an inr of 2.4. his inr did come down to a normal range of 1.0. a repeat ct on showed no change in the size of his bleed. he was then transferred to the floor. he will need outpatient neurosurgery evaluation for consideration of restarting coumadin. #. seizure: he was thought to be having simple partial seizures prior to his admission as well as during his hospital stay in the setting of subdurals, and it is possible that some of the seizures represented withdrawal seizures. eeg monitoring was placed. neurology was consulted. eeg showed no new seizures and neurology felt he should continue on his depakote and keppra at their current dose. he was not noted to have any more seizures throughout hospitalization. #. toxic/metabolic encephalopathy: his agitation was severe, including diorientation, thrashing of his arms, and pulling out his ng tube. likely multifactorial etiology (bilateral subdurals, seizures, alcohol withdrawal with dts, significant benzo requirement, respiratory failure, intubation/mechanical ventilation). wernicke's encephalopathy possibly at play given chronic etoh use (was given thiamine and folate). he required a precedex drip for agitation when weaning the ventilator and afterwards. upon transfer to the floor, he was still quite disoriented. while on the floor, he showed significant impulsivity and agitation, requiring standing po haldol, clonidine for sedation, prn iv/im haldol and wrist/belt restraints. his delerium slowly cleared while on the floor waiting for discharge. he was off all restraints for approximately 1 week prior to discharge. he has been off of haldol and clonidine for 48 hours prior to discharge. he has been alert and oriented to person, place and time without impulsitivity for approximately 4-5 days. #. dysphagia: while in the icu on mechanical ventilation, an ng tube was placed for tube feeds. when he arrived on the floor, he was noted to have significant aspiration. a video swallow study was ordered on which showed him to have very poor swallowing capability; at this point, the plan was to pursue g-tube placement. unfortunately due to many factors not in our control this was delayed for approximately 1 week. after this waiting time, bedside swallow evaluation suggested that his dysphagia had significantly improved. a repeated video swallow on was performed that showed good ability to swallow nectar thick liquids and pureed solids with minor aspiration of thin liquids. he was allowed to eat nectar thick liquids/pureed solids and nutrition evaluated the patient who felt that he was able to consume the necessary calories with this diet. he will need repeated swallow evaluation at rehab to determine if his diet can be advanced. #. etoh dependence complicated by delerium tremens: chronic problem with withdrawal and delerium tremens. wernicke's encephalopathy is also a possibility as an etiology for his delerium above. he was treated with a large amount of benzos causing respiratory distress and requiring mechanical ventilation. on the floor, he was no longer withdrawing and did not require benzos. #. atrial fibrillation: stable, without rapid ventricular rate. his metoprolol was discontinued due to bradycardia when in sinus. # communication: patient, (**hcp-1st-son) cell-, cell- transitional issues: -neurosurgery follow-up 4 weeks after discharge with repeat non-contrast ct head imaging to determine if he can restart coumadin -neurology follow-up for seizures and aed management -pcp for etoh abuse and other medical problems medications on admission: coumadin (unknown dose) depakote er 500 keppra 500 mg tid zocor omeprazole folic acid discharge medications: 1. valproic acid (as sodium salt) 250 mg/5 ml solution sig: ten (10) ml po q12h (every 12 hours). 2. levetiracetam 100 mg/ml solution sig: ten (10) ml po bid (2 times a day). 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 5. guaifenesin 100 mg/5 ml syrup sig: fifteen (15) ml po q4h (every 4 hours) as needed for cough. discharge disposition: extended care facility: of discharge diagnosis: bilateral subdural hematomas respiratory failure alcohol withdrawl with delerium tremens toxic metabolic encephalopathy dysphagia hypernatremia seizure copd alcohol abuse and dependence discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure taking care of you at . you were admitted for bilateral subdural hematomas from a fall at home on coumadin and a seizure. while here, you had alcohol withdrawal with a condition called delerium tremens, which requires large amounts of sedative medications. you were initially confused, likely due to medications and alcohol withdrawl. it is incredibly important that you do not drink alcohol ever again. you are having some difficulty swallowing, but this will likely improve in the future. for now you will continue with a pureed diet and thickened liquids. we made the following changes to your medications: - increase leviteracetam to 1000mg twice daily - stop omeprazole - stop coumadin, this will need to be restarted after you see your neurosurgeon dr. - start guaifenasin as needed for cough - stop folic acid it was a pleasure caring for you, we wish you a speedy recovery. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. ??????we recommend you see dr in the traumatic brain injury (tbi) clinic the phone number is . if you have any problems booking this appointment please ask for . please make an appointment with your primary care physician upon leaving the rehabilitation center. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus alcohol detoxification diagnoses: unspecified pleural effusion atrial fibrillation acute respiratory failure other specified cardiac dysrhythmias other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with no loss of consciousness long-term (current) use of anticoagulants accidents occurring in other specified places personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits surgical or other procedure not carried out because of contraindication other and unspecified alcohol dependence, continuous alcohol withdrawal localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, without mention of intractable epilepsy malnutrition of moderate degree other accident caused by striking against or being struck accidentally by objects or persons unspecified disorder of metabolism other dysphagia other and unspecified manifestations of thiamine deficiency 

Answer: The patient is high likely exposed to