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: penicillins attending: chief complaint: headache major surgical or invasive procedure: conventional cerebral angiogram history of present illness: the pt is a 31 year-old right-handed woman g3p3 post-partum day 7, who presents with sudden onset of severe headache starting at 3am. she reports that her most recent pregnancy was complicated by being gbs positive, and developing a temperature of 100.8. according to her husband, there was some concern about the baby's hr, so she was induced at that time. no excessive bleeding, and otherwise uncomplicated delivery on . on she reports developing a sore throat with mild exudate on her tonsils. she saw her pcp , and reportedly tested negative for strep. her symptoms of sore throat improved, and she was feeling better until 3am on . she reports that she awoke with a headache, initially , that escalated to within 30 minutes. this was accompanied by photo and phonophobia, as well as nausea and vomiting. she notes that movement tended to make her symptoms worse. she took motrin and 2 excedrin with no relief, and around 9:30am called her pcp. was told to try caffeine, to see if that improved her symptoms, and if not, to come to the ed for further evaluation. in the ed she was given dilaudid and compazine, which improved her symptoms, and hydralazine for elevated blood pressure. as an adult, she has had headaches every few months described as throbbing. usually the headaches are behind her left eye. does not have nausea, vomiting, photophobia, or phonophobia, or autonomic symptoms with her headaches. ha start gradually. they respond well to motrin or excedrin. she has a first cousin with migraines but no other family member has migraines. had one headache during her second trimester that was throbbing and associated with photophobia. she notes increased frequency of headaches during her pregnancies but they were not as severe as the one described above during her second trimester. she denies any neck stiffness, rash, or confusion. no diplopia or blurred vision. she reports that she has been able to produce a small amount of milk, but has primarily been giving her child formula. this is similar to how things were during her prior pregnancies. on general review of systems, the pt denies recent fever or chills. no night sweats or recent weight loss or gain. denies cough, shortness of breath. denies chest pain or tightness, palpitations. denies nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denies arthralgias or myalgias. denies rash. past medical history: - hypothyroidism - anemia social history: the patient lives in with her husband and children. she currently is a stay-at-home mom, but used to work as director of multicultural affairs at a local . no etoh, smoking or illicits. family history: heart disease on maternal side, dm on paternal side. physical exam: vitals: p:52 r: 16 bp:164/62 sao2: 95% on ra general: awake, cooperative, nad. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. attentive, able to name backward without difficulty. language is fluent with intact repetition and comprehension. normal prosody. there were no paraphasic errors. pt. was able to name both high and low frequency objects. able to read without difficulty. speech was not dysarthric. able to follow both midline and appendicular commands. pt. was able to register 3 objects and recall at 5 minutes. the pt. had good knowledge of current events. there was no evidence of apraxia or neglect. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm and brisk. vff to confrontation. funduscopic exam revealed no papilledema, exudates, or hemorrhages. iii, iv, vi: eomi without nystagmus. normal saccades. v: facial sensation intact to light touch. vii: no facial droop, facial musculature symmetric. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, tone throughout. no pronator drift bilaterally. no adventitious movements, such as tremor, noted. no asterixis noted. delt bic tri wre ffl fe io ip quad ham ta edb l 5 5 5 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 5 5 5 5 5 -sensory: no deficits to light touch, pinprick, cold sensation, vibratory sense, proprioception throughout. no extinction to dss. -dtrs: tri pat ach l 2 2 2 2 1 r 2 2 2 2 1 plantar response was flexor bilaterally. -coordination: no intention tremor, no dysdiadochokinesia noted. no dysmetria on fnf or hks bilaterally. -gait: good initiation. narrow-based, normal stride and arm swing. able to walk in tandem without difficulty. romberg absent. pertinent results: admission labs: pt-11.8 ptt-29.9 inr(pt)-1.0 plt count-354 neuts-56.8 lymphs-38.5 monos-3.3 eos-0.6 basos-0.7 wbc-5.9 rbc-4.88 hgb-12.2 hct-39.4 mcv-81* mch-25.0* mchc-31.0 rdw-14.4 uric acid-6.3* alt(sgpt)-167* ast(sgot)-89* alk phos-102 tot bili-0.3 glucose-83 urea n-10 creat-1.0 sodium-144 potassium-4.4 chloride-106 total co2-25 anion gap-17 alt(sgpt)-128* ast(sgot)-49* alk phos-92 03:00pm urine rbc-* wbc- bacteria-rare yeast-none epi-0-2 trans epi-0-2 blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-sm color-straw appear-clear sp -1.006 12:57am cerebrospinal fluid (csf) wbc-17 rbc-* polys-83 lymphs-14 monos-3 cerebrospinal fluid (csf) wbc-4 rbc-* polys-60 lymphs-34 monos-4 atyps-2 cerebrospinal fluid (csf) protein-253* glucose-74 albumin-3.9 lipase-76* ct head w/o contrast study date of 2:52 pm diffuse sulcal effacement involving the right posterior frontal and parietal regions. differential considerations include subacute subarachnoid hemorrhage or focal meningitis. mri is recommended for further assessment. mr head w & w/o contrast study date of 8:46 pm 1. areas of negative susceptibility with enhancement in the cerebral sulci in the right frontal and the parietal lobes, raises the possibility of hemorrhage, with or without superimposed inflammation/infection related to cerebritis or meningitis. no acute infarction. 2. associated cerebral edema involving the right cerebral hemisphere as described above. 3. no mass effect. 4. patent major intracranial arteries without obvious evidence of aneurysm. 5. consultation with interventional neuroradiology/neurosurgery, for further evaluation if necessary, by conventional angiogram can be considered, after performing a non-contrast ct head study, to document the presence of hemorrhage. 6. patent major dural venous sinuses. evaluation for cortical veins is limited on the present study. correlation with clinical neurological examination and lp can also be considered given the imaging findings above. cta head w&w/o c & recons study date of 2:50 am 1. evidence of high attenuation in the right-sided cerebral sulci, which can relate to hemorrhage or enhancement from prior gadolinium administration, which may relate to leptomeningeal enhancement related to cerebritis or meningitis. effacement of the cerebral sulci with associated edema on the right side, as seen on the prior study. 2. patent major intra- and extra-cranial arteries without focal flow-limiting stenosis, occlusion, or aneurysm. 3 prominent nasopharyngeal soft tissues, and tonsils, which can be correlated with direct visualization, with narrowing of the oropharynx. mild right maxillary sinus disease. 4. heterogeneous thyroid- non-emergent ultraosund can be considered. conventional angiogram on : (prelim impression by dr. mild beading of multiple distal vessels in the right mca territory. no aneurysm or dissection or other vascular malformation seen. brief hospital course: ms. is a 31 year-old g3p3 woman with a history of hypothyroidism who delievered her baby on and then on had onset of a severe bifrontal headache, associated with photo- and phonophobia, nausea and vomiting, over a period of 30 minutes. on arrival, the patient's exam was notable for hypertension. she was felt to have normal cognition, mild photophobia, and no meningismus. laboratory results were remarkable for elevated lfts (normal on ), with normal platelets. ct brain was suggestive of a small right frontal, parietal, temporal subarachnoid hemorrhage. lp was consistent with subarachnoid hemorrhage ( rbcs in tube 4). she was initially admitted to the icu/neurosurgery service for monitoring. she underwent conventional angiogram which did not show an aneurysm or avm. she was hemodynamically and neurologically stable and therefore transferred to the neurology floor. given the improvement in symptoms and lack of findings on neurologic exam, she was discharged with plans for follow-up in the stroke clinic. it was felt that the patient's presentation was most consistent with post partum cerebral angiopathy (otherwise known as call syndrome). much less likely would be thrombosis of a small cortical vein then leading to right-sided subarachnoid hemorrhage. she was started on verapamil sr 180mg daily to prevent vasospasm from the sah. she was given keppra 500mg for seven days, then keppra 500mg daily for three days, and then instructed to stop . was told not to drive, bath in a tub by herself, bath her children in a tub by herself, or climb for the next month. she was instructed to refrain from strenuous physical activity for three months (should not lift objects more than 20lbs.) at the time of discharge, rf, crp, esr as well as anca, , homocystine, protein c, s and aca was pending. medications on admission: - levothyroxine - iron discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*5 tablet(s)* refills:*0* 3. verapamil 180 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). disp:*30 tablet sustained release(s)* refills:*3* 4. over the counter fiber supplement for constipation. use as directed. 5. keppra 500 mg tablet sig: one (1) tablet po twice a day for 7 days: take two tablets each day for seven days, then take one tablet daily for three days, then off. disp:*17 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: post-partum cerebral angiopathy (call- syndrome) subarachnoid hemorrhage migraine headaches. discharge condition: normal neurological examination discharge instructions: you were admitted for a severe headache and found to have a small amount of bleeding on top of your brain in the subarachnoid space. this was likely due to abnormal narrowing of your blood vessels related to pregnancy and your history of migraines. you have a normal neurological examination. your condition is expected to improve while taking verapamil as indicated. you should refrain from strenuous physical activity for three months. please avoid any driving, tub bathing, swimming alone or any other activity where you may injure yourself or others should you suddenly lose consciousness for two weeks. please return to the emergency room if you experience any new or different nature of your headaches. difficulty speaking, visual loss, numbness, tingling or weakness or any other concerning symptoms. followup instructions: please see dr. on wednesday, at 4pm in the stroke neurology division at . office is located on the building, . procedure: spinal tap incision of lung arteriography of cerebral arteries diagnoses: anemia, unspecified unspecified acquired hypothyroidism subarachnoid hemorrhage cerebral edema migraine, unspecified, without mention of intractable migraine without mention of status migrainosus other amyloidosis anemia of mother, postpartum condition or complication unspecified cerebrovascular disease cerebrovascular disorders in the puerperium, postpartum condition or complication thyroid dysfunction of mother, postpartum condition or complication 

Answer: The patient is high likely exposed to