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 with ich. major surgical or invasive procedure: placement of a peg tube. history of present illness: the pt is a 74 year-old woman of undetermined handedness who presented with altered mental status. the pt was unable to offer a history at the time of admission due to profound encephalopathy. therefore, the initial history was per the primary team and the available medical record. per the record, she was found down minimally responsive in her home on the day of admission by a neighbor three days after she was last seen well by her family. initially taken to osh where notes mention garbled speech and lack of withdrawal of ble to pain. ct head revealed a large intraparenchymal bleed in the left parietal lobe. she was given 1g of dilantin and transferred to for further care. at transfer, a repeat ct scan was performed, neurosurgery was consulted, pt was admitted to trauma icu. the pt offered no complaints. she denied headache or any other complaint that was asked of her. she did not know why she was hospitalized. past medical history: (per notes) -osteoporosis -depression social history: lives at home alone. status of tobacco, alcohol, illicit drug history unknown at present family history: unknown physical exam: vitals: t: 99.9f p: 97 r: 16 bp: 137/45 sao2: 94% 3l nc general: lying in bed with eyes closed. heent: nc/at, no scleral icterus noted, mmdry, no lesions noted in oropharynx neck: c-collar in place pulmonary: lungs cta bilaterally without r/r/w cardiac: tachycardic, rr, 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 and pt pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: lies in bed asleep and sluggishly opens her eyes when her name is called. oriented to self only (place: st. hospital, date: ). language was non-fluent in that she answered in mostly word sentences. attempted to answer examiner's questions, but had no spontaneous speech. perseverated. speech was not dysarthric. -cranial nerves: right pupil 3 to 2mm and brisk, left pupil 4 to 2mm and sluggish. funduscopic exam revealed no papilledema, exudates, or hemorrhages. eomi appeared intact, could not perform oculocephalic maneuver due to cervical collar. corneal reflex and nasal tickle present bilaterally. no overt facial asymmetry (but hard to tell with cervical collar in place). gag reflex intact. -motor: normal bulk throughout. tone was increased on the left side with cogwheeling in the left wrist and ankle. withdraws to noxious stimuli on the left, grimaces but does not withdraw on the right. pt would hold her left arm against gravity on command, but would not move other extremities to command. she had a moderate amplitude, low frequency tremor of the left arm which was present at rest and on holding the arm against gravity. -sensory: grimaces to noxious stimuli in all four extremities. -dtrs: tri pat ach l 2 2 2 3 1 r 2 2 2 3 1 plantar response was extensor bilaterally. gait and coordination exams deferred due to lack of pt cooperation. pertinent results: 11:59pm type-art temp-37.7 o2 flow-3 po2-161* pco2-36 ph-7.36 total co2-21 base xs--4 intubated-not intuba 11:59pm glucose-135* lactate-1.6 na+-154* k+-3.5 11:59pm freeca-1.07* 09:42pm lactate-1.6 09:40pm glucose-116* urea n-35* creat-0.7 sodium-154* potassium-3.4 chloride-122* total co2-20* anion gap-15 09:40pm alt(sgpt)-149* ast(sgot)-121* ck(cpk)-1815* alk phos-51 amylase-26 tot bili-0.3 09:40pm lipase-18 09:40pm ck-mb-30* mb indx-1.7 ctropnt-<0.01 09:40pm albumin-3.0* 09:40pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:40pm urine hours-random 09:40pm urine hours-random 09:40pm urine gr hold-hold 09:40pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 09:40pm wbc-12.7* rbc-3.55* hgb-10.8* hct-32.2* mcv-91 mch-30.4 mchc-33.5 rdw-14.3 09:40pm plt count-137* 09:40pm pt-13.3* ptt-25.2 inr(pt)-1.2* 09:40pm urine color-straw appear-clear sp -1.018 09:40pm urine blood-lg nitrite-neg protein-neg glucose-100 ketone-150 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:40pm urine rbc-* wbc-* bacteria-few yeast-none epi-0 . . radiologic data: ct head w/ & w/o contrast; ct 100cc non ionic contrast ( 9:52 pm) impression: large, 6 x 3.7 cm parenchymal hemorrhage in the posterior left frontoparietal subcortical white matter with transependymal "dissection" into the left, and layering in the right lateral ventricular occipital horns. no definite enhancing abnormal vessel or mass lesion identified. minimal, 3 mm shift of normally midline structures to the right. there is no secondary sign of traumatic injury and, the absence of anticoagulation or htn history, amyloid angiopathy is a primer consideration; mri (w/gre sequence) may be helpful for further evaluation. . ct head w/o contrast ( 3:30 pm) findings: there has been no significant change in the size or appearance of the left parietal hemorrhage. again seen is a c-shaped structure that may represent dissected transependymal blood, or blood within the choroid plexus. associated brain edema is unchanged, and there is no progression of minimal rightward subfalcine herniation. there is a moderate quantity of blood layering in the dependent right atrium-occipital . the lateral ventricles remain moderately dilated. impression: no interval change in large left parietal lobe and intraventircular hemorrhage. . mr cervical spine ( 3:14 am) impression: suboptimal exam due to motion artifact. central disc herniation at c5-c6 level is noted with moderate encroachment and flattening the ventral aspect of the cord. there is moderate stenosis of the foramina at the same level due to superimposed uncovertebral and facet hypertrophy. no compression fractures were seen. . mr head w & w/o contrast; mra brain w/o contrast ( 1:58 am) impression: 1. large 6 x 4 cm left parietal subcortical parenchymal hemorrhage with transependymal dissection, without evidence for additional hemorrhage. 2. focal dilatation of both anterior cerebral artery a2 segment origins that may besecondary to loop, branching, or less likely aneurysm. dr. was contact regarding these findings via telephone on at 4pm. . ct head w/o contrast ( 9:04 am) findings: the left parietal parenchymal hemorrhage is essentially unchanged from the previous examination. the interventricular high density material most likely representing a dissection of blood into the ventricular system is likewise unchanged. ventricular dimension is unchanged. there are no definite new findings. there is a very slight (2 3) mm left to right subfalcial herniation measured at the level of the foramen of . impression: stable appearance when compared to prior study brief hospital course: 1. intracranial hemorrhage: as above, the pt was noted to have a large left parietal intraparenchymal hemorrhage. her bp was closely monitored with goal sbp<140mmhg. she was started on metoprolol for hr and bp control. she was loaded with dilantin and her dose adjusted to maintain adequate serum levels. however, eventually she developed a rash to dilantin. as she had no seizures, dilantin was weaned off. she continued to have a right sided hemiplegia, a right sided neglect, possible field cut(difficult to tell), and she was inattentive. she was able to answer questions and can pick out her location when given a list. she was sleepy throughout her stay, but was always easily arousable. a torso ct was ordered to look for underlying malignancy given that this may have been the result of an unseen metastasis. this was normal. she developed a horner's syndrome on the left while here. we saw no evidence of pancoast tumor on chest ct. she had an mra of the neck to rule out carotid dissection. this showed no evidence of dissection. over the remainder of her hospital stay, she became progressively more attentive and was able to answer simple questions appropriately. on discharge, her examination was most notable for right hemiplegia, right horner's syndrome, right-sided neglect. she will follow-up in clinic after discharge. 2. fen: her electrolytes were significantly abnormal on admission, with a low phosphorus, low calcium, low potassium, and low magnesium. the k and mg were repleted easily. the phosphorus was repleted, but this was difficult to attain. her calcium began to come up on its own. pt was also fairly hypernatremic after admission. she was placed on d51/2ns to correct her sodium slowly. this was achieved over 1-2 days and she remained in a normal na range for the remainder of her stay. the pt had a peg tube placed by the gastroenterology service two days prior to discharge. the pt tolerated her tube feeds well. 3.id: on admission, the pt had a mild uti. she was on levofloxacin for a 3 day treatment which was uncomplicated. she had intermittent low-grade fevers throughout the hospital stay (99-100f) and many sets of blood cultures. these remained negative with the exception of one bottle which grew gpcs on . this was later determined to be a contaminant (but she was treated with a three day course of vancomycin nonetheless). in the end, it was felt that her fevers were likely due to underlying pulmonary embolus and perhaps in part to phenytoin. 4. pulmonary embolus: the patient developed tachycardia shortly after transfer from the icu to the floor. she had heart rates in the 110s. ecgs showed sinus tachycardia. she was not dehydrated, no fever or infection noted. pe was considered. abg showed normal a-a gradient and lenis were negative. a chest ct was done which showed left lower lobe pulmonary embolus. anticoagulation was not given due to large intracranial hemorrhage. discussion with the pt's sister was undertaken and placement of filter was refused. the pt was followed clinically and demonstrated no evidence of respiratory distress. 5. cerivcal spine: the patient was found down, so she was put in a hard collar. an mri of the c-spine shows a c5/6 disc protrusion. neurosurgery consulted and recommended 8 weeks of the collar with a follow-up scan given the fact that a traumatic disc protrusion can't be ruled out in her situation. 6. gastritis: the pt was found to have mild gastritis on egd. she was maintained on a ppi. h. pylori serology was sent and was negative. medications on admission: -ntg -tranxene -plavix -zoloft discharge medications: 1. acetaminophen 325 mg tablet : 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for headache/fever. 2. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 3. calcium carbonate 500 mg tablet, chewable : one (1) tablet, chewable po tid (3 times a day). 4. docusate sodium 150 mg/15 ml liquid : one (1) po bid (2 times a day). 5. senna 8.8 mg/5 ml syrup : one (1) tablet po bid (2 times a day) as needed. 6. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed. 7. metoprolol tartrate 25 mg tablet : three (3) tablet po tid (3 times a day). 8. heparin (porcine) 5,000 unit/ml solution : one (1) injection every twelve (12) hours. discharge disposition: extended care facility: discharge diagnosis: -left hemispheric intraparenchymal hemorrhage -hypertension discharge condition: stable. neurologic examination on discharge notable for mild encephalopathy, right facial droop, right hemiplegia. discharge instructions: please continue all medications as prescribed. please attend all follow-up appointments. if you experience worsening weakness, difficulty with vision or speech, or other concerning symptoms, please call your primary care doctor or return to the ed for evaluation. followup instructions: please follow-up with your pcp 7-10 days after discharge from rehab. neurology: please call to schedule a follow-up appointment in clinic with dr. . procedure: enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization diagnoses: urinary tract infection, site not specified unspecified essential hypertension unspecified fall depressive disorder, not elsewhere classified intracerebral hemorrhage other specified cardiac dysrhythmias osteoporosis, unspecified pressure ulcer, lower back late effects of cerebrovascular disease, hemiplegia affecting unspecified side encephalopathy, unspecified hyperosmolality and/or hypernatremia other pulmonary embolism and infarction adult failure to thrive antiallergic and antiemetic drugs causing adverse effects in therapeutic use other specified gastritis, without mention of hemorrhage other late effects of cerebrovascular disease, dysphagia closed dislocation, fifth cervical vertebra 

Answer: The patient is high likely exposed to