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: ciprofloxacin hcl attending: chief complaint: mechanical fall chronic subdural hematoma bilobar pneumonia repaired right eyebrow laceration right meacarpal fracture major surgical or invasive procedure: none history of present illness: pt is an 81 yo female with atrial fibrillation, schizophrenia, mild dementia, who was initially transferred from hospital to for possible new sdh. on day of admission at her nursing home, the patient had an unwitnessed fall. per nh, she got entangled in her sheets and fell to the ground. she was found on the ground with laceration over her right eye and there was noted to be a large amount of blood. she was sent to ed via ambulance. . head ct there showed a right subdural hematoma. she was given 1 gram of dilantin for ? seizure prophylaxis and 10 mg iv vitamin k. she was then transferred via to . in route, she received a total of 6 mg of ativan. upon arrival to , she was intubated for airway protection as she was so sedated. repeat head ct done here showed a chronic subdural hematoma. neurosurgery and neurology were consulted and aside from an upgoing toe on the left (thought to be due to chronic subdural) they did not note any acute neurological issues. . ct scan of abd/pelvis/thorax also revealed a probable right aspiration pneumonia and she was given 500 mg iv levaquin and 500 mg iv flagyl. . in speaking with the nursing home, pt is confused most of the time. at baseline she is able to respond to name , speaks "jibberish most of time," and doesn't make sense. she is able to ambulate and feed herself but is totally dependent on adls. upon further questioning it was found that on at 10 pm, pt fell and may have hit her head right side. she was on anticoagulation with coumadin at that point and it was d/c'd. she was not sent to the hospital at that time as vitals were ok and neurological exam was reportedly intact. also per nh, no cough/fevers recently. past medical history: 1. atrial fibrillation- not on anticoagulation since fall as above 2. schizophrenia- s/p ect. hospitalized many times since age 28. 3. gerd 4. dementia social history: lives in resident care nh (). worked until 28 as a clerk until first schizophrenia "attack." never been married. no children. quit smoking last year ( for pna); had been "heavy smoker" ~ 2 ppd x many years; no etoh; no drugs. family history: nc physical exam: vs: t 97.7, bp 102/66, hr 96, rr 20, 94% 3.5 l (from 6l), wt 158 lb gen: sleepy but arousable, speech incomprehensible heent: pupils round and reactive b/l. op clear cv: rrr. s1s2. no m/r/g lungs: coarse bs b/l. no focal ronchi abd: nabs. soft, nt, nd ext: no c/c/e. 2+ pulses neuro: demented, poorly follows commands, moving all extremities pertinent results: 04:25pm type-art rates- tidal vol-560 peep-5 po2-419* pco2-42 ph-7.41 total co2-28 base xs-2 intubated-intubated 04:25pm lactate-1.5 03:27pm urine color-yellow appear-clear sp -1.018 03:27pm urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 03:10pm lactate-2.8* 11:15am glucose-99 urea n-13 creat-0.8 sodium-140 potassium-4.4 chloride-102 total co2-29 anion gap-13 11:15am ck(cpk)-41 11:15am ck-mb-notdone ctropnt-<0.01 11:15am albumin-4.0 calcium-9.1 phosphate-3.4 magnesium-2.2 11:15am wbc-10.0 rbc-4.79 hgb-12.7 hct-36.7 mcv-77* mch-26.5* mchc-34.5 rdw-15.1 11:15am neuts-82.5* lymphs-12.1* monos-5.0 eos-0.2 basos-0.3 11:15am microcyt-2+ 11:15am plt count-311 11:15am pt-12.5 ptt-22.7 inr(pt)-1.1 11:15am urine color-yellow appear-clear sp -1.016 11:15am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg .. head ct without contrast prelim: rt chronic sdh extending across the entire convexity. - left frontal prominent extraaxial space - no acute bleed - small vessel ischemic changes. - osseous findings consistent with pagets . ct c-spine -c1 through t2 are visualized. there is no evidence of acute fracture or malalignment of the cervical spine. there are extensive degenerative changes ranging from c4-c7 characterized by disc space narrowing, end plate sclerosis and subchondral cyst formation and vacuum disc phenomena and marginal osteophyte formation. disc space narrowing is most severe at c5/6 and c6/7. disc osteophyte complexes at c3/4 c5/6 and c6/7 moderately indent the spinal canal. the prevertebral soft tissues are unremarkable. the patient is intubated. limited evaluation of the lung apices demonstrates apical scarring. . chest ap () 1. endotracheal tube and nasogastric tube in satisfactory position, however, the endotracheal tube cuff is over-inflated. 2. cardiomegaly and pulmonary edema. . ct orbit/sella () 1. questionable mildly depressed nasal bone fracture with two tiny 1-2 mm high- density foreign bodies in the adjacent soft tissues in the nose. 2. mottled appearance of the skull with mixed sclerotic and lucent areas is suggestive of paget disease. further evaluation with bone scan is suggested. . ct abdomen/pelvis () 1. no evidence for acute intrathoracic, intra-abdominal, or intrapelvic injury including fracture, visceral laceration, hematoma, free air, or free fluid. 2. right lower lung lobe air space consolidation with soft tissue density filling the bronchi to the right lower lung lobe. this could represent tumor within the bronchi or mucoid impaction. these findings could represent aspiration pneumonia or a post-obstructive pneumonia. right hilar lymphadenopathy cannot be definitively excluded on this non-contrast scan. in the non-acute setting, a contrast-enhanced scan could further characterize this abnormality. 3. enlarged pulmonary artery measuring 4.7 cm, which may be secondary to pulmonary artery hypertension. 4. large stool filled rectum measuring 28 x 10 cm. no evidence for bowel dilatation proximal to this stool ball. 5. multiple sclerotic lesions are of uncertain etiology and should be further characterized with a bone scan in the non-acute setting. 6. multiple tiny hyperdense lesions of the right kidney which are incompletely characterized. an ultrasound could further evaluate these lesions. 7. probable simple cyst in the mid pole of the left kidney. 8. multiple prior rib fractures. no evidence for acute fracture. . left shoulder ap/neutral (): no fracture. . humerus films (): no fracture brief hospital course: 1. respiratory- initially intubated for airway protection in setting of over sedation from both ativan (6 mg) and dilantin (1 g). extubated, now saturating >94% on 3.5 l via nc. antipscyhotics held because of concern to for sedative effect. pt now titrated nc to 1.5 l and maintaining oxygen sat in low 90s range. have element of atelectasis now that will hopefully improve with increased activity. titrate down oxygen as tol with goal sat of 92-95%. . 2. pneumonia- on ct and cxr appears to have a rm/rl lobe pna. ?aspiration vs pt was on ceftriaxone and then once cleared to take po medications changed to cefpodoxime. today is day of antibiotics. . 3. sdh- appears chronic in nature. reviewed by neurology/ neurosurgery. she did fall 2 weeks prior. she was given 1 g dilantin at osh. now discontinued. . 4. s/p fall- seems completely mechanical in nature. will need to get more information regarding fall risk. pt eval. . 5. st depression- 1 mm std in v2-v4; no old to compare with. be related to strain from rvr. ce's negative. . 6. afib- heart rate has been elevated as patient has not been able to consistently take rate related medications. also be secondary to hypovolemia. now back on diet have restarted dig and diltiazem. should follow. will not restart anticoagulation with sdh and history of significant falls. this can be addressed at as well as starting aspirin instead. . 7. pt with schizophrenia requiring multiple hospitalizations in the past. has been sedate and comfortable during this stay. no agitation. in the prior few days has not taken good po. unclear if behavioral or if she dislikes diet. consider restarting antipsychotics at . unclear after this fall what her new baseline level of function will be. . 8. gerd- continue ppi per outpt dose. . 9. f/e/ pt received swallow evaluation because of concern for aspiration. recommendations were for her to be on a pureed solids and thin liquids diet. aspiration precautions. need to encourage eating. if she continues to refuse, may need to address with family other avenues to get her nutrition. pt also had episode of hypernatremia when not eating for a few days. responded to ivf of 1/2ns. pt improved now. . 10. code status: dnr/dni. discussed with pt's sister , her hcp. medications on admission: digoxin 0.25 mg qday mvi protonix 40 mg qday zyprexa 5 mg qam, 15 mg qhs trifluoperazine 5 mg qhs colace 100 mg bisacodyl 10 mg pr prn diltiazem 30 mg tid tylenol prn fleets prn guaifenesin prn mom prn discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. acetaminophen 500 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for fever. 4. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 5. cefpodoxime 100 mg tablet sig: two (2) tablet po q12h (every 12 hours) for 6 days. 6. diltiazem hcl 30 mg tablet sig: one (1) tablet po tid (3 times a day). 7. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po daily (daily). discharge disposition: extended care facility: resident care discharge diagnosis: fall. chronic subdural hematoma. bilobar pneumonia. repaired right eyebrow laceration. right metacarpal fracture. discharge condition: fair discharge instructions: patient will need physical therapy to regain strength. needs full assist for adls at this point and encouragement in eating. should be seen by a doctor if develops fever. followup instructions: patient should be followed up by physicians at her . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: esophageal reflux hematoma complicating a procedure other persistent mental disorders due to conditions classified elsewhere unspecified schizophrenia, unspecified open wound of forehead, without mention of complication acute respiratory failure pneumonitis due to inhalation of food or vomitus long-term (current) use of anticoagulants hyperosmolality and/or hypernatremia subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness closed fracture of nasal bones accidental fall from chair benzodiazepine-based tranquilizers causing adverse effects in therapeutic use closed fracture of base of other metacarpal bone(s) 

Answer: The patient is high likely exposed to