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: fall major surgical or invasive procedure: bilateral burr holes for evacuation of subdural hematoma history of present illness: this is a 71 year old woman who was transferred from rehab with fever 101.8r and worsening mental status. the aide accompanying her, reports that she fell 3 weeks ago and had a occipital head laceration but was not seen in a hospital. since that time her speech is more repetitive and she has some right sided weakness. past medical history: pmhx: - teeth extracted after a fall. no dentures. - breast surgery, probable lumpectomy. - hysterectomy, . - developmental disability - psychosis and depression. - bladder cancer, papillary urothelial, low grade - urinary incontinence. - diabetes mellitus, . in f/ - arthritis of the right knee, status post surgery. - hypothyroidism - hypertension - dyslipidemia -overwt -sz d/o -dvt, left thrombectomy -bilateral cataract surgery all:nkda social history: social hx: she lives in rehab. she has a legal guardian family history: unknown physical exam: physical exam: o: t:101.8r bp: 135/67 hr: 80 r 17 o2sats 97% gen: wd/wn, comfortable, nad. heent: pupils: os1.5 and reactive od surgical mental status: awake and alert, not able to cooperate with the exam. mae l side is stronger. face symmetrical, tongue midline. echolalia and perseveration. orientation: oriented to person, state with choices toes downgoing bilaterally exam on discharge: she is pleasant and talkative. she is oriented x 2, disoriented to date. perrl, eom intact, slight left facial droop no drift, maes with good strength sensory intact incision with staple in place, c/d/i babinski - flexor pertinent results: ct head: 1. marked decrease in size of bilateral subdural hematomas status post evacuation through right frontal burr holes and placement of bilateral drainage catheters. 2. the previously seen compression of the brain parenchyma has markedly improved. rightward shift of the normally midline structures is unchanged. no central herniation. 3. no new intracranial hemorrhage or acute large vascular territorial infarction. ct head: 1. massive bilateral subacute subdural hematomas, causing marked compression of the brain parenchyma and rightward shift of normally midline structures, but no central herniation. neurosurgical consult is recommended. 2. no acute large vascular territorial infarction. video swallow - no gross aspiration with penetration of nectar-thickened liquids. ct head - reaccumulation of some low-density fluid in the subdural space following removal of bilateral subdural drains. lenis - no dvts brief hospital course: ms. was admitted to the neurosurgical intensive care unit for care and observation. she underwent apropriate studies for preoperative clearence and was taken to the or on for bilateral burr holes w/ placement of subdural drains. she tolerated the procedure without complications and returned to the icu. on ct scan showed marked decrease in fluid collection and reversal of midline shift. the drains were putting out predominantly csf and were removed. the patient passed a video swallow study and her diet was advanced. the patient was clinically stable and was transferred to a floor bed. on , pt had a repeat head ct which showed no acute hemorrhage and just reaccumulation of bilateral hygroma. she continued to improve neurologically. on a surveillance lenis was obtained which showed no dvts. now dod, patient is afebrile, vss, and neuro stable. her incision is clean,dry, intact without evidence of infection. she is tolerating pos and pain is well controlled. she is set for d/c to rehab in stable condition medications on admission: medications prior to admission: lantus 20 units lisinopril 20 mg po/ng daily levothyroxine sodium 125 mcg po/ng daily atorvastatin 20 mg po/ng hs lactulose 30 ml po/ng q6h:prn constipation bisacodyl 10 mg po/pr daily:prn no bm oxybutynin 10 mg po daily calcium carbonate 500 mg po/ng paroxetine 20 mg po/ng daily docusate sodium 100 mg po bid divalproex (extended release) 500 mg po bid senna 1 tab po/ng daily glyburide 5 mg po/ng daily vitamin d 1000 unit po/ng daily trazodone 50 mg po/ng hs asa discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/temp/ha. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. oxybutynin chloride 5 mg tablet sig: two (2) tablet po daily (daily). 4. cholecalciferol (vitamin d3) 1,000 unit tablet sig: one (1) tablet po daily (daily). 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 7. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 8. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 9. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 10. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 11. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). 12. divalproex 500 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po bid (2 times a day). 13. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 14. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 15. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). discharge disposition: extended care facility: - discharge diagnosis: bilateral acute on chronic subdural hematomas mental retardation post-op anemia diabetes mellitus discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: general instructions ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair only after sutures and/or staples have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your injury, you may safely resume taking this on xxxxxxxxxxx. ?????? if you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for removal of your staples/sutures and/or a wound check. please make this appointment by calling . if patient is still in rehab/, staples need to be removed. on ??????please call ( to schedule an appointment with dr. to be seen in weeks with a ct scan of the brain without contrast. please follow-up with your primary care provider upon discharge. md procedure: incision of cerebral meninges diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism unspecified fall depressive disorder, not elsewhere classified abnormality of gait compression of brain constipation, unspecified long-term (current) use of insulin other vitamin b12 deficiency anemia epilepsy, unspecified, without mention of intractable epilepsy dehydration subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness urinary incontinence, unspecified unspecified intellectual disabilities history of fall cerebral degeneration, unspecified 

Answer: The patient is high likely exposed to