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 x 7days major surgical or invasive procedure: cerebral angiogram for coiling of l pcomm aneurysm history of present illness: ms had a syncopal episode in the bathroom on at 2pm,she woke up on the floor, possibly hitting her head on the bath tub. her daugther was in another room and heard the fall, no seizure activity. her daugther helped her lay down and found her to be confused and incontient a few hours later complaining of a headache,she drove her to nsmc. he daughter than called ems and she was transported to nsmc. ms states she has had intermittent headaches over the last few days along with bronchitis. she had a headache prior to her vasovagal episode. a ct at center showed a left frontal sah. the patient also had a bp of 220/114 at nsmc. she received dilantin and vitamin k for an inr of 1.2. she was med flighted here for a neurosurgery evaluation past medical history: pmhx:none pshx: c-section all:pcn social history: social hx:pt is witness and does not want blood products. lives with daughter family history: family hx:denies any family hx of subarachnoid hemorrhage physical exam: hunt and : 2 (for moderate headache) : 4 gcs: 15 o: t:98.9 bp:131/76 hr:69 r 18 o2sats 95% gen: wd/wn, comfortable, nad. heent: pupils: eoms full neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. no c/c/e. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light,4 to 2 mm 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 finger rub bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch toes downgoing bilaterally coordination: normal on finger-nose-finger, handedness right on discharge: a&ox3 perrl eoms intact face symmetrical no pronator drift motor: full pertinent results: cta brain : upon review of this study with dr. , endovascular neuroradiologist, seen on images 55-57, series 3, and on coronal reconstructed image 17, series 401b, is a probable aneurysm, arising from the lateral aspect of the supraclinoid portion of the left internal carotid artery, and directed in an unusual anterolateral long axis. the aneurysm appears to measure 1.5mm in maximal width, by 3.75mm in axial length. particularly in view of this revised finding, dr. has informed me that the patient will undergo catheter angiography today, with potential endovascular coiling as well. cxr : relatively diminished lung volumes with crowding of the pulmonary vasculature but no evidence of focal airspace consolidation, pleural effusions, pulmonary edema, or pneumothorax. overall, cardiac and mediastinal contours are upper limits of normal in size given portable technique. no acute bony abnormality. nchct : impression: 1. stable moderate ventriculomegaly. 2. stable, evolving distribution of subarachnoid and intraventricular hemorrhage. 3. stable mild paranasal sinus disease. echo the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the number of aortic valve leaflets cannot be determined. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild symmetric lvh with normal global biventricular systolic function. mild pulmonary hypertension. cta : impression: no significant change in the size of the intracranial arteries allowing for the artifact from the coils. diminutive basilar artery and p1 segments along with fetal pca pattern and prominent posterior communicating arteries withs lightly more narrow size of the basilar artery. assessment for any residual flow in the coiled aneurysm is limited on the present study. followup as clinically indicated. if there is concern for parenchymal changes, mr can be considered if not ci. cxr impression: ap chest compared to through 10: although mediastinal vascular distention is no longer present, pulmonary circulation is engorged, and there is mild edema at the lung bases. elevation of the left lung base could be due to left lower lobe atelectasis or upward displacement by abdominal abnormality such as gastric distention. right pic line ends in the region of the superior cavoatrial junction. no pneumothorax. lenies: no evidence of deep vein thrombosis in either leg brief hospital course: ms. was evaluated in the emergency room, sent for a cta of the brain which was suspicious for an underlying aneurysm as the cause of her intracranial hemorrhage. she was taken to the angio suite emergently where under general anesthesia she has a cerebral angiogram with coiling of a right pcom aneurysm. she was extubated immediately after the procedure and transferred to the icu on a heparin drip. icu course: on , the heparin drip was discontinued. patient underwent tcds that showed no vasospasm. she was febrile and was cultured. her hr went up to the 150's and responded to lopressor. on , she developed some delerium over night with the development of fevers and was given a dose of haldol. priliminarly her ua revealed a uti, she was started on ciprofloxicin . she remained stable. overnight she was found to be in afib with rvr, treated with lopressor, checked cardiac enzymes which appeared negative. on , she remained stable. tcds showed mildly elevated velocities but no vasospasm. on , cardiology was consulted for the arrythmia's that developed in the icu, they believe that the underlying afib was not new, patient was taken off of the amiodrone drip and started on sotalol. she underwent a cta to rule out vasospasm after she was found to have a new right pronator drift. the cta was negative. on , patient was found to be somewhat confused and periodically halucinating. a cta that was done on was reported as questionable for left a1 spasm. she remains in the icu with iv fluids and spasm watch. her anti-epileptics were discontinued and she was transferred to the floor after stable tcd's. screening lower extremity dopplers were performed and were negative for dvt. on the foley catheter and ivf were discontinued. consult was obtained for elevated blood sugars and the patient was subsequently started on amaryl recommendations. nursing iniated diabetic teaching. on the patient experienced tachy-brady arrhythmias and cardiology came to evaluate the patient. she was continued on sotalol, and verapamil 40mg tid was added for rhythm stabilization. no further medication titrations were required. on , patient remained intact on examination, cardiology recommended outpatient follow up and patient was decleared safe from pt to be discharged home. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. metformin 500 mg tablet sig: one (1) tablet po with dinner (). 6. verapamil 40 mg tablet sig: one (1) tablet po q8h (every 8 hours). disp:*60 tablet(s)* refills:*2* 7. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours) for 10 days. disp:*120 capsule(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: subarachnoid hemorrhage left pcomm aneurysm uti atrial fibrillation acute delerium discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: angiogram with embolization and/or stent placement medications: ?????? take aspirin 325mg (enteric coated) once daily.***** ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: please follow-up with dr in 4 weeks with a mri/mra with and without contrast ( protocol). please call to make this appointment. please schedule a follow up appointment after discharge with dr. of clipper cardiovascular in , ma ( as always - follow up with your primary care physician and notify them of your hospital stay. procedure: endovascular embolization or occlusion of vessel(s) of head or neck using bare coils diagnoses: urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other chronic pulmonary heart diseases subarachnoid hemorrhage atrial flutter morbid obesity syncope and collapse delirium due to conditions classified elsewhere other and unspecified escherichia coli [e. coli] fever presenting with conditions classified elsewhere body mass index 40.0-44.9, adult 

Answer: The patient is high likely exposed to