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: latex attending: chief complaint: hemorrhage major surgical or invasive procedure: intubated history of present illness: 56 yo with unknown medical history was found down and presented to hospital. at around 4pm today, the notes say that he went to the car to "de-stress" and collapsed next to the car. ems was called and he presented to (ems note not available). at , his sbp was in the 200s and blood glucose 44. he was noted to have slurred speech, flaccid on the left side, eyes deviated to the right, right mouth droop, left neglect, and not following commands. a head ct was done, which showed a right basal ganglia bleed 5.6 x 2.2 cm with edema and midline shift. he was intubated (unclear if deteriorated for because of ct findings) and sedated with feantanyl 50 mcg, versed 6mg, ativan 2mg, vec 10mg, succ 100, and etomidate 20mg. he was also loaded with dilantin 1gm. he was then transferred to ed. since arrival, he has had repeat imaging, which shows that the hemorrhage is a little larger at 6.2 x 2.6cm. his sbp has been in the 130s. he remains intubated and sedated on propofol. past medical history: unknown social history: unknown family history: unknown physical exam: vitals: af hr 72 bp 135/79 rr 14 100% on vent gen: wd/wn, comfortable, nad. heent: nc/at. anicteric. mmm. neck: supple. no masses or lad. no jvd. no thyromegaly. no carotid bruits. lungs: cta bilaterally. no r/r/w. cardiac: rrr. s1/s2. no m/r/g. abd: soft, nd, +nabs. extrem: warm and well-perfused. no c/c/e. neuro : off propofol, he is not following commands. pupils are 2mm and reactive bilaterally, eyes midline, unable to perform ocr due to cervical collar, facial movements appear relatively symmetrical (difficult to tell due to tape and et tube in place), intact gag, intact cough. with painful stimulation, he has posturing of the left arm (stereotyped movement with extension and internal rotation), purposeful movement of left lower extremity, right upper extremity, and right lower extremity. there are more spontaneous movements of his right lower extremity compared to the left. reflexes are and symmetric. right toe down, left toe up. pertinent results: 06:55pm blood wbc-10.1 rbc-5.46 hgb-17.1 hct-46.8 mcv-86 mch-31.3 mchc-36.5* rdw-13.8 plt ct-185 02:08am blood wbc-5.8 rbc-4.60 hgb-14.3 hct-39.4* mcv-86 mch-31.0 mchc-36.2* rdw-14.0 plt ct-135* 03:54am blood wbc-5.9 rbc-4.33* hgb-13.3* hct-37.9* mcv-87 mch-30.7 mchc-35.1* rdw-13.7 plt ct-130* 11:17am blood pt-15.1* ptt-29.1 inr(pt)-1.3* 03:57am blood pt-14.1* ptt-30.6 inr(pt)-1.2* 06:55pm blood fibrino-322 06:55pm blood glucose-108* na-142 k-3.6 cl-103 hco3-28 angap-15 03:54am blood glucose-110* urean-21* creat-0.8 na-141 k-3.7 cl-107 hco3-31 angap-7* 11:17am blood alt-46* ast-35 ld(ldh)-214 ck(cpk)-131 alkphos-43 totbili-1.2 11:17am blood ck-mb-5 ctropnt-<0.01 06:55pm blood calcium-9.0 phos-3.1 mg-2.2 11:17am blood %hba1c-4.8 11:17am blood triglyc-110 hdl-34 chol/hd-4.4 ldlcalc-95 08:58am blood tsh-0.18* 12:21pm blood t4-5.1 t3-53* free t4-0.77* 04:29am blood phenyto-7.6* 03:54am blood phenyto-14.8 06:55pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 03:00pm blood wbc-10.2 rbc-4.80 hgb-14.8 hct-40.2 mcv-84 mch-30.8 mchc-36.8* rdw-13.3 plt ct-188 05:00am blood glucose-109* urean-38* creat-0.9 na-141 k-4.2 cl-105 hco3-27 angap-13 11:17am blood %hba1c-4.8 11:17am blood albumin-3.6 cholest-151 11:17am blood triglyc-110 hdl-34 chol/hd-4.4 ldlcalc-95 08:45pm blood fsh-<1.0* lh-<1.0* tsh-0.75 08:45pm blood t4-5.7 t3-68* calctbg-1.16 tuptake-0.86 t4index-4.9 05:10pm urine color- appear-cloudy sp -1.024 05:10pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-tr 05:10pm urine rbc->1000 wbc-* bacteri-many yeast-few epi-0 renal ultrasound: impression: 1. no son evidence for renal artery stenosis. 2. normal-sized kidneys. 5 cm septated right upper pole cyst, and 1.2-cm left interpolar cystic lesion with minimal internal echogenicity, six-month followup study is advised to document stability. ct torso: 1. no evidence of acute bony or soft organ injury. 2. multifocal consolidation within the lungs, atypical in appearance for aspiration, and most likely representing aspiration, though other pneumonia cannot be excluded. 3. possible bladder wall thickening. ct head : 1. large right lenticular nucleus intraparenchymal hemorrhage with slight surrounding edema, slightly larger since the recent osh study; the findings suggest an underlying hypertensive etiology. if more detailed evaluation is needed, recommend scanning the outside study into pacs for side-by-side comparison. 2. slight effacement of the right lateral ventricular atrium and occipital and leftward shift of the midline structures, by approximately 3 mm. ct/cta : 1. right basal ganglia hemorrhage which is not significantly changed compared to the prior ct of . 2. ct angiography demonstrates no evidence of aneurysm or abnormal vascular structures or evidence of stenosis or occlusion. ct : impression: decrease in the amount of hyperdense blood with persistent surrounding edema and mass effect consistent with evolving hemorrhage. no new intraparenchymal hemorrhage identified. cardiac 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 aortic root is moderately dilated at the sinus level. the ascending aorta is moderately dilated. moderate (2+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. moderate aortic regurgitation. dilated thoracic aorta. brief hospital course: mr. was admitted to the icu for further manegement. his hospital course by problem is as follows: 1) r basal ganglia bleed:felt to be due to untreated hypertension. mr. remained very hypertensive during his initial course, and he was treated with iv antihypertensives. the patient was transitioned to po blood pressure medications including hydrochlorothiazide, metoprolol and lisinopril. a cta was done to look for an underlying avm or aneurysm as he could not get an mri. this study showed no vascular anomaly. his other secondary stroke risk factors including ldl and a1c were checked and were wnl. it was felt that the mechanism for his bleed was likely hypertensive. he was gradually started on standing metoprolol which was titrated. he was also treated with mannitol to reduce the intracerebral edema. this was tapered on day #4. he was also treated with thiamine. he was ruled out for an mi with ce on admission and a tte was done which showed lvh. he was initially started on dilantin. this was stopped, however several days into his course, he was noted to have shaking movements. he was therefore restarted on dilantin and then transitioned to keppra for relative thrombocytopenia. the certainty that his abnormal movements were seizures was brought into question after his eeg (see below). the patient is currently involved in a keppra taper. he remained very drowsy for much of his hospital course. an eeg was done to r/o subclinical status epilepticus. the eeg did not show any seizure like activity. he was montiored and thyroid studies were done as well. finally over 10 days into his course, he finally started to follow simple commands. he was extubated a few days later. two days prior to discharge the patient began to speak. he subsequently passed a speech and swallow evaluation for ground solids and nectar thickened liquids. 2) hypothyroidism: given his hypertension, a tsh was checked which was low. his ft4 and t3 were also low. an endocrinology consult was called. they did not feel that his mildly low thyroid function could explain his altered mental status, and as stated above he was speaking and much more alert prior to discharge. 3) pna: on admission, he was found to have aspiration on his ct chest. he then developed fevers and was empirically started on vanco and zosyn for pna. he was then stopped as his wbc was normal but he had persistent spiking fevers. he was recultured multiple times and finally grew ecoli from his sputum. he was therefore started on bactrim for a 7 day course. bactrim d/c'd by arrival to floor. pt afebrile with normalized wbc by arrival to floor. 4) uti: the patient also had a 7 day course of ceftriaxone for a uti. medications on admission: omega 3 (per osh records) discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 3. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 4. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 5. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed. 6. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 7. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 9. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 doses. 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). discharge disposition: extended care facility: - discharge diagnosis: right basal ganglia hemorrhage. hypertension thrush discharge condition: vital signs are stable. the patient speaks rarely, but in complete sentences and his topics are appropriate to his situation. he has a left sided facial droop. he has a right gaze preferance. left hemiparesis. passed speech and swallow. discharge instructions: please take your medication as prescribed. please follow up with your appointments as documented below. please return to the hospital if you have any concerning symptoms. these include, but are not limited to, difficulty moving your limbs beyond your deficits at this time and difficulty with speech. blood pressure should be monitored and maintained <135/80. followup instructions: please make a follow up appointment with your primary care doctor. provider: , md phone: date/time: 11:00 md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus removal of other device from thorax diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism aortic valve disorders candidiasis of mouth intracerebral hemorrhage acute respiratory failure pneumonitis due to inhalation of food or vomitus alkalosis pressure ulcer, buttock pneumonia due to escherichia coli [e. coli] pressure ulcer, lower back cyst of kidney, acquired pressure ulcer, upper back 

Answer: The patient is high likely exposed to