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: codeine attending: chief complaint: intracranial hemorrhage major surgical or invasive procedure: central line arterial line history of present illness: pt is a 78yof with htn, af on coumadin, chf, hypothyroidism, and hyperlipidemia transferred from with a large left basal ganglia hemorrhage. there is midline shift and left lateral ventricular compression. she was in her usoh until last night when she acutely had trouble stirring her coffee with her right hand. her speech then became unintelligible and her family realized something was wrong. they put her in bed and called 911. she was taken to where head ct showed above findings, with greatest dimension being measured at 6.8 cm. the midline shift was measured at 4.5 mm. her initial inr was 4.0. she was given vitamin k 10 mg, mannitol 50 gm, and 2 units ffp. repeat inr this am was 3.5. labetalol was used for bp control. she may have vomited at the osh ed, but this is unclear. she was transferred to for neurological management. per family and staff, she was not opening eyes at the osh, but did follow simple commands in portuguese such as hand gripping. she has been moving all extremities spontaneously, but right side much greater than left. she was intubated there after ct findings and has been on vent since that time. pmh:periventricular ) past medical history: osteoporosis htn hyperlipidemia hypothyroidism chf af on coumadin several old lacunar infarcts seen on ct(right lentiform nucleus and bilateral social history: lives with her son family history: unknown physical exam: on admission . vitals:hr=80, 180-191/70s, 16, 98% on vent mental status:intubated and unresponsive heent:mmm. sclera clear. op clear. intubated cv:irreg irreg. no mrg pulm:ctab. no wheezes cn:pupils 3->2 bilaterally nasal tickle:withdraw and grimace bilaterally. gag/cough:+ gag corneal reflex:brisk bilaterally. face symmetric motor:moves left arm spont frequently. moves lle spont. no movement of right side spont. no eye opening. withdraws all exts to nox stim, but left much more briskly than right. toes:downgoing on left, up on right dtrs: tri br pa r 3 3 3 1 0 l 3 3 3 1 0 respiration:pt is not overbreathing ventilator. - on discharge neuro exam: intubated. grimaces to noxious stimuli. there is no eye opening. the pupils are 4->2 bilateally. the cornel reflexes are brisk. the ocrs are present. there is grimace to nasal tickle. there is a cough reflex. there is purposeful withdrawal of the left arm and leg. the right arm exhibits extensor to stimulation and the right leg exhibits triple flexion responses to stimulation. the right toe is upgoing. pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 03:03am 13.3* 3.65* 11.3* 32.8* 90 31.0 34.5 14.3 286 03:09am 14.7* 3.69* 11.5* 33.4* 91 31.1 34.3 14.5 280 04:02am 13.8* 3.80* 11.7* 34.7* 91 30.8 33.8 14.7 271 03:24am 14.9* 3.67* 11.5* 33.0* 90 31.2 34.7 14.6 261 03:02am 16.7* 3.64* 11.3* 32.8* 90 31.0 34.5 14.8 227 02:07am 16.8* 3.78* 11.7* 33.8* 89 30.9 34.5 14.9 233 04:36pm 16.4* 3.70* 11.5* 32.9* 89 31.2 35.1* 14.7 247 03:10am 16.1* 4.14* 12.9 36.6 89 31.1 35.1* 14.7 297 08:33pm 13.3* 4.75 14.3 41.9 88 30.2 34.2 14.7 339 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 03:03am 286 03:03am 14.9* 22.2 1.3* 03:09am 280 03:09am 14.5* 20.7* 1.3* 04:02am 271 04:02am 15.2* 22.4 1.4* 03:24am 261 03:24am 15.3* 22.2 1.4* 03:02am 227 03:02am 14.6* 22.4 1.3* 05:44pm 14.0* 1.2* 04:27am 14.5* 22.7 1.3* 02:07am 233 02:07am 14.5* 21.9* 1.3* 04:36pm 247 04:36pm 12.4 22.1 1.1 10:07am 15.7* 22.6 1.4* 05:00am 16.1* 1.5* 03:10am 297 03:10am 18.0* 22.5 1.7* 12:07am 18.6* 1.8* 08:33pm 339 08:33pm 19.2* 24.0 1.8* chemistry renal & glucose glucose urean creat na k cl hco3 angap 03:03am 141* 30* 0.9 143 3.3 106 27 13 09:05pm 144 3.6 03:09am 155* 30* 1.0 146* 4.0 109* 26 15 02:46pm 147* 3.6 04:02am 146* 32* 1.1 148* 3.6 109* 26 17 03:24am 148* 37* 1.2* 149* 2.9* 109* 27 16 03:02am 147* 35* 1.2* 147* 3.2* 110* 25 15 02:07am 122* 29* 1.2* 146* 3.8 111* 23 16 04:36pm 118* 25* 1.1 144 3.6 107 25 16 03:10am 149* 24* 1.2* 143 3.6 105 22 20 08:33pm 128* 17 1.1 144 3.8 104 24 20 enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 04:36pm 153* cpk isoenzymes ck-mb ctropnt 04:36pm 2 <0.01 chemistry totprot albumin globuln calcium phos mg uricacd iron 03:03am 8.4 4.5 2.0 03:09am 8.3* 4.1 2.1 04:02am 8.2* 4.2 2.0 03:24am 8.1* 4.2 2.0 03:02am 8.3* 3.4 1.9 02:07am 8.7 3.7 2.1 04:36pm 3.7 3.5 2.1 03:10am 8.8 3.7# 1.4* 08:33pm 9.6 2.1* 1.6 blood gas blood gases type temp rates tidal v peep fio2 o2 flow po2 pco2 ph calhco3 base xs intubat vent 11:49am art 129* 39 7.47* 29 5 03:15am art 119* 42 7.50* 34* 8 whole blood, miscellaneous chemistry glucose na k 09:23pm 128* hemogloblin fractions ( cooximetry) o2 sat 03:15am 98 calcium freeca 03:15am 1.15 other studies ct head w/o contrast 12:08 am indication: new left intracranial hemorrhage. please evaluate hemorrhage for size and changes. technique: ct head without contrast. the patient had an outside study which is not available for comparison purposes. there is a large intraaxial hemorrhage in the left hemisphere with maximal dimensions of approximately 10 cm x 3 cm x 5 cm in anteroposterior, lateromedial and craniocaudal dimensions respectively. there is a moderate amount of surrounding edema. the left lateral ventricle is not seen except part of the left temporal , which contains blood. although the origin of the hemorrhages is not clear, this is likely an intraparenchymal hemorrhage with extension into the lateral ventricle. there is shift of the centrally located normally midline structures of approximately 8 mm to the contralateral side. although there appears to be some compression of the third ventricle, third ventricle is still visible. there is some medial displacement of the left uncus, but this is likely more due to a local mass effect rather than generalized transtentorial herniation. according to the neurology service who has reviewed the outside study, there appears to be no significant interval expansion of the amount of hemorrhage and mass effect. the surrounding soft tissues and osseous structures appear unremarkable. nc head ct: findings: 10 am : there is no change in the extent of the large left-sided basal ganglia hemorrhage nor its intraventricular component and surrounding edema, compared to the prior examination performed only eleven hours previous to the present examination. the degree of contralateral shift of the third ventricle and septum pellucidum, contralateral ventricular dilatation and small chronic infarct in the right internal capsule/ ganglia regions are all unaltered in appearance. no new osseous abnormalities are seen. ct head w/o contrast 9:57 am findings: there is no significant change from . again demonstrated is a large left basal ganglia hemorrhage with associated mass effect including subfalcine herniation and contralateral ventricular dilation. the intraventricular hemorrhage within both occipital horns is unchanged. no additional abnormalities are identified, and the osseous structures are unchanged. impression: stable large left basal ganglia hemorrhage with associated mass effect and intraventricular hemorrhage. eeg study date of findings: time samples: throughout the recording, the background over the entire left hemisphere is slow in the hz delta frequency range and moderate voltage. there are bursts of generalized slowing bifrontally predominant and slowing in the delta frequency range over the entire left hemisphere. there are extremely frequent and high voltage, semi-rhythmic sharp and slow wave discharges seen over the right frontal temporal region alternating with episodes of quiet background activity. some sharp and slow wave discharges appear to be generalized over the entire right hemisphere. the majority appear to be in the right fronto-central region. pushbuttons: two pushbutton events were recorded. the first episode, the nurse on the right. the video is not pointing to the patient during this event. the eeg shows prolonged muscle artifact over the posterior left temporal region and intermittent epileptiform sharp and slow wave discharges as described in the time samples. there was no clear seizure activity recorded. the second episode does not show seizure activity but irregular sharp and slow wave discharges in the right fronto-central region, as described in time samples. automatic seizure detections: captured 18 events. all of these events represent movement artifacts due to patient's examination for the resident or the nurse. there was no clear seizure activity recorded. automatic spike detections: there were 792 algorithms captured. the majority of the events represent sharp and slow wave discharges over the right fronto-central region with phase reversing around c4 and s4. additionally, there are bursts of sharp and slow wave discharges over the entire right hemisphere. sleep: revealed the time samples showed some evidence of slow wave sleep. the sharp and slow wave discharges seem to occur somewhat more often in wakefulness than in sleep. cardiac monitor: an irregular heartbeat with a rate of 72 bpm. impression: this is an abnormal 24-hour discontinuous telemetry obtained in wakefulness and slow wave sleep due to the presence of slow and disorganized background rhythm and low voltage background with diffuse delta frequency slowing over the entire left hemisphere. additionally, there are multiple episodes with frequent extremely high voltage sharp and slow wave discharges over the entire right hemisphere with sharp and slow wave discharges over the right fronto-central region. this appears to be semi-rhythmic with a maximum of 2 hz frequency range. the are episodes of quiet background activity. this finding represents an increased cortex irritability with a high risk of developing epileptiform seizures. the background suggests diffuse, mild encephalopathy. an arrhythmic heartbeat was noted. chest (portable ap) 10:15 am the patient is intubated, and the endotracheal tube is 3.5 cm above the carina. tip of the ng tube projects in the stomach beyond the edge of the film. the heart is enlarged with an lv configuration. there are bands of linear density at the base of the left lung most consistent with atelectasis. brief hospital course: the patient was admitted to the neurology icu for close monitoring. repeat head ct at confirmed that the intraparenchymal hemorrhage had increased significantly in size and extended into the posterior of the left lateral ventricle; there was >1cm midline shift and almost complete compression of the left lateral ventricle. there was no evidence of herniation as the perimesencephalic cisterns appeared patent. she was administered ffp and proplex-t to drive her inr below 1.5. neurosurgery was consulted - no intervention was recommended. a repeat head ct 10hours later was stable. her exam is remarkable for obtunded mental status, left gaze preference which can be overcome with head movement, right hemiparesis, preserved brainstem reflexes and purposeful movement of the left side. anti-epleptic medications were held because the bleed is primarily subcortical and thought to have a low risk of provoking seizure. repeat head ct - slightly worsening midline shift. neurological exam slightly worsened with less purposeful movement of the left arm. brainstem reflexes remain intact. there is no response to voice. on , after many conversations with the patient's family, the decision was made to withdraw intensive care, extubate, and administer comfort measures only. the patient expired at 1:45am from respiratory failure. review of hospital course cvs - the patient had atrial fibrillation. her hrs have dropped to the high 40s but spontanouesly returned to the 60s. bp had been controlled with po diltiazem (home med), iv labetalol, iv hydralazine. because of intermittent bradycardia, this was changed to a nicardipine drip while po captopril was started. afib not requiring rate control. captopril at 100 tid. resp - extubated on fen/gi - tf stopped withi extubation id - tempearture rising. advocate euthermia 0 actaminophen as necessary. no abx for now. culture if spikes > 101. s/p levaquin for uti. renal - good solute exchange. endocrine - normoglycemia was achieved with insulin sliding scale prophylaxis - patient placed on lansoprazole, pneumo boots. sc heparin started . medications on admission: ativan 0.5 qhs cartia xt 240 mg daily coumadin 2 mg and 3 mg alternating lipitor 10 60 prn levoxyl 50 daily allopurinol 300 daily meclizine 25 prn fosamax 70 qweek oxytrol 3.9 (2 patches/wk) citracal 1260 daily ranitidine 150 potassium 30 mg discharge disposition: extended care discharge diagnosis: intracerebral hemorrhage discharge condition: expired md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization transfusion of other serum diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation intracerebral hemorrhage other and unspecified hyperlipidemia long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to