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: patient recorded as having no known allergies to drugs attending: chief complaint: headaches major surgical or invasive procedure: lumbar drain placment posterior neck csf collection fine needle aspiration picc line placment history of present illness: 84yo rh m who was admitted to neurosurgical service in after posterior fossa subdural hematoma, evacuated by suboccipital crani, course complicated by pna, csf leak (no intervention) and dysphagia/aspiration requiring peg, who has been in rehab since. on , he was febrile to 100.4 and started on vanco/levaquin for uti (pseudomonas). his son reports that he has been unable to walk since and sundowns nightly. he has noted no new deficits. two days ago, however, in the absence of trauma or htn, the patient reported new onset headache that was bifrontal and throbbing. it has not woken him from sleep. he denies diplopia or new deficits. he does not recall how quickly it came on. today, he was noted in rehab to be more "confused" and had copious amount of clear drainage on his pillow. he was sent here for ? csf leak. head ct showed "acute parenchymal hemorrhage right frontal cortex, measuring 18x13mm, with mass effect on anterior of right lateral ventricle and overlying sulci. no fracture. no midline shift." past medical history: mitral valve regurgitation with prosthetic heart valve () pacemaker gastric ulcer chf htn aortic valve insufficiency hyperlipidemia social history: widowed power of attorney nephew family history: noncontributory physical exam: pe vs 98.2 125/75 84 18 97% gen awake, cooperative, nad heent nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck supple, no carotid bruits appreciated. no nuchal rigidity. i do not appreciate any drainage at the incision site lungs cta bilaterally cv rrr, nl s1s2, no m/r/g noted abd soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted ext no c/c/e b/l skin no rashes or lesions noted neuro ms awake, alert. oriented only to self. months of the year backwards were impaired. speech fluent, with normal naming, , comprehension and repetition. normal prosody. there were no paraphasic errors. able to follow both midline and appendicular commands. no apraxia. interprets cookie theft picture appropriately. no dysarthria. cn cn i: not tested cn ii: visual fields were full to confrontation, no extinction. pupils 3->2 b/l. fundi clear cn iii, iv, vi: eomi no nystagmus or diplopia cn v: intact to lt throughout cn vii: full facial symmetry and strength cn viii: hearing intact to fr b/l cn ix, x: palate rises symmetrically cn : shrug and symmetric cn xii: tongue midline and agile motor normal bulk and tone. no pronator drift d b t we fe ff ip q h df pf te l 4+ 5 4+ 5 5 5 5 5 5 5 5 5 sensory intact to light touch, pinprick throughout. no extinction to double simultaneous stimulation. reflexes br tri pat ach toes l 2 2 2 2 1 down r 2 2 2 2 1 down coordination fine finger movements, rapid alternating movements, finger-to-nose, and heel-to-shin were all normal gait deferred pertinent results: admition: impression: 1. new right inferior frontal intraparenchymal hemorrhage measuring up to 18 mm, with surrounding edema and mild mass effect. 2. interval increase in fluid collection adjacent to the sub-occipital craniotomy site, likely tracking to the skin surface, although incompletely imaged. fluid collection has the same attenuation as the posterior fossa csf and is suspicious for a csf leak. alternatively, this could represent a postoperative seroma. 3. no change in size of ventricles. 05:51am blood wbc-6.6 rbc-2.73* hgb-8.8* hct-25.5* mcv-93 mch-32.3* mchc-34.6 rdw-14.6 plt ct-257 05:51am blood neuts-65.9 lymphs-19.2 monos-9.9 eos-4.4* baso-0.6 05:51am blood plt ct-257 05:51am blood glucose-118* urean-16 creat-0.7 na-138 k-4.5 cl-102 hco3-28 angap-13 04:20am blood ck(cpk)-18* 04:20am blood ck-mb-notdone ctropnt-0.03* 05:51am blood calcium-8.6 phos-3.7 mg-2.3 08:42am blood vanco-20.6* brief hospital course: two days prior to admition, in the absence of trauma or htn, the patient reported new onset headache that was bifrontal and throbbing. it has not woken him from sleep. he denies diplopia or new deficits. he does not recall how quickly it came on. he was noted in rehab to be more "confused" and had copious amount of clear drainage on his pillow. he was brought to for evaluation. on primary eval it was discovered that he also had a he was sent here head ct showed "acute parenchymal hemorrhage right frontal cortex, measuring 18x13mm, with mass effect on anterior of right lateral ventricle and overlying sulci. no fracture. no midline shift." also noted was clear drainage from his previous posterior fossa craniotomy drainage, presumably csf. an lp was performed to evaluate whether the patient had any signs of meningitis prior to placing a vp shunt for hydrocephalus. the cell count of the tap was questionable for meningitis with no growth on gram stain. infectious disease was consulted and the patient was placed on broad spectrum coverage to treat meningitis which completed on . with continued leaking from the posterior fossa, dr. aspirated fluid from the area of the csf leak, which was sent for cultures as well, and a lumbar drain was placed for a period of five days to divert csf flow and allow for wound closure. csf leak from the posterior incision stopped. patients mental status declined over the course of his icu stay to the point where he no longer opened his eyes to voice and was not following commands. a ct of the head did not reveal any new area of hemorrhage or stroke. pt. was started on a heparin drip for anticoagulation for his mechanical heart valve during his icu stay. on lumbar drain was discontinued. geriatrics was consulted to review causes for the altered mental status. in depth conversation with the patient's power of attorney, , led us to make change the patient's code status to dnr/dni. antibiotics continued through for full coverage of meningitis. he was transitioned to coumadin. plan is to continue with anticoagulation and home meds and observe the patient's mental status off antibiotics to see if there is an improvement in mentation. palliative medicine is involved at this time with the care of this patient mr began to slowly wake up over 4-5 days prior to discharge, we are unsure if this is related to stopping medications. prior to discharge he was orientated to name, year, antigravity in all extremities and followed commands and answered questions. medications on admission: meds: asa 81 coumadin bisacodyl prn catapres 0.2mg pg tid colace 50mg pg enoxaparin 80mg feosol 300mg pg daily lasix 60mg hydral 20mg q6 levaquin 500mg iv daily (- vancomycin 1g iv daily (- reglan 10mg q6 metoprolol 50mg tid omeprazole 20 prazosin 1mg senna zocor 20 discharge medications: . 1. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed. 2. bisacodyl 10 mg suppository : one (1) suppository rectal hs (at bedtime) as needed. 3. prazosin 1 mg capsule : one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 5. simvastatin 10 mg tablet : two (2) tablet po daily (daily). 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. hydralazine 10 mg tablet : two (2) tablet po q6h (every 6 hours) as needed. 8. insulin regular human 100 unit/ml solution : one (1) injection asdir (as directed). 9. metoprolol tartrate 50 mg tablet : one (1) tablet po bid (2 times a day). 10. warfarin 5 mg tablet : two (2) tablet po today at 1700 (): daily dosing. tablet(s) 11. heparin (porcine) in d5w 25,000 unit/250 ml parenteral solution : one (1) intravenous asdir (as directed). discharge disposition: extended care facility: medical center - discharge diagnosis: right frontal intracranial hemorrhage ? csf leakage discharge condition: neurologically stable discharge instructions: . general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? 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, or ibuprofen etc. ?????? call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: . follow-up appointment instructions ??????please call ( to schedule an appointment with dr in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. procedure: venous catheterization, not elsewhere classified spinal tap incision of lung other exploration and decompression of spinal canal electroencephalogram diagnoses: other iatrogenic hypotension tobacco use disorder congestive heart failure, unspecified atrial fibrillation subarachnoid hemorrhage hypopotassemia other nervous system complications heart valve replaced by other means other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants pressure ulcer, lower back cardiac pacemaker in situ accidents occurring in other specified places accidents occurring in residential institution pressure ulcer, stage ii personal history of methicillin resistant staphylococcus aureus chronic gastric ulcer without mention of hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to