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: flovent diskus attending: chief complaint: sah major surgical or invasive procedure: intravascular coiling of a-comm aneurysm history of present illness: hpi: this is a 75 year old male with sudden onset severe headache at 11am during which time he experienced nausea but no vomiting. he went to an outside hospital where his ct head was consistent with a diffuse subarachnoid hemorhage. a cta was performed and the patient was transferred to for further management past medical history: pmhx: htn all: flovent medications prior to admission: lisinopril social history: nc family history: nc physical exam: on admission:physical exam: 119/42 60 18 98%awake and alert, cooperative with exam, normal affect. says feeldrowsy since morphine orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. no dysarthria or paraphasic errors. ii: pupils equally round and reactive to light, to 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. xii: tongue midline. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch bilaterally. on the day of discharge: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension. no dysarthria or paraphasic errors. ii: pupils equally round and reactive to light, 3 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. xii: tongue midline. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch bilaterally. pertinent results: head ct impression: diffuse subarachnoid hemorrhage predominantly in the bilateral temporal regions with blood noted in the fourth ventricle, not significantly changed in extent compared to the prior study. stable ventricular size. cta head impression: 1. extensive subarachnoid hemorrhage. 2. blood in the fourth ventricle. it is not clear whether prominence of the third and lateral ventricles is acute or chronic, i.e. related to cerebral atrophy. 3. 2.5 mm broad-necked aneurysm of the basilar artery tip. 2-mm aneurysm of the anterior communicating artery with a relatively neck. the patient has been taken for a conventional cerebral angiogram at the time of this dictation. 4. apparent mild focal narrowing at the origin of the a2 segment of the left anterior cerebral artery. 5. cervical internal carotid atherosclerosis without evidence of hemodynamically significant stenoses. radiology report mra cervical/thoracic spine study date of 9:01 am impression: 1. moderate multilevel degenerative changes of the thoracic and cervical spine as detailed above. 2. prominent vessel in the midline upper lower thoracic spine which may represent a prominent vein/increased vascularity related to subarachnoid hemorrhage. spinal angiography is more sensitive to evaluate for pial avm and is recommended if of clinical concern. radiology report vert/carotid a-gram study date of 10:33 am impression: presented with a diffuse subarachnoid hemorrhage. two small lesions were found, and extensive evaluation was also done of the cervical spinal canal since there was significant subarachnoid blood in that region. there was no evidence of spinal av fistula. based on this bleeding pattern, we will also get an mri of his cervical spine and thoracic spine prior to deciding on surgical approach to these aneurysms. radiology report carotid/cerebral unilat study date of 8:54 am findings: left internal carotid artery arteriogram shows a 2 mm infundibulum of the left posterior communicating artery origin and a 2.4 mm aneurysm with a neck of the anterior communicating segment. post-coiling, there is very faint filling of the left anterior communicating artery aneurysm at the base. impression: underwent cerebral arteriography and coiling of a 2.4 mm anterior communicating artery aneurysm, which was uneventful. radiology report ct head w/o contrast study date of 2:49 pm impression: 1. new small foci of subarachnoid blood in the paramedian bifrontal sulci. otherwise, extensive diffuse subarachnoid hemorrhage is unchanged. 2. blood is now present not only in the fourth ventricle, but also in the occipital horns of the lateral ventricles, possibly due to redistribution. stable ventricular size. , m 75 cardiology report ecg study date of 11:50:28 pm sinus rhythm. possible left atrial abnormality. right bundle-branch block. compared to the previous tracing of there is no significant change. intervals axes rate pr qrs qt/qtc p qrs t 67 174 134 432/444 80 76 63 radiology report ct brain perfusion study date of 3:44 pm cta head w&w/o c & recons; ct brain perfusion impression: 1. no evidence of vascular occlusion or stenosis. 2. no evidence of residual lumen of aneurysm; however, due to coil artifact, cannot exclude tiny residual lumen. radiology report ct head w/o contrast study date of 10:54 am impression: status post coiling of the aca, with only minimal residual subarachnoid foci. no new hydrocephalus. labs on admission: 08:48pm pt-12.3 ptt-21.4* inr(pt)-1.0 08:48pm plt count-197 08:48pm neuts-91.3* lymphs-5.7* monos-1.9* eos-0.6 basos-0.5 08:48pm wbc-7.2 rbc-4.10* hgb-13.4* hct-39.2* mcv-96 mch-32.7* mchc-34.3 rdw-12.8 08:48pm calcium-8.7 phosphate-3.8 magnesium-1.8 08:48pm ck-mb-notdone 08:48pm ctropnt-<0.01 08:48pm ck(cpk)-56 08:48pm estgfr-using this 08:48pm glucose-162* urea n-17 creat-0.8 sodium-133 potassium-4.1 chloride-98 total co2-24 anion gap-15 11:55pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-50 bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 11:55pm urine color-yellow appear-clear sp ->1.035 11:55pm urine gr hold-hold 11:55pm urine hours-random wbc rbc hgb hct mcv mch mchc rdw plt ct 04:50am 6.5 4.04* 12.8* 37.9* 94 31.7 33.8 13.1 268 differential neuts bands lymphs monos eos baso atyps metas 08:48pm 91.3* 5.7* 1.9* 0.6 0.5 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 04:50am 268 04:50am 11.2 21.5* 0.9 chemistry renal & glucose glucose urean creat na k cl hco3 angap 07:30pm 174* 14 1.0 134 3.7 97 29 12 04:50am 109* 15 0.7 130 3.8 brief hospital course: pt admitted for sah and brought to angiogram where he was found to have an acom aneurysm which was not coiled at that time. he then returned on where he had coiling done and sent to icu for close monitoring. patient remained stable, with no changes in his mental status and was transferred out to the step down unit on . on late in the afternoon when the patient's wife was visiting she noticed that he was confused and perseverating about a web site that he couldn't find, knowing that he wasn't actively working on the computer. given the risk and concern for vasospasm the patient was sent for a cta/p for evaluation. there was no evidence of vasospasm or developing stroke on this study. the patient was transferred to the icu for closer monitoring. mri/mra showed prominent vessel in the midline upper lower thoracic spine which may represent a prominent vein, increased vascularity realted to sah. no intervention need at this time. on , pt doing well and transferred back to step down. on , pt complaining of persistent headache, decadron and dilaudid added and ct scan ordered. ct scan showed no change. exam is stable, nonfocal with full strenght. on , patient is alert and oriented x 3, full motor and no drift. headache still persists, dilaudid iv added and decadron tapered. percocet was added for pain control. lisinporil dose was increased to 10mg qd without good effect. medicine was consulted for htn control. they dc'ed lisinopril and added captopril. on . he had some hallucinations. his decadron was weaned to 2mg q8. orhtostatic results were: flat 156/78 p78 sit 134/76 p88 stand 112/60 p101. medicine team increased the captopril with good effect. on : the patient was revaluated by physical therapy and deemed safe to go home with services. he will have physical therapy and nursing services at home. he is neurological intact on the day of his discharge complaning of some chronic low back pain without headache at the time of assessment. the patient was seen by the medicine service for his hypertension and was transitioned from captopril to lisinopril. his nimodipine was discontinued and the decadron continues to taper. he continues to be orthostatic and will be followed at home for this and his hypertension by visiting nursing. medications on admission: lisinpril 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. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 3. dexamethasone 0.5 mg tablet sig: two (2) tablet po tid () for 2 doses: due at 1400 and due at 2200, then stop. disp:*4 tablet(s)* refills:*0* 4. dexamethasone 0.5 mg tablet sig: two (2) tablet po bid () for 1 days: for 24 hours only. disp:*4 tablet(s)* refills:*0* 5. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for pain: this tablet contains tylenol- do not exceed 4 grams tylenol in 24 hours will cause liver failure. disp:*60 tablet(s)* refills:*0* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. methocarbamol 500 mg tablet sig: 1.5 tablets po qid (4 times a day): hold for lethargy. disp:*35 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: a-comm aneurysm rupture sah discharge condition: neurologically stable discharge instructions: angiogram with embolization 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 followup instructions: *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! you will need to see dr. in one month with a cta. please call to arrange your appointment and have them schedule your cta prior to being seen by dr. . your blood pressure was elevated during your hospital stay. you were seen by the medicine service for your high blood presure who recommended that you have your blood pressure checked 3 times a week which can be moniotred by the visiting nurse. during your hospital stay you had orthostatic hypotension. the visiting nurse will take orthostatic signs. this is your blood pressure while you are lying, sitting, and standing. procedure: arteriography of cerebral arteries arteriography of cerebral arteries endovascular (total) embolization or occlusion of head and neck vessels diagnoses: unspecified essential hypertension long-term (current) use of steroids adrenal cortical steroids causing adverse effects in therapeutic use hyposmolality and/or hyponatremia asthma, unspecified type, unspecified subarachnoid hemorrhage leukocytosis, unspecified orthostatic hypotension drug-induced psychotic disorder with hallucinations 

Answer: The patient is high likely exposed to