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: sulfa (sulfonamide antibiotics) attending: chief complaint: transfer from osh for sdh with shift major surgical or invasive procedure: :rt craniotomy for sdh : trach/peg placement history of present illness: the patient is a 72 year old man with a history of hypertension, hyperlipidemia, and iddm who is s/p fall yesterday with right sided headache, transferred from osh with right sdh with right to left midline shift. the history is obtained from ems and the medical records. at approximately 9:00 pm yesterday, the patient fell and his his head while walking to the bathroom. there was no reported loc. he has had a right sided headache since the fall. after falling, he watched tv and then went to bed. this morning, he attempted to get up to urinate but was too weak to walk to the bathroom requiring him to sit on the floor. per the osh records, his right leg was weaker than the left (but ? if this is chronic). his wife was concerned and called ems. he initially went to , where bp on admission was 179/79 but peaked at 200/109. neurological exam was "alert and oriented x3, cranial and cerebellar functions normal, lower extremities are somewhat weaker than upper extremities but no focal deficits." labs showed wbc 13.8, hct 37.6, plt 231, ck 69, trop t 0.02, na 145, cr 1.7, glucose 187, inr 1.0. ct head showed "large right frontal subdural with mass effect." he was intubated prophylactically, and given lidocaine 100 mg iv, etomidate 20 mg iv, vecuronium 10 mg iv. he was also given mannitol 120 gm iv, fosphenytoin 1 gm iv, and ativan 2 mg iv x2. he was transferred to . blood pressure on admission to was 214/93, and he was started on a propofol gtt. cxr showed a pna, and he was given ctx and azithromycin. past medical history: hypertension hyperlipidemia iddm s/p cardiac catheterization, ? stents pericarditis s/p cholecystectomy social history: he lives locally with his wife. family history: unable to obtain physical exam: upon admission: vs: temp not recorded, bp 189/69, hr 52, rr 16, sao2 100% on cmv genl: intubated, sedated (but propofol turned off for exam). obese man. neck: cervical collar in place. cv: bradycardic, nl s1, s2, no murmurs, rubs, or gallops chest: cta bilaterally anteriorly and laterally, no wheezes, rhonchi, rales abd: +bs, soft, ntnd abdomen neurologic examination: mental status: intubated, sedated. follows commands to open eyes, squeezes hands bilaterally. cranial nerves: pupils equally round and reactive to light, 3 to 2 mm bilaterally. corneal reflexes intact bilaterally. unable to assess for facial symmetry. motor/sensation: able to keep rue up against gravity, cannot keep lue up against gravity and it falls to the bed. can bend rle against gravity, but not the lle. does withdraw the bilateral lower extremities to noxious. wiggles toes bilaterally. reflexes: 2+ and symmetric in bilateral biceps, brachioradialis, and knees. no ankle clonus. toes upgoing bilaterally. pertinent results: 02:13am blood wbc-14.9* rbc-3.11* hgb-9.7* hct-29.5* mcv-95 mch-31.2 mchc-33.0 rdw-15.9* plt ct-515* 09:00am blood neuts-75.2* lymphs-17.2* monos-6.2 eos-0.9 baso-0.5 02:13am blood plt ct-515* 02:13am blood glucose-133* urean-73* creat-3.0* na-149* k-4.8 cl-119* hco3-21* angap-14 04:13am blood alt-11 ast-24 alkphos-64 totbili-0.2 02:13am blood calcium-8.2* phos-4.2 mg-2.7* 05:53am blood vanco-16.4 02:13am blood phenyto-5.0* 08:11pm blood k-4.6 08:11pm blood o2 sat-95 08:11pm blood freeca-1.15 labs on discharge: 05:51am blood wbc-13.0* rbc-2.63* hgb-8.4* hct-24.6* mcv-93 mch-31.8 mchc-34.0 rdw-16.5* plt ct-453* 05:51am blood plt ct-453* 05:51am blood glucose-111* urean-42* creat-2.0* na-148* k-4.1 cl-111* hco3-27 angap-14 05:51am blood calcium-8.7 phos-5.2* mg-2.1 05:51am blood phenyto-9.1* phenyfr-pnd imaging: ct head : impression: extensive subdural hemorrhage involving the interhemispheric fissure and right cerebral convexity and layering along the right tentorium. approximately 9 mm of leftward midline shift demonstrated. no hydrocephalus or evidence of intraventricular spread of hemorrhagic products. cta head : impression: 1. stable post-craniotomy change with evolution of right frontal intraparenchymal hemorrhage and associated edema. alternatively, hypodensity could be related to venous ischemia. although the dural venous sinuses and deep cortical veins appear patent without thrombosis, mri is more sensitive and may be pursued if there is clinical concern. 2. stable right cerebellar infarct. mrv head : impression: 1. no evidence of new hemorrhage or major vascular territory infarction. 2. abnormal signal in the right frontoparietal lobe corresponding to areas of contusion and edema on prior ct. slight increase in edema compared to the prior, consistent with evolving contusion. 3. abnormal diffusion in the corpus callosum and left internal capsule consistent with diffuse axonal injury. 4. no evidence of cerebral venous thrombosis. mri c-spine : impression: 1. no evidence of acute cervical spine ligamentous or cord injury or intradural abnormality. 2. degenerative disc, endplate and facet joint disease, as described above, with likely impingement on the exiting mri head : impression: 1. no evidence of new hemorrhage or major vascular territory infarction. 2. abnormal signal in the right frontoparietal lobe corresponding to areas of contusion and edema on prior ct. slight increase in edema compared to the prior, consistent with evolving contusion. 3. abnormal diffusion in the corpus callosum and left internal capsule consistent with diffuse axonal injury. 4. no evidence of cerebral venous thrombosis. eeg : impression: this is an abnormal portable eeg recording due to the slow and disorganized background suggestive of a severe encephalopathy. metabollic disturbance, medication and infection are among the most common causes. there were no lateralized or epileptiform features seen in this recording, however the markedly generalized slowing could obscure some of the focal findings. lenis : impression: no deep venous thrombosis in the right lower extremity. extremely limited exam of the left lower extremity with no evidence of thrombosis of left cfv,sfv and popliteal veins but possible nonocclusive clot in the left tibial veins. lenis : impression: 1. no evidence of deep venous thrombosis in the left lower extremity. 2. left calf subcutaneous edema. head ct : impression: no significant change in subdural and subarachnoid hemorrahge, and mass effect, compared to three days prior. no evidence of new hemorrhage. ct chest/abdomen/pelvis: impression: 1. no clearly infectious process is identified in the torso. 2. there are areas of mild atelectasis in the lungs. 3. 4-5 mm nodule in the right upper lobe. consider ct followup in one years' time, if there is a history of smoking risk factors for lung malignancy, or a history of primary malignancy. 4. right renal cyst. cxr : findings: comparison is made to previous study from . there is a left-sided picc line whose distal lead tip is seen to the level of the mid svc. there is no pneumothoraces; however, the left apex has been slightly excluded from the study. there is a left retrocardiac opacity. brief hospital course: 72 year old man with a history of hypertension, hyperlipidemia, and iddm who is s/p fall on (no loc, with r sided ha). in the am the next day, he awoke with difficulty getting out of bed and weakness l>r. he presented to osh ed where he was found to have r sdh with l ml shift. he was transferred to ed for neurosurgical evaluation. he was taken to or on for evacuation which was complicated by hemorrhaghic venous infarct stable on cth to . he was started on keppra for seizure ppx. immediately post operatively, he was noted to have fine tremor of his ue for which keppra was increased to 1000 . no clear documentation of other movements noted subsequently, although pt on propofol. an eeg showed severe encephlopathy he countinued to have jerking of his lue. after much discussion with neurology these movement were felt to be myoclonus. mr. exam has really never improved he would have intermittent eye opening and spontaneously move the right arm. he had minimal movement of the other extemities. due to his poor exam it was decided he should have a peg and trach which was completed on .on he developed fevers and became hypotensive. a few days later his creatinine elevated as he has a history of diabetes and ckd (cr 1.7 on admit to osh) and a arrhythmia on sotalol. nephrology was consulted on and recommended keeping his bp elevated, increasing fluids and stopping sotolol. he continued to spike fevers without a clear source of infection he has been treated empirically with vancomycin. id was consulted on . id recommended discontinuation of all antibiotics in order to get clean cultures and chest ct. fever workup revealed l tibial vein thrombosis (other workup including ct chest/abd/pelvis was negative for source of infections). vascular surgery was consulted in regards to proper anticoagulation with known head bleed. after discussion, the patient was placed on a heparin drip goal 50-70 with no bolus. on , dermatology was consulted for skin changes. dermatology felt that the changes were most likely related to chronic prednisone use and dermal edema. the patient was seizure free and the neurology team did not feel that he needed an eeg prior to discharge. his dilantin level was monitored. it was increasing everyday but it was difficult to maintain him at a therapeutic level. the patient had a repeat lower extremity ultrasound on . it was a much better study than the previous one. the radiologist said there was no evidence of dvt and his heparin was stopped and he only had received on dose of coumadin. the patient will need to have his coags checked at rehab. on , he was noted to have hypernatremia to 155, his free water was increased and it began to trend down to a normal level. on the day of discharge, mr. was spontaneous with eye opening and movement of the rue and le, absent movement of the left upper extremity and weak withdrawl movement of the lle with noxious stimulation. medications on admission: prednisone gemfibrozil lisinopril amlodipine sotalol omeprazole colchicine simvastatin furosemide ntg patch topical folic acid insulin discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 4. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for headache/fever. 7. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 8. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day) as needed. 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po q 8h (every 8 hours). 10. sodium citrate-citric acid 500-300 mg/5 ml solution sig: fifteen (15) ml po q 12h (every 12 hours). 11. phenytoin 100 mg/4 ml suspension sig: two y (250) mg po q8h (every 8 hours). 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 13. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 14. meds please follow insulin sliding scale on attached sheet. discharge disposition: extended care facility: northeast - discharge diagnosis: sdh hypernatremia hyponatremia lower extremity thrombus discharge condition: neurologically stable discharge instructions: general instructions ?????? have a friend/family member check your incision daily for signs of infection. ?????? 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, and ibuprofen etc. ?????? you have been prescribed phenytoin for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion 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. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow up with dr. in 4 weeks with a non-contrast head ct. call to make an appointment. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more incision of cerebral meninges enteral infusion of concentrated nutritional substances other bronchoscopy percutaneous [endoscopic] gastrostomy [peg] arterial catheterization arterial catheterization temporary tracheostomy bronchoscopy through artificial stoma transfusion of packed cells computerized axial tomography of head diagnoses: pneumonia, organism unspecified other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) acute kidney failure with lesion of tubular necrosis adrenal cortical steroids causing adverse effects in therapeutic use diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation unspecified fall atrial flutter chronic kidney disease, unspecified other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias pressure ulcer, other site other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other diseases of lung, not elsewhere classified subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness encephalopathy, unspecified ventilator associated pneumonia cerebral artery occlusion, unspecified with cerebral infarction other specified diseases of pericardium iatrogenic cerebrovascular infarction or hemorrhage venous (peripheral) insufficiency, unspecified myoclonus other specified disorders of skin acute venous embolism and thrombosis of deep vessels of distal lower extremity pressure ulcer, stage iii edema spontaneous ecchymoses dyschromia, unspecified 

Answer: The patient is high likely exposed to