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: history of present illness: the patient is a 57 year-old man with a history of hypertension who was transferred from hospital with a right frontal parietal intracerebral hemorrhage in the setting of elevated blood pressure. he had presented to with a one day history of headache and was found to be hypertensive to 250/130. he continued to complain of a severe headache, but did not have any obvious neurological deficits. a head ct was performed and showed a large right frontal parietal intracerebral hemorrhage with intraventricular extension. he was therefore transferred to the . in route the patient became agitated and was intubated for "airway protection." past medical history: hypertension. medications: none. allergies: bee stings. social history: the patient is divorced. he has three children. he had been living in and was incarcerated for a period of time for alleged drunk driving. he recently moved back to the area and was living with his mother. there is no smoking. he had a history of alcohol abuse. physical examination on admission: blood pressure 140/70 on nipride. pulse 80s. respiratory rate 18. in general, the patient was intubated and sedated. neck was supple. his lungs were clear. heart was regular rate and rhythm. neurological examination the patient moved all extremities to loud verbal stimulation. he was not following commands. on cranial nerves the pupils were 1.5 mm and minimally reactive. he had intact corneals and oculocephalics. on motor testing there was increased tone in the lower extremities. he moved all extremities symmetrically to noxious stimulation. on sensory examination he withdrew to pain in all four extremities. his reflexes were symmetrical. his toes were upgoing bilaterally. head ct no admission showed a large intraparenchymal hemorrhage in the right frontal/parietal lobe approximately 3.5 cm in size with surrounding edema. there was intraventricular extension with a small amount of hemorrhage in the occipital horns bilaterally. there was compression of the atrium and tip of the of the right lateral ventricle. hospital course: the patient was therefore admitted to the intensive care unit for further treatment. the patient has had a long and complicated course as follows. 1. neurological: the patient was evaluated by the neurosurgical service. an angiogram was performed on , which showed no evidence of aneurysm or arterial vascular malformation. the patient's initial blood pressure goal was less then 140 and this was maintained with drips as needed. these parameters were gradually liberated to less then 160. the patient was initially moving all extremities. he was extubated shortly after arrival. he then became very agitated with increasing blood pressures. in order to maintain his blood pressure in a safe range the patient was reintubated and sedated. given the patient's significant alcohol history it was felt that this likely represented alcohol withdraw. the patient was therefore placed on a ciwa scale and given ativan accordingly. the patient was successfully sedated. sedation was then lifted. the patient subsequently has not shown any signs of neurological improvement. serial head cts showed little change in the size of the hemorrhage and surrounding edema. the patient's depressed mental status was most likely due to several factors including left lower lobe pneumonia, transaminitis, dehydration with uremia, bacteremia and stroke as outlined below. on the patient underwent mri. diffusion weighted images showed several areas of restrictive diffusion bilaterally in the periventricular region consistent with multiple small acute infarcts. the area of hemorrhage in the right frontal parietal region was unchanged, unsusceptibly and several small areas of chronic blood products in both cerebral hemispheres. there was no enhancement with gadolinium. this most likely represented bilateral water shed infarcts in the setting of an episode of hypotension following reintubation several days prior to the scan. other possibilities included amyloid angiopathy or endocarditis with septic embolic infarcts. endocarditis is being worked up further as below. the patient's current neurological examination is he has his eyes closed most of the time. he is able to slowly open his eyes to loud verbal stimulation. his pupils are equally round and reactive to light. his oculocephalic and corneals are intact. he has decreased tone throughout. he has little to no spontaneous movements. he shows minimal withdraw on the right side to noxtious stimulation. 2. cardiovascular: the patient's initial blood pressure parameters were less then 140 and these were liberated slowly to less then 160. he has intermittently been on several drips including nipride and labetalol and maintained his goal pressure. oral antihypertensives were gradually introduced and currently include lopressor, enalapril, norvasc, lasix as well as a clonidine patch. the patient still remains hypertensive requiring prn intravenous blood pressure medications. on approximately the patient went into atrial flutter with 2 to 1 block. this was refractory to lopressor and diltiazem. the patient was therefore cardioverted. he again went into atrial flutter requiring cardioversion and started on amiodarone drip. this is now being converted to po amiodarone. the patient had an echocardiogram on , which showed moderately dilated left atrium, moderately dilated right atrium, moderate symmetric left ventricular hypertrophy, mildly dilated aortic root, mild mitral regurgitation and mild tricuspid regurgitation. left ventricular ejection fraction is greater then 55%. there was no visualized thrombus or vegetation. the plan at this time is for a transesophageal echocardiogram. 3. respiratory: the patient had been intubated prior to arrival. he was quickly extubated. however, he was reintubated due to increasing agitation and the need for sedation in order to control his blood pressures. he was again successfully extubated, however, this patient had increasing difficulty with handling his secretions requiring frequent suctioning. he showed progressive signs of respiratory distress and was reintubated on approximately . he currently remains intubated on cpap with pressure support and plans are for a tracheostomy. 4. fluids, electrolytes and nutrition: the patient was initially on intravenous fluids and then was started on tube feeds. the patient showed progressive signs of intravascular depletion with rising bun to a high of 74 on and a high creatinine of 1.6. this was most likely due to insensible losses from tachypnea. after intubation and fluid repletion in the form of free water boluses due to the nasogastric tube these have gradually improved and the most recent values as of are a bun of 34 and a creatinine of 1. the patient's electrolytes were repleted as needed. 5. gastrointestinal: the patient's liver function tests were normal on admission. these were checked frequently given his encephalopathic state. his liver function tests gradually increased to a peak of alt 773 and ast 484 on . the liver service was consulted and the most likely etiology was felt to be dilantin. the dilantin was discontinued and his liver function tests have subsequently improved with his most recent values of alt 195 and ast 65. for workup of his transaminitis a right upper quadrant ultrasound was obtained. this revealed air in the biliary tract and gallbladder lumen. as there was no known history of gastrointestinal procedures to account for this the surgical service was consulted. the patient underwent abdominal and pelvic ct, which confirmed the presence of the air in the common bile duct, gallbladder and hepatic duct. however, there were no findings of ischemic bowel. his clinical presentation was not consistent with infection. therefore the patient was restarted on tube feeds and has been sable from an abdominal standpoint. the patient remains on gut protection with a proton pump inhibitor. his stools have become guaiac positive in will be continued to be followed. 6. hematology: the patient's hematocrit gradually decreased over the course of admission from 39.8 to 29.7 on . he had a significant decrease from to going from 38.1 to 29.7. it was felt that this was most likely due to fluid resuscitation. hematocrit has remained stable since. the patient's stools have been guaiac positive and this will continue to be followed. 7. infectious disease: the patient showed signs of likely aspiration pneumonia on chest x-ray. his sputum grew pan sensitive staph aureus. the patient was treated with a 14 day course of ceftriaxone. on blood cultures grew out coagulase negative staph. the patient was started on vancomycin for this and remains on vancomycin as of this dictation. in summary, the patient is a 57 year-old male with a history of hypertension who presented with intracerebral right frontal parietal hemorrhage with intraventricular extension. he has had a long and complicated subsequent course as detailed above. it si still felt that the most likely etiology of his hemorrhage is hypertension. vascular malformations and aneurysms have not been apparent in conventional angiography. there is no suggestion of an underlying mass on mri. the other etiologies still in consideration and being worked up are amyloid angiopathy and endocarditis. the patient has remained comatose most likely due to his factors as stated above. his most active current medical issues include recent atrial flutter and coagulase negative staph bacteremia. plans are for peg and trach placement this week. diagnoses: 1. right frontal parietal intracerebral hemorrhage. 2. stroke. 3. atrial flutter. 4. hypertension. 5. dehydration. 6. transaminitis. 7. pneumonia. 8. staph epidermitis bacteremia. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries temporary tracheostomy diagnoses: other pulmonary insufficiency, not elsewhere classified atrial flutter intracerebral hemorrhage bacteremia methicillin susceptible pneumonia due to staphylococcus aureus malignant essential hypertension hyperosmolality and/or hypernatremia cerebral artery occlusion, unspecified with cerebral infarction pneumonitis due to other solids and liquids 

Answer: The patient is high likely exposed to