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: oxycodone attending: chief complaint: s/p fall, right subdural hematoma major surgical or invasive procedure: right craniotomy for subdural evacuation history of present illness: this is a 85 year old female on aspirin/coumadin for atrial fibrillation who is status post presumed mechanical fall on . she attempted to stand from a seated position and fell onto her right side. she presents from hospital where she had a head ct that was consistent with subdural hematoma with midline shift. the patient was given 1 unit of fresh frozen plasma and transferred here for further evaluation and treatment. while in the ed, the patient became nauseous with increasing headache and a repeat head ct was performed. the patient was given an additional unit of ffp/profiline 9, and vitamin k. the patient was loaded with dilantin. the patient's son was present and stated that his mother refused to go to the hospital yesterday, but this morning she was lethargic and confused so he brought her to hospital. he also stated the she was a full code. the patient proceeded to become lethargic and stopped following commands while in the emergency department. past medical history: afib on coumadin chf cad vertigo htn left hip orif social history: lives at home, has son named who is the hcp. family history: unknown physical exam: on admission: gen: eyes open spontaneously, smiling, sitting up in bed comfortable, nad. heent: pupils: eoms: intact neck: supple. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, not place or date language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested 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. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout except right deltoid- - difficult mobility. pronator drift- patient unable to perform given decreased mobility sensation: intact to light touch bilaterally. toes downgoing bilaterally on discharge: aox3 to person, place, month and year follows commands easily. left upper and lower extremities 4+/5 right sensation intact to light touch pertinent results: 12:00pm pt-13.7* ptt-25.7 inr(pt)-1.3* 04:31pm pt-11.9 inr(pt)-1.1 07:31pm pt-11.2 ptt-24.8* inr(pt)-1.0 03:04am blood pt-10.5 ptt-23.4* inr(pt)-1.0 12:00pm ctropnt-<0.01 05:46pm ck(cpk)-193 05:46pm ck-mb-5 ctropnt-<0.01 03:04am blood ck(cpk)-612* 03:04am blood ck-mb-18* mb indx-2.9 ctropnt-<0.01 head ct findings: again visualized is a hyperdensity along the inner table of the skull on the right ranging from anterior to the right frontal lobe to the right parietal lobe, consistent with an acute subdural hematoma. this hemorrhage measures 14 mm in maximal dimension from the inner table of the skull and demonstrates mass effect on adjacent sulci and the right frontal and parietal lobe with stable leftward shift of normally midline structures by 8 mm. no new foci of hemorrhage are identified. a hypodensity region is again noted in the right frontal lobe, and may represent an infarction of indeterminate age. confluence of periventricular white matter hypodensities. bilateral basal ganglia calcifications are again identified. no acute fractures are noted. there is mild sphenoidal mucosal thickening as well as mild opacification of the right maxillary air cells. otherwise, the remainder of the visualized paranasal sinuses and mastoid air cells are clear. impression: 1. stable appearance of acute right subdural hematoma, ranging from anterior to the right frontal lobe to posterior to the right occipital lobe measuring approximately 14 mm in maximal dimension from the inner table of the skull. there is continued stable leftward shift of normally midline structures by 8 mm. new foci of hemorrhage is identified. continued followup is recommended. 2. hypodense region in the right frontal lobe is again noted and may represent an infarction of indeterminate age, versus a confluence of periventricular white matter hypodensity. chest xray findings: frontal and lateral views of the chest were obtained. there is no focal consolidation or pneumothorax. blunting of the left posterior costophrenic sulcus may represent a tiny pleural effusion or scarring. prominent diffuse interstitial markings suggest underlying chronic lung disease. the heart is mildly enlarged. mediastinal silhouette and hilar contours are within normal limits. degenerative changes seen in the shoulders bilaterally. no displaced rib fracture is identified. a wedge compression deformity in the lower thoracic/upper lumbar spine is of unknown chronicity. aortic calcifications are better seen on the prior study. impression: 1. no acute intrathoracic process. 2. wedge compression deformity in the lower thoracic/upper lumbar spine of unknown chronicity. correlate with exam. head ct findings: the patient is status post right craniectomy with interval evacuation of the right subdural hemorrhage. the subdural cavity has been replaced by air. there is persistent 8 mm leftward shift of normally midline structures. a small left parafalcine hemorrhage layering along the left tentorium is more apparent than prior studies. no new intraparenchymal hemorrhage is identified. hypodensity in the right frontal lobe is unchanged and may represent an infarction of indeterminate age versus confluence of periventricular white matter hypodensity. mild mucosal thickening is seen in the right sphenoid sinus. the mastoid air cells and middle ear cavities are clear. impression: 1. post-surgical changes after right craniectomy with stable 8 mm leftward shift of normally midline structures. 2. small left parafalcine subdural hemorrhage. pelvis xray findings: there are no old films available for comparison. this is a single ap view of the pelvis. there is diffuse osteopenia, which somewhat limits evaluation. there is an old healed left hip fracture with an intramedullary rod and screw with associated deformity of the left femoral head and new bone formation extending into the soft tissues. no new fracture is identified, but osteopenia limits this assessment. ct head there is reaccumulation of fresh subdural hematoma along the right convexity. new right parietal lobe intraparenchymal hemorrhage surrounded by edema : cxr: findings: tip of the nasogastric tube is in the mid-to-lower stomach with the side hole just distal to the esophagogastric junction. little change in the heart and lungs when compared to the study of this date. : video swallow evaluation: technique: oropharyngeal swallowing videofluoroscopy was performed in conjunction with the speech and swallow division. multiple consistencies of barium were administered. findings: barium passes freely through the oropharynx and esophagus without evidence of obstruction. there was, however, deep penetration and aspiration with nectar and honey-thick barium. there was residual barium with all thicknesses, most pronounced with pudding thickness barium. impression: penetration and aspiration with nectar and honey-thick barium. residual barium with all thicknesses. for details of the examination as well as recommendations, please refer to speech and swallow division note in online medical record. the study and the report were reviewed by the staff radiologist. dr. . dr. brief hospital course: 85f who presented to an osh after a fall, on coumadin, ct showed a r sdh and she was transferred to . on initial examination, her exam was stable, however, she decompensated while in the er and required to go to the or emergently. she was intubated. intraoperatively, the patient did well, and post-operatively was taken to the icu where she was later extubated. post-op imaging was stable with expected post-op changes. there were no issues overnight. the patient remained in afib. on , the patient was more awake and alert. her exam was improved from the day prior. she remained in the icu for monitoring. her dilantin level corrected was 19.1 and one dose was held. on she remained neurologically stable. her dilantin level was high again, two doses of dilantin were held. she was ready for transfer to the floor so that she can work more aggressivly with pt and ot. on her mental status continued to improve. dilantin level remained high and so she was switched to keppra for seizure prophylaxis. she was seen and evaluated by physical therapy and occupational therapy who felt that she would benefit from acute rehab. overnight on into she became tachycardic to the 130s. metoprolol dosing was increased to 50 and then to 75 on . on this day she was noted to have decreased strength on the left and had pupil asymmetry, l>r. ct head showed a new right sdh and new right iph but improvement in mls. stroke neurology was consulted and did not feel that this was a hemorrhagic conversion of ischemic stroke. she continued to aspirate on repeat speach and swallow evaluation on . we discussed the need for ngt or dobhoff placement. she wishes tohold off until monday. on , she was tolerating water and taking meds without issues. on , patient was seen to have more overall generalized weakness. she was also seen to desat with o2 at 89%. respiratory was called and patient was placed on 2l o2 and saturation was improved. a cxr was ordered to evaluate for pna and a ngt was placed for medication and food administration. she was started on ciprofloxacin for a uti on . video swallow evaluation was performed on and demonstrated moderate-severe pharyngeal dysphagia primarily characterized by risk of aspiration with all po intake due to swallow initiation delay, reduced laryngeal valve closure, and residue mixing with secretions. she was maintained on strict npo status. at the time of discharge on she was tolerating a regular diet, afebrile with stable vital signs. medications on admission: preadmission medications listed are correct and complete. information was obtained from family/caregiver. 1. warfarin 5 mg po daily16 2. aspirin 81 mg po daily 3. furosemide 20 mg po daily 4. calcium carbonate 500 mg po bid 5. digoxin 0.125 mg po daily 6. folic acid 1 mg po daily 7. metoprolol tartrate 25 mg po bid 8. omeprazole 20 mg po daily 9. meclizine 12.5 mg po daily:prn vertigo discharge medications: 1. calcium carbonate 500 mg po bid 2. digoxin 0.125 mg po daily 3. folic acid 1 mg po daily 4. metoprolol tartrate 25 mg po bid 5. warfarin 5 mg po daily16 6. acetaminophen 325-650 mg po q6h:prn pain headache 7. artificial tears preserv. free 1-2 drop both eyes prn dry eye 8. ciprofloxacin hcl 500 mg po q12h duration: 3 days 9. heparin 5000 unit sc tid 10. lansoprazole oral disintegrating tab 30 mg po daily 11. levetiracetam 1000 mg po bid 12. multivitamins 1 tab po daily 13. potassium chloride 40 meq po bid duration: 24 doses hold for k > 4.5 14. phosphorus 500 mg po bid 15. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. discharge disposition: extended care facility: - discharge diagnosis: subdural hematoma with compression cerebral edema intraparenchymal hemorrhage dysphagia delirium urinary tract infection discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: craniotomy for subdural hematoma dr. ?????? 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 were on a medication such as coumadin (warfarin) and aspirin 81 mg qd, prior to your injury, you may safely resume taking this on . ?????? 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 appointment instructions ?????? please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ?????? you will need a ct scan of the brain without contrast. procedure: incision of cerebral meninges enteral infusion of concentrated nutritional substances arterial catheterization other repair of cerebral meninges central venous catheter placement with guidance diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation hypopotassemia alkalosis cerebral edema long-term (current) use of anticoagulants subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness fall from other slipping, tripping, or stumbling disorders of magnesium metabolism other alteration of consciousness pseudomonas infection in conditions classified elsewhere and of unspecified site other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness dysphagia, pharyngeal phase 

Answer: The patient is high likely exposed to