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: traumatic left frontal sah, s/p mechanical fall on warfarin major surgical or invasive procedure: none history of present illness: 88 year old right-handed male with past medical history significant for dementia, prior sdh operated about 1.5 years prior, htn who present s/p fall at home with a sub-arachnoid bleed. the patient was walking up the stairs to his home. per his wife he was on the first stair up when she heard him fall. he fell back on the concrete ground. the wife believes he seemed out of it for about 30 seconds, but soon recovered and was able to answer questions appropriately. he was complaining of a severe headache and he was sent to his local hospital in nw where a ct scan was performed. he was noted to have an sah and was sent to . he has remained conscious since the fall and has been answers questions appropriately since arrival. past medical history: of note the patient has had multiple falls and walks with a cane. he had a fall two years prior resulting in an sdh that was treated surgically at . he also has had difficult moving his left shoulder and it was discovered recently he has a torn rotator cuff on the left side. -gout -htn -b/l cataracts - blindness in left eye ?ischemic event 3 years prior - cad, h/o stent years prior social history: patient lives at home with wife. she largely takes care of all his needs. he is able to feed himself. he uses a cane to ambulate. he has been declining cognitively over the last 5 years per the family. he has a long past smoking history (quit 30-40 years ago). he doesn't drink currently (did socially some time ago) no drug use family history: non-contributory physical exam: on admission: t:96.1 bp:130/58 hr:50-60 r:18 98%o2sats gen: elderly thin man, in cervical collar, seems upset neck: in cervical collar lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, knows place in , and did not know the date (apparently at baseline) recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils small 2mm and reactive, l pupil surgical. visual fields are full to confrontation on r, on l has no visual acuity. 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: patient with decreased bulk throughout, normal tone. no noted pronator drift bilaterally. no adventitious movements, such as tremor, noted. no asterixis noted. muscle in ue with some decreased strength in left ue to pain and weakness from rotator cuff repair. per family this is at baseline in le all muscle groups tested -sensory: no deficits to light touch, pinprick, cold sensation. -dtrs: tri pat ach l 2 2 2 2 1 r 2 2 2 2 1 pertinent results: labs on admission: 07:15pm blood wbc-25.2* rbc-3.45* hgb-10.0* hct-32.2* mcv-93 mch-28.9 mchc-30.9* rdw-17.4* plt ct-66* 07:15pm blood neuts-84.1* lymphs-10.9* monos-4.4 eos-0 baso-0.6 07:15pm blood pt-12.3 ptt-21.8* inr(pt)-1.0 07:15pm blood glucose-114* urean-39* creat-1.1 na-145 k-4.3 cl-109* hco3-27 angap-13 03:08am blood alt-30 ast-16 alkphos-61 totbili-0.6 03:08am blood albumin-3.4 calcium-8.1* phos-4.0 mg-2.2 05:57pm blood phenyto-14.8 labs on discharge: 7.9 5.9 >-----< 249 24.0 138 105 9 ------------------< 87 3.9 24 0.7 micro: 3:05 pm sputum source: expectorated. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): gram positive cocci. in pairs. 1+ (<1 per 1000x field): yeast(s). respiratory culture (preliminary): results pending. 11:34 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): positive for methicillin resistant staph aureus. 8:39 am stool consistency: formed **final report ** clostridium difficile toxin a & b test (final ): reported by phone to d. hickcox, r.n. on at 0415. clostridium difficile. feces positive for c. difficile toxin by eia. (reference range-negative). a positive result in a recently treated patient is of uncertain significance unless the patient is currently symptomatic (relapse). imaging: head ct :non-contrast head ct: there is right parietooccipital scalp hematoma, without underlying acute fracture seen. two prior burr holes are noted in the right parietal skull. diffuse subarachnoid hemorrhage in the right cerebral hemisphere and also foci in the left frontal lobe appear similar to that seen on outside hospital ct performed six hours prior. several foci of subarachnoid hemorrhage along the left superior convexity are newly apparent. there are also bilateral small predominantly frontal subdural hematomas, which measures up to 4 mm on the left, which appear unchanged. small focus of hemorrhagic contusion along the inferior right frontal lobe is unchanged. there is new intraventricular extension of hemorrhage layering bilaterally in the occipital horns. high-density is also noted within the interpeduncular fossa. size of the ventricles is unchanged, without evidence of hydrocephalus. no shift of normally midline structures or effacement of the basal cisterns is seen. no evidence for large vascular territorial infarction is seen. the ventricles and sulci appear normal in size and configuration for the patient's age. vascular calcifications are noted along the carotid siphons and vertebral arteries. the patient has had prior bilateral lens replacement. mild mucosal thickening is noted within anterior ethmoid air cells and the left maxillary sinus, with small mucus retention cysts along the floor of the left maxillary sinus. the mastoid air cells are normally aerated. impression: acute subarachnoid, subdural, and intraparenchymal hemorrhages as described above. compared to six hours prior, couple of new foci of subarachnoid hemorrhage along the left superior complexity are newly apparent, as well as intraventricular extension of hemorrhage. no shift of normally midline structures, effacement of the basal cisterns, or hydrocephalus. head ct : findings: no significant interval change. there is a subarachnoid hemorrhage located in the right cerebral hemisphere and left frontal lobe. overall, the appearance is similar to prior study. there is a tiny amount of blood layering along the falx and tentorium as well as dependently within the bilateral lateral ventricles, also subtle. there is a right frontal subdural hematoma, which appears similar compared to prior study. previously noted left frontal subdural hematoma is slightly less prominent. there is an area of contusion in the right inferior frontal lobe with similar appearance compared to prior study, with unchanged surrounding edema. there is no evidence of new hemorrhage. there is no significant shift of midline structures. the ventricles and sulci are prominent, which could be due to age-related atrophy and appears similar compared to prior study. there are bilateral carotids siphons and vertebral artery calcifications. the patient is status post two burr holes on the right calvarium. visualized portion of paranasal sinuses and mastoid air cells are within normal limits. impression: overall unchanged appearance of subarachnoid, intraparenchymal, and intraventricular hemorrhage allowing for some redistribution. no shift of midline structures. ct chest w/o contrast study date of impression: 1. bilateral consolidative changes of the lung bases most likely suggestive of aspiration, pneumonia is another likely possibility. atelectasis is less likely as there is no associated volume loss. 2. small bilateral pleural effusions. loculated effusion is noted adjacent to the aorta on the left side. 3. calcified cyst of the upper pole of the left kidney which does not meet the criteria for a simple cyst. for further evaluation, mr of the abdomen can be obtained. 4. wedge compression deformity of t4 and t7. brief hospital course: the patient was admitted to the neurosurgery service after falling backwards from a standing position and had a small sah found on head ct. the patient had several stable ct scans and did not require surgery. he was transferred to the neurosurgical floor on . he had fevers, elevated wbc, and his stool was positive for c. difficile. he was started on flagyl. the patient also had presumed aspiration pneumonia after several episodes of vomiting. his first cxr did not show signs of pneumonia so antibiotics were not started for that. however there was evidence of a mediastinal mass and luq masses. he will need ct of the chest and abdomen to evaluate those further. . the patient also had delirium and geriatrics was consulted. they recommended stopping namenda, aricept, and dilantin. his mental status improved. however he had a temperature of 101 again on . since the patient had multiple medical issues and did not require neurosurgery, he was transferred to the geriatrics service on . . on the geriatrics service, the following issues were address: . # sah: as above. patient will need to follow up with neurosurgery as an outpatient. during this appointment, neurosurgery will address restarting aspirin 81 mg. . # c. diff colitis: pt should continue for po flagyl until . . # aspiration pneumonia: pt denies any dyspnea and he sats mid-90s on ra. he was treated with 10 day course of ceftriaxone and vancomycin, to be completed . speech and swallow made the following recommendations: 1.) diet: nectar thick liquids and pureed solids. 2.) meds: crushed in puree 3.) tid oral care 4.) 1:1 supervision with meals to maintain aspiration precautions . # delirium on dementia: his namenda and aricept were held, and he was started on ritalin titrated up to 5 mg daily and celexa 5 mg. . # cad, s/p stent years ago: he was continued on his metoprolol. his aspirin was held. reinitiation should be discussed with neurosurgery but is generally after 1 month pending stable ct scan. . # htn: this was controlled on his metoprolol. . # mds with refractory anemia: his hct remained at baseline of ~23. he was started on iron supplements. . # gout: he was continued on allopurinol. . # code: currently full, in discussion with son medications on admission: asa 81mg',mvi,feso4 325mg',aricept 10mg',prilosec 20mg',allopurinol 100mg',namenda 10mg",calcium 125mg",colchicine 6mg",metoprolol 12.5"',cerefolin-nas qod discharge medications: 1. multivitamin tablet : one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day) as needed for constipation. 3. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed for constipation. 4. allopurinol 100 mg tablet : one (1) tablet po daily (daily). 5. acetaminophen 325 mg tablet : two (2) tablet po every six (6) hours. 6. calcium carbonate 500 mg tablet, chewable : two (2) tablet, chewable po bid (2 times a day). 7. cholecalciferol (vitamin d3) 400 unit tablet : two (2) tablet po daily (daily). 8. citalopram 20 mg tablet : 0.25 tablet po daily (daily). 9. methylphenidate 5 mg tablet : one (1) tablet po qam (once a day (in the morning)). 10. ferrous sulfate 325 mg (65 mg iron) tablet : one (1) tablet po daily (daily). 11. metoprolol tartrate 25 mg tablet : tablet po three times a day. 12. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily): be dissolved in nectar thick liquids. 13. ceftriaxone in dextrose,iso-os 1 gram/50 ml piggyback : one (1) gram intravenous q24h (every 24 hours) for 5 days. 14. vancomycin 1,000 mg recon soln : 1,000 mg intravenous once a day for 5 days: pls start at 8pm. 15. metronidazole 500 mg tablet : one (1) tablet po q6h (every 6 hours) for 12 days. 16. ciprofloxacin 0.3 % drops : 1-2 drops ophthalmic q4h (every 4 hours) for 7 days. 17. heparin (porcine) 5,000 unit/ml solution : 5,000 units injection (2 times a day). discharge disposition: extended care facility: northeast - discharge diagnosis: primary: left frontal subarachnoid hemorrhage . secondary: c. difficle colitis aspiration pneumonia delirium coronary artery disease hypertension myelodysplastic syndrome gout discharge condition: neurologically stable, afebrile discharge instructions: you were admitted to the hospital for a bleed in your brain. this is now stable on ct scans of the head. during your hospital course, you develop an infection of the colon called c. difficle colitis. you need to finish your course of antibiotics. in addition, you also develop a pneumonia and have two intravenous antibiotics. you are being discharged to a extended care facility. the following are recommendations from neurosurgery: ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. you must discuss with your neurosurgeon before starting aspirin. 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: neurosurgery 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 prior to your appointment. this can be scheduled when you call to make your office visit appointment. please follow up with your primary care provider . within 2 weeks of discharge from the extended care facility. her clinic number is . procedure: venous catheterization, not elsewhere classified diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension gout, unspecified percutaneous transluminal coronary angioplasty status hypopotassemia myelodysplastic syndrome, unspecified pneumonitis due to inhalation of food or vomitus accidental fall on or from other stairs or steps intestinal infection due to clostridium difficile long-term (current) use of anticoagulants senile dementia with delirium subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness anemia in neoplastic disease swelling, mass, or lump in chest conjunctivitis, unspecified abdominal or pelvic swelling, mass, or lump, left upper quadrant 

Answer: The patient is high likely exposed to