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: no known allergies / adverse drug reactions attending: chief complaint: unresponsive major surgical or invasive procedure: endotracheal intubation central venous line tracheostomy peg tube history of present illness: the pt is a 87 year-old man with a past medical history of a.fib (does not currently appear to be on coumadin), htn who was found down near his car and sent from an osh with a large right sided intraparenchymal bleed. all information is obtained solely from ems and osh notes as patient is not responsive and no contact is currently available. the patient was reported to the police as missing at 3:44 this morning. he was staying with his sister in , but apparently lives somewhere else. he was found not far from the house on the ground about 50-75 feet from his car (not clear if he was driving or this was near the driveway). police noted that he was supine, was moving his right side, slurring his speech and saying incoherent things, and not following commands. in the field he was noted the be very cold ~90-f, bp was 160/103. the patient was brought to nearby where a ct scan was done that showed a iph, however no report was sent and the cd could not be opened. the patient was noted to continue to be cold (one recorded temp in the vitals chart lists 90.9). at some point he was intubated for "airway protection." he was then med flighted to for further evaluation. here neurosurgery was called and then neurology was called. the patient remains intubated and was given a number of fentanyl boluses for sedation, and his temp was noted to be 94.3 and a warming blanket was placed on the patient. on neuro ros, general ros not currently available past medical history: - htn - a.fib (was noted in to be on coumadin at lgh but normal inr today) - rheumatic fever as a child - b/l inguinal hernia repair 20 years prior social history: apparently was visiting his sister in . is a jehovah's witness and would not want blood transfusions, otherwise social history an unknown family history: unknown physical exam: vitals: t: 94.3 p: 82 r: 16 bp: 114/72 sao2: 100 intubated general: intubated, sedated, not following commands, eyes open a small amount to sternal rub heent: nc/at, in c-collar, no bruits heard pulmonary: load mechanical and coarse breath sounds bilaterally cardiac: rrr, nl. s1s2, systolic murmur abdomen: soft, nd, normoactive bowel sounds extremities: edema bilaterally, and venous stasis changes on legs neurologic: -mental status: eyes closed in c-collar, eyes open slightly to deep sternal rub, moves and fights restraints on right side. doesn't follow commands i: olfaction not tested. ii: perrl 2mm small non-reactive bilaterally (just given fentanyl) iii, iv, vi: dolls eyes present v, vii: corneal's intact ix, x: coughs, but no gag to stim -motor: normal bulk, slightly increased tone on right arm, normal in legs, flaccid in left arm moves right arm and leg spontaneously, moves left leg spontaneously but less than right. does not move left arm to noxious stimulation -sensory: withdraws to pain at right arm/leg, left leg, moves other arm to stim on left arm -dtrs: tri pat ach l 2 2 2 2 1 r 2 2 2 2 1 plantar response was extensor bilaterally. pertinent results: eeg : this is an abnormal portable eeg due to slowing and disorganization of the background rhythm consistent with a moderate to severe encephalopathy. there were sharp waves, at times occuring periodically at 0.5 to 1 hz and in short runs, and well as focal slowing in the left frontal region indicative of cortical and subcortical dysfunction in this region; although no clear clinical correlate was demonstrated, some of the sharp waves were noted to be associated with movement of the right foot. these findings are consistent with patient's history of a left frontal hemorrhage. no electrographic seizures were seen in this recording. note is made of an irregularly irregular cardiac rhythm with occasional wide complex ectopic beats. ct (head) large right frontal intraparenchymal hemorrhage with associated areas of vasogenic edema with minimal improvement of leftward shift of midline structures. there is small amount of subarachnoid hemorrhage and right frontal subdural hematoma, essentially unchanged from prior exam. cxr: moderately severe pulmonary edema continues to worsen since accompanied by moderate left and small right pleural effusion, also increasing, and obscuring cardiac silhouette, probably moderately enlarged and unchanged. no pneumothorax. tracheostomy tube abuts the right tracheal wall and should be evaluated clinically to see if it is appropriately positioned. left subclavian line ends in the mid svc. no pneumothorax brief hospital course: right frontal hemorrhage the patient was admitted after being found down beside his car. he was initially hypothermic (94 f), but was warmed in the ed. his exam was notable for minimal responsiveness, no eye opening, intact brainstem reflexes and some spontaneous movement of the right arm. he was intubated for airway protection. on hd 2 he was noted to be following some commands with his right arm. family was present and made the decision that they would like to go forward with care, even if that involved a trach and peg. the patient had a tracheostomy and peg tube placed by the icu team and was able to come off of ventilator support to humidified o2 with q4 hour suctioning. during his hospital course he did not open his eyes to voice or sternal rub. seizures while the patient was in the ed he was noted to have shaking movements of his right arm. he was loaded with dilantin - which was eventually changed over to keppra at 750 mg . he had 2 routine bedside eegs performed which showed moderate encephalopathy and slowing over the right frontal region in the region of the iph. mssa pneumonia the patient had coag + staph aureus that was pan-sensitive cultured from his sputum on . he was initially treated with vancomycin and zosyn (on ) and then transitioned to nafcillin when sensitivities returned. total course should be 14 days (end date ). nutrition patient had a peg tube placed and was started on tube feeds. code status discussion was had with his 2 sisters who made him dnr - but felt that ventilator assistance would be ok so long as it was not prolonged. the patient will be discharged to ltac. he needs telemetry and will be transported by als. medications on admission: unknown discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day) as needed for constipation. 3. senna 8.8 mg/5 ml syrup sig: five (5) ml po daily (daily). 4. acetaminophen 650 mg/20.3 ml solution sig: 20.3 ml po q6h (every 6 hours) as needed for fever/pain. 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 6. levetiracetam 100 mg/ml solution sig: 7.5 ml po bid (2 times a day). 7. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 8. nafcillin in d2.4w 2 gram/100 ml piggyback sig: two (2) g g intravenous q6h (every 6 hours) for 4 days. 9. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day). discharge disposition: extended care facility: - discharge diagnosis: intracerebral hemorrhage partial seizures methicillin-sensitive s. aureua pneumonia discharge condition: mental status: confused - always. level of consciousness: lethargic and not arousable. activity status: bedbound. discharge instructions: patient was admitted with the diagnosis of intracerebral hemorrhage. he was minimally responsive during his hospital course. he had a trach and peg placed for breathing assistance and nutrition. he no longer required ventilator assistance on discharge. he was antibiotics for an mssa pneumonia. he will need to remain on nafcillin until for a total of 14-day course. he currently has a subclavian line that can be removed after antibiotic course has been completed. he was started on keppra 750 mg for seizures that were seen on presentation. he will need to be continued on that medication. he was made dnr by his sisters who were appointed health care proxies, but they would allow for ventilator assistance should that be required. followup instructions: patient will be transferred to an ltac. neurology appointment provider: , md, phd: date/time: 2:30 clinical center **please call registration to update your insurance information and get a referral before this appointment call registration at md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy other diagnostic procedures on lung or bronchus diagnoses: unspecified pleural effusion unspecified essential hypertension atrial fibrillation other convulsions intracerebral hemorrhage cerebral edema methicillin susceptible pneumonia due to staphylococcus aureus do not resuscitate status encephalopathy, unspecified hemiplegia, unspecified, affecting unspecified side hypothermia other amyloidosis accident due to excessive cold due to weather conditions 

Answer: The patient is high likely exposed to