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: sudden onset headache and right sided weakness major surgical or invasive procedure: : placement of external ventricular drain / right side : angiogram and embolization of a-comm aneurysm : re-placed evd right side evd removal on right/evd placed on left /cerebral angioplsty and cerebral angiogram history of present illness: hpi:pt. is a 31 year old male, who per his mother has been having occipital headaches for the past few weeks. per outside ed report pt. was shoveling manure today when he developed a sudden onset headache and right sided weakness. he was taken to an outside facility where his headache was accompanied by sever n/v and questionable seizure activity and decerebrate posturing, pt. was intubated there after ct scan showed diffuse sah greatest in the region of the acom, and he was transferred to . past medical history: pmhx: none social history: social hx: + tobacco ( approx. 1-2 packs) pt. rolls own no etoh family history: family hx:nc physical exam: physical exam: o: t: bp: 133 /70 hr: 50's r: vented 16 o2sats 100% gen: intubated and sedated in icu heent: pupils: 2mm, minimally reactive eoms: unable to eval. extrem: warm and well-perfused. neuro: + cough and gag mental status:intubated sedated, not following commands cranial nerves: i: not tested motor: slight decerebrate posturing seen in ed dishcarge exam: aox2-3, mae with full strength. no prontator drift pertinent results: 12:22am wbc-22.0* rbc-4.34* hgb-13.9* hct-39.9* mcv-92 mch-32.0 mchc-34.8 rdw-13.9 03:16am pt-13.4 ptt-24.1 inr(pt)-1.2* 12:22am glucose-160* urea n-11 creat-0.8 sodium-139 potassium-4.4 chloride-104 total co2-24 anion gap-15 06:29pm cerebrospinal fluid (csf) wbc-1500 hct,fl-6.0* polys-88 lymphs-2 monos-8 macroph-2 cta impression: 1. anterior communicating artery aneurysm, 9 x 5 mm. 2. massive intraparenchymal and intraventricular hemorrhage with hydrocephalus. small amount of subarachnoid hemorrhage. ct perfusion impression: 1. relatively unchanged appearance of diffuse subarachnoid, predominantly right frontal intraparenchymal and extensive intraventricular hemorrhage. persistent perihemorrhagic edema around the right frontal hematoma causing mild subfalcine herniation measuring up to 7 mm, unchanged. 2. interval clippage of the anterior communicating artery aneurysm with no signifacnt residual within limits of the sreak artifact from the coils. no other abnormalities noted. cta : conclusion: no change in ventricular calibers since study of . no evidence of new hemorrhage. status post coiling of anterior communicating artery aneurysm with residual intraparenchymal and intraventricular hemorrhage. the ct perfusion study demonstrates an avascular area corresponding to the right frontal lobe hematoma but no evidence of cerebral ischemia elsewhere. the cta suggests generalized reduction in caliber of the intracranial arteries with no focal narrowings to suggest vasospasm. brief hospital course: 31m admitted to the icu on with no eye opening(attempted however), follows commands in ues & lle. perrl, and evd in place. he was extubated on and icps were wnl. he had a cta/perfusion study which showed no vasospasm or ischemia. he then pulled out his evd on the night of . he had a head ct which showed no worsening hydrocephalus. he did become more lethargic on the and the evd was replaced and emperic treatment antibiotics were started for elevated wbcs in the csf. icps wnl however remained bloody. on he began to become more alert and arousable, following commands although only oriented to self. on he show improved alertness and orientation. decreased mental status in the afternoon- cta+p sugestive of vasospasm began triple h therapy with goal bp 180 pt scheduled for diagnostic angio showed aca territory vasospasm. he required continued with a evd at 10. he remained neurologically orientated x1, followed commands difficult with 2 step commands, motor strength full throughout. he had continuous hyponatremia, he was treated with salt tabs with good effect. on and a diagnositic angio showed vasospasm for which he received verapamil. he remained neurologically with some short term memory issues remembering the date and the name of the hospital. on his evd was removed and he was transferred to the neurostep down unit. he progressed well once he was on the floor, he orientated x3, eating well, voiding and having bowel movements. pt and ot were concerned with cognitive abilities and felt he would need 24 hour care. he is being sent home with his parents for 24 hours supervision they have agreed to providing this care. medications on admission: none discharge medications: 1. tylenol 325 mg tablet sig: three (3) tablet po every hours. tablet(s) 2. keppra 1,000 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: a-comm aneurysm rupture subarachnoid hemorrage(atraumatic) vasospasm / cerebral discharge condition: stable discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair, as your staples have been removed. ?????? 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. ?????? 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 appointment instructions ??????please return to the office on for a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????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: arteriography of cerebral arteries arteriography of cerebral arteries arteriography of cerebral arteries injection or infusion of other therapeutic or prophylactic substance injection or infusion of other therapeutic or prophylactic substance injection or infusion of other therapeutic or prophylactic substance intravascular imaging of intrathoracic vessels intravascular imaging of intrathoracic vessels endovascular (total) embolization or occlusion of head and neck vessels unilateral thyroid lobectomy percutaneous angioplasty of intracranial vessel(s) procedure on two vessels diagnoses: obstructive hydrocephalus tobacco use disorder hyposmolality and/or hyponatremia subarachnoid hemorrhage other specified transient cerebral ischemias meningitis due to unspecified bacterium 

Answer: The patient is high likely exposed to