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 was transferred to the medicine service on from the neurosurgery service. the patient had initially been admitted to neurosurgery status post fall with a subarachnoid hemorrhage and subdural bleed. the patient was felt to be stable neurologically and was transferred to medicine service for care of ongoing medical problems. at the time of initial presentation the patient was on supplemental oxygen, had a neck brace, and was being closely monitored. upon arrival, the neck brace was discontinued, and the rest of the hospital course will be dictated according to medical problems. concise summary of hospital course by issue/system: 1. intracranial hemorrhage issues: the patient did not receive any intervention for intracranial hemorrhage throughout her hospital stay. she had a follow-up head computed tomography which showed a resolving subarachnoid hemorrhage, one resolving subdural hemorrhage, with some persistent subdural hemorrhage that had not grown in size. neurosurgery had been following the patient and felt that the patient's intracranial hemorrhage was stable, and no further intervention was needed. throughout her hospital course, the patient gradually improved. her mental status improved, and the patient began to move all extremities with increasing strength. she was alert and oriented by head movements and would speak on occasion. physical therapy, and occupational therapy, and speech therapy were consulted to work with the patient. she remained selectively nonverbal throughout her hospital course; however, she was fully able to answer questions through nonverbal gestures. 2. infectious disease issues: the patient had an aspiration pneumonia which complicated her course in the neurosurgery intensive care unit. at that time, she had been placed on levaquin and flagyl for this aspiration pneumonia. she slowly decreased her oxygen requirement and began to have oxygen saturations on room air. after receiving approximately 18 days of levofloxacin and flagyl, they were discontinued for a finished course of pneumonia. a follow-up chest x-ray was ordered which showed a stable left pleural effusion, a decreased right pleural effusion, and overall improved examination. the hospital course was also complicated by a central line infection. she had one temperature spike on , at which time her central line was discontinued, and follow-up cultures were performed. a follow-up culture of the line tip as well as blood cultures showed coagulase-negative staphylococcus which was sensitive to vancomycin. at that time, vancomycin was added to her regimen. she remained afebrile throughout the rest of her hospital course. after the addition of vancomycin, repeat blood cultures remained negative. she had a peripherally inserted central catheter line placed to finish a 14-day course of vancomycin for line sepsis. her blood pressure remained stable throughout her hospital course. the patient also had a continued elevated white blood cell count. a search was done to look for additional infectious causes, and stool cultures were sent to look for clostridium difficile (which was negative), and follow-up blood cultures were also negative. abdominal laboratories were drawn showed no evidence of intra-abdominal process or infection. the patient continued to remain afebrile. the cause of the patient's white blood cell count was unknown, but was thought to in part be related to central nervous system effect from her intracranial hemorrhage. the patient continued her seven days of vancomycin for her line sepsis and was to have follow-up laboratories drawn as an outpatient. 3. cardiovascular issues: the patient was tachycardic since her transfer to the medicine service with episodes of heart rates up to 140. at times she was found to be increasingly irregular but not found to be in atrial fibrillation. her metoprolol was increased up to 100 mg by mouth three times per day. cardiology was involved to work up this tachycardia. the patient had also been given fluid boluses with a modest decrease in her heart rate. after discussion with cardiology, it was felt that the patient likely had multifocal atrial tachycardia and that it did not appear that she had atrial fibrillation at that time. after increasing her metoprolol dose we then added diltiazem 60 mg by mouth four times per day with much improved decrease in her heart rates. her lisinopril was decreased to 20 mg by mouth once per day to avoid any decrease in blood pressures. the patient did have some short runs of nonsustained ventricular tachycardia but maintained stable vital signs. electrolytes were repleted. because the patient had normal cardiac function from a previous echocardiogram, no further management was indicated at that time. 4. gastrointestinal issues: the patient had initially been placed on tube feeds in the neurosurgery intensive care unit. after her neck brace had been removed, and the patient began to improve with her mental status, a speech and swallow evaluation showed that the patient was safe to have soft diet without risk of aspiration pneumonia. it was felt that her medications could be taken orally and crushed. after the patient's dentures were brought from home, it was felt that she could advance to a soft diet. the patient tolerated an oral diet well. 5. hematologic issues: the patient had a low hematocrit throughout her hospital course; ranging from 28 to 30. an anemia workup was done, and it was felt that the patient had anemia of chronic disease. there was no evidence of blood loss. the patient's hematocrit remained stable throughout her hospital course, and no blood transfusions were needed. it was felt that the medical problems had stabilized and her care could be continued at outpatient rehabilitation with proper physical therapy, occupational therapy, and speech therapy. condition at discharge: discharge status: discharge status was to an extended care facility. discharge diagnoses: 1. subarachnoid hemorrhage/subdural bleed. 2. aspiration pneumonia. 3. line sepsis. 4. multifocal atrial tachycardia. medications on discharge: (discharge medications included) 1. heparin 5000 units subcutaneously q.12h. (to be continued until the patient is fully ambulatory). 2. lansoprazole 30-mg tablets one tablet by mouth once per day. 3. metoprolol 100-mg tablets one tablet by mouth three times per day. 4. miconazole powder as needed (for perirectal irritation). 5. diltiazem 60-mg tablets one tablet by mouth four times per day. 6. lisinopril 20-mg tablets one tablet by mouth once per day. 7. vancomycin 1 g intravenously q.12h. (for 7 days for a total of a 14-day course). 8. tylenol by mouth as needed (for pain/fever). 9. ipratropium nebulizers q.6h. as needed (for shortness of breath or wheezing). discharge instructions/followup: 1. the patient was instructed to follow up with her primary care physician within one to two weeks after discharge. 2. the patient was also instructed to follow up as an outpatient with neurosurgery for an outpatient evaluation of resolving subarachnoid hemorrhage and subdural bleed in 2 weeks with a repeat head ct 3. the patient was instructed that if she had any further episodes of fevers, chills, nausea, vomiting, shortness of breath, chest pain, hypotensive episodes, or other concerning symptoms that she should immediately contact her primary care physician and return to the emergency department. discharge disposition: at the time of this dictation, the patient was scheduled to be discharged to a rehabilitation facility where she was to receive continued physical therapy, occupational therapy, and speech therapy. as well, the patient was to finish a 14-day course of intravenous vancomycin for line sepsis. , m.d. dictated by: medquist36 d: 11:53 t: 11:58 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus diagnoses: anemia of other chronic disease abdominal pain, unspecified site unspecified essential hypertension unspecified fall other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus infection and inflammatory reaction due to other vascular device, implant, and graft arthropathy, unspecified, lower leg other closed skull fracture with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to