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: sulfa (sulfonamide antibiotics) attending: chief complaint: headaches major surgical or invasive procedure: : left craniotomy for evacuation of sdh history of present illness: the patient is a 75 year-old male with a h/o of afib and mv replacement on coumadin presenting with headaches for the previous 2 weeks. he reports that his headaches worsened today and he presented to hospital where a ct scan was performed which was read as a small chronic right frontal subdural hematoma and a moderate size left frontal subdural hematoma with 5mm left to right shift. he transferred to for neurosurgical evaluation. currently he reports continued headaches located in the left orbital, frontal, temporal and occipital locations. occasionally he feels nauseous but has not vomited. he occasionally experiences left eye blurry vision. he has not had any sensory or motor deficits noticed and has not had any trouble walking. past medical history: afib, mv replacement and aortic dissection repair, 3 hemorrhoidectomies, umbilical hernia repair, gout social history: social hx: lives in with wife. retired, previously worked as credit card manager for sears. denies tobacco, eoth, or rec. drug usage. family history: family hx: gout, both parents deceased from stroke. physical exam: exam on admission: o: t:97.7 bp:137/10 hr:65 rr:18 o2sats:100% on ra gen: wd/wn, comfortable, nad. pupils: perrla, eoms intact neck: supple. 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, place, and 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, to 2-3mm 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. no pronator drift sensation: intact to light touch, proprioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin exam on discharge: exam on admission: o: t:97.7 bp:137/10 hr:65 rr:18 o2sats:100% on ra gen: wd/wn, comfortable, nad. pupils: perrla, eoms intact neck: supple. 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, place, and 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, 2-3mm to 2-3mm 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. no pronator drift sensation: intact to light touch, proprioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin pertinent results: labs on admission: 09:00pm blood wbc-8.1 rbc-4.47* hgb-13.7* hct-40.1 mcv-90 mch-30.7 mchc-34.2 rdw-14.1 plt ct-147* 09:00pm blood neuts-60.0 lymphs-31.0 monos-5.5 eos-2.6 baso-0.8 09:00pm blood pt-20.9* ptt-26.4 inr(pt)-1.9* 09:00pm blood glucose-111* urean-14 creat-1.2 na-139 k-5.0 cl-102 hco3-29 angap-13 01:53am blood albumin-4.3 calcium-9.2 phos-2.8 mg-2.1 01:53am blood digoxin-0.8* labs on discharge: complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 04:45am 11.7* 3.80* 11.4* 34.2* 90 30.1 33.4 14.5 107 renal & glucose glucose urean creat na k cl hco3 angap 04:45am 120* 13 1.0 143 4.0 109* 22 16 digoxin 01:53am 0.8* neuropsychiatric phenyto 04:45am 6.4 (pre 500mg bolus) -------------------- imaging: -------------------- head ct : findings: there are bilateral, left greater than right, subdural hematomas extending along the convexities, predominantly in bilateral frontal and left parietal regions. the subdural hematomas are hypodense with areas of hyperdensity, most notably on the left, suggesting acute on chronic/subacute and measure 0.9 cm in width on the right and 1.2 cm in width on the left. there is associated 4 mm rightward midline shift as well as effacement of the sulci along the left convexity. no hydrocephalus is seen. there is no evidence intraparenchymal hemorrhage, or large acute territorial infarction. no fracture seen. impression: bilateral, left greater than right, acute on chronic/subacute subdural hematomas with associated 4 mm rightward midline shift. head ct : non-contrast head ct: again, the patient has bifrontal fluid collection, both measuring 10 mm thick on the current study (2:17), previously 12 and 14 mm respectively. the patient has undergone interval left frontal craniotomy and left parietal burr hole with extra-axial catheter placement from the left parietal approach with tip terminating in the left frontal region within the fluid collection. recent post-surgical changes include gas in the soft tissues in addition to swelling as well as pneumocephalus. there is decreased rightward shift of the septum pellucidum from 7 to now 4 mm. small areas of high density within the left frontal subdural collection (2:17-19) is just inferior to the tip of the catheter and could represent postoperative blood products. otherwise, no new focus of hemorrhage, edema, effacement of the basal cisterns, hydrocephalus, or large vascular territorial infarction is seen. mild mucosal thickening is noted in some of the ethmoid air cells. impression: interval evacuation of left subdural hematoma with drain in place terminating in the right frontal subdural fluid collection. bifrontal subdural collections persists but is slightly decreased on the left, with decrease in rightward shift of normally midline structures. tiny amount of blood products noted just inferior to the tip of the catheter, otherwise, no new hemorrhage. head ct : non-contrast head ct: again, the patient is status post left frontal craniotomy and left parietal burr hole, with interval removal of the extra-axial drainage catheter since . the size of the bifrontal subdural fluid collections is unchanged, measuring approximately 8 mm on the right and 11 mm on the left, with unchanged 4-mm rightward shift of septum pellucidum. again, these subdural collections contain differing densities and pneumocephalus remains on the left. additionally, however, there is new layering high density in the more superficial aspect of the pre-existing left frontal subdural collection, consistent with an increase in the acute subdural hemorrhagic component, which measures up to 4- mm thick on axial imaging 2:19). note is also made of slight increase in the left frontal soft tissue swelling, which could be sequela from the recent surgery. no evidence for interval development of hydrocephalus, edema, effacement of the basal cisterns, nor large vascular territory infarction is seen. again there is partial opacification of ethmoid air cells, with new layering fluid in the left sphenoid sinus. the mastoid air cells appear partially opacified, especially on the left impressions: 1. status post removal of left subdural drain. since , there is increased acute hemorrhagic component within the left frontal subdural fluid collection. however, overall size of bilateral frontal subdural collections is not changed, with unchanged 4-mm rightward shift of the septum pellucidum. 2. fluid in the left sphenoid sinus and apparent partial opacification of the left mastoid air cells. ekg : sinus rhythm with supraventricular premature depolarizations. arm lead reversal is evident. right bundle-branch block. possible inferior myocardial infarction. diffuse non-diagnostic repolarization abnormalities. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 57 / 111 brief hospital course: patient was admitted to the neurosurgical icu on , following approximatley two week history of headaches. he came to the emergency department where he was found to have bilateral acute on chronic subdural hematomas. given his presentation, current use of warfarin for a prior cardiac valve replacement, and subtle neurologic findings; it was decided to take him to the operating room for evacuation of the larger of the two subdural hematomas(left). post-operatively, he was returned to the icu for routine post-surigcal monitoring. he was transferred to the neurosurgical floor on pod#1, and throughout the day he developed in increase in his headache, as well as an increase in his nausea and vomiting. a repeat head ct did not demonstrate any new change or increase in intercranial hemorrhage. after an uneventful overnight of monitoring in the icu, he as transfered to the floor and was seen and evaluated by physical and occupational therapy who determined that he was ready to be discharged to home. he had a significant decrease in his headache and nausea, and he vomited only once overnight. by the time of discharge he was ambulating independently, urinating, taking orals, and with little to no ha or nausea. he received a 500mg bolus of dilantin prior to discharge for a sub-therapeutic dilantin level, and was instructed to follow up with his pcp for further monitoring of his levels. medications on admission: coumadin 3mg daily, demadex 40mg , digoxin 25mg daily, zocor, colchicine 6mg daily, probenecid 500mg , potassium 20mg daily, lasix unknown amount discharge medications: 1. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). 4. probenecid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 6. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dryness. 7. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 8. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed for pain/temp>100/ha. 9. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po tid (3 times a day). disp:*180 capsule(s)* refills:*0* 10. ondansetron 4 mg tablet, rapid dissolve sig: tablet, rapid dissolves po twice a day. disp:*30 tablet, rapid dissolve(s)* refills:*0* discharge disposition: home discharge diagnosis: bilateral subdural hematoma(l>r) discharge condition: neurologically stable discharge instructions: general instructions ?????? 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. ?????? you may wash your hair only after sutures have been removed. ?????? you may shower before this time using a shower cap to cover your head. ?????? 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 coumadin (warfarin prior to your injury, you may safely resume taking this on day 10 following your surgery. ?????? you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . ?????? 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. restart coumadin in 10 days from your surgery!! followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for removal of your sutures and 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 6 weeks. ??????you will need a ct scan of the brain without contrast. procedure: incision of cerebral meninges intravascular imaging of intrathoracic vessels diagnoses: atrial fibrillation unspecified fall compression of brain heart valve replaced by other means long-term (current) use of anticoagulants subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness 

Answer: The patient is high likely exposed to