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: codeine attending: chief complaint: intracranial hemorrhage major surgical or invasive procedure: 1. left-sided frontal craniotomy for resection. 2. evacuation of hematoma. 3. partial frontal lobotomy. 1. tracheostomy. 2. percutaneous endoscopic gastrostomy (peg). history of present illness: ms. is a 68 yo woman with a pmh of a left cea 3 days prior to admission, on aspirin 81mg daily who was transferred from an osh after being found down by her husband in the bathroom with urinary and fecal incontinence. she was taken to an osh, where she had a witnessed seizure and was intubated. noncontrast head ct demonstrated a large left frontal intracranial hemorrhage. her inr was less than one and her platelets were 248. she loaded with dilantin and given vit k and 4 units of ffp prior to being transferred to for further management. per osh operative note from , patient underwent l cea with eeg monitoring, arteriotomy of ulcerated plaque with bovine pericardial patch for an asymptomatic critical left ica stenosis (>80%) in setting of right ica occlusion. prior work-up over past 6 months included initial us showing right occlusion and left >80%. then ct angiogram in with r occlusion and critical l stenosis with ulcerated web-like plaque at origin of l ica. past medical history: s/p left cea () niddm parkinson's disease social history: married, living with husband family history: noncontributory physical exam: physical exam on admission o: t: af bp: 157/63 hr: 67 sr 100% on et gen: intubated in c-collar, obese lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: intubated, off sedation she does not follow commands or open eyes. cranial nerves: i: not tested ii: r pupil is irregular and appears surgical, l is circular 2.5-2mm iii, iv, vi: + corneals, no dolls v, vii: face appears symmetric, however et in place distorts anatomy viii, ix, x, , xii: + gag motor: moves the l arm and both legs to nox stim sensation: as above, but does not localize reflexes: b t br pa ac right 2 0 0 0 0 left 2 0 0 0 0 toes mute bilaterally coordination: na pertinent results: studies: ct head w/o contrast 7:33 pm 1. large area of intraparenchymal hemorrhage in the right frontal lobe, with intraventricular extension. extensive left greater than right frontal subarachnoid hemorrhage. 2. marked mass effect locally in the left frontal lobe, and marked rightward subfalcine herniation of greater than 1 cm. no defninite uncal or transtentorial herniation. slight enlargement of the occipital of the right lateral ventricle may suggest early ventricular entrapment. . ct c-spine w/o contrast 7:34 pm 1. no fracture or malalignment. mild multilevel degenerative change as described above. . ct head w/o contrast 3:17 am there has been an interval left frontal craniostomy with almost complete evacuation of intraparenchymal hemorrhage in the left frontal lobe. residual subarachnoid and intraparenchymal blood is seen, and again a small amount of blood is seen layering in the right occipital of the lateral ventricle. there are expected postoperative changes with non-tension pneumocephalus. there is a decreased effacement of the right lateral ventricle. apart from the postoperative changes, no other bony abnormalities are seen, and the mastoid air cells and visualized portions of the paranasal sinuses are clear. . mr head w & w/o contrast 10:03 pm left frontal resection cavity filled with fluid as well as residual blood seen extending into the corpus callosum. extensive subarachnoid hemorrhage and intraventricular blood is again seen. no underlying enhancing lesions are identified. . ct head w/o contrast 7:57 am since yesterday, there is no significant interval change except for accumulation of low-density fluid in the left frontal pneumocephalus. there is no evidence of significant acute re-hemorrhage. the amount and distribution of acute blood products in the bifrontal extra-axial space, right frontal subarachnoid space and layering in the right lateral ventricle are stable. there is stable mass effect on the left lateral ventricle and mild rightward subfalcine herniation of approximately 5 mm. there is no evidence of transtentorial herniation. visualized paranasal sinuses and mastoid air cells remain well aerated. . eeg markedly abnormal portable eeg due to the markedly suppressed background consisting of low voltage fast activity with admixed theta frequencies. the first finding suggests a marked encephalopathy suggesting dysfunction of bilateral subcortical and deep midline structures. medications, metabolic disturbances, and infection are among the common causes of encephalopathy but there are others. the hemispheric asymmetry with loss of faster frequencies over the left side suggests an ongoing structural or destructive process affecting the left hemisphere versus material interposed between the cortex and skull on that side (e.g. hemorrhage). there were no epileptiform features and no electrographic seizure activity was noted. the low voltage fast background likely reflects medication effects from concomitant propofol administration. . ct head w/o contrast 11:27 am no significant change in the bifrontal intraparenchymal, subdural and subarachnoid hemorrhage with no significant change in the mild subfalcine herniation to the right. no change in the small amount of intraventricular hemorrhage in the right lateral ventricle. . bilat lower ext veins 3:51 pm no evidence of dvt in both lower extremities. . cxr (): right subclavian catheter has been removed with no pneumothorax. tracheostomy tube remains in standard position. lungs are clear, except for focal linear areas of atelectasis in the left mid and retrocardiac areas. . cxr (): lungs volumes are low, and the heart size is top normal. a tracheostomy tube is in standard position. there is no evidence of effusion, consolidation, or pulmonary edema. impression: no acute cardiopulmonary process. . labs on admission: - glucose-289* urea n-16 creat-1.1 sodium-138 potassium-4.0 chloride-95* total co2-25 anion gap-22* glucose-262* - wbc-11.9* rbc-3.97* hgb-10.6* hct-32.6* mcv-82 mch-26.8* mchc-32.6 rdw-15.7* plt smr-normal plt count-279 (neuts-89.7* bands-0 lymphs-7.9* monos-2.2 eos-0.1 basos-0.1 hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-1+ polychrom-normal) - pt-11.7 ptt-20.9* inr(pt)-1.0 - abg on vent: po2-281* pco2-27* ph-7.58* total co2-26 base xs-5 - freeca-0.99* - cardiac enzymes: ck(cpk)-234*, ck-mb-5 ctropnt-<0.01 - phenytoin-15.9 - asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg - urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg . urine: color-yellow appear-clear sp -1.009 blood-mod nitrite-neg protein-30 glucose-1000 ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-neg rbc-* wbc-0-2 bacteria-few yeast-none epi-0-2 . pertinent results: hct: range 20.9 - 32.6; on discharge - 29.2 wbc: - 13.5 --> - 10.3 sodium max: 152 () . microbiology: blood cultures: all no growth to date . mrsa screen: positive for methicillin resistant staph aureus . - urine cx: - yeast, gram positive bacteria; - yeast *** stool - c.dif positive - sputum: - heavy growth gram neg. rods - two morphologies *** & - coag positive staph aureus, sensitivities --> erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 4 r oxacillin------------- =>4 r penicillin g---------- =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ <=1 s brief hospital course: # intracranial hemorrhage: ms. was transferred to the from and osh. repeat head ct here demonstrated significant left intraparenchymal hemorrhage, l > r frontal subarachnoid hemorrhage, and marked mass effect with rightward subfalcine herniation. she was evaluated by the neurology and neurosurgery teams, and the decision was made to take the patient to operating room for emergent craniotomy for evacuation of her left intracranial hemorrhage. postoperative ct demonstrated normal postoperative changes without any new intracranial hemorrhage. postoperatively the patient was transferred to the trauma sicu and was maintained on dilantin for seizure prophylaxis and dexamethasone. tube feeds were started for nutritional support. the stroke service was consulted and followed the patient postoperatively. the patient was slowly weaned off of dexamethasone. on the patient went to the operating room for peg and tracheostomy with the general surgery service. the patient was transitioned from dilantin (last dose 5/9) to keppra. she should follow-up in dr. office for follow-up ct scan and evaluation in 8 weeks. throughout her hospitalization, she remained comatose without significant change, responding to pain on the left side and with occasional spontaneous eye blinks and lip smacking, but no gross motor movements or wakefulness. . # fever: the patient was intubated upon admission to the outside hospital. she began developing fevers on without a clear source. she started to develop a leukocytosis with wbc up to 13 on . as she had increased sputum production that she cleared from her trach, a sputum cx was sent. initial sputum cx was polymicrobial, but subsequent sputum cx on and both grew coag. positive staph aureus that was resistent to oxalacillin. on she was started on vancomycin for presumed ventilator associated pneumonia, with plan for a 10 day course. chest x-ray, however, remained clear, without evidence of infiltrate. with this treatment, her wbc count returned to . despite this, she continued to have low grade fevers intermittently. it was felt that a likely etiology for this was due to her large intracranial hemorrhage. . # c. diff colitis: the patient had a few loose stools, and stool cultures sent. an initial stool culture was negative for c.diff, however on a subsequent specimen returned positive for c.diff. on she was started on metronidazole with plan of a 10 day course. . # hypertension: the patient intermittently had systolic bps ranging up to 170s, with one over 200. this was controlled by increasing her captopril dose as needed to 37.5mg tid and metoprolol 50mg po tid. with this, her sbp ranged in the 140s-150s. she will benefit from continued close blood pressure monitoring and uptitration of these medications. . # diabetes mellitus type ii: the patient experienced elevated blood glucoses in the 300s intially. the diabetes team was asked to see the patient and gradually uptitrated her medications, including q8hr nph with a sliding scale of regular insulin. . # hypernatremia: the patient's sodium level was found to trend up, with a maximum of 152 on , which was felt to be due to volume depletion. she was started on free water flushes through her peg tube with good improvement in her plasma sodium. she should continue on these to maintain a normal sodium level. . # parkinson's disease: her parkinson's medications were held upon admission . # nutrition: the nutrition team followed the patient and continued to make recommendations. she was started on tubefeeds, which she tolerated well. . # prophylaxis: famotidine and heparin sc . # code: full. confirmed with her husband medications on admission: -lasix 40 mg qd -atenolol 100mg po qd -premarin 0.125mg po qd -aspirin 81mg po qd -glyburide -actos -metformin -sinemet discharge medications: 1. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day) as needed for constipation. 4. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 5. ferrous sulfate 300 mg/5 ml liquid sig: five (5) ml po daily (daily). 6. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 9. levetiracetam 100 mg/ml solution sig: 1000 (1000) mg po q am (). 10. levetiracetam 100 mg/ml solution sig: five hundred (500) mg po q pm (). 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po q 8h (every 8 hours): hold for sbp<100, hr<60. 12. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 13. insulin nph human recomb 100 unit/ml suspension sig: thirty five (35) units subcutaneous every eight (8) hours. 14. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 10 days: last dose 5/25. 15. captopril 12.5 mg tablet sig: three (3) tablet po q 8h (every 8 hours): hold for sbp<100. 16. sodium chloride 0.9% flush 3 ml iv prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 17. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) gram intravenous q 12h (every 12 hours) for 10 days: last dose . disp:*10 day supply* refills:*0* 18. insulin regular human 300 unit/3 ml insulin pen sig: one (1) injection subcutaneous four times a day: per insulin sliding scale. discharge disposition: extended care facility: - - discharge diagnosis: primary: left frontal intracranial hemorrhage left greater than right frontal subarachnoid hemorrhage secondary: possible ventilator associated pneumonia. c. dif colitis hypertension hypernatremia diabetes mellitus type ii parkinson's disease discharge condition: stable discharge instructions: you were admitted to the hospital after suffering from a large stroke to the left side of your brain. you had a lot of bleeding in this region causing swelling inside your head, requiring brain surgery. you then needed a breathing tube in your neck (called a tracheostomy) and a peg tube so that you could receive tubefeeds to maintain your nutrition. . you will be going to an acute rehabilitation facility upon discharge for further managment of your medical condition. followup instructions: please arrange follow-up with dr. (neurosurgery) - call to arrange ct head and appointment. . please arrange follow-up with patient's pcp as appropriate. procedure: enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy other incision of brain lobotomy and tractotomy extracapsular extraction of lens by linear extraction technique diagnoses: pneumonia, organism unspecified anemia, unspecified obstructive hydrocephalus unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition subarachnoid hemorrhage compression of brain paralysis agitans intestinal infection due to clostridium difficile pressure ulcer, lower back hyperosmolality and/or hypernatremia other and unspecified complications of medical care, not elsewhere classified unspecified intracranial hemorrhage 

Answer: The patient is high likely exposed to