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: hydralazine attending: chief complaint: unresponsive according to family major surgical or invasive procedure: bilateral evds l vps placement history of present illness: mr. is a 74-year-old man with a history of hypertension, bph, aortic regurg., recent syncope, presenting to from osh, unresponsive with intraventricular bleed and obstructive hydrocephalus. patient was in with family. found slumped down unresponsive this a.m. son noted normal respiratory pattern and called ems. taken to hospital where ct performed - patient was noted to have intraventricular blood and transferred to . he was actually noted to be breathing well and was not intubated at that time. on arrival, gcs noted to be 6. neurology saw the patient and observed, along with neuroradiology, that the patient had obstructive hydrocephalus with third ventricular bleed. cta was performed and did not reveal aneurysm as a source, thus, dr. suggests possible ruptured colloid cyst, or other periventricular source for blood, without evidence of parenchymal bleed. patient had gastroenteritis recently and had been treated for a uti. patient was on holiday in . head bleed about one year ago after fall. patient had syncopal episode on friday. sister had mentioned that he'd had cool extremities for the last few days. patient's family report no recent change in mental status, difficulty with sensation, no weakness, no speech or language difficulty. past medical history: past fall with intracranial hemorrhage (type unknown), one year ago - hypertension, controlled - recent gastroenteritis and uti - prostatic hypertrophy - aortic regurgitation - appendectomy at 10 years social history: remote smoking 1 ppd 10-12 years, 50 year ago. - alcohol 1 oz month. - no recreation drug use. - construction worker, family business. family history: noncontributory physical exam: 10:31: t 98.3, hr 68, bp 134/64, rr 14, o2s 99% ra (values prior to intubation. bp increased to 160s during exam, including painful stimuli). gen: tanned and slightly overweight man looks stated age. snoring sounds, patient stuporous and only moving to vigorous stimuli. heent: pupils: 3 -> 2 mm bilaterally. neck: supple. lungs: cta bilaterally. cardiac: rrr. sem. no r/g. abd: soft, nt, bs+ extrem: warm and well-perfused. neurologic: mental status: stuporous. gcs 6 (localizing to pain) cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. iii, iv, vi: extraocular movements intact to doll's eye manoeuver. v, vii: some grimace to pain, snout reflex intact. corneal reflexes brisk and normal. viii: not tested. ix, x: not tested. : not tested. xii: not tested. motor: moved both upper limbs to noxious stimlui of nailbed - withdrew. sensation: not tested. reflexes: intact and symmetric biceps, brachioradialus, patella. toes upgoing bilaterally. on discharge: a&ox2 perrl eoms: intact face symmetrical tongue midline motor: throughout incision c/d/i stutures in place pertinent results: cta head w&w/o c & recons 1. intraventricular hemorrhage centered within the third ventricle with interval increase in blood layering within the occipital horns of the lateral ventricles and within the interpeduncular cistern. the blood clot within the third ventricle is somewhat heterogeneous in appearance, although less so when compared to the prior study. an underlying intraventricular mass cannot entirely be excluded, and an mri of the brain may be obtained for further characterization. 2. stable enlargement of the lateral and third ventricles secondary to intraventricular hemorrhage. 3. no evidence of aneurysm formation ct head w/o contrast interval placement of external ventricular drains with tips in lateral ventricles, persistent enlargement of ventricles and stable interventricular hemorrhage. mr head w & w/o contrast 1. redemonstration of the extensive intraventricular hemorrhage as described above, with obstructive hydrocephalus, with mild increase in the ballooning of the septum pellucidum to the left side compared to the prior ct study and mild increase in the size of the ventricles. to correlate with the catheter function and closely followup. 2. while there is no obvious focus of abnormal enhancement, evaluation for lesions within the ventricles is limited due to the pre-existing blood products. ct head w/o contrast decreased blood in lateral and third ventricles, dilated but stable ventricles. cxr:findings: there is some subsegmental atelectasis in the left mid and lower lung but there is no focal infiltrate or effusion. ng tube has been removed. head ct: impression: 1. no significant change in mildly dilated ventricles status post intraventricular hemorrhage with interval decrease in the amount of blood layering within the occipital horns. 2. stable right frontal intraparenchymal hemorrhage. head ct: 1. stable right frontal intraparenchymal hemorrhage. 2. slightly increased ventriculomegaly compared to prior study evident in bilateral lateral and third ventricles : impression: suboptimal image quality. mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function.no valvular pathology or pathologic flow identified ct head: impression: stable right frontal intraparenchymal hemorrhage. slightly decreased ventriculomegaly compared to prior study. : renal us impression: 1. no hydronephrosis or stones. 2. left lower pole renal cyst. 3. normal-appearing bladder brief hospital course: mr was admitted to neurosurgery service, prior to admission he had bilateral evds placed to drain 10-15cc/hr. he was started on ancef to cover the drain. he was intubated in the er. a cta showed no evidence of aneurysm. his sbp was kept 120-140. an mri was ordered which showed no focus of abnormal enhancement. on his first admission day he received 24 hours of tpa to keep the drain open and help decrease the size of the clot. his right sided drain was noted not to be functioning. it was removed on his second hospital day and he was extubated. he was following commands moving the right slightly more than the left but purposeful in all extremities. on , patient's exam declined, no eye opening or commands. patient was also febrile. a repeat head ct was done which was stable, cultures were also sent. patient improved over the day, and cultures were negative. icp was also increase due to febrile event. on , patient remained unchanged. head ct was stable. patient's exam was improved on , but had episodes of tachycardia and htn. po lopressor started. on , patient's evd was lowered to 5 and ngt placed to provide adequate nutrition. repeat head ct shows decrease in 3rd ventricle hemorrhage. patient's exam much improved on . eo spontaneously and he follows commands. he was alert and oriented to self and hospital and purposeful. pt underwent clamping trial of evd on and icp's climbed into the low 30's. drain was reopened and leveled at 10cm above the tragus. pt foley catheter was removed on as purulent drainage was noted from the penis. u/a with c&s sent and ua was negative. blood cx on showed gpc and id team was consulted. id agreed with current treatment of vancomycin and also recommended a tte to evaluate for vegetation. the patient's evd was clamped and trialed for toleration. a repeat ct was obtained after icp's remained <20 x 24 hours but revealed increasing ventricles. pt was noted to be somnolent as well, therefore the evd was unclamped and leveled at 15cm above the tragus. pt was preop'd for vp shunt placement. : npo after midnight for vps placement on . evd clamped at 6 a.m on . : the patient was taken to the or and his left-sided evd was removed. it was replaced with a vps (valve set at 15cm h2o) through the same burr hole. no complications, and a post-op nchct showed vents more decompressed than on and vps well-placed; also stable r-frontal blood from previous/removed evd on the right. arf began (cr 2.0-2.1 7/27 up from 0.9-1.0 at baseline; started once vanc level/trough mid-30s). id c/s said no more vancomycin, as levels of this antibiotic will stay therapeutic for now without additional dosing due to decreased clearance. renal u/s and urine studies (for fena/feurea/eos) were ordered. ivf run at 125ml/h; patient euvolemic on exam. also noted was a rash, which looks like contact dermatitis -- erythematous papules @low back, chest, under bp cuff on left and right upper arms (after bp cuff moved l-->r). afebrile. given benedryl and 0.5mg iv dilaudid for htn/sinus tach. :pt transfered from step down unit to the floor. creatinine remained at 2.1 and his foley remained in place. pt remained on ivf throughout this day. plan was to continue holding vancomycin and running ivf. renal was consulted to aid in further management of his persistently elevated creatinine. renal's recommendations were to discontinue vancomycin which is nephrotoxic and control blood pressure using norvasc. over the weekend, patient's bun and creat were trending down. prednisone was also started. patient pulled foley out and was found to have urinary retention in which another foley was placed. renal's final recommendations were to continue the prednisone at 30mg qd for 3 weeks and then follow up with dr. in weeks. he will be discharged to rehab on to follow up with dr. in 4 weeks with a noncontrast head ct. medications on admission: - lisinopril 10 mg - amlodipine 5 mg - tamsulosin sr 0.4 mg - bactrim ds - florastor (macrobiotic given with abx) discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 7. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 8. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 9. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for itching. 10. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itchiness. 11. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed) as needed for dry eyes. 12. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 13. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 14. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 15. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 16. prednisone 20 mg tablet sig: 1.5 tablets po daily (daily) for 3 weeks. 17. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 18. dextrose 50% in water (d50w) syringe sig: one (1) intravenous prn (as needed) as needed for hypoglycemia protocol. discharge disposition: extended care facility: rehab unit at - discharge diagnosis: ivh r iph hydrocephalus acute interstitial nephritis discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? 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, or ibuprofen etc. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ?????? your sutures will have to be removed (approximately on )after the time of your procedure. this can be done at the rehab facility. ??????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 prior to your appointment. this can be scheduled when you call to make your office visit appointment. ?????? you will be contact by nephrology to schedule an appointment in weeks with dr. . if you have any further questions please call (. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances ventricular shunt to abdominal cavity and organs arterial catheterization removal of ventricular shunt closed biopsy of skin and subcutaneous tissue ventricular shunt to extracranial site nec diagnoses: obstructive hydrocephalus urinary tract infection, site not specified unspecified essential hypertension aortic valve disorders hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) intracerebral hemorrhage bacteremia cerebral edema retention of urine, unspecified acute glomerulonephritis with other specified pathological lesion in kidney staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus mechanical complication of nervous system device, implant, and graft contact dermatitis and other eczema, unspecified cause 

Answer: The patient is high likely exposed to