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: g tube placement, subdural hematoma in ed major surgical or invasive procedure: ir guided g tube replacement history of present illness: 85 yo m with history of af on coumadin, cad, stroke who presented from the rehab on for replacement of his g tube. while in the er, a small catheter was placed through the ostium. while the patient was in the er however, he fell from his bed and hit his head. an emergent ct was done that showed a small ich (9mm right parietal). thus the patient was admitted to the icu for further monitoring and serial neuro checks. of note the patient was recently admitted to on for right superior mca embolus cva and resultant mild l hemiparesis and bladder ca (high-grade papillary urothelial ca), underwent transurethral resection, was admitted to with intubation and cvl placement, g-tube placement by ir , discharged to rehab. he was discharged on on a heparin gtt with plans to transition back to coumadin. the coumadin (for af) was stopped prior to the cva in anticipation of a surgical procedure. past medical history: -hematuria -paroxysmal atrial fibrillation, off coumadin ~ 3 weeks prior to surgery -h/o cerebellar hemorrhage (), s/p craniotomy (staples present in cranium) -vascular disease: severe stenosis of the left vertebral artery, approximately 2-3 cm proximal to the vertebrobasilar junction. 40% right ica stenosis () -alzheimer's dementia, disinhibition and frontal dysfunction per omr ( md, neurology, ) -hypertension -cad: angina since , fixed perfusion defects in the apical and apical portion of the anterior wall per thallium ett () mild regional lv systolic dysfunction with infero-lateral akinesis per tee () -secundum atrial septal defect w/ left to right shunt -valvular disease: moderate (2+) mr, mild to moderate +] tr -lvh by ekg & echo -h/o anemia, baseline hct mid-30s -h/o pulmonary tuberculosis:~ in ussr, multiple calcified granulomas bilat lungs, r>l per cxr, h/o cavitary lung lesion, neg for afb by bronchoalveolar lavage () -h/o pulmonary nodule, rll (superior segment) per cxr & ct scan -stage iii colon cancer (t3n1):s/p resection, adjuvent 5-fu/leucovorin rx ( md, oncology) -h/o alcohol abuse (quit in ) -h/o falls, l ankle fx (), r ankle injury () -back paincervical radiculopathy & myelopathy, t12 compression fracture, hemangioma at l2, bulging disk @ l2/3, multilevel degenerative disk disease -cataracts, s/p excision & lens implant o.s. -glaucoma -wet macular degeneration w/ neovascularization -gerd -giant hemangioma of the liver -crf, baseline creatinine 1.1 - 1.3 -h/o right renal cyst, ct scan () -h/o arf () -h/o bowel obstruction pshx: s/p transurethral resection of the bladder, c/b cva () s/p complex cataract surgery with intraocular lens implantation, o.s. () s/p cystoscopy & random biopsies of the bladder () s/p colonoscopy () s/p cystoscopy and fulguration of bladder tumor () s/p rih repair with mesh plug & patch () s/p colonoscopy () s/p anterior resection of the colon () s/p turp, ? prostate ca () s/p turp for bph, s/p posterior fossa craniectomy for a cerebellar hemorrhage () social history: relationships: (brother)- cell: , home: ; (neice, daughter) - cell: ; (neice, and md ), cell: (; friend social: immigrated from in , at baseline speaks & understands limited english - translator needed. positive h/o alcohol abuse, but per pcp note stopped drinking ~1 year ago. he does not smoke. previously employed as a photographer. brother states patient is a holocaust survivor. assistive devices: glasses at baseline, upper & lower dentures; no hearing aides, did not use walker or cane prior to admission. functional status: was living independantly in senior housing: elevator & no steps into building. had hha/hm (?) for personal care & cleaning, three meals delivered to him every day. supportive brother lives nearby & does shopping. out-patient neurological evaluation (omr ) notes abnormal mental status screen, h/o disinhibition and frontal dysfunction, positive visuospatial signs that may suggest alzheimer's disease. pcp had recently filled out forms for adult daycare. values/belief: family history: both parents died in in the ghetto. physical exam: vs: t 97.7 bp 158/62 hr 65 rr 18 96% ra gen: nad, sleeping comfortably, awakens to alert, converses with translator by phone who reports that the patient is alert and oriented x 3. heent: op clear, eomi neck: no jvd, no thyromegaly, no lad cor: rrr no m/r/g pulm: ctab, rare wheeze, laying flat, normal respirations abd: +bs, ntnd, no hsm. g tube replaced by small gauge cathether extrem: no c/c/e skin: no rashes neuro: left sided facial droop, mild decrease in strength in left arm, but able to do hand grip bilaterally. moves all extremities and withdraws to pain. preferentially grabs objects with right hand. no tremor appreciated. pertinent results: 09:00pm blood wbc-7.3 rbc-4.80 hgb-12.8* hct-38.6* mcv-80* mch-26.7* mchc-33.3 rdw-18.3* plt ct-245 05:55am blood wbc-5.3 rbc-4.39* hgb-11.5* hct-35.3* mcv-80* mch-26.2* mchc-32.7 rdw-17.4* plt ct-215 09:00pm blood pt-28.5* ptt-35.9* inr(pt)-2.9* 05:55am blood pt-14.9* ptt-32.7 inr(pt)-1.3* 09:00pm blood glucose-95 urean-22* creat-1.1 na-141 k-3.6 cl-101 hco3-33* angap-11 05:55am blood glucose-87 urean-16 creat-1.1 na-141 k-3.4 cl-105 hco3-27 angap-12 05:12am blood calcium-8.8 phos-3.1 mg-1.8 ct head w/o contrast (): 1. small superficial right parietal hemorrhage. 2. more hypodense appearance of right mca territory infarction. 3. post-surgical changes in the occipital region, with prior left cerebellar resection. 4. age-related parenchymal atrophy. ct spine w/o contrast (): 1. no evidence of fracture or malalignment. 2. multilevel degenerative change, most pronounced at c5-c6. 3. prior right mca infarction and occipital post-surgical changes as well as new right parietal hemorrhage are better evaluated on concurrent head ct. abd xr (): contrast injected through the gastric tube opacifies the stomach without evidence of contrast extravasation. ct head w/o contrast (): no significant change over the four-hour interval, with no new hemorrhage seen. cxr (): findings most consistent with old granulomatous disease and scarring. no acute change. ct head w/o contrast (): no significant change over the preceding interval. ct head w/o contrast (): no significant change over the preceding 18 hours. brief hospital course: intracranial hemorrhage: while in the icu, the patient had serial neuro checks which were normal and reversal of his inr (2.9-->1.4). en total, he received 3 u ffp, 2 vials of factor ix, 10 mg vit k po and 5 mg vit k iv (ed). in the icu and on the floor, the patient continued to have serial neuro checks and head cts per neurosurgery team, all of which were normal. at baseline he has a left facial droop and mildly decreased strength in his left arm. given history of previous strokes and former recommendations not to use coumadin, the patient is being discharged on no anticoagulation, with recommendation to restart asa on and to defer to pcp and neurosurgery about restarting coumadin at any point in the future. g-tube placement: in the ed, a small catheter was placed for patency. tube feeds were started in the icu at 15 cc with concern for abdominal pain. on he had g-tube replacement, without complication, and subsequently tf were restarted. consider giving bolus tube feeds and covering the peg with a binder or ace wrap when not in use to deecrease the risk of dislodging. deconditioning: unsteady gait and decreased strength, in the context of period of immobility s/p fall. patient would venfit from continued phyical and occupational therapy. recommend frequent ambulation with assist and fall precautions, including low bed and floor padding. hypertension: bp control was difficult while in the ed and the patient was briefly on labetolol gtt. following restarting his home hypertensive doses per g-tube, he was hypertensive to 180 requiring 20 mg labetolol iv, metoprolol 25 mg po and 20 mg hydral iv. he continued to have systolic blood pressure ranging 160-170s, and his dose of metoprolol was increased from 50mg to 50mg tid. history of embolic stroke : dc summary and notes from prior admission suggest patient was not to be restarted on coumadin, but rather asa and heparin gtt. however, restarted on coumadin at rehab. he is now discharged on no anticoagulation. he should be restarted on asa on , with plan to discuss coumadin recs with pcp and neurosurgery in follow up. anemia: normocytic anemia with baseline low 30s, currently stable. insulin: pt on insulin sliding scale, though no history of diabetes. insulin was discontinued and his glucose remained within normal. glaucoma: continued drops medications on admission: 1. docusate liquid 2. brimonidine 0.15 % 1 drop q8 3. latanoprost 0.005 % 1 drop qhs 4. insulin lispro sliding scale 5. simvastatin 20mg qd 6. ferrous sulfate 325 qd 7. ipratropium bromide 0.02 % q6hrs prn 8. albuterol q6 prn 9. metoprolol tartrate 50 10. lansoprazole 30 mg qd 11. senna 8.6mg qhs:prn 12. bisacodyl 10mg prn 13. lisinopril 40mg qd 14. acetaminophen 325 q6hrs prn 15. per nursing - coumadin ?dose 16. per nursing - lactulose 10mg discharge medications: 1. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 2. brimonidine 0.15 % drops : one (1) drop ophthalmic q8h (every 8 hours). 3. latanoprost 0.005 % drops : one (1) drop ophthalmic hs (at bedtime). 4. simvastatin 10 mg tablet : two (2) tablet po daily (daily). 5. ferrous sulfate 325 mg (65 mg iron) tablet : one (1) tablet po daily (daily). 6. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed. 7. lisinopril 20 mg tablet : two (2) tablet po daily (daily). 8. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed. 9. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 10. acetaminophen 325 mg tablet : one (1) tablet po q6h (every 6 hours) as needed. 11. metoprolol tartrate 50 mg tablet : one (1) tablet po tid (3 times a day). discharge disposition: extended care facility: for the aged - discharge diagnosis: intracranial hemorrhage g tube replacement discharge condition: neurologically stable and feeding well through g-tube replacement discharge instructions: you were admitted to the hospital on when you presented to the ed for replacement of your g-tube. in the ed, you had a fall, and head ct showed a small intracranial bleed. you were monitored in the intensive care unit for two days, during which time the neurosurgery team followed you. serial neurologic exams and head cts were stable. on your g-tube was replaced, without complication. . please continue to take all your medications through the g-tube. coumadin and aspirin have been stopped. you should not restart the coumadin until further discussion with your primary care doctor . please restart the aspirin on . follow up with your primary care doctor as instructed below. . seek medical attention if you have any further falls, lightheadedness, syncope, weakness, changes in vision, or difficulties with your feeding tube. followup instructions: provider: , .d. phone: date/time: 9:45 provider: brain, n.p. phone: date/time: provider: scan phone: date/time: 1:00 11:00 provider: , md phone: date/time: 1:30 procedure: transfusion of other serum replacement of gastrostomy tube diagnoses: hemangioma of intra-abdominal structures anemia, unspecified mitral valve disorders hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure ostium secundum type atrial septal defect personal history of malignant neoplasm of bladder personal history of malignant neoplasm of large intestine alzheimer's disease accidental fall from bed accidents occurring in residential institution mechanical complication of gastrostomy other late effects of cerebrovascular disease, facial weakness other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness dementia in conditions classified elsewhere with behavioral disturbance 

Answer: The patient is high likely exposed to