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: right temporoparietal iph major surgical or invasive procedure: right hemicraniectomy with hematoma evacuation and right external ventricular drain placement () evd removal while inpatient history of present illness: 59 yo m complained of very severe h/a around noon. pt took ibuprofen and went to rest. he was found lethargic by spouse around 4pm and was taken to osh where he was somnolent but oriented x 2 with bradycardia in 40's. ct head at the osh showed very large rt temporoparietal iph with perilesional edema and mass effect. patient was intubated, sedated and paralysed and transferred to for neurosurgical evaluation. past medical history: gerd social history: married and lives with wife. at a warehouse. family history: non-contributory physical exam: upon discharge: t 98.9 bp 102/67 hr 82 rr 18 o2sat 98%ra cv: rrr resp: lungs clear abd: soft, nontender, +bs neuro: awake, alert, and oriented x 3, eyes open, follows commands pupils 3->2 mm bilaterally tongue midline face symmetrical no pronator drift strength: ue bilaterally, le bilaterally. down-going babinski bilaterally. wound: c/d/i, no sutures or staples visible (dissolving sutures placed) pertinent results: 05:45am blood wbc-8.2 rbc-4.94 hgb-10.2* hct-33.1* mcv-67* mch-20.6* mchc-30.8* rdw-17.7* plt ct-353 08:20am blood pt-13.9* ptt-25.8 inr(pt)-1.2* 08:28pm blood pt-13.4 ptt-24.0 inr(pt)-1.1 05:45am blood glucose-101 urean-19 creat-0.9 na-136 k-3.8 cl-103 hco3-25 angap-12 06:33pm blood ck(cpk)-129 ck-mb-4 11:54am blood ck(cpk)-157 ck-mb-5 ctropnt-0.01 12:00am blood ck(cpk)-246* ck-mb-6 ctropnt-<0.01 06:33pm blood tsh-0.83 05:54am blood phenyto-12.8 01:01am blood phenyto-15.3 08:28pm blood phenyto-6.4* ct head : impression: no significant change, evidence of increased hemorrhage, or interval development of hydrocephalus. persistent mild cerebrale dema on the right, mass effect and small areas of hemorrhage. close f/u as clinically indicated. ct head : impression: 1. right parietotemporal intraparenchymal hemorrhage with surrounding edema and extensive mass effect and 10 mm midline shift to the left. 2. irregular conglomeration of vessels peripheral to the right parietotemporal intraparenchymal hemorrhage with some vessels extending more medially, raising the concern for avm, which due to the extensive edema and mass effect is not well visualized or has been thrombosed. alternatively, this can represent vascular congestion at this point secondary to extensive mass effect. video swallow evaluation : moderate pharyngeal and mild oral dysphagia with penetration seen with nectar thick liquids due to premature spillover, absent epiglottic deflection, and impaired bolus propulsion; aspiration was also seen after the swallow due to ineffective clearing of penetrated material with cued coughs. brief hospital course: pt was admitted with an intraparenchymal bleed on . pt was placed on keppra and phenytoin for seizure prophylaxis. pt underwent right hemicraniectomy, hematoma evacuation, and right ivd placement. he was transferred to the icu postoperatively intubated. pt was extubated on . pt was fitted for a helmet on . pt was evaluated by speech and swallow and underwent bedside swallowing evaluation which he failed. speech and swallow recommended strict npo status with tube feeds. cardiology was consulted on the 28th for atrial fibrillation/flutter. cardiology was unable to anticoagulate pt and perform cardioversion due to history of recent brain surgery. instead, cardiology recommended continuing rate control. cardioversion was not performed. cardiac enzymes were negative. pt is to follow-up with cardiology on an outpatient basis. nutrition was consulted and left recommendations which were followed. on the 29th, the dilantin was tapered off. repeat head ct was performed on which demonstrated no significant change. pt was transferred to the step-down unit. decadron taper was started on . pt self-d/c'd his dophoff and subcutaneous heparin was initiated. he was evaluated by pt/ot who recommended rehabilitation. repeat bedside evaluation for swallowing was peformed with continued recommendations for npo status and tube feeds along with q 4 hour oral care. he currently has an ngt in place. on , pt was transferred from the step-down unit to floor status. on , as pt was improving neurologically, the pt was discharged to rehab in stable condition. at the time of discharge, the patient was non-focal in his neurologic examination. medications on admission: none discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: five (5) ml po bid (2 times a day). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 3. lorazepam 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 4. quetiapine 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. levetiracetam 1000 mg iv bid 9. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours. discharge disposition: extended care facility: - discharge diagnosis: right temporal intraparenchymal hemorrhage discharge condition: stable discharge instructions: general instructions ?????? have a nurse/nursing assistant 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. ?????? your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? 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. ?????? 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. followup instructions: follow-up appointment instructions ??????please return to the office in days for 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 4 weeks ??????you will need a ct scan of the brain without contrast. patient needs to follow-up in weeks with cardiology. please call for for an appointment. procedure: enteral infusion of concentrated nutritional substances other incision of brain ventricular shunt to extracranial site nec other craniectomy diagnoses: esophageal reflux atrial fibrillation atrial flutter intracerebral hemorrhage compression of brain cerebral edema body mass index 26.0-26.9, adult 

Answer: The patient is high likely exposed to