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: no known allergies / adverse drug reactions attending: chief complaint: neck pain major surgical or invasive procedure: open reduction internal fixation left both bones forearm fracture right picc line placment history of present illness: 88f with a history of dementia and afib, not anticoagulated, s/p mechanical fall at nursing home down three stairs. her daughter was present and denies any loss of consciousness though she does note disorientation following the fall. she was brought immediately to where imaging revealed c1 cervical fracture and left sdh. given these findings she was transferred to . past medical history: pmh: htn, afib off coumadin, chf, anxiety, dementia psh: open cholecystectomy social history: lives with daughter and son in law no tobacco, no etoh family history: non contributory physical exam: temp 99.1 bp: 151/98 hr: 94 r 16 o2sats 98% 2l nc gen: wd/wn, comfortable, nad. heent: pupils: 4-3mm eoms intact left eye ecchymosis neck: in hard collar cardiac: rrr abd: soft, nt extrem: warm and well-perfused. neuro: mental status: awake and alert, somewhat cooperative with exam orientation: oriented to self only language: speech fluent cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 3 mm bilaterally. 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 intact on right. left in splint xii: tongue midline without fasciculations. motor: moving r ue and b/l le's spontaneously antigravity. l ue in splint sensation: appears intact pertinent results: 05:25am blood wbc-20.5* rbc-4.18* hgb-12.7 hct-36.6 mcv-88 mch-30.3 mchc-34.5 rdw-15.3 plt ct-534* 05:05am blood wbc-20.5* rbc-4.05* hgb-12.4 hct-35.6* mcv-88 mch-30.6 mchc-34.8 rdw-16.1* plt ct-560* 06:10am blood wbc-22.6* rbc-4.34 hgb-13.3 hct-38.3 mcv-88 mch-30.6 mchc-34.6 rdw-15.6* plt ct-703* 05:00am blood wbc-18.2* rbc-4.18* hgb-12.7 hct-37.2 mcv-89 mch-30.4 mchc-34.1 rdw-15.0 plt ct-648* 06:00pm blood wbc-15.9* rbc-4.67 hgb-14.0 hct-40.6 mcv-87 mch-30.0 mchc-34.5 rdw-14.9 plt ct-646* 06:00pm blood neuts-77.2* lymphs-15.8* monos-5.6 eos-1.2 baso-0.1 05:25am blood plt ct-534* 05:05am blood plt ct-560* 06:10am blood pt-14.7* ptt-31.0 inr(pt)-1.3* 06:00pm blood pt-13.4 ptt-31.1 inr(pt)-1.1 05:25am blood glucose-144* urean-14 creat-0.5 na-138 k-3.2* cl-102 hco3-27 angap-12 01:30pm blood glucose-158* urean-13 creat-0.4 na-141 k-3.0* cl-104 hco3-27 angap-13 05:05am blood glucose-155* urean-15 creat-0.5 na-141 k-3.1* cl-103 hco3-28 angap-13 06:00pm blood glucose-143* urean-16 creat-0.6 na-136 k-5.4* cl-99 hco3-27 angap-15 05:25am blood calcium-8.0* phos-1.4* mg-2.7* 01:30pm blood calcium-8.1* phos-0.9* mg-1.7 05:05am blood calcium-8.4 phos-1.0* mg-1.8 : ekg: atrial fibrillation. marked left axis deviation with q waves in leads i, avl of uncertain significance. right bundle-branch block. possible left anterior fascicular block. st-t wave abnormalities. no previous tracing available for comparison. clinical correlation is suggested. : left forearm x-ray: impression: displaced and angulated fractures of the mid shaft of the radius, and distal third diaphysis of the ulna as described above. views of the left wrist and elbow are grossly unremarkable, however, if there are symptoms referable to these regions, dedicated views of these areas are recommended. : x-ray of the pelvis: ap view of the pelvis: evaluation for fracture is slightly limited by diffuse demineralization. no acute fracture or dislocation is visualized. pubic symphysis and sacroiliac joints are not diastatic. mild-to-moderate joint space narrowing is seen within the hips. there are degenerative changes noted within the imaged lower lumbar spine with intervertebral disc space narrowing, endplate sclerosis and osteophyte formation. evaluation of the sacrum is grossly intact, but is limited due to overlying bowel gas. several calcified phleboliths are noted within the pelvis. vascular calcifications are also present : cat scan of the c-spine: impression: 1. minimally displaced fracture of the right lateral mass of c1 with small amount of soft tissue swelling anterior to c1. 2. multilevel degenerative changes including pannus extending into the central canal at c1/2, and mild central canal narrowing at c4-5, c5-6, and c6-7. : cat scan of the head: impression: 1. interval progression of left subdural hematoma with new shift of midline structures to the right. 2. interval progression of parafalcine subdural blood and new focus of subarachnoid hemorrhage in the right sylvian fissue. 3. soft tissue hematomas as noted above. : lumbar/sacral spine films: impression: 1. moderately severe multilevel degenerative changes. 2. compression fracture of l1 (~ 20% loss of height), with grade 1 retrolisthesis and scoliosis at l1-2. the degree of compression at l1 is similar to a chest x-ray. 3. mild wedging of two mid thoracic and one lower thoracic vertebral body. 4. increased interstitial markings in the lungs, right greater than left, similar to a chest x-ray dated , at which time it was thought to represent chf : cat scan of the head: impression: 1. stable left subdural hematoma with unchanged associated rightward shift of midline structures. 2. stable parafalcine and supratentorial subdural hematomas. 3. stable soft tissue hematoma overlying the left zygomatic arch and small frontal scalp subgaleal hematoma. 4. right c1 lateral mass fracture, partially imaged. : fluroscopy left arm: for a total fluoroscopic time of 8.8 seconds there are 7 total fluoroscopic spot films and technical parameters with changes of a plate and screw orif involving previously seen left radius and ulna fractures with now near normal anatomic alignment. please refer to operative report for further detail. : cat scan of the head: impression: 1. stable 10-mm left hemispheric subdural hematoma. no new intracranial hemorrhage. 2. stable left parafalcine subdural hematomas. 3. stable 4-mm rightward shift of midline structures. : chest x-ray: findings: lung volumes remain low. cardiac silhouette is likely mildly enlarged and is similar compared to prior study. persistent pulmonary vascular congestion. asymmetrical airspace opacities predominantly involving the right lung could reflect asymmetrical edema or secondary process such as aspiration or evolving infectious pneumonia. repeat study with pa and lateral technique with improved inspiratory level may be helpful for more complete assessment when the patient's condition allows. : chest x-ray: impression: since , worsening of the asymmetric (right more than left) opacities is concerning for pneumonia with concomitant mild pulmonary edema : x-ray right sided picc line: impression: the right-sided picc terminating about 3 cm from the aortocaval junction 12:03 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): positive for methicillin resistant staph aureus urine urine culture-final {escherichia coli swab viral culture: r/o herpes simplex virus-final; varicella-zoster culture-final; direct antigen test for herpes simplex virus types 1 & 2-final {positive for herpes simplex type 2 (hsv2)}; direct antigen test for varicella-zoster virus-final 10:37 am urine source: catheter. **final report ** urine culture (final ): escherichia coli. >100,000 organisms/ml.. presumptive identification. piperacillin/tazobactam sensitivity testing available on request. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ 4 s ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s 4:33 pm swab source: sacral erosion. **final report ** viral culture: r/o herpes simplex virus (final ): test cancelled, patient credited. refer to direct hsv and/or direct vzv antigen test results for further information. varicella-zoster culture (final ): test cancelled, patient credited. refer to direct hsv and/or direct vzv antigen test results for further information. direct antigen test for herpes simplex virus types 1 & 2 (final ): reported to and read back by a. 10.50a . positive for herpes simplex type 2 (hsv2). viral antigen identified by immunofluorescence. direct antigen test for varicella-zoster virus (final ): negative for varicella zoster by immunofluorescence. head ct : 1. mild interval increase in the left hemispheric subdural hematoma since the earlier study. mild interval increase in the mass effect. stable rightward shift of midline structures. 2. previously seen left parafalcine hematoma, less well appreciated. 3. likely new fracture involving the right posterior arch of c1. recommended a dedicated ct of the cervical spine for further assessment 03:07am blood wbc-17.4* rbc-3.61* hgb-11.3* hct-32.5* mcv-90 mch-31.2 mchc-34.6 rdw-17.9* plt ct-455* 05:23am blood wbc-19.0* rbc-3.84* hgb-11.8* hct-34.9* mcv-91 mch-30.8 mchc-33.9 rdw-18.1* plt ct-533* 10:04pm blood wbc-18.3* rbc-3.49* hgb-10.4* hct-31.6* mcv-91 mch-29.8 mchc-32.9 rdw-18.1* plt ct-500* 06:30am blood wbc-20.4* rbc-3.79* hgb-11.6* hct-34.4* mcv-91 mch-30.5 mchc-33.6 rdw-17.7* plt ct-640* 06:23pm blood wbc-16.2* rbc-3.82* hgb-11.6* hct-34.8* mcv-91 mch-30.5 mchc-33.4 rdw-17.8* plt ct-605* 03:07am blood glucose-114* urean-11 creat-0.6 na-138 k-3.1* cl-97 hco3-32 angap-12 02:59pm blood glucose-120* urean-10 creat-0.7 na-139 k-4.2 cl-98 hco3-31 angap-14 05:23am blood glucose-108* urean-11 creat-0.6 na-140 k-4.4 cl-102 hco3-27 angap-15 10:04pm blood glucose-132* urean-11 creat-0.5 na-143 k-3.1* cl-105 hco3-25 angap-16 06:30am blood glucose-156* urean-12 creat-0.5 na-138 k-3.9 cl-102 hco3-24 angap-16 06:23pm blood glucose-131* urean-12 creat-0.5 na-141 k-3.7 cl-105 hco3-25 angap-15 03:07am blood calcium-7.7* phos-2.8 mg-1.7 02:59pm blood mg-1.9 brief hospital course: pt is 88 yo female with history of dementia, af not on coumadin, and chf who initially presented on s/p mechanical fall with radiographic eveidence of sdh, c1 fractures and left radial ulnar fracture s/p orif with a hopsital course complicated by hcap, hse lesions and delirium transferred to micu for respiratory distress likely from flash pulomnary edema in the setting of hypertension and af with rvr. prior to arrival in the micu she was initially taken to osh after witnessed mechanical fall. work-up revealed sdh, c1 fracture as well as radial ulner fracture. decsion was made to transfer patient to for neurosurgery evaluation. per neurosurgery no urgent decompressive surgery was warranted, instead patient monitored with serial neuro exams, head cts and placed on anti-epileptics for sz ppx. patient placed in j collar for stabilization of c1 fracture. patient underwent uncomplicated orif on . remaining hospital course c/b: 1. pna. patient completed a 7d course vanc/ceftriaxone for possible hcap 2. uti. +ua and pan-sensitive ecoli treated with ctx. 3. sacral vescicular rash. seen by derm. due to concern for hsv started on acyclovir. cultures returned + hsv2. 3. ams. per family patient developed worsening mental status over the weekend. repeat head ct with interval expansion of sdh however per neurosurgery nothing to do. little additional work-up performed. in the micu pt was treated for probable flash pulmonary edema with continued diuresis and blood pressure control. pt continued to deteriorate and after extensive conversation with daughter, decision was made to transition goals of care to dnr/dni -> cmo. c collar was removed and nonessential comfort meds were discontinued. patient was maintained on morphine and ativan prn and transitioned to a private room on the floor. once on the floor palliative care was consulted and pt was placed on standing morphine with breakthrough doses, olanzapine and tylenol. pt expired early in the morning of . medications on admission: meds: digoxin 0.25', metoprolol 25'', asa 81', zoloft 25', lorazepam 0.25'', 60'' discharge disposition: expired discharge diagnosis: cause of death: aspiration pneumonia immediate cause: respiratory failure discharge condition: not applicable. discharge instructions: patient expired. not applicable. followup instructions: not applicable. procedure: open reduction of fracture with internal fixation, radius and ulna closed reduction of fracture without internal fixation, radius and ulna diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation aortic valve disorders pneumonitis due to inhalation of food or vomitus cachexia accidental fall on or from other stairs or steps encounter for palliative care acute systolic heart failure do not resuscitate status subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness delirium due to conditions classified elsewhere herpes simplex without mention of complication closed fracture of first cervical vertebra other and unspecified escherichia coli [e. coli] dementia, unspecified, without behavioral disturbance closed fracture of shaft of radius with ulna 

Answer: The patient is high likely exposed to