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: penicillins / percocet / motrin / tagamet attending: chief complaint: headache x 1wk major surgical or invasive procedure: none history of present illness: 72-year-old right-handed woman with pmh atrial fibrillation on coumadin, htn who presents with 1 wk of right frontal headache after hitting her head. she was seen by pcp today and noted to be unsteady with walking and not looking to her left. history obtained from friends and . <br> pt was pushed while in line resulting in her banging her head against the wall about 1 week ago. since then, she's had a headache. yesterday, around 1:30pm, pt had worsening of her right frontal headache upon returning from brunch. she then went to bingo last night and a friend had to help her walk back. <br> by this morning, patient was vomiting x2 and needed help getting down the stairs. she was evaluated by her pcp who was concerned b/c the pt was not looking to the left and sent her to osh for a head ct where they found a right parieto-occipital ich with intraventricular spread on the right. <br> she was subsequently transferred to ed, where she was discovered to have a supratherapeutic inr 3.9 and was given 4 vials of profiline, 2u ffp and 10mg vitamin k for reversal. repeat nchct (~5hrs after initial osh hct) showed that hemorrhage was relatively stable (reviewed with radiologist in ed). she also rec'd dilantin 1g iv and 2mg iv morphine just prior to this evaluation. past medical history: - ? afib on coumadin - when asked why she is on coumadin, pt responds "i think i have a beating problem". - h/o tias(?) - described by friends as episodes of unresponsiveness, inability to speak and staring straight ahead with return back to baseline. - urinary incontinence at nighttime (has been seeing a urologist) pcp . @ social history: quit smoking in but has had cig/day for the past 5 days. etoh 1-2 drinks/wk. retired office clerk. lives in friend . family history: nc physical exam: t- 97.9 bp- 144/75 hr- 86 rr- 16 100 o2sat ra gen: lying in bed, nad heent: nc/at, moist oral mucosa neck: supple, no carotid or vertebral bruit back: no point tenderness or erythema cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema neurologic examination: limited by iv morphine administered. ms: not alert but arousable. oriented to person, place, date, situation. inattentive but able to followed simple commands. no alien hand. fluent w/comprehension intact. alexic. registers despite clues at 30 seconds. cn: i: not tested ii,iii: right gaze preference, decr'd blink to threat from the left, when asked how many people in the room did not see people standing to left of bed until instructed to look further to the left. perrl 4mm to 2mm iii,iv,v: eomi intact to ocm, no ptosis. no nystagmus v: sensation intact v1-v3 to lt vii: facial strength intact/symmetrical viii: hears finger rub bilaterally ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue protrudes midline, no dysarthria motor: normal bulk and tone; +asterixis. no pronator drift. some motor impersistence on the left. delt tri we fe grip io c5 c6 c7 c6 c7 c8/t1 t1 l 5- 5 5 5 4+ 5 5 r 5 5 5 5 5 5 5 ip quad hamst df pf l2 l3 l4-s1 l4 l5 s1/s2 l 5 5 5 5 5 5 r 5 5 5 5 5 5 reflex: no clonus tri bra pat an plantar c5 c7 c6 l4 s1 cst l 2 2 2 2 2 extensor r 2 2 2 2 2 flexor sensation: intact to light touch and w/d's to noxious stim b/l. coordination: finger-nose-finger normal on the right, too distracted to perform using left hand. gait/romberg: deferred due to severe oversedation from iv pain meds. pertinent results: ekg: sinus rhythm. normal tracing. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 88 192 100 400/449 75 -8 41 labs: 143 106 15 ----+----+---<111 3.4 30 0.9 estgfr: 62/74 (click for details) ca: 9.3 mg: 1.9 p: 3.4 alt: 17 ap: 74 tbili: 0.3 alb: ast: 23 ldh: dbili: tprot: : lip: 15 mcv 95 8.9 > 11.5 < 345 34.8 n:81.4 l:13.3 m:4.7 e:0.3 bas:0.2 pt: 36.3 ptt: 31.1 inr: 3.9 cxr the hemidiaphragms are in normal position. there is no evidence of pleural effusion. the size of the cardiac silhouette is at the upper range of normal. there is slight tortuosity of the thoracic aorta. there is no evidence of hyperhydration, no evidence is seen of parenchymal opacity suggestive of pneumonia. no pathologic mediastinal widening, the hilar contours are normal. nchct 3.5 cm intraparenchymal hemorrhage with surrounding vasogenic edema. a small amount of subarachnoid hemorrhage is noted along the right superior convexity. appearance of organized hematoma within the right lateral ventricular body, suggesting subacute nature. mass effect on the occipital of the right lateral ventricle, and mild leftward shift of the normally midline structures. intraventricular extension. overall, the findings are not changed from the study performed at outside hospital roughly three hours prior. repeat nchct unchanged right parietooccipital hemorrhage with intraventricular extension. no change in mass effect. mri/mra on showed severe intracranial atherosclerotic disease diffusely (both posterior and anterior circulation), with surprisingly intact extracranial anatomy. the mri showed extensive white matter disease with multiple infarctions, periventricular and the tip of the l temporal lobe. the gre did not reveal any microhemorrhages. brief hospital course: brief icu course: admitted initially to the neuro icu for close monitoring of her clinical status and blood pressure. her clinical exam and a repeat non-contrast head ct were unchanged on the second day of hospitalization. her bp was well controlled (100-110 systolic) on her home medications. therefore, she was transferred to the floor with telemetry. she did not require additional vitamin k or ffp to maintain her inr at goal of 1.5 or lower. her coags were checked q4h initially and then spaced to q8h once stable. her tsh was found to be low at 0.24. t3 low at 64 (nl > 80), and t4 1.5 (normal 0.9 - 1.7) - her levothyroxine was slightly increased. she was treated with phenytoin to prevent seizures, with a goal level of > 10, especially because of her subarachnoid blood. this should be discontinued in time, especially when it potentially interferes with other medications. she is to take it until follow-up. brief floor course: she continued to show a stable neurological examination with a field cut, neglect and mild disorientation. she was treated with standard analgesics for continued headache, but eventually needed stronger medication (iv dilaudid low dose), leading to excessive sedation. it was discontinued in the am of . mri/mra showed severe intracranial atherosclerotic disease diffusely (both posterior and anterior circulation), with surprisingly intact extracranial anatomy. the mri showed extensive white matter disease with multiple infarctions, periventricular and the tip of the l temporal lobe. the gre did not reveal any microhemorrhages - so even though technically she could restart coumadin (no microbleeds), there is no data to support that with extensive intracranial atherosclerosis coumadin is superior to aspirin. she was discharged in stable condition and will follow up with dr (stroke service) as outlined her discharge orders. note please be aware of potential medication interactions - calcium carbonate and phenytoin, levothyroxine and others. medications on admission: fosamax 70mg qsun diovan 320mg qd triamterene/hctz 37.5mg-25mg qd warfarin 5mg qsutwfsa and 7.5mg qmth synthroid 100mcg qd simvastatin 20mg qd sanctura 20mg aggrenox 25/200mg protonix 40mg qd citalopram 30mg qd mvi os-cal 500mg chantix 2mg all: pcn, percocet, percodan, motrin, tagamet, raw mushrooms discharge medications: 1. citalopram 20 mg tablet : 1.5 tablets po daily (daily). 2. hexavitamin tablet : one (1) cap po daily (daily). 3. calcium carbonate 500 mg tablet, chewable : one (1) tablet, chewable po tid w/meals (3 times a day with meals). 4. valsartan 160 mg tablet : two (2) tablet po daily (daily). 5. triamterene-hydrochlorothiazid 37.5-25 mg capsule : one (1) cap po daily (daily). 6. simvastatin 10 mg tablet : two (2) tablet po daily (daily). 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 8. phenytoin sodium extended 100 mg capsule : one (1) capsule po tid (3 times a day). 9. levothyroxine 112 mcg tablet : one (1) tablet po daily (daily). 10. potassium & sodium phosphates mg powder in packet : one (1) powder in packet po bid (2 times a day) for 1 days. 11. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed. 12. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 13. docusate sodium 100 mg tablet : one (1) tablet po bid (2 times a day). 14. sodium phosphates solution : forty five (45) ml po once (once) as needed for prn severe constipation for 1 doses. discharge disposition: extended care facility: - discharge diagnosis: right parieto-occpital intraparenchymal hemorrhage and small frontal traumatic subarachnoid hemorrhage. discharge condition: stable discharge instructions: you have been admitted with a brain hemorrhage in the r parietal and occipital area (right side of back of head) - you also had a small r frontal (right side of forehead) bleed, as a consequence of the trauma about a week earlier. we think both bleeds are directly or indirectly related to your fall and coumadin use. we've spoken to your pcp about the recurrent strokes leading to the use of coumadin. for now, we do not want you to take coumadin. please take all your medications excactly as directed and please attend all your follow-up appointments. please report to the nearest er or call 911 or your pcp immediately when you experience recurrence of weakness, numbness, tingling, problems with speech, vision, language, walking, thinking, headache, or difficulties arousing, or any other signs or symptoms of concern. followup instructions: provider: , .d. phone: date/time: 1:30 md, procedure: transfusion of other serum diagnoses: abnormal coagulation profile unspecified essential hypertension atrial fibrillation long-term (current) use of anticoagulants anticoagulants causing adverse effects in therapeutic use other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness subarachnoid hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness striking against or struck accidentally by other stationary object with subsequent fall 

Answer: The patient is high likely exposed to