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: history of present illness: fifty-five year old right handed man found down by his family on day of admission. patient did not recall events, but noted to be confused. he had gone to an acupuncture for shoulder pain the day of admission. patient returned from appointment. his mother heard a thump, helped lift him onto the bed at 6 p.m. family checked his blood pressure, and it was 228/150. they called the family practice nurse, who told them to go to the emergency room. patient denied having pain, however, he was difficult to assess. he answered yes to almost all questions. there is no sign of tonic-clonic activity or urinary incontinence. he was wet on his gown. past medical history: 1. remote history of seizures as a child. when he was 3-4 years old, he had fallen to the ground and had shaking episode. 2. history of hypertension for the last six years with very difficult to control. 3. depression. 4. headaches. 5. migraines. 6. prostate cancer. 7. he has had chronic left sided shoulder pain that on mri showed rotator problem. past surgical history: 1. skin grafting on his legs for unsure reason. 2. prostatectomy approximately two years ago. allergies: no known drug allergies. current medications on admission: 1. nortriptyline. 2. paxil. 3. nifedipine. 4. lisinopril. 5. nitroglycerin. 6. labetalol. 7. motrin. social history: he quit smoking five years ago. etoh: a couple of drinks with dinners. family states that he does drink all the time with a half a gallon of rum per week. drugs: iv heroin three years ago. lives alone in a apartment. does not work because he cannot stand on his legs or feet. review of systems: positive for burping. no fevers, chills, headache, nausea, vomiting, or diarrhea. physical examination: blood pressure was 220/120, pulse of 80, respirations of 18, and 100%. heent: neck was supple, no bruits. regular rate and rhythm cardiac, no murmurs. lungs were clear bilaterally. extremities showed decreased range of motion in the right ankle. he is awake, alert, fluent. location he stated was mental place. he knew the president was . repetition was intact. naming was difficulty to several objects. cranial nerves: his pupils were 5 and bilaterally reactive. eoms were full. no papilledema on his fundus. right facial droop. tongue was midline. palate was midline and intact. he had a right side hemiplegia. his left side was in both motor strength. sensation on the left was sharp and intact, felt the same. his reflexes in his upper extremities are 2+. his lower extremities were 3+. laboratories: white count was 2.8, 39 was his hematocrit, 195 for platelets. pt 12.5, 26 ptt, inr 1.0. sodium 139, potassium 4.9, chloride 104, bicarb 19, 40 bun, 3.3 for his creatinine. his blood sugar was 116. ekg: st changes, 1 mm, decreased in the lateral leads with t-wave inversions. ct showed a 1.5 x 4 cm left thalamic hemorrhage with temporal horns were dilated, lateral ventricles were dilated, hemorrhage in the third and fourth ventricles. hospital course: patient was admitted to the neurosurgery service and sent to the icu for close neurologic monitoring. before going to the icu, he had a ventriculostomy placed. his opening icp pressure was 15 and it was placed without complications. while in the icu, we recommended that he has tight blood pressure control 130 overnight on admission. he was also started on thiamine, folate, and mvi for his alcoholism. on his first admission day, his icps were 8. his blood pressure is 147/70. he is oriented to person and hospital, but not date. he had a right drift. his right leg was antigravity. face was symmetric, and he was kept euvolemic. mri was obtained. stroke team recommended a hiv test, which was negative, and blood cultures to rule out endocarditis associated with his prior iv drug abuse. renal consult was obtained due to his elevated creatinine. they recommended a renal ultrasound which showed no evidence of hydronephrosis or suspicious mass involving either kidney. on the 21st, he would open his eyes to voice, oriented to the state that he was in. he had a right facial droop, receptive and productive aphasia was noted. we continued to keep his blood pressure less than 150. his was raised to 15 mm above his tragus. his icps remained in the 5-10 range. renal felt that his chronic renal insufficiency was likely due to hypertension, nephrosclerosis, also possible renal scarring due to drug use. they recommended that we check hepatitis serologies and recommended keeping his systolic blood pressure greater than 135 to assist with renal perfusion. on the same day, patient had a swallowing assessment done and it seemed that he was silently aspirating water. he was able to take custard. his video showed that he was not aspirating, however, he was too sleepy to have both cognition of remembering to , a nasogastric tube was continued until prior to discharge. on the 24th, the patient had a head ct which showed continuing amount of left thalamic hemorrhage extending to both ventricles with associated edema and rightward shift of the midline. on the 25th, the patient was alert, awake, oriented to person, not oriented to place or time. followed commands, wiggled toes, squeezed both hands. right was greater than left. raised his knees off the bed. continued with a right nasolabial droop. his hematocrit was at 25.6. it was chosen not to transfuse him at this time. he also had a fever workup for a temperature of 102. on the 27th, it was found that the patient's right arm was swollen. he had a bilateral upper extremity ultrasound, which showed a nonocclusive thrombus in the distal left brachial vein. we did not choose to do anything given that it was nonocclusive. he continued to run fevers on the 27th also to a t max of 102.8, and all his cultures thus far had been negative. he continued on blood pressure drips of nicardipine and nipride to keep his blood pressure less than 150. on the 28th, the pulmonary consult was obtained due to his temperature and pulmonary infiltrate, and patient was really unable to clear his secretions on his own. the bronch clear fluids and were sent to the laboratory for analysis. they recommended broad antibiotics, cefazolin to vancomycin and levaquin until the cultures returned, and patient was given good pulmonary toilet at that time. minimal thin secretions were removed during the bronch, and he had normal anatomy all segments of his airways were visualized. patient was started on levaquin 500 mg p.o. q.24h. on , and vancomycin 1 gram q.48h. on to cover for his possible pneumonia. on , he remained afebrile. was awake, alert, attentive, and not oriented to place. followed commands. moving both his upper and lower extremities without problems. his was d/c'd, and he had a head ct which showed some resolution of blood with minimal hydrocephalus after having the clamped. he tolerated not having a clamped for 48 hours. on , his final bronch results came back negative for mrsa. it was decided to stop his vancomycin and continue levaquin for seven days. on , he was transferred to the general surgical floor. he was weaned off his drips and was placed on the following blood pressure medications: on clonidine, labetalol, losartan. he is also given prn hydralazine and prn metoprolol in order to keep his blood pressure in the 160 range. while on the floor, he continued to have blood pressure issues despite manipulation of his blood pressure medications. he received a medicine consult, who recommended the following that we continue at labetalol which is current dose of 800 mg p.o. b.i.d. they wanted to add amlodipine 5 mg p.o. q.d. continue losartan and potassium 50 mg one tablet p.o. b.i.d. and hydralazine two tablets 50 mg tablets p.o. q.6h. his laboratories prior to discharge: sodium is 140, potassium is 4.8, chloride was 106, bicarb was 21, bun was 80, creatinine 2.9, which was down from admission in previous days. his calcium was 9.9, phosphorus was 6.3, for that he was started on slow-phos for 24 hours and magnesium 2.1. on his discharge day, he is awake, alert, and oriented times two, occasionally times three. he had no drift. his strength was full in both upper and lower extremities. he has been working with physical therapy, who recommended continue rehab. he was cleared from speech and , and he has started eating recommending advancing patient to a p.o. consistency of soft solids, thin liquids, may place pills on purees either crushed or whole, and that he should be sitting fully upright for all p.o. intake. as far as his blood pressure control, please see the latest list of medications that was recommended by our medicine service recommending that some changes that have been made over the last few days, and they felt that it would take at least 4-5 days to get the full effect of his latest change to his medications. they recommended not changing around the medication until after the next 3-4 days, also watching his potassium very closely, and monitoring his phosphate closely also. discharge instructions: he should have suture removed on from his head. should follow up with dr. in one month's time. he should also followup with his primary care physician for blood pressure control once discharged from rehab. discharge diagnoses: 1. interventricular thalamic hemorrhage with interventricular hemorrhage. 2. hypertension. 3. chronic renal insufficiency. discharge medications: 1. nitroglycerin 0.3 mg tablets sublingual one tablet prn. 2. acetaminophen 325 tablets p.o. q.4-6h. 3. insulin regular human sliding scale as needed. 4. famotidine 20 mg p.o. b.i.d. 5. heparin 5000 units sl b.i.d. 6. colace 150 mg p.o. b.i.d. 7. bisacodyl 5 mg delayed release two tablets p.o. q.d. 8. levaquin 250 mg one p.o. q.24h. that should stop on . 9. nystatin 100,000 units suspension. 10. ferrous sulfate 300 mg/5 ml liquid one p.o. q.d. 11. clonidine 0.1 mg tablets three p.o. b.i.d. when ready to wean, it should be a slow wean. 12. hydralazine 50 mg two tablets p.o. q.6h. 13. labetalol 200 mg tablets take four tablets p.o. b.i.d. 14. amlodipine 5 mg p.o. q.d. 15. losartan potassium 50 mg one p.o. b.i.d. 16. calcium acetate, which is phos binder 667 mg two tablets p.o. t.i.d. with meals for one day, and then recheck phosphate. 17. hydralazine 20 mg q.4h. as needed for systolic blood pressure greater than 170. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified intravascular imaging of intrathoracic vessels closed [endoscopic] biopsy of bronchus transfusion of packed cells diagnoses: anemia, unspecified obstructive hydrocephalus acute kidney failure, unspecified personal history of malignant neoplasm of prostate depressive disorder, not elsewhere classified intracerebral hemorrhage pneumonitis due to inhalation of food or vomitus malignant essential hypertension 

Answer: The patient is high likely exposed to