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: worsening mental status with known sdh major surgical or invasive procedure: right craniotomy and evacuation of sdh history of present illness: mr was admitted to our service from with a right sided subdural hematoma. he was treated conservatively and monitored his mental status and word finding difficulty improved by discharge five days ago. he has been at a rehab facility since discharge when the staff and his family noticed that he began to have word finding difficulty, confusion and worsening headache. he had an outside ct which showed increase size of subdural so he was transferred here for further care. past medical history: breast cancer, high cholesterol, gerd, peripheral neuropathy, type ii dm social history: married, children family history: non-contributory physical exam: physical exam upon admission: o:t 97.6 hr 66 bp 112/48 rr 14 spo2 98% ra laying on stretcher. nad. + h/a, + nausea. no photophobia or vision changes. eyes open spontaneously. alert to self and year only. perseverates. able to name 3 objects but no recall. perrl 3-2mm. eomi face symmetric, tongue midline no pronator drift r ue in distal cast r ue 4-/5, tri 5- and delts 5/5 l ue and b/l le's full strengths denies numbness tingling following all commands physical exam upon discharge: ************** pertinent results: head ct: impression: interval increase in the size of right subdural collection, with significant increase in associated mass effect. midline shift has increased from 6 mm to 10 mm, with new impingement upon the right suprasellar cistern suggesting impending uncal herniation. head ct: impression: status post evacuation of previously seen right subdural hematoma, with post-surgical changes and small amount of residual/interval hemorrhage. there has been interval improvement of leftward midline shift (9mm vs 16mm of prior) and effacement of the right lateral ventricle; however, persistent as noted above. - eeg: ********* head ct: stable, no new hemorrhage. brief hospital course: pt was admitted to the icu for close neurological observation. he was continued on keppra for seizure prophylaxis. pre-op labs/tests were ordered for a right sided craniotomy for . on he was brought to the operating room and underwent a right craniotomy and sdh evacuation. surgery was without complication. he was admitted to the icu post op for close monitoring. a head ct was performed which revealed post operative changes. on he was neurologically stable. eeg monitoring was initiated and he was cleared for transfer to the step down unit. on he continued with eeg monitoring. on , nursing reported that he aspirated while trying to take his meds in applesauce therefore he was made npo. on a routine follow up head ct was performed as well as speech and swallow evaluation. head ct was stable. speech & swallow team deemed that mr was unsafe with all consistencies at this time. an ng tube was placed and he was started on tube feeds. nutrition consultation was requested for assistance with tube feeds. on patient's exam was much improved. he was awake and alert to self and year. he was following all commands and interactive with the examiner. on repeat speech and swallow was performed, but the patient continued to fail with all consistencies. general surgery consultation was requested at this time for peg placement. the patient continued on tube feeds in the meantime via his ngtube. neurological exam continued to improve. pt underwent peg tube placement with gi team as he was unable to tolerate a po diet safely. pt was noted to be somewhat more aphasic following this procedure. his ct head was negative for interval change or new findings at that time. believing this could be seizure activity he was given a dose of ativan and his keppra was increased to 1000mg twice daily. he had had a seizure prior to his first admission in early . an eeg obtained on this admission was consistent with encephalopathic changes. his sedative medications were discontinued at this time and his neurontin dose was lowered to 100mg q8. pt found to be febrile and workup was consistent with a rll pneumonia on chest x ray. he was started on vancomycin and zosyn with a plan for 7 day course. he was later switched to levofloxacin. his hct was found to be low on this date and he was transfused with 2 units of prbc's. he required no further transfusions during his stay and his hct remained in a normal range. pt was found on the floor face down after he had an unwitnessed fall from the chair. a head ct was obtained and showed no acute change in comparrison to previous head ct's. the pt remained in the hospital overnight for further observation and is planned for rehab facility on . medications on admission: docusate sodium 100 mg ,senna 8.6 mg tablet 1 tablet po hs, multivitamin, (1) tablet po daily, gemfibrozil 600 mg tablet , tamoxifen 10 mg tablet 2) tablet po daily, pantoprazole 40 mg,po q24h,tiotropium bromide 18 mcg capsule, w/inhalation, zolpidem 5 mg tablet sig: one (1) tablet po hs, gabapentin 300 2 capsule po tid,metformin 500 mg , keppra 750 , a day),acetaminophen 325 mg tablet prn, oxycodone 2.5mg q4 prn, baclofen 10mg 0.5mg tid. discharge medications: 1. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 5. tamoxifen 10 mg tablet sig: two (2) tablet po daily (daily). 6. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed for rash/irritation: to affected area. 7. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 9. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain. 10. oxycodone 5 mg/5 ml solution sig: po q6h (every 6 hours) as needed for pain. 11. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 12. levetiracetam 100 mg/ml solution sig: ten (10) ml po bid (2 times a day). 13. gabapentin 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 2 days. 14. levofloxacin 500 mg tablet sig: 1.5 tablets po q24h (every 24 hours) for 2 days. discharge disposition: extended care facility: rehab unit at - discharge diagnosis: subdural hematoma s/p evacuation discharge condition: awake and interactive. aphasic. moves all extremities spontaneously. pt has been oob to char. discharge instructions: general instructions wound care ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. medications ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: o narcotic pain medication such as dilaudid (hydromorphone). o an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? if you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. activity the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your and a wound check. although we try to be thorough, we may miss or staples. be sure to point out any incisions, which may be covered by clothing at the time of suture/staple removal. 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. procedure: other endoscopy of small intestine incision of cerebral meninges enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: anemia, unspecified esophageal reflux pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse compression of brain pneumonitis due to inhalation of food or vomitus epilepsy, unspecified, without mention of intractable epilepsy encephalopathy, unspecified unspecified hereditary and idiopathic peripheral neuropathy subdural hemorrhage knee joint replacement hip joint replacement 

Answer: The patient is high likely exposed to