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: tachycardia, hyperpyrexia major surgical or invasive procedure: a.m. ventriculostomy placemtent a-comm aneurysm coiling ventriculostomy placement cerebral angiogram ivc filter tracheostomy peg bronchoscopy for washings history of present illness: 28 yo otherwise healthy male who was admitted for aca aneurysm rupture, who was discharged on , found with fever to t 101 at rehab facility and mild tachycardia to 110's, sent back to er, and readmitted for workup of fever. please refer to d/c summary for full details. past medical history: as noted in previous summary social history: per mother: no tobacco use family history: non contributory physical exam: on discharge: vital signs stable, afebrile. eyes open spontaneoulsy, and tracks examiner. perrl 4mm to 2mm bilaterally.following commands rue>lue, aox1, w/draws le to noxious. wound c/d/i. pertinent results: 03:09am blood wbc-8.5 rbc-3.80* hgb-12.0* hct-34.2* mcv-90 mch-31.5 mchc-34.9 rdw-15.2 plt ct-413 03:09am blood pt-17.4* ptt-27.8 inr(pt)-1.6* 03:09am blood glucose-111* urean-14 creat-0.7 na-142 k-3.7 cl-103 hco3-31 angap-12 03:09am blood calcium-9.5 phos-3.7 mg-2.3 *************** 03:12am blood wbc-9.1 rbc-3.75* hgb-11.6* hct-33.2* mcv-89 mch-30.9 mchc-34.8 rdw-15.0 plt ct-361 03:12am blood glucose-162* urean-15 creat-0.6 na-139 k-3.7 cl-103 hco3-28 angap-12 03:12am blood calcium-9.2 phos-3.7 mg-2.1 imaging: cxr : findings: the tracheostomy is seen in situ. there is an ill-defined opacity in the right upper lobe, likely unchanged since the prior examination. cardiomediastinal silhouette is unremarkable. left lung is clear. chest ct w/contrast : comparison: chest radiographs and . technique: mdct axial images of the chest were obtained without intravenous contrast and displayed at 5- and 1.25-mm collimation. a series of sagittal and coronal images were reformatted for review. findings: a tracheostomy tube is appropriately placed and the central airways are patent. mass- like consolidation likely within the posterior segment of the right upper lobe measures 3.1 cm without evidence of cavitation. streaky atelectasis is seen within both lower lobes. an ill- defined subpleural area of consolidation in the left lower lobe may represent atelectasis, aspiration, or a second focus of consolidation (3:35). scattered mediastinal lymph nodes including a 9-mm right paratracheal node and 10-mm subcarinal lymph node are likely reactive. the heart and great vessels are unremarkable. no pleural or pericardial effusions. the examination is not designed for subdiaphragmatic evaluation except to note a peg tube within the stomach and normal adrenal glands. there is evidence of bilateral gynecomastia. cxr : no interval change in right upper and left lower lobe consolidations. no ptx. brief hospital course: patient was readmitted to the neurosurgery service from rehabilitation facility on decemeber 8th for concerns of one febrile episode to 101 and low grade tachycardia. in brief summary, 28m otherwise healthy male who was admitted for aca aneurysm rupture, who was discharged on , found with fever to t 101 at rehab facility, sent back to er, and readmitted for workup of fever. please refer to d/c summary for full details from previous admission. briefly, during hospital course, patient had coiling, craniectomy and evd placement on , trach/peg/ivc filter on , vps placed . infectious issues during post-op course included a) single coag neg staph from csf on (likely contaminant), b) mssa vap (bal ), rx with total 14 days cipro, c) gnr vap ( sputum w/2+gnr), s/p 7-day rx with zosyn & vanco. temp curve past 5 days prior to discharge: tmax 99.6 99.8 100.2 99.7 99.9 99.8 per family, no change in mental status or respiratory status. in er, with temp 101.1. rr 24, o2sat 100% on trach mask. patient cont'd on zosyn & vanco, and ciprofloxacin added on admit. present abx course(zosyn, cipro, vanco) to continue pending finalization of sensitivities of above cultures until , . once cultures are finalized, antibiotic therapy can be adjusted to more specific treatment. medications on admission: levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, fever. ibuprofen 100 mg/5 ml suspension sig: one (1) po q8h (every 8 hours) as needed for t>101.5. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). warfarin 5 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). metoprolol tartrate 50 mg tablet sig: one (1) tablet po q6h (every 6 hours). piperacillin-tazobactam na 4.5 g iv q8h vancomycin 1,000 mg recon soln sig: one (1) intravenous twice a day for 4 days. regular insulin sliding scale regular insulin sliding scale per nursing print-out discharge medications: 1. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, fever. 5. ibuprofen 100 mg/5 ml suspension sig: one (1) po q8h (every 8 hours) as needed for t>101.5. 6. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 8. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). 9. warfarin 5 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). 10. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po q6h (every 6 hours). 12. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 13. piperacillin-tazobactam na 4.5 g iv q8h 14. ciprofloxacin 400 mg iv q12h 15. vancomycin 1,000 mg recon soln sig: one (1) intravenous twice a day for 4 days. 16. zosyn 4.5 gram recon soln sig: one (1) intravenous three times a day for 4 days. 17. cipro i.v. 400 mg/40 ml solution sig: one (1) intravenous twice a day for 4 days. 18. regular insulin sliding scale regular insulin sliding scale per nursing print-out. discharge disposition: extended care facility: - discharge diagnosis: aneursymal subarachnoid hemorrhage anterior communicating artery aneurysm atrial fibrillation l common fem dvt respiratory failure/pneumonia cerebral vasospasm dysphagia / peg placed pneumonia discharge condition: neurologically stable discharge instructions: general instructions ?????? have a friend/family member 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. ?????? 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. ?????? you have been prescribed keppra as an anti-seizure medication, please continue to take this until follow up w/dr. . you will not require blood work to monitor levels. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. 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: please call for an appointment to be seen by dr. in 2 weeks. you will need a ct scan of your head prior to that appointment(without contrast) procedure: enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnoses: pneumonitis due to inhalation of food or vomitus other late effects of cerebrovascular disease ventilator associated pneumonia other malaise and fatigue tachycardia, unspecified gastrostomy status other alteration of consciousness tracheostomy status presence of cerebrospinal fluid drainage device 

Answer: The patient is high likely exposed to