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: ha then loc major surgical or invasive procedure: : r frontal placement : cerebral angiogram with coiling of basilar tip aneurysm history of present illness: hpi: patient is a 74-year-old right-handed woman with hypertension here after presenting to (osh) with headache and neck pain. per husband, patient and the husband were at getting dinner around 4 pm when she complained of headache, neck pain and not feeling well. hence she went outside to the car while the husband was waiting for the food. she was found on the floor of the parking lot next to the car and she vomited multiple times. ems was call and she was taken to the osh around 5pm. she underwent emergent imaging which showed diffuse sah with intraventricular extension. while at the hospital, she was interactive and oriented to self. while en route, she became more lethargic and the patient was intubated upon arrival to ed at 7:50pm. her initial bp at the osh was 161/62. review of systems completely negative including fever, cough, chest pain, palpitations, diarrhea, dysuria, and/or falls. past medical history: pmh: 1. hypertension 2. hypothyroidism 3. hx of goiter social history: social hx: lives with husband. retired salesperson. smokes 1~2 cigarettes daily. rare etoh. full code. husband is hcp/nok and the contact number is . family history: family hx: nc physical exam: physical exam: o: t: 98 bp: 105/82 hr:80 rr: 18 o2sats: 100% intubated gen: intubated and sedated heent: pupils: 3->2mm lungs: cta bilaterally. cardiac: rrr. abd: soft, nt, bs+ extrem: warm and well-perfused. no c/c/e. neuro: mental status: sedated and intubated. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2mm bilaterally. no blinking to visual threats. v, vii: face symmetric. ix, x: +gag motor: moves all extremities antigravity and spontaneously. does not follow commands. sensation: intact to noxious stimuli. reflexes: b t br pa ac right 2 2 2 2 1 left 2 2 2 2 1 toes upgoing bilaterally on discharge: patient is alert, at times disoriented to place and time. non focal motor exam. pertinent results: cxr findings: the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. an endotracheal tube terminates 3 cm above the carina. an orogastric tube terminates in the stomach, where it made a single coil. impression: no evidence of acute disease. suitable positioning of endotracheal tube. cta of the head and neck. findings: ct head demonstrates diffuse subarachnoid hemorrhage with extension into ventricles. there is moderate dilatation of the temporal horns indicating obstructive hydrocephalus. ct angiography of the neck demonstrates no evidence of vascular occlusion or stenosis in the carotid or vertebral arteries. ct angiography of the head demonstrates an approximately 5-mm basilar tip aneurysm. no other aneurysms are seen. no vascular occlusion or stenosis is identified. there is enlargement of the thyroid involving both lobes with heterogenous density. calcifications are seen in the thyroid. clinical correlation on ultrasound can help if clinically indicated.endotracheal and nasogastric intubations are visualized. impression: 1. diffuse subarachnoid hemorrhage with moderate ventriculomegaly indicating obstructive hydrocephalus. 2. ct angiography of the head demonstrates 5-mm aneurysm at the basilar tip. no vascular occlusion or other aneurysms are seen. 3. ct angiography of the neck demonstrates no evidence of stenosis or occlusion. 4. mild degenerative changes in the cervical region. ct brain impression: status post aneurysm coiling and right frontal approach ventriculostomy catheter with overall stable extent of diffuse subarachnoid hemorrhage and redistribution of intraventricular blood products.centricular size decreased after placement. brief hospital course: the pt was admitted through the emergency department as an intubated transfer from osh for sah. she was started on dilantin and nimodipine. ct angiography revealed a basilar tip aneurysm. an external ventricular drain was placed in the right frontal region. the morning following admission she was taken to the angio suite and the basilar aneurysm was successfully coiled with balloon assist. she was returned to the icu for continued close monitoring, she was later extubated. on the early morning of the 8th - the pt pulled her own and tlc out. there were no sequelae from this. a decision was made to monitor her closely for hcp and avoid replacing the emergently. she continued to improve. her exam was stable on the morning of the 9th and pt/ot were ordered, tcds showed no vasospasm. she remained stable on and was out of bed walking with pt. tcds were done and showed normal velocities and no evidence of vasospasm. patient spiked fevers on the twelveth of and was pan cultured. her ua came back positive after a few day, but all other cultures were negative. she was started on cipro on the 16th and should maintain a ten day course. attempts were made to remover her foley catheter,but she had a post void residual of 1000cc. on she is noted to be afebrile and neurologically stable. she is beig discharged to rehab with appropriate follow up. medications on admission: asa, amlodipine 5mg, levothyroxine - dose unknown discharge medications: 1. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours): last day then dc. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 8. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for headache. 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 10. ciprofloxacin 250 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days: last day . 11. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 12. hydralazine 10 mg iv q6h:prn spb>200 13. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 14. dextrose 50% 12.5 gm iv prn hypoglycemia protocol 15. ondansetron 4 mg iv q8h:prn n/v discharge disposition: extended care facility: discharge diagnosis: basilar tip artery aneurysm hydrocephalus subarachnoid hemorrhage intraventricular hemorrhage acute delerium urinary tract infection discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: angiogram with embolization and/or stent placement medications: ?????? take aspirin 325mg (enteric coated) once daily. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: please call the office of dr. at to make an appointment to be seen in 4 weeks with an mri/mra ( protocol) of the brain to evaluate the coils in your basilar tip aneurysm. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours arteriography of cerebral arteries endovascular embolization or occlusion of vessel(s) of head or neck using bare coils insertion or replacement of external ventricular drain [evd] diagnoses: obstructive hydrocephalus tobacco use disorder urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism subarachnoid hemorrhage retention of urine, unspecified delirium due to conditions classified elsewhere other and unspecified escherichia coli [e. coli] 

Answer: The patient is high likely exposed to