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: ich major surgical or invasive procedure: intubation. arterial line placement. history of present illness: mr. is a 48-year-old rh man with a history of untreated htn who presents with r frontal ich. he was in his usoh until this morning when he felt "clumsy" driving. when he got home, he felt weak on his left side. he went to caritas in , where he was noted to be hypertensive (actual bp not available) and to have a left hemiplegia. head ct showed a 5x3x5 cm intraparenchymal hemorrhage in the right frontal lobe. although he was initially "oriented x3" he became increasingly agitated and was started on propofol and intubated prior to transfer to . in the ed, his initial vitals were bp 219/165, hr 110, t 99.1, rr 16, and 100% on vent. he was started on a labetalol gtt for bp control. ros not possible. past medical history: htn, which his wife says is long-standing but which he has not had treated; he has not seen a doctor in ~20 years. social history: smokes ppd. no recent etoh. family history: htn; poorly treated - per family, patient refused antihypertensive therapy. physical exam: vitals: t: afeb p: 95 r: 19 bp: 190/119 sao2: 99% on cmv 12 x500 general: intubated. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: unresponsive to voice. eyes remain closed. does not follow commands. -cranial nerves: i: olfaction not tested. ii: perrl 2 to 1mm. iii, iv, vi: positive doll's eyes. v: not tested. vii: no facial droop. viii: not tested. ix, x: good gag. : not tested. xii: not tested. -motor: spontaneous movement of right upper and lower extremities. no movement of left side to pain. -sensory: responds to touch on right, not testable on left. -dtrs: tri pat ach l 2 2 2 2 2 r 2 2 2 2 2 plantar response was mute bilaterally. -coordination: not tested. -gait: not tested. pertinent results: pheochromocytoma evaluation pending: plasma metanephrines and urine vma 02:40pm blood wbc-21.6* rbc-5.14 hgb-16.6 hct-47.6 mcv-93 mch-32.4* mchc-35.0 rdw-13.5 plt ct-304 04:37am blood wbc-12.7* rbc-3.87* hgb-13.1* hct-37.2* mcv-96 mch-33.8* mchc-35.1* rdw-13.3 plt ct-277 02:40pm blood pt-13.7* ptt-24.0 inr(pt)-1.2* 04:37am blood pt-12.2 ptt-23.0 inr(pt)-1.0 02:06am blood esr-1 02:21pm blood ret aut-1.3 02:40pm blood glucose-165* urean-20 creat-1.1 na-144 k-3.4 cl-106 hco3-26 angap-15 04:37am blood glucose-128* urean-18 creat-0.7 na-143 k-4.0 cl-108 hco3-28 angap-11 02:40pm blood ck(cpk)-186* 11:34pm blood ck(cpk)-251* 02:06am blood ck(cpk)-270* 02:40pm blood ctropnt-0.04* 11:34pm blood ck-mb-7 ctropnt-0.03* 02:40pm blood calcium-9.4 phos-2.8 mg-2.2 04:37am blood calcium-8.3* phos-3.1 mg-2.3 02:06am blood %hba1c-5.1 02:06am blood triglyc-92 hdl-44 chol/hd-3.2 ldlcalc-79 02:06am blood crp-6.7* 02:06am blood phenyto-11.4 02:40pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg non-contrast head ct: there is an intracerebral hematoma identified in the right posterior frontal lobe measuring 4.5 x 3 cm in size with mild surrounding edema and minimal mass effect. there is no midline shift or hydrocephalus. cta impression: right frontal intracerebral hematoma. normal ct angiography of the head. impression: 1. no evidence of superior sagittal sinus thrombosis. 2. t1 hyperintensity within the right frontal hematoma which is different in distribution from the exam of . this could represent natural evolution of the hematoma. no peripheral nodular enhancing components are identified to confirm the presence of a mass lesion. clinical correlation is recommended. if there remains high clinical suspicion for an underlying neoplasm, followup mri could be performed without and with contrast. cerebral angiogram impression: mr. underwent cerebral angiogram which demonstrated no aneurysms or av fistulas or any possible source of his right frontal hemorrhage. brief hospital course: mr. was admitted to the icu for workup of his right frontal hemorrhage. cta, mri with and without contrast, and angiography failed to demonstrate a vascular malformation or a tumor. tumor remains a possibility and a follow up mri with and without contrast should be performed in the next 4-6 weeks to rule out tumor completely. as the patient presented with uncontrolled hypertension, a hypertensive hemorrhage remains a possible etiology. the patient's course was complicated by very difficult to control blood pressure and difficulty extubating the patient. numerous medications were used, some without effect, to control the blood pressure, including metoprolol, labetolol, hydralizine, nimodipine, and clonidine. by , his blood pressure had better control on metoprolol (max dose: 150 mg po tid), clonidine 0.3 mg po bid, amlodipine 7.5 mg po daily, lasix 20 mg iv daily, and lisinopril 10 mg daily. his labetolol drip was discontinued. duplex ultrasound ruled out renal artery stenosis. a 24 hour urine metanephrine and vma was sent to assess for pheochromocytoma, but these were negative. extubation was a very difficult issue. the patient was extubated on but needed to be reintubated to complete his mri. he was re-extubated on but needed to be reintubated due to tachypnea and significant secretions. he did have some elements of both a right lung base opacity (possible pneumonia) and volume overload and was started on vanco/zosyn () and lasix. by , he was afebrile with a stable leukocytosis of 13-14,000. he was successfully extubated without difficulty on . the patient did have intermittent confusion and agitation, particularly with attempts at extubation, requiring standing ativan 1 mg with additional prn dosing. however, on the day following extubation, the patient's mental status improved significantly. he was awake, more alert, and oriented to time, but thought he was in hospital. he spoke in a somewhat whispery voice after extubation. he appears to have left-sided neglect and anosognosia for his left hemiparesis with flaccidity (no withdrawal to noxious). he moves his right side fully against gravity. there may be some subtle left facial weakness. on left: biceps jerk was 1+, knee jerk 3+, ankle jerk 2+, with an upgoing toe. on right: reflexes 2+ at biceps, knee and ankle with a mute toe. he was deemed stable for transfer to the stepdown unit. in stepdown, his mental status exam continued to improve. swallowing evaluation showed him to be safe for ground solids and nectar-thickened liquids. he was continuing to get tube feeds until he pulled out his ng tube; at that point, a calorie count was initiated to determine the need for peg placement. this determined that he was taking sufficient oral nutrition. he will likely need ongoing swallow evaluations at rehab. given his persistent leukocytosis, hematology was consulted, who felt it was a reactive process. he will follow up in benign clinic. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection every eight (8) hours. 4. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 6. metoprolol tartrate 50 mg tablet sig: three (3) tablet po tid (3 times a day): hold for sbp < 100. 7. clonidine 0.1 mg tablet sig: three (3) tablet po bid (2 times a day): hold for sbp < 120. 8. amlodipine 5 mg tablet sig: 1.5 tablets po daily (daily): hold for sbp < 100. 9. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily): hold for sbp < 110. 10. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for red eyes. 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 12. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily): hold for sbp < 100. discharge disposition: extended care facility: northeast rehabilitaion health network discharge diagnosis: primary: 1. intraparenchymal hemorrhage (ich), right frontal lobe 2. hypertension discharge condition: stable. dense left hemiplegia. discharge instructions: you have been treated for an intracranial hemorrhage, a bleed in your brain. this was very likely due to your high blood pressure, so it is critical that you control your blood pressure in the future. please take all medications as directed and keep all follow-up appointments. if you have any new weakness, sensory loss, dizziness, double vision, difficulty speaking, or any other symptom that is concerning to you, please call your neurologist (dr. or go to the nearest hospital emergency department. followup instructions: provider: , md phone: date/time: 8:00 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arteriography of cerebral arteries diagnoses: unspecified essential hypertension intracerebral hemorrhage acute respiratory failure hyperosmolality and/or hypernatremia 

Answer: The patient is high likely exposed to