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: penicillins attending: chief complaint: fall major surgical or invasive procedure: peg placement history of present illness: this is a 77 year old woman who was found down outside home approximately 10 minuts after had been seen in usual state of health going outside to walk the dog. she was brought to the ed and was intubated. a ct head was performed. this showed l frontal acute sdh and r temp/parietal sah/iph. neurosurgery was consulted. past medical history: htn, inc cholesterol social history: she lives with daughter in own apt in same home. family history: nc physical exam: on admiddion: o: t:97.5 bp: 156/85 hr: 65 r 20 o2sats100 intub gen: intubated examined in ed heent: pupils:5mm surgical bilat r ecchymosis/edema upper lid neck: in hard collar extrem: warm and well-perfused. neuro:intubated, sedated. pupils surgical bilat 5mm nr, grimaces, attempts to open eyes and moves all 4 to noxious - on discharge : opens eyes spontaneously,pupils are at basline 4mm nr surgical, the patient is alert tracking with eyes, smiles to the examiner. said "hi" although not clearly otherwsie non verbal and not following commands. she picks up her glassess, is moving all extremities antigravity and purposefullly. pertinent results: ct head w/o contrast diffuse bilateral subarachnoid hemorrhage, most concentrated within the area of the right sylvian fissure, and acute subdural hematoma overlying the left cerebral hemisphere. there is 6 mm of rightward midline shift, but no subfalcine or transtentorial herniation. ct c-spine w/o contrast 1. no fracture of the cervical spine. 2. there is rotation of c1 on c2, which may be due to positioning in the scanner, though rotatory subluxation is not excluded. recommend clinical correlation for this. 3. multilevel disc space narrowing without significant canal or neural foraminal narrowing. knee xray: ap and lateral views of the left knee are suboptimal due to difficulties in positioning. no fracture identified and i doubt the presence of an effusion. no overt joint space narrowing or osteophytes. ct head:impression: 1. evolving moderately large hemorrhagic contusion involving the superficial left temporal lobe, with likely second small hemorrhagic contusion involving the right frontal opercular region. 2. stable diffuse subarachnoid hemorrhage, predilecting the right cerebral hemisphere, with the thin left subdural hematoma, likely redistributed along that tentorial leaflet. 3. no shift of the midline structures or central herniation. head cta: impression: 1. no evidence of flow-limiting stenosis, occlusion, or aneurysm involving the anterior or posterior intracranial arterial circulations. 2. unchanged diffuse subarachnoid hemorrhage overlying the cerebral hemispheres bilaterally. 3. continued evolution of the bitemporal lobe contusions as described above. 4. unchanged tiny left convexity subdural hematoma and subdural blood layering over the left leaflet of the tentorium cerebelli. head ct: impression: 1. subarachnoid hemorrhage overlying the cerebral hemispheric convexities bilaterally is not significantly changed. 2. bitemporal contusions and associated edema are stable in appearance. 3. tiny left convexity subdural hematoma and sdh overlying the left tentorium cerebelli are not significantly changed. cxr new left basilar patchy opacity and right middle peribronchial infiltration, raising concern for aspiration and/or infection. 05:50pm fibrinoge-337 05:50pm plt count-290 05:50pm pt-11.9 ptt-20.2* inr(pt)-1.0 05:50pm wbc-6.6 rbc-4.31 hgb-13.2 hct-37.9 mcv-88 mch-30.7 mchc-34.8 rdw-13.4 05:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:50pm lipase-33 05:50pm estgfr-using this 05:50pm urea n-21* creat-0.9 06:40pm urine mucous-rare 06:40pm urine rbc-1 wbc-1 bacteria-many yeast-none epi-0 06:40pm urine blood-sm nitrite-pos protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 06:40pm urine color-straw appear-clear sp -1.007 06:40pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 06:40pm urine hours-random 10:47pm calcium-8.5 phosphate-2.4* magnesium-1.8 10:47pm glucose-186* urea n-15 creat-0.7 sodium-137 potassium-4.2 chloride-103 total co2-23 anion gap-15 10:54pm type-art po2-362* pco2-36 ph-7.46* total co2-26 base xs-2 brief hospital course: this is a 77 year old woman who was found down outside house after walking a dog. she was brought to the ed where she was seen to be combative and intubated. head ct revealed a l sdh and r sah. she was admitted to neurosurgery for further evalutaion and transferred to sicu. she was started on dilantin for seizure prophylaxis. scalp sutures were placed. on examination, patient was moving all extremities to noxious stimuli and pupils were 5 and nr due to eye surgery in the past. on , patient on examination opened her eyes to noxious stimuli and moved all four extremities spontaneously, no commands. she remained intubated. repeat head ct was performed which revealed no significant change. she was seen by trauma and cleared. her head laceration was stapled. fever work up was initiated for wbc of 15. pt continued to not have a gag reflex therefore extubate was not attempted. on a cta was performed which was negative for vascular malformation. on her c-spine was cleared by trauma and sbp was liberalized. on neuro checks were changed to q2hrs and she was successfully extubated. on , patient was awake, but not following commands, moving all extermities purposefully. she remains in icu for monitoring. on , she was transferred to the step down unit and was assessed by speech & swallow and failed her evaluation. a head ct was performed which was consistent withimpression: subarachnoid hemorrhage overlying the cerebral hemispheric convexities bilaterally is not significantly changed. bitemporal contusions and associated edema are stable in appearance. tiny left convexity subdural hematoma and sdh overlying the left tentorium cerebelli are not significantly changed. on , patient was noted to have leukocytosis, low grade fevers and an elevated wbc. a cxr showed a lll infiltrate and antibiotics was started. a peg was discussed with the family and the patient was scheduled to have a peg placed on . on she pulled out her dobhoff tube. she was verbal for the first time that morning. she was oriented to self. she was speaking and asking questions in sentences. she had memory deificts.peg tubefeedings were resumed 24hrs after placement. her dilantin was subtherapeutic and she was switched to keppra for seizure prophylaxis 500 mg po bid. on , the patient was alert moving all extremities antigravity/purposfully. she said "hi" to the examiner but this was not clear otherwise she was non verbal and not following commands- this has been her baseline. the patient tracks with her eyes and greets the examiner with a smile. a vancomycin trogh was attempted but sent at the wrong time and directions are being sent to the rehab facility to draw a vanco trough tonight prior to her second dose of the day. medications on admission: atenolol, celexa, oxybutynin discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever,pain. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 3. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 7. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. insulin regular human 100 unit/ml solution sig: two (2) units injection asdir (as directed): see sliding scale. 10. ciprofloxacin in d5w 400 mg/200 ml piggyback sig: four hundred (400) mg intravenous q12h (every 12 hours): last dose . 11. vancomycin 500 mg recon soln sig: 1250 (1250) mg intravenous q 12h (every 12 hours): last dose 3/25. 12. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 13. pilocarpine hcl 4 % drops sig: one (1) drop ophthalmic q6h (every 6 hours). 14. dorzolamide 2 % drops sig: one (1) drop ophthalmic (2 times a day). 15. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 16. levetiracetam 100 mg/ml solution sig: five (5) po bid (2 times a day): 500 mg po bid. 17. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush: heparin flush (10 units/ml) 2 ml iv prn line flush . 18. lab work at rehab vancomycin trough tonight prior to dose on discharge disposition: extended care facility: hospital - discharge diagnosis: l sdh r temporal/parietal sah urinary tract infection / e. coli respiratory failure scalp laceration dysphagia discharge condition: mental status: confused - always. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). uses walker with assist x 1 discharge instructions: ?????? 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. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? please do not take medications such as coumadin (warfarin), or plavix (clopidogrel), or aspirin without discussing with our office prior to you follow up visit. ?????? you have been prescribed keppra for anti-seizure medicine. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ??????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 prior to your appointment. this can be scheduled when you call to make your office visit appointment. the patient will need a vancomycin trough taken tonight at rehab prior to her pm dose. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization closure of skin and subcutaneous tissue of other sites central venous catheter placement with guidance diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified unspecified essential hypertension unspecified fall unspecified glaucoma open wound of scalp, without mention of complication other and unspecified hyperlipidemia other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with no loss of consciousness effusion of joint, lower leg physical restraints status dysphagia, unspecified 

Answer: The patient is high likely exposed to