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: history of present illness: patient is a 62-year-old gentleman, who was transferred from life care rehab with mental status changes with increased lethargy and urinary incontinence. he had recently been admitted under dr. care on for hydrocephalus and status post a vp shunt placement, also had a history of subarachnoid hemorrhage, who was treated conservatively at . past medical history: 1. subarachnoid hemorrhage. 2. hypertension. 3. bell's palsy. 4. interventricular hemorrhage on ct 1.5 years ago. 5. status post right eye surgery. 6. status post vp shunt on 12/. 7. peg tube 12/. allergies: no known allergies. physical exam: on physical exam, his temperature was 97.8, heart rate 64, blood pressure 148/80, respiratory rate 20, and sats 94% on 4 liters. neurologically, patient was lethargic, responded appropriately, oriented to place, time, and person. pupils were dysconjugate. left fixed and dilated at 5 mm. the right was 5 mm and nonreactive to light. can move midline to lateral gaze. cranial nerve v decreased on the left, but cranial nerve vii has a left facial droop, which is old. cranial nerves ix, x, and intact and symmetric. motor exam: his strength was in his upper extremities and lower extremities. he had no pronator drift. his sensation was grossly intact. his reflexes are 2+ throughout. his toes were downgoing. he had a mri with dwi for question of embolic stroke. he had a urinalysis, sputum culture, and chest x-ray, and tox screen. patient is admitted to the medical service and worked up for a possible meningitis. however, the patient had no signs or symptoms or meningitis and no lp was recommended at that time. patient had no white count and no fever making shunt infection less likely. patient also had a chest ct to rule out pe, which was ruled out. chest x-ray showed retrocardiac infiltrate. ekg was in normal sinus rhythm. head ct showed question of a left putaminal lacunar infarct, but no bleed. the patient was intubated for respiratory failure and distress on . on , patient had a lumbar puncture performed with an opening pressure of 24, closing pressure of 19, csf was sent for culture. csf results show a glucose level of 8, 1 white cell, 210 red cells, 22 polys, 68 lymphocytes, opening pressure of 24. mri shows restricted diffusion in the insular cortex, which is unlikely to explain his current symptoms. no evidence of any other infarcts. he continues to show communicating hydrocephalus, which has not improved since vp shunt. his opening pressure was 24 on admission on his lp. patient had a repeat lp done on with an opening pressure of 36, closing pressure of 15, 25 cc of csf was sent. the patient was preoped and went for a vp shunt revision. postoperatively, the patient's eyes were closed. he shook his head yes and no to appropriate questions. his grasps were 3+ bilaterally. wiggles toes on the right, minimally withdrawn on the left leg. right pupil is trace reactive. left is nonreactive. remained neurologically stable, this was on . patient was extubated on , and then immediately reintubated because patient was unable to maintain a protective airway. ct showed decreased hydrocephalus and size of the ventricles. patient on became unresponsive. had a head ct, which showed enlarged ventricles. had a lp performed, and the patient became responsive again. on , neurologic exam: patient would squeeze the right hand to command. did not open his eyes. pupils fixed. neurology was consulted regarding question of seizure activity. csf cultures were sent. he had an eeg, which showed slowing, but no epileptiform activity, and his mental status deteriorated on . his pupils were fixed and dilated. he had no corneals, no oculocephalic reflex. absent cold caloric reflex and no response to sternal rub. csf was sent for fungal culture, cryptococcal cytology, afb. infectious disease was consulted. he recommended treating the patient with vancomycin 1.5 grams iv q.12, ceftazidime 1 gram iv q.8, and amphotericin 1 mg/kg iv q.d. to treat for a question of a nosocomial meningitis despite no pleocytosis on csf, but there was an elevated protein and decreased glucose level. on , the patient had no corneal reflexes. had a positive gag reflex. no withdraw to pain in the upper or lower extremities. head ct showed hydrocephalus again. therefore, a vent drain was placed on . the protein level on csf was 111, glucose is 53. patient remained unresponsive. no oculocephalic response, no corneals, no gag, no response to painful stimulation in the upper or lower extremities. continued to deteriorate, and family was approached by dr. in discussion of his condition. the family has opted to make the patient comfort measures only, and the patient expired on at 6:58 p.m. addendum: a post-mortem was performed and returned with meningeal carcinomatosis, please see pathology report. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung spinal tap incision of lung spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances intravascular imaging of intrathoracic vessels replacement of ventricular shunt gingivoplasty diagnoses: acute respiratory failure pneumonitis due to inhalation of food or vomitus methicillin susceptible pneumonia due to staphylococcus aureus surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation accidents occurring in residential institution cerebral artery occlusion, unspecified with cerebral infarction mechanical complication of nervous system device, implant, and graft foreign body in larynx meningitis, unspecified 

Answer: The patient is high likely exposed to