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: sulfa (sulfonamides) attending: chief complaint: confusion, lethargy major surgical or invasive procedure: left craniotomy for sdh evacuation : left craniotomy for sdh re-evacuation history of present illness: patient is a 43m without traumatic head injury history who presented to the hospital after being pulled over while driving for erratic driving behavior. when the police officer approached the patient's car, he was found to be post-seizure, and incontinent of urine. he was then taken to the osh emergency department where a ct scan was performed that identified sizable bilateral sdh of unclear etiology. past medical history: 1. dm 2. htn 3. dyslipidemia social history: married, resides at home with wife and child. presently not working. family history: non-contribuitory physical exam: on admission: physical exam: o: t: afebrile bp:123/82 hr:93 rr:14 o2sats: 95%ra gen: wd/wn, comfortable, nad. heent:normocephalic, atraumatic pupils: equal; slightly reactive to light eoms; unable to maintain attention to follow directions extrem: warm and well-perfused. neuro: mental status: lethargic, intermittently following commands, slightly aphasic, cooperative with exam. opens eyes to voice. orientation: oriented to person, place, and year only. language: slowed speech with impaired comprehension. naming intact. some difficulty with word finding intermittently. cranial nerves: i: not tested ii: pupils equally round and minimally reactive to light, 3mm bilaterally. iii, iv, vi: patient unable to follow directions v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: full strength and sensation throughout with exception of rue triceps which is 4+/5. sensation: intact to light touch. toes downgoing bilaterally coordination: normal on finger-nose-finger. on discharge t98.3 103/73, 92,14, 97%ra gen: nad, comfortable wound: cdi neuro: aox3, perrl 3/2mm bilaterally, eomi intact. slight right prontaor drift, but self corrects. no dysmetria. eyes opening to voice. following commands, full strength and power throughout upper and lower extremities. pertinent results: ct scan : large bilateral extra-axial subdural hematomas are seen. the left- sided subdural measures upwards of 2.4 cm in greatest width. the right-sided measures upwards of 1.6 cm in greatest width. the subdural hematomas are of mixed attenuation suggesting acute-on-chronic hemorrhage. several more linear areas of hyperdensity within the subdural collection likely represent fibrovascular strands. there is rightward shift by approximately 8-9 mm. there is mass effect seen on the left lateral ventricle. there is effacement of the suprasellar cistern, concerning for uncal herniation. effacement of the basilar cisterns suggests downward transtentorial herniation. tonsillar herniation also present. no definite intraparenchymal hemorrhage identified. visualized paranasal sinuses are normally aerated. ct scan (post-evacuation): findings: since the previous study the left-sided subdural hematoma has been evacuated. there is air seen within the subdural space. the overall size of the subdural have decreased. there is somewhat decreased mass effect seen with decreased midline shift. right-sided small subdural with a maximum width of 15 mm is again noted and has not significantly changed in size. there is no hydrocephalus. ct scan : 1. increase in size of left temporal extra-axial collection with increased mass effect on the temporal lobe and temporal horns, and with slight increase in uncal herniation. there is slight increase in layering hyperdense blood within the left extra-axial collection. while there is increase mass effect upon the left lateral ventricle, there is no change in rightward shift of normally midline structures. increased tonsillar edema is noted, along with slight increase in tonsillar herniation. right mixed-attenuation subdural collection unchanged. ct scan (post-re-evac): impression: 1. left subdural hematoma, decreased in size. extensive pneumocephalus secondary to craniotomy. 2. unchanged appearance of the right subdural hematoma. 3. persistent shift of normally midline structures by approximately 6 mm, slightly decreased when compared to most recent prior. 4. ethmoid and sphenoid sinus air-fluid levels. ct scan : 1. no significant interval change. unchanged frontoparietal subdural hematomas bilaterally with mass effect and shift of midline to the right as described above. unchanged uncal and tonsillar herniation. ct scan : impression: 1. slight decrease in size of bilateral subdural hematomas. 2. mild right midline shift (5 mm), also minimally improved. 3. no new focus of hemorrhage identified. mri c-spine : impression: 1. indented appearance to the dorsal aspect of the spinal cord is noted posterior to the t3 vertebral body. there is an expanded appearance to the cord above this level, where there is also slightly increased stir signal. there is suggestion of a collection posterior to the cord that may be causing compression of the cord and this indented appearance. the collection is relatively isodense compared to csf fluid. however, it is incompletely visualized, particularly on axial imaging, and imaging through the thoracic spine is recommended for further evaluation. mri t-spine : impression: 1. focal dilation of the subarachnoid space, in the posterior thecal sac, at the level of t2 and t3, 0.9 x 0.5 x 2.0 cm in the transverse, ap and cc dimensions, and can represent a cyst like arachnoid cyst. the exact demarcation between the cyst and the remainder of the subarachnoid space is not clear on the present imaging. moderate spinal canal stenosis, moderate compression on the cord with anterior displacement of the cord, from the cyst is noted. 2. mild expansion of the cord just above the location of the cyst, with t2 hyperintense foci in the right side of the cord can represent edema versus myelomalacia; no enhancement. it is unclear from the present imaging if there is any communication between the cyst and the t2 hyperintense foci in the cord. further evaluation of the cyst, can be performed with ct myelogram _____ there is more accurately the _____ compartments involved. 3. possible spinal cord herniation posteriorly, and given the slight buckling of the cord appearance, noted on the sagittal t2 sequence. labs: 06:55am blood wbc-7.0 rbc-4.14* hgb-12.3* hct-36.6* mcv-88 mch-29.7 mchc-33.6 rdw-12.8 plt ct-433 09:30pm blood neuts-80.8* lymphs-16.4* monos-2.1 eos-0.4 baso-0.4 06:55am blood glucose-182* urean-11 creat-0.7 na-140 k-4.5 cl-101 hco3-28 angap-16 06:55am blood calcium-9.4 phos-3.3 mg-1.8 09:15am blood phenyto-18.9 evoked potentials study: performed on ; formal read pending. brief hospital course: patient was transferred to from osh for definitive management of large bilateral sdh on . he was admitted to the icu for close monitoring in preparation for urgent evacuation to be performed on as first case. patient tolerated the procedure well (see separately dictated operative note for details of the operative procedure). on ct scan was repeated for a decreased neurologic examination, and was found to have reaccumulation of sdh and increased mass effect and shift. he was taken to the operating room again for re-evacuation of sdh via left craniotomy. procedure was tolerated well, and uneventful. post-re-evacuation ct revealed decreased size in sdh, and decreased shift and mass effect. an additional repeat ct was performed again on and found to be stable. he was then extubated and monitored for an additional day in the icu. on , he was transferred to the neurosurgical floor, during which time he progressed well. on ,upon returning to neurosurgical floor after an mri, he began to have seizures that lasted for approximately 1hour intermittently despite multiple dosing of ativan iv. he was bolused with 500mg of iv dilantin to further boost therapeutic level. he was urgently transferred back to the sicu for closer monitoring given new onset of seizure activity. ct scan was repeated once he was seizure free for 1/2h and the sdh was found to be essentially stable. epilepsy service was also consulted for the ongoing management of his seizure activity. he was additionally started on keppra for additional control. he has been seizure free for two days at this point and deemed appropriate for discharge to home with appropriate follow-up with the respectively involved services. medications on admission: 1. aspirin 2. insulin and oral diabetic agents(unknown names) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. oxycodone 5 mg tablet sig: 1-2 tablets po q4-6h () as needed. disp:*50 tablet(s)* refills:*0* 3. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po daily (daily): please administer at noontime. disp:*30 capsule(s)* refills:*2* 4. phenytoin 50 mg tablet, chewable sig: three (3) tablet, chewable po bid (2 times a day): please take at 6am and 10pm. disp:*180 tablet, chewable(s)* refills:*2* 5. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. insulin glargine 100 unit/ml solution sig: one (1) 15 units subcutaneous dinnertime. disp:*qs 100* refills:*2* 8. insulin regular human 100 unit/ml solution sig: one (1) injection ac, hs: please take regular insulin as a sliding scale coverage before meals and at bedtime as dictated on sliding scale sheet given with d/c instructions. . disp:*qs 1 vial* refills:*2* discharge disposition: home discharge diagnosis: 1. bilateral sdh discharge condition: 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. ?????? you may wash your hair only after sutures and/or staples have been removed. ?????? 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, and ibuprofen etc. ?????? you have been prescribed two anti-seizure medicines, take them as prescribed and follow up with laboratory blood drawing as ordered below. ?????? 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: 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. -------- you also have an appointment with drs. & on at 5:00pm in the bldg on the . their phone number is if you need to reschedule. you will also need to have your blood dilantin level checked in two weeks. please make sure the results are being forwarded to drs. and . their fax number is . ------- you call the clinic for ongoing diabetes managment if you wish. their phone number is . when calling, identify yourself as a 'new' patient seen during your hospital stay and your appointment will be assigned accordingly. you may corrdinate this appointment in the same time frames as your alternate appointments to ease you commuting difficulties. procedure: incision of cerebral meninges incision of cerebral meninges diagnoses: unspecified essential hypertension other convulsions compression of brain cerebral edema diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled subdural hemorrhage urinary incontinence, unspecified 

Answer: The patient is high likely exposed to