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: ketorolac attending: chief complaint: ich major surgical or invasive procedure: left hemicraniotomy history of present illness: hx obtained from ed records as pt intubated. the patient is a 48 yo m with pmh of substance abuse, prior tbi with hemicrani and subsequent seizure do. he was recently admitted to an outside facility for detox. per some records he was to be detoxed from ativan. it appears from his labs at that time, that he had a transaminitis. of note, there is a record dated from the of ma department of mental health application for authorization of temporary involuntary hospitalization for substantial risk to himself. there was also a report on his presentation that he was awaiting transfer to jail after discharge. on the day of presentation to , he was reported to have a witness seizure. the details about the semilogy and duration are not available. it appears however that this may have been a gtc lasting 3-5 minutes. he was then transferred here for further evaluation. in our ed he was initially per report awake, alert and without neurological deficits. he then became increasingly confused, lethargic and starting to vomit. he also complained of a headache. he was emergently intubated but was noted to have significant aspiration at the time of intubation. he was loaded with 1 gm of dilantin and taken emergently to the or. past medical history: hx of tbi w/ sdh and crani (age 35 per records) -sz after tbi -depression -poly substance abuse -bipolar do social history: substance hx as above, other details unknown family history: non-contributory physical exam: admission: o: t: af bp: 104/89 hr: 88 r 20 o2sats 100% ra gen: wd/wn, comfortable, nad. heent: intubated, no lesion on scalp but healed l crani site neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: intubated, sedated cranial nerves: i: not tested ii: pupils equally round and reactive to light, to 2 mm bilaterally, reactive iii, iv, vi: no dolls v, vii: facial symmetric with et in place viii: unable to test ix, x: unable to test : unable to test xii: unable to test motor: normal bulk and tone bilaterally. no abnormal movements, tremors. moves l arm and leg briskly to nox stim but does not move r arm. r ankle flexes to nox stim. reported to move all extremities prior to intubation symmetrically sensation: reaction to nox stim as above reflexes: b t br pa ac right 1+-----> 0 left 1+-----> 0 toes downgoing bilaterally coordination: unable to test pertinent results: 05:30pm plt count-408 05:30pm neuts-50.8 lymphs-38.5 monos-6.9 eos-3.3 basos-0.5 05:30pm wbc-7.6 rbc-4.84 hgb-15.6 hct-46.3 mcv-96 mch-32.3* mchc-33.7 rdw-13.3 05:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:30pm albumin-4.4 calcium-9.6 phosphate-2.6* magnesium-2.1 05:30pm alt(sgpt)-221* ast(sgot)-154* ld(ldh)-192 alk phos-101 tot bili-0.4 05:30pm estgfr-using this 05:30pm glucose-88 urea n-13 creat-1.2 sodium-141 potassium-4.8 chloride-102 total co2-26 anion gap-18 ct head w/o contrast 7:11 pm ct head w/o contrast reason: sz, h/o subdural hematoma. s/p crani.. ? hemorrhage. medical condition: 48 year old man with sz d/o, h/o subdural hematoma s/p craniotomy 13 years ago, p/w tonic clonic seizure and head abrasion. reason for this examination: eval for hemorrhage contraindications for iv contrast: none. head ct without intravenous contrast indication: 48-year-old man with seizure disorder, history of subdural hematoma, post-craniectomy 13 years ago, presenting with tonic-clonic seizure and scalp abrasion. comparison: not available at this institution. head ct without intravenous contrast: there is a lentiform hyperdense extraaxial collection overlying the left cerebellar and left occipital lobes. this collection measures up to 2.4 cm in thickness and is compatible with an acute epidural hematoma. there is a second similar collection adjacent to he left frontal lobe measuring up to 11mm in thickness. there is effacement of left cerebral sulci, as well as partial effacement of the quadrigeminal cistern. there is a crescentic hyperdense collection compatible with acute subdural hematoma overlying the left cerebral convexity, measuring up to 4 mm in thickness. there is small-to- moderate amount of subarachnoid blood, overlying left cerebral hemisphere. there are bilateral inferior frontal areas of encephalomalacia, right greater than left, with evidence of overlying subarachnoid hemorrhage. there is no hydrocephalus. no intraventricular hemorrhage is seen. there is 4 mm shift of septum pellucidum as well as rightward subfalcine herniation. there is no tonsillar or uncal herniation. forth ventricle is patent. there is evidence of prior left parietal craniotomy. no skull fracture is seen. there is a subgaleal hematoma of the left frontotemporoparietal area. impression: acute left sided epidural hematomas, subdural hematoma and bilateral subarachnoid hemorrhage. mass effect and rightward subfalcine herniation. close followup is recommended. ct head w/o contrast reason: follow up drain removal to assess for blood, please do aroun medical condition: 48 year old man with evacuation of subdural/epidural hematoma now removal of drain reason for this examination: follow up drain removal to assess for blood, please do around 3pm contraindications for iv contrast: none. history: 48-year-old male status post evacuation of subdural/epidural hematoma, now after drain removal. comparison: ct head of and . technique: contiguous axial imaging was performed through the brain without administration of iv contrast. findings: overall the examination is little changed from one day prior. the patient is status post left parietal craniotomy with interval removal of intracranial drainage catheter. subdural collection of high-density blood and air in the region of craniotomy is unchanged. right frontal extra-axial collection of high-density blood is also unchanged. bifrontal encephalomalacic regions with overlying subarachnoid hemorrhage, unchanged. there is some sulcal effacement in the left hemisphere, as well as 4-mm shift of normally midline structures towards the right. the basal cisterns are preserved. high-density blood in the scalp overlying region of craniotomy is again noted. a small focus of subcutaneous hematoma and a small amount of air within the soft tissues in the occiput are noted where the drainage catheter was removed. the visualized paranasal sinuses and mastoid air cells remain clear. impression: exam is little changed after removal of intracranial catheter. the patient is status post left parietal craniotomy. left parietal pneumocephalus and subdural hematoma, unchanged. left frontal extraaxial hematoma, unchanged. bifrontal encephalomalacia with subarachnoid hemorrhage, unchanged. rightward shift of normally midline structures minimally increased from 3 to 4 mm. brief hospital course: the patient was taken from the er to the or emergently for craniotomy for subdural hematoma evacuation. post operatively he was transferred to the icu for further care given perioperative antibiotics and maintained on a ciwa scale. he was continued on his psychiatric medications. a psychiatry consult was obtained and they recommended continuing his medications and a 1:1 sitter. he was extubated on pod#2. he had questionable seizure activity while in the icu and a neurology consult was obtained. they recommended keppra and lamictal for seizure prophylaxis. his drain was removed on pod#2 and a ct scan post pull was stable. he initially refused po medications and so was switched to iv keppra and haldol. on pod#3 he was transferred to the floor in stable condition. he continued to be followed by psychiatry and was maintained on a 1:1 sitter on the floor. on pod#4 he was seen by pt and ot who cleared him for home after subsequent visits. his foley was removed on pod#6 and he voided without problems. was noted to have drainage from the inferior aspect of his wound and was started on keflex for 7 days. his staples were removed on pod#9 and the inferior aspect of his wound was sutured to decrease the drainage. on the psychiatry service cleared the patient for discharge and said he no longer needed a sitter. they recommended outpatient follow up with his psychiatrist. over the next several days he was screened by several rehab facilities and was denied admission. he continued to work with pt and ot as an inpatient and was eventually cleared for discharge to home. on pod#9 he was tolerating a regular diet, voiding without difficulty, was neurologically stable and was discharged home with neurology, psychiatry and neurosurgery follow up. medications on admission: albuterol inhaler prn -ativan 1mg po bid -benadryl 25mg prn -flonase spray -prilosec 20mg po qd -folic acid 1mg po qd -thiamine 100mg po qd -vit b complex -mg citrate prn -motrin prn (last given tid on ) -lamictal 100mg po bid ("for mood") -lexapro 20mg po qd -serax 20mg po prn withdrawal -serax 30mg po taper for withdrawal -seroquel 100mg po tid and 200mg qhs -thorazine 50mg po qhs (insomnia) -trazodone 100mg po qhs -vistaril 50mg qhs (anxiety) -tigan 300mg po prn vomiting discharge medications: 1. therapeutic multivitamin liquid sig: one (1) cap po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. escitalopram 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 doses* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 6. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days. disp:*28 capsule(s)* refills:*0* 11. lamotrigine 100 mg tablet sig: 2.5 tablets po bid (2 times a day). disp:*150 tablet(s)* refills:*0* 12. quetiapine 25 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*0* 13. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). disp:*qs bottle* refills:*0* discharge disposition: home with service facility: care solutions, inc discharge diagnosis: subdural hemorrhage discharge condition: stable discharge instructions: discharge instructions for craniotomy/head injury ?????? have a 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, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? 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, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please call to schedule an appointment with dr. to be seen in 4 weeks. you will need a cat scan of the brain without contrast follow up with dr. neuro f/u in weeks follow up with dr. /psych in marborough follow up with your pcp this week md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other craniotomy diagnoses: unspecified essential hypertension compression of brain epilepsy, unspecified, without mention of intractable epilepsy subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness fall from other slipping, tripping, or stumbling bipolar i disorder, most recent episode (or current) depressed, unspecified 

Answer: The patient is high likely exposed to