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: left occipital epidural hematoma major surgical or invasive procedure: evacuation of left occipital epidural hematoma history of present illness: 50yo wf with pmh significant for cervical disc herniation that presented to outside neurosurgeon 2-2.5 weeks ago for evaluation. following that appointment for which no intervention was pursued, patient started to have episodes of falling to the ground with any attempt at standing up. patient denied ha, seizure activity/symptoms, loc, or lightheadedness with each episode, simply stating that "the world started to spin around" whenever she experienced one of these episodes; pt did c/o occasional nausea and retching with the episodes. pt began to require balance assistance to stand each time, and still had multiple episodes of going to ground resulting numerous abrasions, and three broken ribs. on the evening of , patient had another episode resulting in a backward fall onto a concrete slab that did not cause loc but was worrisome enough for patient to contact her pcp who told her to have a low threshold for visiting an er. on morning of , with no resolution of sxs patient was seen at osh where cth showed large left occipital edh. past medical history: depression social history: lives alone, divorced, denies etoh/tobacco/ivda family history: non-contributory physical exam: vs: t 98.9 hr 113 bp 167/97 rr 23 sat 99% ra pe: well-appearing, well-nourished, with moderate level anxiety from hospitalization. heent: occipital pain on palpation, l hemotympanum cv: rrr s m/g/r neuro ms: aa&ox3, speech fluent, follows 3-point commands, easily comprehensible no neologisms or paraphrasic errors. cn: i--not tested; ii-could read nametag,iii-perrla 5-3mm, iii,iv,vi-eomi w/ left beat nystagmus, v--sensation intact to lt, and masseter strength; vii-no facial asymmetry, muscles of facial expression strong; viii- intact to fr bilaterally; ix,x--voice normal, palate elevates symmetrically, uvula midline; xii--tongue protrudes midline, no atrophy or fasciculation. motor: normal bulk and tone, no pronator drift. strength: delt tri grip io psoas quad ham ta c5-6 c5-6 c6-8 c7-8 c7-8 l2-4 l2-4 l5-s2 l5-s1 s1-2 l4-5 r 5 5 5 5 5 5 5 5 5 5 5 l 5 5 5 5 5 5 5 5 5 5 5 coord: no dysmetria. fnf intact bilaterally, right better than left refl: | |tri |bra |pat | |toe | l | 2 | 2 | 2 | 2 | 2 | dn | r | 2 | 2 | 2 | 2 | 2 | up | : lt intact to all four extremities/trunk pertinent results: 06:20pm pt-12.4 ptt-20.5* inr(pt)-1.0 06:20pm plt count-246 06:20pm neuts-90.1* bands-0 lymphs-2.7* monos-3.5 eos-0.1 basos-0.1 06:20pm wbc-7.9 rbc-3.12* hgb-11.4* hct-30.7* mcv-99* mch-36.6* mchc-37.2* rdw-15.8* cth large left epidural hematoma with adjacent mass effect, cerebral edema, compression of the ventricle and concern for uncal herniation cth interval drainage of epidural hemorrhage. no evidence of new bleeding. cth unchanged pneumocephalus in the left supratentorial epidural space. stable small epidural hematoma in left posterior fossa. no new hemorrhage or evidence of major vascular territorial infarction or hydrocephalus. ct c-spine abnormality at the left c1-c2 facet, of uncertain age. the lytic and sclerotic appearance could be consistent with a less acute process, although an acute injury cannot be excluded plain films bilateral knees unremarkable radiographs of the bilateral knees plain films bilateral ankles acute left lateral malleolar avulsion fracture. left medial malleolar tiny avulsion fracture of uncertain chronicity (no soft tissue swelling). clinical correlation needed. no right ankle fracture. right calcaneal tuberosity is excluded from the image. mri c-spine small right-sided foraminal disc herniation at c6-c7 level possibly contacting the right exiting nerve root. small left paracentral disc herniation at c5-c6 level. t2 hyperintensity involving the right facet joint at c3-c4 and c4-c5 levels with slight hyperintensity within the right c3 pedicle. this could be related to possible osseous contusion and neck injury. no definite fractures are identified; however, thin-section ct might be useful for further imaging to detect any suspected subtle fractures brief hospital course: patient taken directly from er trauma bay on to or for emergent evacuation of large left occipital epidural hematoma. pt tolerated the procedure well and was transferred after stabilization in the pacu to icu. pt was maintained in icu in stable condition until hd 3 (pod #1) at which time head drain was removed, patient was transfused two prbc's for anemia, and transferred to step-down 5. based on c1-c2 facet joint irregularity seen on ct c-spine, spine consult was obtained, and with f/u mri of spine, it was determined that the patient needed to maintain hard c-spine collar on for 6 weeks, until follow up with orthopaedic spine. on hd4, orthopaedics was consulted for left ankle fx and their recommendations were to place patient leg in air splint, with weight bearing on foot as tolerated. pt was transferred to regular floor status on while awaiting pt and social work recommendations. pt continued to have headaches a repeat head ct was done on neurology saw patient for vertigo they felt shecharacteristics of this patient's dangerous and disabling vertigo do have a peripheral vestibular not central quality. the features are not lateralized enough to suggest vertebrobasilar vascular insufficiency, nor are there the assoc. features of this dx. the gradual escalation of symptoms is not compat. with stroke, but also not with most of the acute labyrinthitidies, and is also not typical of vertigo due to demyelinating disease. rather i suspect an otovestibular condition such as meniere's disease, or a more subacute process such sle . doubt mass lesion as the hearing loss (if indeed not directly due to resolving hemotympanium) is spontaneously remitting. .: in view of her severe multiple trauma, hemotympanium, neck , not feel it useful, practicable or safe to begin a diagnostic evaluation of this patient's vertigo. both hearing testing (site of lesion) and otovestibular testing must be delayed until cervical stability is established. until then her vertigo must still be considered to place her at risk for further unpredictable falls, and life-threatening injury. until a definitive w/u can be realized, i would therefore recommend that she be placed in rehab (-healthcare south would be ideal because of the excellent otovestibular lab. there) or at the very least, a facility until w/u can proceed. medications on admission: per patient: zoloft, and "some other depression medication" discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. phenergan 12.5 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. disp:*30 tablet(s)* refills:*1* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. sertraline 50 mg tablet sig: 0.5 tablet po daily (daily). 5. diazepam 5 mg tablet sig: one (1) tablet po q 8h (every 8 hours). 6. bupropion 75 mg tablet sig: one (1) tablet po bid (2 times a day). 7. lansoprazole 15 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. hydrochlorothiazide 25 mg tablet sig: 0.5 tablet po daily (daily). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 10. lactulose 10 g/15 ml syrup sig: thirty (30) ml po daily (daily). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). discharge disposition: extended care facility: aberjona nursing center - discharge diagnosis: left occipital epidural hematoma discharge condition: stable discharge instructions: please resume all home medications. please return to hospital er if you experience fever in excess of 101 degrees, begin to have worsening nausea/vomiting or headaches, or note increased redness or purulent drainage from head wound. followup instructions: please follow up with dr. in 6 weeks with a head ct prior to visit. please call to schedule an appointment please follow up with orthopaedic spine, dr. office, in six weeks. please call to schedule an appointment if you continue to have foot pain you can follow up with dr from orthopedics otherwise just wear air cast for 2 weeks please follow up with your primary care provider 2 weeks regarding high blood pressure md procedure: transfusion of packed cells other craniotomy diagnoses: displacement of cervical intervertebral disc without myelopathy closed fracture of second cervical vertebra accidental fall on or from other stairs or steps dizziness and giddiness other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to