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: falls major surgical or invasive procedure: none history of present illness: yo f, h/o a fib on coumadin, who fell twice 3/12am in bathroom and 5-6pm again in her bedroom, both time struck her left side of head on to ground. she was uncertain the cause of the falls, thought she may have lost balance. denied loc, ha, n/v, dizziness/lightheaddeness. no bladder/bowel incontinence. able to ambulate after the falls. past medical history: chf- echo in ' showed ef 55% afib ventral hernia neuropathy on l side s/p "neck" tumor surgery diverticulitis . pshx: -lar complicated by chf post-op. echo at that time ef >55%, mild lvh, mild mr. of cervical spinal tumor c/b l sided neuropathy and weakness social history: lives in fl during winter. recently moved back. volunteer at hebreb. no etoh, no smoking hx. has 24 hour caregiver family history: nc physical exam: t: 99.0 bp: 150/102 hr:96 r 20 o2sats 99% gen: wd/wn, comfortable, nad. heent: pupils: perrla eoms full. no rhinorrhea. no otorrhea. neck: no tenderness. on c-collar, rom not examined. lungs: cta bilaterally. cardiac: irregular hr 98, +s1s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. no dysarthria. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2.0mm to 1.5mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. 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: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch bilaterally. reflexes: 1+/4 throughout and symmetrical. toes downgoing bilaterally coordination: normal on finger-nose-finger. pertinent results: 05:50am pt-36.7* ptt-34.5 inr(pt)-4.0* 05:50am plt count-293 05:50am neuts-91.1* lymphs-5.2* monos-3.6 eos-0 basos-0.1 05:50am wbc-17.2*# rbc-4.43 hgb-13.4 hct-39.3 mcv-89 mch-30.3 mchc-34.1 rdw-14.4 05:50am calcium-9.2 phosphate-2.8 magnesium-2.0 05:50am ck-mb-9 . imaging: nchct - findings: high-density material is seen tracking along the left hemisphere consistent with acute subdural hematoma. high-density material also seen tracking along the falx and left tentorium, also consistent with subdural hematoma. hematoma measures approximately 1 cm in greatest width and demonstrates mass effect, with subfalcine herniation, with rightward shift of approximately 6 mm. mass effect is seen on the left lateral ventricle. the posterior aspect of the left lateral ventricle is not well visualized. left temporal is also not well seen. evidence of previous right mca territory infarct again seen. dentate nucleus calcifications also again noted. visualized paranasal sinuses appear normally aerated. impression: left-sided subdural hematoma, with subfalcine herniation with rightward shift of approximately 6 mm. mass effect also seen on the left lateral ventricle. . ct c spine - 1. no evidence of acute fracture or dislocation. 2. stable appearance to extensive degenerative disease and vertebral body/ right facet fusion from c5-c7. 3. reidentification of extensive subdural hematoma. please consult ct examination report from same date for further details. . shoulder x-ray - no evidence of acute fracture or dislocation. . nchct - large left-sided acute subdural hemorrhage which appears to be unaltered in extent compared to the prior study of . cxr - 1. persistent retrocardiac opacity is concerning for ongoing pneumonia. 2. superior mediastinal prominence is consistent with goiter seen on prior chest ct. . nchct - little change seen from prior study. again seen is large left subdural hematoma. there is no significant change seen in the mass effect, or right temporal hyperdensity. calcifications are again noted in the folia of the cerebellar hemispheres. no new hemorrhage identified. . cta chest - 1. no evidence of pulmonary embolus or thoracic aortic dissection. 2. bilateral lower lobe opacities, concerning for pneumonia. small right pleural effusion. 3. mild chf. 4. stable mediastinal mass, likely representing goiter. . labs on discharge: 05:40am blood wbc-9.2 rbc-3.86* hgb-12.2 hct-34.8* mcv-90 mch-31.5 mchc-35.0 rdw-14.7 plt ct-298 05:40am blood glucose-97 urean-13 creat-0.6 na-137 k-4.3 cl-100 hco3-28 angap-13 05:40am blood calcium-8.4 phos-2.7 mg-1.8 brief hospital course: ms was admitted to the icu for frequent neurological examinations and blood pressure control. she had repeat head cts which showed no evidence of new hemorrhage. she was ruled out for an mi. on she was transferred to the surgical floor her dilantin level was low and she was rebolused with dilantin and became quite lethargic. a repeat ct showed no change or evidence of new stroke, however she was noticed to have some expressive aphasia which continued into , otherwise her exam was fairly intact. an mri was ordered to eval for new stroke but on transport, patient became hypotensive and was returned to the floor and evaluated by micu team for transfer. . s/p micu transfer: # respiratory distress: thought to be secondary pneumonia seen on ct. given fever, tachypnea, hypoxia, tachycardia, was treated for pneumonia. be community-acquired (as had been going on since prior to admission) vs aspiration (with altered mental status) vs hospital acquired. was treated as aspiration pneumonia with levofloxacin and flagyl. no evidence of chf on exam or xray, and had actually been getting double her usual lasix dose on the medical floor and appeared dry on exam. cta chest negative for pulmonary embolus. upon transfer back to the medical floor, the pt's oxygen requirement was weaned down to 2l nc and she was sating in the upper 90s by the time of discharge. she was discharged to complete a 10 day course of antibiotics at rehab. . # sdh: was maintained on dilantin 100 mg . her dilantin level was stable in the 10-15 range s/p her repeat dilantin load in the sicu. coumadin was held throughout hospital course. per neurosurgery, she will need to finish a 7 day course of dilantin for seizure prophylaxis. neurosurgery also cleared the pt to restart coumadin in 4 weeks time with a nchct to be performed once her inr is therapeutic again. her pcp will decide as an outpatient whether or not to resume her coumadin. . # altered mental status: etiology unclear. possibilities included medication effect (dilantin) vs. sepsis and pneumonia, vs expanding sdh. head ct unchanged. dilantin held. treated pneumonia as above. culture data negative. per neurosurgery, restarted dilantin at decreased frequency (100 ). upon transfer to the floor, the pt was alert and oriented x 3 without any deficits noted on neuro exam, including aphasia and dysarthria. she remained aao x 3 during her remaining hospital course. . # afib: well rate controlled on atenolol prior to transfer to micu. home atenolol continued. held coumadin given sdh. . # htn: continued atenolol as above. . # neuropathic pain: continued home regimen of neurontin. . full code she was discharged to rehab in good condition to finish a course of antiobiotics, dilantin, and for pt/ot. medications on admission: coumadin 4mg/d, tue - fri; 3mg/d, mon and sat; atenolol 25mg/d; neurontin 400mg, . discharge medications: 1. gabapentin 400 mg capsule sig: one (1) capsule po bid (2 times a day). 2. atenolol 50 mg tablet sig: 0.5 tablet po daily (daily). 3. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 5 days. disp:*15 tablet(s)* refills:*0* 4. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. disp:*5 tablet(s)* refills:*0* 5. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 3 days. disp:*6 capsule(s)* refills:*0* 6. cepacol 2 mg lozenge sig: one (1) lozenge mucous membrane every eight (8) hours as needed for sore throat. 7. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 9. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 12. zolpidem 5 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: left sided subdural hematoma aspiration pneumonia discharge condition: neurologically stable discharge instructions: you were diagnosed with subdural hematoma (bleeding in your brain) after having a fall while on coumadin. you also developed a pneumonia during your icu stay. your coumadin was stopped during this hospitalization. do not restart your coumadin unless instructed by your doctor; you must be off this medication for at least 4 weeks. you were also started on levaquin and flagyl to treat your pneumonia. please complete the full course as instructed below. all of your other medications were continued as prior to your hospitalization. if you develop worsening headache, dizziness, visual problems, gait difficulties, or any other concerning symptom, please call your doctor or report to the nearest er. followup instructions: please call dr. at to schedule a follow up appointment 1-2 weeks after discharge. please call dr (the neurosurgeon) at to schedule a follow up appointment 4 weeks after discharge. he would like for you to have a repeat cat scan of your head just prior to this appointment. procedure: transfusion of other serum diagnoses: congestive heart failure, unspecified unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases unspecified fall compression of brain pneumonitis due to inhalation of food or vomitus personal history of other diseases of circulatory system other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants hypoxemia altered mental status accidents occurring in unspecified place subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness diseases of tricuspid valve mononeuritis of unspecified site volume depletion, unspecified nontoxic multinodular goiter late effect of complications of surgical and medical care personal history of benign neoplasm of the brain 

Answer: The patient is high likely exposed to