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: confusion major surgical or invasive procedure: none history of present illness: cc: hpi: 44 year old right handed truck driver with an unknown medical history was found in his truck confused by the police this morning. according to the patient, he has nausea last night, which continued until this morning. he also had a bifrontal throbbing headache, which continues to be present. he is not sure whether the headache came on suddenly. he does not know why he was found in his truck with a laceration above his right eye, and a dislocated right middle finger. according to the patient, he was at home on sunday and drove his truck from pa to ma from sunday night into monday morning. he made three stops at various best buys throughout the state and last drove from to from 7 pm - 8pm.the patient then went to bed in the back of his truck. he had a difficult time sleeping due to stomach pain and was dry heaving all night. after this point, the patient is unsure what happened. ros: apart from perseverating on his headache, a reliable ros cannot be obtained at this point in time. past medical history: pmh: none (according to the patient) he does not remember when he last saw a pcp social history: sh: he is married with 2 children. he is a long distance truck drive from pa. he has a 27 pack year history and he still smokes. he drinks occasionally, but when he does, he can finish a six pack. he does not use recreational drugs. family history: n/c physical exam: t-98.1 bp-113/71 hr-75 rr-18 o2sat-100% gen: he has a laceration over his right eyebrow, and his right middle index finger is dislocated. he is dishevelled and cachectic. he has nicotine staining. he is complaining of a headache. heent: nc/at, moist oral mucosa neck: no tenderness to palpation, supple, no carotid or vertebral bruit cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema neurologic examination: mental status: awake and alert, cooperative with exam, but can only seem to follow one step commands, flat affect. oriented to person, but not place and date. inattentive. speech is fluent but his repetition is not intact; he misnames all the images on the stroke card, for example he calls a cactus, a rose. slight slurring of his words. intact. registers , recalls 0/3 in 5 minutes. is confusing his rights and lefts. no evidence of apraxia or neglect. no graphesthesia. cranial nerves: pupils equally round and reactive to light, 3 to 2 mm bilaterally. visual fields are full to confrontation. extraocular movements intact bilaterally, no nystagmus. sensation intact v1-v3. facial movement symmetric. hearing intact to finger rub bilaterally. palate elevation symmetrical. sternocleidomastoid and trapezius normal bilaterally. tongue midline, movements intact motor: normal bulk bilaterally. tone normal. no observed myoclonus or tremor mild right pronator drift tri wf we fe ff ip h q df pf te tf r 5 5 5 5 5 5 5 5 5 5 5 5 5 5 l 5 5 5 5 5 5 5 5 5 5 5 5 5 5 sensation: he is not attentive enough to do this reliably reflexes: his reflexes are brisker on the right than on the left. right toe is upgoing, left toe downgoing. coordination: he is unable to comply and is perseverating about his headache. gait: not assessed in this setting. pertinent results: 02:20pm pt-11.0 ptt-26.2 inr(pt)-0.9 02:20pm plt count-198 02:20pm wbc-13.6* rbc-4.65 hgb-14.9 hct-42.2 mcv-91 mch-32.0 mchc-35.3* rdw-13.3 02:20pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:20pm glucose-122* urea n-11 creat-0.8 sodium-139 potassium-4.1 chloride-102 total co2-26 anion gap-15 05:15pm urine rbc-0 wbc-0-2 bacteria-none yeast-none epi-0 05:15pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-50 bilirubin-neg urobilngn-1 ph-7.0 leuk-neg 07:18pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg ct head 1. no short-interval change compared to the study 4 hours earlier. a 2-cm left posterior temporal intraparenchymal hemorrhage with small likely-subdural hematoma along the left hemispheric convexity. 2. suggestion of early left uncal herniation, unchanged. 3. partial effacement of the left lateral ventricle, without significant shift from normally midline structures. 4. longitudinal nondisplaced right temporal bone fracture. x-ray finger impression: right third pip joint dislocation without acute fracture. x-ray finger (#2) impression: reduction of previously noted third pip dislocation. no fracture. cxr impression: no acute cardiopulmonary process. mri +/- (prelim read) 1. no significant interval change in appearance of the multi compartment hemorrhage, with largest component centered within the left temporal lobe. there is mild associated mass effect and the appearance is suggestive of post-traumatic hemorrhage without a definite underlying lesion. consideration could be given to a followup mri once the blood products continue to resolve given the possible subtle nodular enhancement as detailed above. 2. small right mastoid air cell effusion which when correlated with the preceding ct scan is associated with an oblique longitudinal right temporal bone fracture. cta head 1. unchanged density and size of the left temporal lobe hemorrhage with slightly increased peri-hemorrhagic edema. unchanged minimal impending left uncal herniation without compression of the brainstem. 2. unchanged subdural hematoma over the left convexity. 3. no evidence of arteriovenous malformation (avm), aneurysm or other abnormalities on the cta study. 4. unchanged nondisplaced fracture of the right mastoid air cells and squamous portion of the temporal bone. ct head 1. no significant change in left temporal parenchymal hemorrhage and left convexity subdural hemorrhage, the former of which demonstrates surrounding edema. 2. persistent mild uncal herniation on the left. 3. no new site of hemorrhage or evidence of hydrocephalus or developing infarction. ct head impression: 1. no significant interval change in the left temporal lobe intraparenchymal hemorrhage, with surrounding edema. 2. unchanged small subdural hematoma overlying the left cerebral convexity. 3. stable associated mass effect. brief hospital course: 44 year old right handed truck driver with an unknown medical history was found in his truck confused by the police on the morning of admission. according to the patient, he has nausea last night, which continued until this morning. he also had a bifrontal throbbing headache, which continues to be present. he is not sure whether the headache came on suddenly. he does not know why he was found in his truck with a laceration above his right eye, and a dislocated right middle finger. it was hypothesized he may have had a seizure resulting in mild trauma and possible contra-coup injury (right frontal trauma with left posterior temporal contusion). other possibilities included arteriovenous malformation or underlying mass. the patient was admitted to the neurology icu for further management. . hospital course by problem; . neuro; the patient was loaded on keppra upon admission and continued at 1000 mg . he was monitored initially with q1h neurochecks. his systolic blood pressure was maintained between 100-140 without intervention. a repeat ct head showed a stable intraparenchymal and small subdural hematoma. mri brain showed no evidence of underlying mass. a cta showed no sign of vascular malformation. the patient will undergo repeat mri brain with and without contrast in weeks for further evaluation of his hemorrhage. he will continue on keppra at 1000 mg for at least six months. the patient was transferred to the neurology floor on hd#2. there he was evaluated by pt who found that he was stable and able to ambulate without assistance. a repeat head ct on showed no change in the intraparenchymal or subdural bleeds. he did not have any seizure activity while in house. . msk; the patient was found to have a dislocation of his right middle finger which was subsequently reduced. this was splinted and did not cause him significant pain . cv/pulm/renal/gi: the patient was stable from a cardiac, pulmonary, renal and gi standpoint. he tolerated a regular diet without issues, he made adequate urine and did not have any desaturations. on hd 5 the patient felt well and a repeat head ct showed no evolving process. he was anxious to return home to as his family had finally arrived in . he will take all hospital documents with him and tranfer his care down to pa near his family. at the time of discharge he was ambulating without assistance, tolerating a regular diet but did have some persistent confusion. however, he and his family understood the gravity of his problem and certified that he would arrange follow up care with neurology and neurosurgery upon his return to pa. medications on admission: none discharge medications: 1. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 months: please take until cleared by your neurologist at home. disp:*120 tablet(s)* refills:*0* 2. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever and headache. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 10 days. disp:*20 capsule(s)* refills:*0* 4. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain for 5 days. disp:*15 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: intraparenchymal hemorrhage secondary: seizure discharge condition: mental status: confused - sometimes level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted after being found unresponsive. you were found to have a left temporal hemorrhage. it was also suspected that you had a seizure, for which you were started on keppra. because you had an episode of loss of consciousness, it is important that you not drive until you are seizure free for at least 6 months. medication changes: -keppra 1000mg if you notice any of the concerning symptoms listed below, please call your pcp or return to the emergency department for further evaluation. followup instructions: neurology: please call to schedule a follow-up appointment with dr. in weeks. the office will need your insurance information to arrange this appointment. we would recommend following up here in with the surgeons who have been treating you, but understand if you are to return to pa for follow up. it is very important that you do see your doctor within the next week to arrange for your care. you should get an mri with and without contrast prior to your follow-up appointment. if you are to arrange your follow up out of state, you should appointment for you in the next 1 weeks. you can then discuss what type of tests this provider would like to order. you should also follow up with your primary doctor regarding your finger dislocation. procedure: closed reduction of dislocation of hand and finger diagnoses: tobacco use disorder other convulsions open wound of forehead, without mention of complication cachexia unspecified accident closed dislocation of interphalangeal (joint), hand cortex (cerebral) contusion without mention of open intracranial wound, unspecified state of consciousness 

Answer: The patient is high likely exposed to