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: altered mental status, presumed trauma to head major surgical or invasive procedure: : right craniectomy, left bolt placement : right cranioplasty history of present illness: 61m age male found stumbling through a plumber pipe supply yard, was found down and having tonic clonic seizures lasting approx 15seconds. ems was called, and he was taken to . upon admission, he was found to have an absent gag reflex and was intubated for concern of airway protection. on presentation, pt was reportedly moving all extremities, pupils were equally reactive and patient was localizing to pain. head ct revealed an large acute sdh. the patient was urgently rushed to the or for sdh evacuation past medical history: unknown social history: married; resides at home with wife, one adult daughter family history: non-contributory physical exam: on admission: bp: 158/92 hr:72 r:18 o2sats:99%vent 1.0/500x16 peep5 gen: intubated. gcs 9t (e3 v1 m5). heent: eccymosis of eyes pupils:r4->2, l4->3 neck: collar extrem: warm and well-perfused. neuro: mental status: sedated. opens eyes to command. localize to pain in upper extremities. withdraws to pain in le. orientation: confused language: non-verbal. cranial nerves: i: not tested ii: pupils reactive to light, to right4->2, left4->3 mm. iv-vii: unable to examine secondary to confusion and sedation. motor: moves all extremities toes downgoing bilaterally upon discharge: the patient is now oriented x 2 and moving all extremities spontaneously and against resistance. strength is . he is ambulating with assistance. his wound is clean, dry, and intact. he no longer has a cervical neck collar but did wear a helmet after his craniectomy until on which date his flap was reinserted. he has not had postoperative seizure activity or other complication. pertinent results: labs on admission: 12:30pm blood wbc-14.0* rbc-3.68* hgb-11.8* hct-34.1* mcv-93 mch-32.0 mchc-34.5 rdw-12.8 plt ct-180 12:30pm blood neuts-72.5* lymphs-23.2 monos-2.4 eos-1.6 baso-0.2 12:30pm blood pt-15.5* ptt-34.5 inr(pt)-1.4* 12:30pm blood fibrino-177 12:30pm blood urean-14 creat-0.8 07:49pm blood glucose-116* urean-13 creat-0.8 na-135 k-4.5 cl-105 hco3-23 angap-12 02:51am blood ck(cpk)-624* 12:30pm blood lipase-24 02:51am blood ck-mb-9 07:49pm blood calcium-8.5 phos-1.9* mg-2.1 12:30pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 12:35pm blood po2-172* pco2-36 ph-7.05* caltco2-11* base xs--20 comment-green top 12:35pm blood glucose-105 lactate-7.2* na-146 k-1.9* cl-123* labs on discharge: xxxxxxxxxxxxxx imaging: admission head ct : impression: 1. right cerebral acute subdural hematoma and subarachnoid hemorrhage with associated mass effect causing leftward subfalcine herniation. 2. left inferior frontal lobe hemorrhagic contusion with associated subarachnoid hemorrhage. no significant edema. 3. subarachnoid hemorrhage layering in the sylvian fissure and prepontine cistern. 4. large right parietooccipital subgaleal hematoma with underlying parietotemporal nondisplaced skull fracture. c-spine : impression: 1. no acute fracture or malalignment. 2. ett and ngt in place. cxr : impression: et tube positioned somewhat high in the trachea, advancement of approximately 2-3 cm recommended for more optimal positioning. ng tube in adequate position. cta of head/neck no aneurysm or vascular malformation, stenosis or occlusion of the major arteries of head and neck. head ct : impression: 1. slight increase in hyperdense right subdural collection along the craniectomy site. no increase in mass effect. 2. no significant change of the left frontal parenchymal hemorrhages/contusion. right frontal parenchymal hemorrhage is slightly more prominent. close follow up as clinically indicated. head ct : impression: no new intracranial hemorrhage or mass effect. interval increase in size of right extra-axial hypoattenuating collection at the craniectomy site. c-spine flexion/extension(): impression: mild narrowing of the c6-7 disc space. mild degenerative arthritic change. , m 61 radiology report ct head w/o contrast study date of 2:38 am , fa11 sched ct head w/o contrast clip # reason: postop medical condition: 61 year old man with s/p cranioplasty reason for this examination: postop contraindications for iv contrast: none. provisional findings impression: jxkc sat 5:13 am pfi: interval cranioplasty, with a small extra-axial collection overlying the right cerebral hemisphere, likely reflects a small amount of postoperative hemorrhagic products. final report history: 61-year-old male status post cranioplasty, evaluate postoperatively. comparison: . technique: contiguous axial images of the head were obtained without iv contrast. findings: there has been an interval right frontal and parietal cranioplasty, with a 4mm extra-axial collection overlying the right temporal lobe (2:11), as well as overlying the right cerebral convexity, measuring up to 6-7 mm in thickness. these may reflect post-surgical changes, with a small amount of post-surgical hematoma. there is no shift of normally midline structures. area of low attenuation within the left frontal lobe are compatible with evolving encephalomalacia from a prior hemorrhagic contusion. there is no acute infarct. the ventricles and sulci are normal in caliber. visualized paranasal sinuses and mastoid air cells are normally aerated. within the soft tissues overlying the cranioplasty sites are areas of subcutaneous emphysema, compatible with post-surgical changes. impression: 1. interval cranioplasty, with an extra-axial collection overlying the right cerebral hemisphere, could reflect small postoperative subdural hemotoma, and continued followup is recommended. 2. stable area of encephalomalacia in the left frontal lobe. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sat 7:37 am brief hospital course: the patient was admitted to the neurosurgery service after sustaining a presumed trauma to the head, having been found wandering around a construction pipe yard. he was apparently witnessed to have had a tonic-clonic seizure. on admission to , he was found to have a poor neurologic examination, and a significantly sized acute sdh. he was emergently taken to the operating room for a right sided evacuation and craniectomy, and contralateral bolt placement. he was then admitted to the icu where he remained intubated and treated for cap. his icp was controlled with mannitol and hypertonic saline which was eventually weaned off. the bolt was removed after the patient was felt to be neurologically stable/improved. his subsequent head ct's were stable. his mental status continued to improve and was extubated on . he would turn his head to voice and squeeze to command. he did have some episodes of agitation which were controlled with haldol. he had a dobhoff placed on . swallow evaluation was done, however he failed initially. when he was re-evaluated on the speech pathologist felt he was safe to take in food by mouth. the patient was evaluated by pt and ot and rehab was recommended. the patient was hypernatremic after he was transferred to the floor. his serum na was checked frequently and he was placed on normal saline. his sodium normalized and the fluids were stopped on . neops came to refit his helmet that day due to increased swelling. the patient remained somewhat confused. when he was examined with an interpreter he was oriented to person only and he frequently tries to lie on the right side. he does not understand that he should not place pressure on the area of the craniectomy site. his wife also was found to be removing the helmet frequently and was told several times through the interpreter that the helmet was necessary in order to protect the exposed area of the brain that had no bone flap. the patient had some increased in the swelling over his craniectomy site during the week of . he had his helmet re-fitted to accommodate the swelling. by his exam had improved significantly compared to admission. he was oriented to self and place and moving all limbs with resistance. on he had a repeat head ct which was stable. the swelling was in the subgaleal space, but not in the brain. on , his cervical spine was able to be cleared with the aid of x-ray imaging; and no longer required the use of hard cervical collar. prior to this date, he was either too confused or too tired to safely clear his c-spine. his neurological examination has remained stable. he continues to work with physical therapy daily. there was a family meeting on with interpreter. we encouraged wearing the helmet. we discussed d/c home with 24 supervision vs rehab. during this conversation, bilateral shoulder bruising was noted l>r - pt states happened yesterday (). once patients medication regimen had been revised, his agitation and aggressive and impulsive behaviors resolved. he has not needed limb restraints to be used for weeks at this point. pt and ot have spent time daily teaching the wife and pts daughter safety techniques and gait stability measures while in patient. on the pt underwant surgical intervention to replace the cranial skull flap without complication. medications on admission: unknown discharge medications: 1. quetiapine 25 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 2. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day): this is a medication to prevent seizure / do not stop taking unless directed by a physician . :*180 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): this is a stool softener. :*60 capsule(s)* refills:*2* 4. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed: take only as needed for pain . :*30 tablet(s)* refills:*0* 5. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 6 days: take the full course of this antibiotic. :*6 tablet(s)* refills:*0* 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 7. outpatient occupational therapy please evaluate and treat / building of / 1. discharge disposition: home discharge diagnosis: rt. acute sdh, edh, sah, parietotemporal nondisplaced skull fracture discharge condition: neurologically stable, but still has some confusion. compliant with therapies. discharge instructions: general instructions ?????? 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, or excessive bending. ?????? you may wash your hair only after your sutures are the dissolvable type - they will not need to be removed in the office. / do not pick or pull at them> ?????? you may shower before this time using a shower cap to cover your head. ?????? 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. ?????? do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen untilseen in follow up ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. ?????? 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 3 months. ??????you will need a ct scan of the brain without contrast at that time. please call your primary care physician when you get home to arrange an appointment to be seen within two weeks to update him/her on your care/progress. , c. if you choose to switch providers for your primary care - you elect to go to community health center sites' at or / they speak mandarin at both locations and are affiliated with . they also accept free care. procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances intravascular imaging of intrathoracic vessels other cranial osteoplasty elevation of skull fracture fragments simple suture of dura mater of brain incision of nose other division of soft tissue intracranial pressure monitoring magnetic removal of embedded foreign body from cornea diagnoses: other convulsions compression of brain cerebral edema hyperosmolality and/or hypernatremia assault by unspecified means contusion of face, scalp, and neck except eye(s) closed fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness closed fracture of vault of skull with cerebral laceration and contusion, unspecified state of consciousness 

Answer: The patient is high likely exposed to