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: history of present illness: this is an 81 year old woman with a past medical history significant for hypertension and heavy alcohol use, who presented after falling down at an outside hospital, down cement steps. she subsequently hit her head on the cement and then after a rapid decline in mental status had a two minute generalized tonoclonic seizure after which she was intubated at the outside hospital. she was given fentanyl, versed, ativan, lidocaine, curium and succinylcholine. she has since been loaded with dilantin one gram intravenously prior to transfer to the emergency department at . her initial head ct at the outside hospital was reportedly negative for bleed. according to the hospital transfer report, the patient fell down the steps and hit her head and then walked into the emergency department triage with a laceration above her left eye. initially, her blood pressure was 201/109, no reported loss of consciousness. she was able to answer yes and no questions initially after the fall but otherwise was not speaking. then she began to mumble incoherently and had a witnessed two minute generalized tonoclonic seizure where her eyes rolled to the left and all four extremities were shaking. she was then intubated. also per report, she drinks a significant amount of alcohol at home. there is no report of any recent illnesses. on talking with the daughter, the patient has been an alcoholic since the and has had seizures in the past in relation to stopping alcohol. per the daughter's knowledge, she has had no seizures in years and has never taken any antiepileptic drugs. the daughter says that her brother knew that the patient was drinking as recently as the friday, two days prior to the head trauma. she has also been known to stop drinking on sundays to go to church. she has no history of any bleeding disorder, stroke, cardiac illness or cancer in the past. she also does not know of any liver dysfunction in the patient. she does mention there is old right arm weakness from a past injury to the arm. past medical history: 1. hypertension. 2. hearing loss. 3. tuberculosis exposure as a child. medications on admission: 1. toprol xl 100 mg once daily. 2. hydrochlorothiazide 12.5 mg once daily. 3. fosamax. 4. lotrel 5 mg/20 mg one tablet once daily. social history: she is retired. she lives at home. she does not drive. she has two children, one who lives close by. children were taken from the mother and father and turned to care due to primarily the mother's alcoholism. she has a history of smoking but has not smoked in years per her daughter. she has no known illicit drug use, over the counter medicines or herbal supplements. family history: there is no family history of any seizures or bleeding disorder noted in the family. physical examination: on presentation to the , her blood pressure is 119/61, heart rate 83. arterial blood gas on arrival was 7.39, 38, 457, 24 and minus one. she was intubated. her left eye had a large amount of edema and discoloration. the neck was in a cervical collar. her lungs were clear to auscultation bilaterally. the heart was regular rate and rhythm, normal s1 and s2, no murmurs. the abdomen was soft, liver edge was palpable. the extremities were warm and well perfused with no peripheral edema. neurological examination showed she was intubated not following commands, off propofol. her pupils were pin point but reactive bilaterally. we were unable to visualize the fundi due to pupil size. the cornea were intact bilaterally. gag was intact. motor examination - she localized purposely to pain in all four extremities. she withdrew arms and legs briskly to noxious stimuli. her reflexes were symmetric but brisk throughout. toes were upgoing bilaterally. sensation - she withdrew to noxious stimuli. laboratory data: on presentation, her white blood cell count was 17.4, hematocrit 35.3, platelet count 289,000. coagulation studies showed an inr of 1.0. electrolytes showed a sodium 131, potassium 3.9, chloride 98, bicarbonate 23, blood urea nitrogen 29, creatinine 2.1. ck was 91. she was subsequently ruled out for a myocardial infarction with three sets of cardiac enzymes. her serum toxicology screen was negative. her urine toxicology screen was negative. head ct done at showed a tiny subarachnoid hemorrhage in anterior right frontal lobe with extensive subcortical white matter density. unclear whether this was hypoxic injury versus long-standing abnormality. she also had a left orbital floor fracture and posterior maxillary wall fracture. there was blood in the sinus and of the orbit with proptosis. cervical ct showed cervical spondylosis. magnetic resonance scan of the cervical spine eventually was cleared for no fracture or dislocation. no spinal cord involvement. hospital course: this was an 81 year old woman with a history of alcoholism and hypertension who presented with a fall and head trauma with a tiny subarachnoid hemorrhage, and had generalized tonoclonic seizure. subsequently, she was extubated on hospital day number two and transferred to the general neurology floor on hospital day number three. her mental status slowly cleared to the point that she was alert, oriented to person and place, not to time. her cervical spine was eventually cleared. she was evaluated by physical therapy, occupational therapy who also recommended intense rehabilitation. fen, gastrointestinal wise, she was tolerating a low calorie low fat diet. she was neurologically on dilantin and initially had therapeutic dilantin level. after discussing with dr. in epilepsy, the patient was changed to keppra secondary to the combination of possible dilantin metabolism with alcohol use. a repeat head ct was done which showed no progression of her tiny subarachnoid hemorrhage. her blood pressure was well controlled with p.r.n. labetalol. she was also evaluated by the oromaxillofacial team who evaluated her multiple facial fractures. she was started on unasyn for a seven day course. after day number three, she was changed to augmentin. the last day of a seven day course is . we are now awaiting placement on this patient for acute rehabilitation as of . condition on discharge: stable. medications on discharge: to be included at the time of discharge finally to rehabilitation placement. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: unspecified essential hypertension other convulsions accidental fall on or from other stairs or steps closed fracture of orbital floor (blow-out) other and unspecified alcohol dependence, continuous closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness closed fracture of phalanx or phalanges of hand, unspecified 

Answer: The patient is high likely exposed to