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: no known allergies / adverse drug reactions attending: chief complaint: found unresponsive major surgical or invasive procedure: peg tube placement history of present illness: 74yo m with a history of htn, mdd, hypothyroidism and hyperlipidemia who was in his usual state of health until approximately . on that day, his son called him at home and didn't pick up the phone. he personally visited his father the next day and found him to be unresponsive and lying in a pool of blood and vomit. he was emergently transported to hospital where he was found to be hypertensive to the 180/100, "verbalizing but distressed" and subsequently loaded with phenytoin and intubated for airway protection. he was subsequently transferred to the for a higher level of care. the patient himself is only able to recall that he fell and had a headache. with his current dysarthria and generalized discomfort, he was not able to give me more details. review of systems: as noted above, no obvious antecedent fevers, weight loss or changes in medications. past medical history: - htn - hld - hypothyroidism - mdd - no prior surgeries social history: never smoker, no history of alcohol problems. daughter reports that he is not one to skip his clinic family history: both parents died of cancer, son with dystonia physical exam: physical exam on admission: vitals: 97.8, 77-78, bp 149-168/76-81, 92-98% general: eyes closed at baseline, opens eyes to commands and conversation. awake, cooperative, nad. asks to have something to drink. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx. large erythematous bruise over the left orbital region with left periorbital swelling. neck: stabilized in a hard c-collar pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, no masses or organomegaly noted. extremities:warm and well perfused skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. speech is dysarthric, language is fluent with intact repetition and comprehension. normal prosody. there were no paraphasic errors. able to follow commands. neglect, praxis not tested. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm and brisk. iii, iv and vi: eom are intact and full, no nystagmus v: facial sensation intact to light touch. vii: left sided facial droop and nlf flattening. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, tone throughout. no tremor or asterixis. full strength () on right, complete paralysis to formal strength testing on the left (0/5). he does have some very trace withdrawal of his lle and extensor posturing on the lue to painful nailbed compression. -sensory: light touch is symmetrically preserved -dtrs: tri pat ach l 2 2 2 2 2 r 2 2 2 2 2 plantar response: down bilaterally coordination/gait: not tested physical exam on discharge: vitals: 98.7 bp 120/70 hr 72 rr 18 95% ra general: awake and alert, lying in bed in nad, pleasant affect. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx. neck: supple pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, no masses or organomegaly noted. peg tube in place, site c/d/i. extremities:warm and well perfused skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. language is fluent with some mild dysarthria, repetition and comprehension are intact. normal prosody. there were no paraphasic errors. able to follow commands. has some mild left-sided neglect - points to left shoulder when asked where his left hand is but is able to identify l hand as his own. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm and brisk. iii, iv and vi: eom are intact and full, no nystagmus v: facial sensation intact to light touch. vii: left sided facial droop in lmn pattern involving both forehead and lower face. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, tone throughout. no tremor or asterixis. full strength () on right, hemiparetic on the left with minimial to no spontaneous movement. -sensory: light touch is symmetrically preserved -dtrs: tri pat ach l 2 2 2 2 2 r 2 2 2 2 2 plantar response: down bilaterally coordination/gait: not tested pertinent results: 07:08pm glucose-140* lactate-2.4* na+-143 k+-4.4 cl--99 tco2-31* 07:00pm urine hours-random 07:00pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:00pm urine color-yellow appear-clear sp -1.025 07:00pm urine blood-lg nitrite-neg protein-300 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-6.0 leuk-sm 07:00pm urine rbc-11* wbc-26* bacteria-few yeast-none epi-<1 07:00pm urine granular-1* hyaline-3* 07:00pm urine mucous-mod 06:50pm urea n-29* creat-1.0 06:50pm estgfr-using this 06:50pm lipase-21 06:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:50pm wbc-20.2* rbc-5.62 hgb-16.9 hct-47.7 mcv-85 mch-30.1 mchc-35.5* rdw-13.5 06:50pm plt count-203 06:50pm pt-12.7 ptt-25.8 inr(pt)-1.1 06:50pm fibrinoge-658* nchct (): right thalamic 33 x 36mm bleed with 6mm midline shift with ventricular extension ct with cta head/neck (): 10 hours later, stable intrathalamic bleed. no underlying abnormalities seen. ct c spine : normal, no fractures ct abdomen/pelvis : impression: 1. no acute traumatic injury in the chest, abdomen and pelvis. 2. incidental note is made of a pelvic left kidney and a simple left renal cyst. chest xr : impression: ap chest centered at the diaphragm shows a nasogastric tube looped in the stomach. lower lungs are clear. heart is mildly enlarged. previous small left pleural effusion has cleared since . lung apices are not included on the examination. mri head : right thalamic intraparenchymal acute hematoma measuring approximately 4 cm with surrounding edema extending to the right side of the brain stem inferiorly to the floor of the right side of the fourth ventricle in the region appropriate for the sixth and seventh nuclei. no acute infarcts are seen. mass effect on the right lateral ventricle. there is moderate ventriculomegaly with intraventricular blood cxr : ng tube tip is in the stomach. mild-to-moderate cardiomegaly is stable. the lungs are hyperinflated. there is moderate right pneumothorax grossly unchanged from . bibasilar atelectasis is increased on the right. cxr : impression: no pneumothorax. brief hospital course: mr. was initially admitted to the neurosurgery service on after being found unresponsive. his exam at that time was notable for left hemiplegia. a ct head showed a r thalamic intraparenchymal hemorrhage. no surgical intervention was felt to be indicated, and he was subsequently transferred to neurology on . neuro: he was started on metoprolol, lisinopril, and hydrochlorothiazide along with hydralazine prn to maintain sbp < 160. some eye movement abnormalities were also noted on his exam including incomplete l eye abduction, incomplete r eye adduction, and limited upgaze. he was also noted to have a peripheral left 7th nerve palsy. an mri was performed for further evaluation which again showed a 4cm r thalamic iph with surrounding edema extending into the midbrain in the region of the 6th and 7th nerve nuclei. his neurologic status remained stable throughout his admission. his blood pressure was aggressively treated to maintain sbp < 160. his eye movement abnormalities improved but his left facial nerve palsy and left sided hemiplegia remain. he initially had profound left-sided neglect but this has also improved. a peg tube was placed on due to persistent dysphagia. cv: he was maintained on telemetry monitoring. he was restarted on his home hctz and also started on lisinopril and metoprolol for bp control. he was continued on his home simvastatin. his aspirin was held. pulm: on a pnuemothorax was noted on cxr. upon further review this was also present on his prior cxr on . the etiology was unclear. interventional pulmonology was consulted and placed a chest tube. he was monitored with serial cxr's. respiratory status remained stable. cxr on showed resolution of the pneumothorax and his chest tube was discontinued. the pt also had a witnessed aspiration event on after being started on tube feeds. tube feeds were held. he became febrile to 102 later that evening associated with leukocytosis to 15 and was started on vanc/zosyn for likely aspiration pneumonia. sputum, urine, and blood cultures were sent and are negative to date. he had a few episodes of desaturation at night consistent with sleep apnea, intermittently requiring low rates of supplemental o2 via nasal cannula. his respiratory status otherwise remained stable. id: pt was treated with vanc/zosyn for likely aspiration pneumonia as above. he will continue treatment for a total 10 day course. endo: pt was continued on his home levothyroxine 88mcg daily. gi: pt was seen by speech and swallow and failed swallow eval x 2. an ngt was placed and tube feeds were initiated. after discussion with his family a peg tube was placed on and he was maintained on tube feeds per nutrition recs. pt and ot were consulted and recommended acute rehab placement upon discharge. he was discharged on to rehab in good condition. he will follow up with dr. in clinic. he will require intensive pt, ot, and speech therapy in order to regain his prior level of functioning. medications on admission: aspirin 81mg daily fenofibrate 200mg daily zetia 100mg daily hctz 12.5mg daily simvastatin 40mg daily levothyroxine 88mcg daily omeprazole 20mg daily nitroglycerin 0.4mg sl prn angina trazodone one tab at night (unknown dose) discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for eye irritation. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 9. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 10. lisinopril 10 mg tablet sig: three (3) tablet po daily (daily). 11. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 12. sertraline 25 mg tablet sig: one (1) tablet po daily (daily). 13. trazodone 50 mg tablet sig: 0.5 tablet po at bedtime as needed for insomnia. 14. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: 4.5 g intravenous q8h (every 8 hours) for 7 days. 15. vancomycin in d5w 1 gram/200 ml piggyback sig: one (1) g intravenous q 12h (every 12 hours) for 7 days. discharge disposition: extended care facility: - discharge diagnosis: r thalamic bleed difficulty swallowing requiring feeding tube placement aspiration pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: dear mr. , you were admitted to on after being found unresponsive at home by your family. you were found to have bleeding in the right side of your brain. this has resulted in weakness of your left side. we think the most likely cause of the bleeding was high blood pressure. you were started on some new medications to better control your blood pressure. you are also having difficulty swallowing due to your stroke - a feeding tube was placed in your stomach to help provide you with nutrition while you continue to recover. you developed a small pneumothorax (partially collapsed lung) on the right side during your admission. the cause of this is unknown. a chest tube was placed and your pneumothorax resolved. you also developed a pneumonia likely from aspiration of your tube feeds (going down the wrong pipe into your lungs instead of your stomach). you were treated with antibiotics for this and will need to stay on intravenous antibiotics for the next 7 days. we made the following changes to your medications: started lisinopril 30mg daily started metoprolol 12.5mg twice a day started vancomycin 1g twice a day for 7 days started zosyn 4.5g every 8 hours for 7 days if you experience any of the below listed danger signs, please call your doctor or go to the nearest emergency department. it was a pleasure taking care of you during your hospital stay. followup instructions: the following appointment has been made for you in our stroke clinic: provider: , md phone: date/time: 10:30 **you will need to call the clinic prior to your appointment in order to update your information with registration.** procedure: insertion of intercostal catheter for drainage enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] central venous catheter placement with guidance diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension unspecified protein-calorie malnutrition unspecified acquired hypothyroidism intracerebral hemorrhage other and unspecified hyperlipidemia pneumonitis due to inhalation of food or vomitus iatrogenic pneumothorax major depressive affective disorder, single episode, unspecified cerebral edema unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure facial nerve disorder, unspecified flaccid hemiplegia and hemiparesis affecting unspecified side 

Answer: The patient is high likely exposed to