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: patient is a 34-year-old woman who was at work who had a sudden onset of bilateral ear fullness followed by severe neck pain and nausea and headache. she was taken to where a head ct showed a subarachnoid hemorrhage. she was transferred to for further management. physical examination: on physical examination she has a blood pressure of 135/91, heart rate 93, sats 100 percent on room air, respiratory rate 20. she has mild to moderate neck pain. her cardiovascular is regular rate and rhythm. her abdomen is soft, nontender, nondistended. extremities: no clubbing, cyanosis, or edema. her lungs are clear to auscultation. she is awake, alert, and oriented times three. face is symmetric. eoms full. no diplopia. no nystagmus. tongue and palate rose symmetrically. hearing is intact. her strength is in all muscle groups. sensation is intact to light touch throughout. laboratory data: head ct at the time of admission showed diffuse subarachnoid around the circle of . hospital course: patient was admitted to the intensive care unit, was given all neuro checks, and was taken to the angio suite, underwent a diagnostic angiogram with coiling of an acom aneurysm without complication. post angio patient was awake, alert, and oriented, opening eyes to voice, following commands. pupils are 3 down to 2 mm and briskly reactive. eoms were full with no nystagmus. face was symmetric. strength was in all muscle groups. she remained neurologically stable and had a repeat angiogram done on which showed no filling of the aneurysm. the procedure had no complications, and she was again monitored in the intensive care unit for close observation. she also had a vent drain in place that was placed at the time of admission. repeat head ct on showed good coiling of the ac aneurysm with decrease in hydrocephalus and size of the subarachnoid. continued to remain in the intensive care unit with an icp drain in place at a level 12 cm above the tragus. she remained neurologically awake and alert, oriented times 3, following commands with no drift. smile was symmetric. tongue midline. she remained in the intensive care unit with a blood pressure less than 150 and a labetalol drip. on she had a repeat head ct on that showed no significant change. she remained in the intensive care unit with q. 1-hour neuro checks. on she was started on albumin and neo-synephrine for blood pressure support to prevent vasospasm. her vital signs remained stable. she remained neurologically intact. she had tcds started on that showed high velocities. she was scheduled for arteriogram on . patient was started on triple h therapy on and angiogram was put off, and patient spiked to 101.9 on . had gram negative rods in the cerebrospinal fluid and she was started on vancomycin and ceftazidime. she was also given intrathecal gentamicin and had a repeat head ct on that showed no significant change. tcs again show elevated velocities. patient remained on triple h therapy and close neurologic monitoring in the intensive care unit. on the patient had an angiogram that showed vasospasm of the right internal carotid artery and mca, right greater than left. the patient remained on triple h therapy. infectious disease continued to follow the patient regarding cerebrospinal fluid infection. the patient was treated for gram rod nosocomial meningitis with vancomycin and ceftazidime. on the patient had a lumbar drain placed and vent drain was removed due to infection. intravenous gentamicin was added to the antibiotic regime to prevent resistance. the patient continued to have cultures positive for gram negative rods in her cerebrospinal fluid and was continued on ceftazidime and gentamicin intravenously. patient had repeat tcds done on which again showed high velocities in the right mca and left mca region. patient remained on triple h therapy. head ct done on shows improving subarachnoid with right frontal subacute infarct. head ct from also showed the hypodensity in the right frontal lobe. patient had lower extremity dopplers done on which were negative for deep venous thrombosis. drain was raised to just 20 cm above the tragus. patient was seen by the pain service for a severe headache. she was started on gabapentin and increased to 600 mg t.i.d. for neuropathic component of the pain. she also had tizanidine for spasms which was added. patient also had an occipital nerve block done by the chronic pain service with minimal relief. she continued on dilaudid patient-controlled analgesia, neurontin, and tizanidine. on the patient-controlled analgesia was discontinued and the patient was started on methadone 5 mg p.o. t.i.d. on triple h therapy was discontinued. patient was taken off nimodipine and albumin. antibiotics changed to meropenem per infectious disease. patient remained neurologically stable, awake, alert, and oriented times 3, moving all extremities, good strength, no deficits. on the vent drain was clamped. on the vent drain was removed. vital signs remained stable. she remained neurologically intact. she had a repeat head ct on that showed increased size of the ventricles but no gross hydrocephalus. was transferred to the regular floor on . she was in stable condition. she was seen by physical therapy and occupational therapy. she remained on methadone for pain control. she was discharged on in stable condition with follow up with dr. in 2 weeks. medications at time of discharge: 1. metoprolol 25 mg p.o. t.i.d. 2. gabapentin 600 mg p.o. t.i.d. 3. tizanidine 1 mg tablets, 1.5 tablets p.o. q. 6h. p.r.n. for pain 4. methadone 5 mg p.o. t.i.d. discharge condition: stable. , procedure: venous catheterization, not elsewhere classified arteriography of cerebral arteries intravascular imaging of intrathoracic vessels arterial catheterization injection of antibiotic injection of anesthetic into peripheral nerve for analgesia proctostomy endovascular (total) embolization or occlusion of head and neck vessels injection of other agent into spinal canal administration of neuroprotective agent diagnoses: obstructive hydrocephalus hyposmolality and/or hyponatremia asthma, unspecified type, unspecified subarachnoid hemorrhage constipation, unspecified cerebral artery occlusion, unspecified with cerebral infarction infection and inflammatory reaction due to nervous system device, implant, and graft meningitis due to gram-negative bacteria, not elsewhere classified other syndromes affecting cervical region 

Answer: The patient is high likely exposed to