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: prednisone attending: chief complaint: unresponsive major surgical or invasive procedure: tracheostomy peg placement cerebral angiograms history of present illness: 38 yo rt handed female presented to with sudden severe headache, nausea and vomiting became lethargic and collapsed, intubated had ct brain which showed rt iph and sah. transfered to for further management .as per her husband she went to work yesterday was fine on did not complain of h/a that morning , he came to pick her up and she was fine while driving back home all of sudden developed severe headache and shortly after started to have nausea and vomiting , she was able to talk and comprehend then , he took her to within 10 min walked into hospital and collapsed and started vomiting. last few days was ohs except dental pain ( was suppose to get extraction of wisdom teeth ? dental abscess) she is known to have migraine for many years , previous er visit and her headache been more frequent in the last few month almost every week but the h?a this time was more severe and rather sudden. past medical history: migraine hypertension dental abcesses uterine ca with hysterectomy social history: social no hx or recreation drugs as per husband family history: non contributory physical exam: t: 99.5 (afebrile) 0 bp: 148/70 (109-150/58-82) hr: 72 (77-89 sr ) r 20 o2sats 100 heent: mmm , no pallor or stigmata of trauma neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+, obese extrem: warm and well-perfused. neuro: mental status: intubated and sedated (propofol was stooped few min prior to exam )open eyes to pain ,follow command move rt side purposefully . cranial nerves: pupils equally round and reactive to light brisk 5-3 mm does not blink to threat on rt. extraocular movements intact bilaterally , no facial asymmetry , tongue is midline no weakness . motor: normal bulk and tone purposeful movement of rt side , plegia lt arm and some flexion in lle to pain but not against gravity relaxes symmetrical hyporeflexic with extensor planters b/l on discharge: awakens to voice, oriented x 3, able to make needs known, speech clear (passy muir valve), cn iii and vi on right, tongue midline, follows most commands, in general - very deconditioned with left hemiparesis, per pt pt unable to support her head deconditioning. pertinent results: cardiology report ecg study date of 10:26:50 pm sinus rhythm. normal tracing. no previous tracing available for comparison. read by: , intervals axes rate pr qrs qt/qtc p qrs t 89 168 88 8 , f 38 radiology report chest (single view) study date of 9:44 am , j. fa11 sched chest (single view) clip # reason: verify line placement of picc / iv team called and said they medical condition: 38 year old woman with picc line on right reason for this examination: verify line placement of picc / iv team called and said they were asked to reposition picc/ last cxr says line is ok...please confirm with re-iimaging / thanks final report portable chest, . indication: picc assessment. right picc overlies the body of the right atrium and could be withdrawn by about 3 cm for standard positioning. left subclavian vascular catheter has been removed with no evidence of pneumothorax. cardiomediastinal contours are stable in appearance. improved aeration in left lower lobe, but a small focus of linear atelectasis persists in the left mid lung. dr. approved: mon 12:54 pm , f 38 radiology report ct head w/o contrast study date of 5:22 am , j. sicu-a sched ct head w/o contrast clip # reason: ? interval change ****please do by 6am**** medical condition: 38 year old woman with iph reason for this examination: ? interval change ****please do by 6am**** contraindications for iv contrast: none. final report indication: 38-year-old with intraparenchymal hemorrhage. evaluate for change. comparison: one day prior. non-contrast head ct: the right frontal intraparenchymal hemorrhage is stable in size, with some more defined ring of edema. there is persistent effacement of the sulci and unchanged 10 mm leftward shift of the normally midline structures. the right lateral ventricle remains effaced. edema extending into the posterior limb of the internal capsule appears slightly more extensive, and there is slightly increased effacement of the suprasellar cistern, though this is likely due to the angulation of the patient's head within the scanner. there is mild right uncal herniation. the right mastoid air cells remain opacified and underdeveloped, and there is a persistent fluid level in the sphenoid sinuses. impression: unchanged frontal intraparenchymal hemorrhage with slightly increased edema but similar amount of mass effect. the study and the report were reviewed by the staff radiologist. , f 38 radiology report ct neck w/contrast (eg:parotids) study date of 1:36 pm , j. sicu-a sched ct neck w/contrast (eg:parotid clip # reason: please include the mouth in the field of view; to evaluate f medical condition: 38f presented to osh with severe headache, vomited, became unresponsive, intubated for airway protection, found to have large r frontoparietal ivh, r and l sah, ? bleeding mass vs avm, now with difficulty extubating. reason for this examination: please include the mouth in the field of view; to evaluate for possible dental abscess which has spread to airway/neck and caused a lack of a cuff leak contraindications for iv contrast: none. provisional findings impression: gmdb mon 2:29 pm no definite abnormality seen on this examination. presence of ng tube and et tube. limited evaluation of the laryngopharyngeal mucosa. fluid levels are seen in the sphenoid sinus and there is mucosal thickening in the right ethmoid and frontal sinuses. final report ct of the neck with contrast history: intraparenchymal hemorrhage with difficulty in extubation. there are no comparison studies. incompletely assessed is a right frontal hemorrhage with significant midline shift to the left. note is made of an ng tube and an et tube. there is fluid in the sphenoid sinus from intubation. within limits of this examination, no exophytic mucosal mass is seen. there is no pathologic adenopathy by imaging criteria. there are a few scattered level 2 lymph nodes, which are not enlarged. there is mildly heterogeneous appearance to the thyroid. there is consolidation in the right lung apex. impression: no significant abnormality noted on this examination. presence of an ng tube and et tube limits evaluation of laryngopharyngeal mucosa. , f 38 radiology report carot/cereb study date of 4:21 pm , j. sicu-a sched carot/cereb clip # reason: r/o avm contrast: optiray medical condition: 38 year old woman with right iph reason for this examination: r/o avm preliminary report preliminary reports are not available for viewing. dr. dr. : fri 1:30 pm , f 38 radiology report mra brain w/o contrast study date of 12:48 pm , sicu-a sched mr head w & w/o contrast; mra brain w/o contrast; mrv head w/o contrast; -59 distinct procedural servic clip # reason: follow hemorrhage, identify possible source of hemorrhage contrast: magnevist medical condition: 38 year old woman with large intracranial hemorrhage reason for this examination: follow hemorrhage, identify possible source of hemorrhage contraindications for iv contrast: none. provisional findings impression: gmdb sun 5:13 pm no change in right frontal hematoma with midline shift. no evidence for venous sinus thrombosis or aneurysm/avm. hypoplastic left transverse sinus. final report mri of the brain without and with gadolinium. mra and mrv without gadolinium. history: intraparenchymal hemorrhages, identify source. comparison is made to ct performed the same day. findings: accounting for differences in technique, no significant change in the large heterogeneous right frontal lobe hematoma is seen, which contains numerous fluid levels and extends down to the level of the corona radiata. there is mass effect and midline shift to the left of approximately 10 mm. a tiny amount of intraventricular hemorrhage is also noted. on the post-gadolinium images, no underlying mass lesion is identified. mra demonstrates no evidence for aneurysm or avm, although vascular lesions may be compressed by the hematoma and followup imaging when the hematoma resolves is recommended. mrv demonstrates hypoplastic left transverse sinus. there is no evidence of high signal on t1-weighted images to suggest venous sinus thrombosis. there is no evidence for acute ischemia. mra of the circle of demonstrates no aneurysm or stenosis within limits of this examination. there is mild bilateral mastoid opacification. scattered ethmoid opacification is also noted. impression: no significant change in size of the hematoma in the right frontal lobe. no definite underlying lesion identified, although vascular lesions may be compressed by the hematoma and followup imaging when the hematoma resolves is recommended. unremarkable mra and mrv. dr. approved: mon 9:35 am complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:40am 8.8 4.05* 11.6* 34.8* 86 28.6 33.3 13.5 246 differential neuts bands lymphs monos eos baso atyps metas 10:59am 77.0* 14.7* 6.4 1.2 0.6 source: line-a line basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 05:40am 246 basic coagulation (fibrinogen, dd, tt, reptilase, bt) fibrino 07:14pm 548* source: line-a chemistry renal & glucose glucose urean creat na k cl hco3 angap 05:40am 113* 15 0.5 137 4.61 96 33* 13 slightly hemolyzed hemolysis falsely increases this result estimated gfr (mdrd calculation) estgfr 03:57am using this1 slightly hemolyzed using this patient's age, gender, and serum creatinine value of 0.4, estimated gfr = >75 if non african-american (ml/min/1.73 m2) estimated gfr = >75 if african-american (ml/min/1.73 m2) for comparison, mean gfr for age group 30-39 is 107 (ml/min/1.73 m2) gfr<60 = chronic kidney disease, gfr<15 = kidney failure enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 03:13am 57* 82* 52 0.3 source: line-art chemistry totprot albumin globuln calcium phos mg uricacd iron 05:40am 3.6 9.1 4.3 2.11 slightly hemolyzed hemolysis falsely elevates mg other chemistry osmolal 08:41am 293 source: line-a-line neuropsychiatric phenyto 06:10am 18.0 toxicology, serum and other drugs asa ethanol acetmnp bnzodzp barbitr tricycl 03:42pm neg neg1 neg neg neg neg2 source: line-a line neg 80 (these units) = 0.08 (% by weight) positive tricyclic results represent potentially toxic levels;therapeutic tricyclic levels will typically have negative results brief hospital course: ms was admitted to the neurosurgery service to the surgical icu. she was followed with hourly neurochecks and her bp was kept strictly less than 140. on this day of admission she had extravasation of ns and dilantin without any sequellae. she was seen by plastic surgery and it was treated with elevation and serial exams. she underwent multiple radiological studies including an mri which showed no definite lesion,unremarkable mra and mrv. a cerebral angiogram was also negative for any vascular source of hemorrhage. she was found to have a molar abcess and was started on ampicillin. she developed a uti and was treated with cipro. during her stay she remained intubated until . she would follow commands on right and withdraw left side. there was difficulty removing the et tube so decadron was started and a ct of her neck was done to rule out structural abnormality which had no pathologic abnormality by imaging criteria. she was trached and peg'd on . later that pm she deteriorated and was found to have a largely dilated right pupil without reaction. stat ct showed no acute bleed but her basilar cysterns were tight. she was started on mannitol and lasix with hyperventlation. her exam improved rather quickly and steadily improved from there. she was transferred to floor status, passy muir valve was placed and tolerated, speech and swallow eval was performed and she passed but still requires peg feeds as primary source of intake. foley and picc on right remain in place. a panorex film for dental abscess and to r/o bony involvement was attemtped on but she would be required to stand for this imaging and this was not possible. this should be followed up as an out pt. she was accepted to rehab and agrees with this plan. medications on admission: imitrex discharge medications: 1. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours) as needed for wheeze. 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 6. insulin regular human 100 unit/ml solution sig: one (1) injection ac hs: sliding scale coverage. 7. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 10. sodium chloride 0.9% flush 10 ml iv prn line flush picc, non-heparin dependent: flush with 10 ml normal saline daily and prn per lumen. 11. acetaminophen 325 mg tablet sig: 1-2 tablets po every four (4) hours. 12. dilantin extended 100 mg capsule sig: four (4) capsule po three times a day. 13. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. discharge disposition: extended care facility: discharge diagnosis: intracerebral hemorrhage respiratory failure seizure dysphagia dental abcesses extravasation of dilantin and ns to left arm on without sequellae discharge condition: stable discharge instructions: general instructions ?????? you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. the results should be followed by the stroke neurology team at . call them to be seen in months after your discharge from the hospital. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions follow up with your primary care physician to update him/her on your care you will need to have panorex xray of your dentition to rule out abscess and bony disease/. you were unable to have this done in the hospital due to your inability to stand. you should have this done as an out patient. call your dentist for an appointment. if you do not have one, you can have this expedited through your primary care physician. ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a mri +/- gadolidium of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. - call to follow up with the stroke neurology team - they would like to see you in months...they will be in charge of your dilantin levels. they would like your levels to be at least 15. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries temporary tracheostomy diagnoses: pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension other convulsions subarachnoid hemorrhage intracerebral hemorrhage personal history of malignant neoplasm of other parts of uterus acute respiratory failure alkalosis morbid obesity migraine, unspecified, without mention of intractable migraine without mention of status migrainosus acquired absence of both cervix and uterus periapical abscess without sinus dysphagia, unspecified 

Answer: The patient is high likely exposed to