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: sah major surgical or invasive procedure: : cerebral angiogram with coiling of the l mca/acomm aneurysm : placement of external ventricular drain / right side - this was done at the outside hospital . st. vincents history of present illness: this is a 63 year old female who presented to hospital with acute onset of headache this morning. she described the headaches as the "worst headaches" per report. pain was located in the occipital region without radiation. headache was accompanied with nausea and vomiting. a head ct out showed diffuse sah within the basal cisterns and intraventricular hemorrhage. she was intubated with etomidate and propofol. neurosurgery was consulted there and an evd was placed in routine fashion. patient was transferred to for angiogram and intervention/management. on arrival, patient was intubated and sedated with propofol. past medical history: hypothyroid social history: married family history: unknown physical exam: on admission: physical exam: hunt and : 1 : 3 gcs 9t (2o to ett) e:3 v:0 motor:6 o: t: 98.0 bp: 107/74 hr: 66 r 18 98%o2sats gen: wd/wn, intubated/sedated on propofol heent: atraumatic, normocephalic pupils: bilaterally neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. no c/c/e. neuro: intubated, sedated with propofol but held pt intermittently follows commands on the right side intermittently moves left side less spontaneously but w/d to noxious stimuli, , no dolls eye, + corneals, + gag, face appears symmetric babinski is extensor on the right, flexor on the left exam on discharge: aox3, , w/full motor pertinent results: cta head/neck: ct head: there is extensive bilateral subarachnoid hemorrhage, stable from prior study at 9 a.m. there is a small amount of intraventricular hemorrhage in bilateral occipital horns, which is new compared to the prior study. there is a right frontal approach ventricular catheter, terminating in the third ventricle with a small amount of likely post-operative pneumocephalus. the ventricles appear normal in size and configuration. there is no shift of the normally midline structures. there is fluid in the nasal and oropharyngeal cavities, likely from intubation. the visualized portion of the paranasal sinuses and mastoid air cells are clear. bony structures are unremarkable. neck cta: there is a three-vessel aortic arch. the neck carotid and vertebral arteries are patent, with no evidence of stenosis. there is mild non-calcified atherosclerotic plaquing of the right carotid artery at the bifurcation. the distal cervical internal carotid arteries measure 4.0 mm in diameter on the left and 4.5 mm in diameter on the right. the visualized portion of the lung apices are unremarkable. there is an et tube. the visualized soft tissue structures are unremarkable. cta of the head: there is an aneurysm of the anterior communicating artery, which measures 4.5 mm in diameter, as well as an aneurysm of the left middle cerebral artery at the bifurcation measuring 5.5 mm. intracranial internal carotid and vertebral arteries and their major branches appear patent without evidence of occlusion. there is a hypoplastic left a1 segment of the left anterior cerebral artery. the basilar artery is diminutive because of bilateral robust posterior communicating arteries. impression: 1. bilateral extensive subarachnoid hemorrhage, with now small amount of bilateral intraventricular hemorrhage in the occipital horns when compared to prior study from at 9 a.m. there is no associated mass effect. 2. ventricular catheter terminating in the third ventricle, with associated post-operative pneumocephalus. 3. aneurysm of the anterior communicating artery measuring 4.5 mm in diameter and aneurysm of the left middle cerebral artery at the bifurcation measuring 5.5 mm in diameter. 4. hypoplastic left a1 segment of the aca and a diminutive basilar artery because of bilateral robust posterior communicating arteries. 5. mild plaquing of the right carotid artery at the bifurcation, without any flow-limiting stenosis. head ct: impression: redemonstration of unchanged intracranial hemorrhage and interval placement of endovascular emoblization coils. there is evidence of further ventricular dilatation over the 11-hour interval, most evident in the lateral ventricular frontal and temporal horns, with ventriculostomy catheter abuting the floor of the iii ventricle. there is now a small amount of subarachnoid blood at the left parietovertex head ct: impression: 1. stable volume and distribution of subarachnoid hemorrhage. 2. slight interval decrease in ventricular dilatation, compared to study performed 10.5 hours earlier. 3. slight redistribution of intraventricular blood products, though the overall volume appears unchanged. note added in attending review: over the 10 hr interval, the right transfrontal evd has been partially-withdrawn, and now terminates in the region of the right foramen of , whereas, previously, it abutted the floor of the 3rd ventricle. this may explain the slight improvement in the degree of lateral ventricular dilatation. echo conclusions the left atrium and right atrium are normal in cavity size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. head ct: impression: 1. ventriculostomy catheter terminating in the third ventricle with slightly decreased size of the lateral ventricles compared to . 2. expected interval evolution and redistribution of subarachnoid hemorrhage in the bilateral cerebral hemispheres. new foci of hyperdensity in the sulci at the vertex could be related to redistribution of existing blood products; however, new hemorrhage cannot be excluded and attention on followup is recommended. brief hospital course: 63f admitted to the neuro icu under neurosurgery for a sah/ruptured aneurysm. a right evd was placed at st. vincents prior to transfer. upon admission she was intubated and taken to inr for a cerebral angiogram with coiling of the l mca/acomm aneurysm. post-angio she remained stable. on , her evd was not draining, after multiple attempts to trouble shoot, a head ct was done to verify placement and tpa was given with good effect. post-coiling, her sbp goal was > 160 but this demanded three pressors which she had maxed on so her sbp was liberalized to > 100. her exam remained stable. on , she was extubated and her exam remained stable. she remained stable and so a clamping trial was pursued. on , her drain was raised to 10 cm h20 - then the following day to 20 cm h20. she was also given a bedside feeding trial. on , patient was tolerating raise in evd to 10cmh2o and it was raised to 20. in the afternoon, a clamping trial of drain was done. on , exam was intact with evd clamped. ivf were taped down and her blood pressure was liberalized. on , her exam remained stable and her icps remain wnl. a head ct was done which was stable and her evd was discontinued. overnight she was febrile and blood cultures and urine was sent which was negative for uti. on , transfer orders to the sdu were written. a cxr was performed because of her fever the night prior, which showed no pneumonia. her urine culture was negative but we opted to continue treating as her ua was positive. she remained stable over the weekend. on she was evaluated by pt who felt she would be suitable for home with pt services. she was discharged on with nimodipine. medications on admission: levoxyl discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.8 mg/5 ml syrup sig: one (1) tablet po hs (at bedtime). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily) as needed for post angio for 1 months. disp:*30 tablet(s)* refills:*0* 4. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours) for 10 days: rx faxed to cvs. 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 7. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 10. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 11. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: and hospice discharge diagnosis: subarachnoid hemorrhage from ruptured aneurysm left mca aneurysm acomm aneurysm intraventricular hemorrhage hydrocephalus anemia requiring transfusion oliguria discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: angiogram with embolization and/or stent placement medications: ?????? take aspirin 325mg (enteric coated) once daily for one month ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: please follow-up with dr in 4 weeks with a mri/mra ( protocol). please call to make this appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours injection or infusion of thrombolytic agent arteriography of cerebral arteries endovascular embolization or occlusion of vessel(s) of head or neck using bare coils diagnoses: obstructive hydrocephalus urinary tract infection, site not specified unspecified acquired hypothyroidism other convulsions intracerebral hemorrhage cerebral aneurysm, nonruptured oliguria and anuria 

Answer: The patient is high likely exposed to