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: patient recorded as having no known allergies to drugs attending: chief complaint: fall major surgical or invasive procedure: intubation central venous access line history of present illness: 87 y/o male with past medical history significant for dementia, htn, bph s/p turp who presents to hospital after fall. patient describes getting out of bed to go to the bathroom. patient does not recall whether he tripped or felt dizzy or both. he fell and hit his head. + loc. intubated for airway protection on way to hospital. ct head revealed subdural hematoma of the posterior falx and tentorium right greater than left. he was admitted to for airway protection, work-up of his fall, and management of his subdural hematoma. he was initially in the sicu where he was sucessfully extubated . he was transferred to neurosurgery due to his subdural hematoma. his ct head remained stable over several days with no mass effect visualized. he was started on dilantin for given his seizure risk with the subdural. he also was found to have t1 vertebral fracture which is not currently causing him any pain . his syncope/fall workup revealed an av block type 1 mobitz. in the setting of his fall, a bath av and hiss disease pacemaker would be indicated to prevent hypotension and syncope, but in light of his dementia the family felt it is better not to have pacer placed. this decision may be reevalated at a later date. the patient is dnr -dni. . incidentally on work up he was found to have an ascending aortic aneurysm 4.3 cm which had no indication for repair. . his hospitalization was complicated by the development of delerium and hematuria in the setting of a traumatic foley placement. the patient remains of fall precautions and with frequent reorientation. . on transfer, the patient was stable. he states he has been feeling well. he is interested in getting home to be with his wife. a pacemaker was mentioned to he and his family again, but neither were interested in that option at this time. the patient has no complaints at this time. patient was transferred for further medical management of his delerium and hematuria and for placement issues. . ros: patient denies headache, dizziness, chest pain, shortness of breath, changes in vision, dysuria. he endorses a good appetite, good mood. past medical history: - dementia - htn - first degree/mobitz i high degree av block - achalasia - renal ca s/p r nephrectomy - ascending aortic aneurysm - h/o past falls and l hip fx - bph s/p turp and botox - s/p eye surgery bilat social history: lives at home with wife and caretaker, family active in care (sister is hcp). independent with activities and walking. patient and wife walk 20-30 minutes twice a day. quit smoking 40yrs ago. drinks equivalent of 4 shots of gin per day. family history: per report, mother with throat cancer, father with mi, sister physical exam: temp 97.5 bp 141/81 hr 89 rr 16 o2 sat 98% ra bg 109-197 gen: nad, a&o *3 heent: eomi, bruise on posterior of head, mmm, op clear, right pupil 2 mm, left 1 mm back: kyphotic cv: rrr, ii/vi sem rusb, s1, s2, brady pulm: cta b/l, rhonchi at base abd: + bs, s, nt/nd ext: no edema, 4+/5 strength b/l lower ext., 2+dp pertinent results: on admission: 05:52am blood wbc-7.4 rbc-4.13* hgb-13.8* hct-38.1* mcv-92 mch-33.3* mchc-36.1* rdw-13.5 plt ct-204 05:52am blood neuts-71.6* lymphs-21.1 monos-6.0 eos-1.0 baso-0.3 05:52am blood pt-13.4 ptt-29.0 inr(pt)-1.1 05:40am blood glucose-82 urean-21* creat-1.5* na-142 k-3.2* cl-99 hco3-29 angap-17 05:25am blood alt-11 ast-20 alkphos-48 totbili-0.4 02:00am blood albumin-3.4 calcium-7.6* phos-3.9 mg-1.8. . work-up: 09:58pm blood hapto-167 06:50am blood vitb12-722 folate-17.3 06:50am blood %hba1c-5.3 02:00am blood tsh-0.99 06:30am blood cortsol-21.2* 07:00am blood vanco-13.7 . discharge: 06:09am blood wbc-8.5 rbc-2.95* hgb-9.8* hct-28.4* mcv-96 mch-33.2* mchc-34.5 rdw-13.9 plt ct-368 06:09am blood glucose-75 urean-9 creat-1.3* na-141 k-3.6 cl-107 hco3-29 angap-9 04:51am blood calcium-8.5 phos-3.6 mg-2.1 . studies ct chest/abd/pelvis:impression: 1. the apparent mediastinal widening noted on the chest radiograph is most likely due to preexisting fusiform aneurysm of the ascending aorta. dilated esophagus might also contribute to this picture. the ascending aortic aneurysm measures 4.3 cm maximally in the transverse dimension. 2. foley catheter has been inflated inside the prostate and based on its orientation appears to be located outside the urethra. urologic consultation recommended. 3. status post right nephrectomy. 4. 3mm low attenuation lesion in the body of the pancreas. there may be others not clearly demonstrated in this exam. mri recommended once acute presentation resolves to exclude neoplasm (e.g. ipmt). . ct c-spine impression: 1. no acute fracture or malaligment. 2. multilevel degenerative disease with moderate spinal canal stenosis at the level of c5-6. . ct head impression: 1. subdural hematoma of the posterior falx and tentorium right greater than left. no definite mass effect is visualized. . ct head impression: 1.mild decrease in size of the left tentorial sdh with no change in small parafalcine subdural hemorrhage. exam otherwise unchanged. . echo: impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. mild-moderate aortic regurgitation. moderate to severe mitral regurgitation. moderate tricuspid regurgitation. dilated ascending aorta. . picc placement: impression: uncomplicated ultrasound and fluoroscopically guided single lumen picc line placement via the right brachial venous approach. final internal length is 31 cm, with the tip positioned in svc. the line is ready to use. . rectal u/s :prelim findings: transrectal son of the prostate was performed without priors available for comparison. seminal vesicles maintain a normal lobulated, hypoechoic appearance. the prostate is well visualized with periurethral small calcifications noted but no discrete hypoechoic collection to suggest abscess. there is homogeneous echotexture throughout a markedly enlarged gland. the patient reported no pain during the examination. brief hospital course: 87 year old male with hypertension, dementia and benign prostatic hypertrophy status post turp admitted status post fall with stable subdural hematoma. patient febrile , and found to have coagulase negative staphylococcus infection. . 1) staphylococcus bacteremia: patient was started on vancomycin on and is to continue for a planned 2 week course. he was febrile on admission but this resolved several days prior to discharge and his lethargy resolved. the source of the coagulase negative staphylococcus that was methicillin resistant was difficult to determine. initially it was felt to be due to a urinary tract infection following traumatic foley insertion. however when the bacteria was speciated as coagulase negative staphylococcus , further investigation including a transrectal ultrasound looking for prostate abscess as possible source was performed. the transrectal ultrasound showed only an enlarged prostate without abscess. there were no other lines prior to admission that could be identified as his initial source of bacteremia. a tte echo did not show valve vegetations. . 2) subdural hematoma: neurosurgery was consulted on patient during hospitalization. he was transitioned from dilantin to keppra and should continue on this per neurosurgery recommendations. he has appointment for follow-up head ct and scheduled appointment with dr. within the next month. . 3) fall: is of unclear etiology, although suspect mechanical or cardiogenic source. he has known 2nd degree av type 1 block. he was monitored on telemetry with several episodes of asymptomatic bradycardia. physical therapy was consulted and recommended rehabilitation for physical therapy or home with 24 hour care and physical therapy. . 4) delirium: patient developed delirium in the setting of bacteremia which resolved with antibiotic treatment of the infection. . 5) atrioventricular block, 2nd degree, type 1: cardiology was consulted for this finding on electrocardiogram. cardiology felt that the patient may benefit from a pacemaker, but in his current status he and his family are not interested in this option. beta-blockers and central acting calcium channel blockers were avoided. the patient tolerated norvasc as a peripheral antihypertensive with addition of lisinopril. . 6) ascending aortic aneurysm: no indication for surgery at this time. cardiology recommended blood pressure management (goal sbp < 140). . 7) vertebral fracture: the patient was started calcium and vitamin d given recent fracture and kyphosis. patient had no pain from the fracture. 8) hyperglycemia: patient does not have a diagnosis of dm, but did have elevated glucose during hospitalization. hba1c 5.3 and did not require insulin or oral agents during hospitalization. 9) hematuria: patient had foley placed with the development of hematuria. the patient's gross hematuria resolved and the foley remained in place for 7 days. the foley catheter was removed on with minimal blood and he has had good urine output since. 10) dementia: continued on his home aricept. 11) 3mm body of pancreas lesion: low attenuation lesion of unknown significance. it was recommended that the patient undergo yearly follow-up with imaging. the family is aware of this finding. 12) anemia: b12 and folate were within normal limits. the patient's hematocrit was stable following his rehydration for infection/sepsis. 13) acute renal failure in chronic kidney disease: s/p nephrectomy for renal cell carcinoma, baseline cr 1.1-1.2. his creatinine was elevated to 1.5 on admission but decreased and remained stable during hospitalization. 14) code: dnr/dni 15) disposition: patient discharged to rehabilitation and scheduled for head ct and outpatient neurosurgery follow-up. medications on admission: hctz mvi amlodipine aricept prilosec discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day): hold for loose stools. 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 4. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 5. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) gram intravenous q 24h (every 24 hours) for 7 days: please continue for 7 more days stop . 6. laboratory testing please check a vancomycin trough and renal function in 4 days. please fax results to pcp , . 7. calcium 600 with vitamin d3 600 (1,500)-400 mg-unit tablet, chewable sig: one (1) tablet, chewable po twice a day. 8. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. multi-day tablet sig: one (1) tablet po once a day. 11. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: primary: acute subdural hematoma s/p fall bacteremia: coagulase negative staphlococcus, methacillin resistant delerium atrioventricular block, second degree, mobitz type 1 ascending aortic aneurysm vertebral fracture hyperglycemia dementia hematuria pancreatic lesion anemia acute and chronic renal failure discharge condition: stable, sbp 130s, oxygenating well on room air discharge instructions: you were admitted after a fall at home. you were discovered to have a bleed in your head. you were started on seizure medication. you developed an infection in your blood that was treated with fluids and antibiotics. you are improved and are ready to regain your strength at rehabilitation. . please take all your medication as prescribed. please keep all of your follow-up appointments. . you were started on calcium and vitamin d for your bones. you were started on lisinopril for your blood pressure. you were continued on an adjusted dose of amlodipine for your blood pressure. you were started on vancomycin for an infection in your blood. please continue to take this until . you were started on keppra to prevent seizures after your fall. . if you develop fevers, chills, chest pain, shortness of breath or any other concerning symptom please call your primary care physician or go to the local emergency room. followup instructions: please follow-up with the neurologist about your recent fall: please arrive on at the clinical center, radiology for your cat scan. provider: scan phone: date/time: 1:30 . after your cat scan please travel to , neurosurgery for your appointment with dr. . provider: , md phone: date/time: 2:00 . please follow-up with your primary care provider . in the next 7-10 days. his number is . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: unspecified essential hypertension acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified infection with microorganisms resistant to penicillins unspecified fall personal history of tobacco use mitral valve insufficiency and aortic valve insufficiency hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other persistent mental disorders due to conditions classified elsewhere chronic kidney disease, unspecified bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other vitamin b12 deficiency anemia cardiac pacemaker in situ abdominal aneurysm without mention of rupture personal history of malignant neoplasm of kidney acquired absence of kidney diseases of tricuspid valve kyphosis (acquired) (postural) home accidents other alteration of consciousness unspecified disease of pancreas other second degree atrioventricular block achalasia and cardiospasm pathologic fracture of vertebrae subdural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to