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: non-verbal, right hemiparesis major surgical or invasive procedure: s/p intubation, mechanical ventilation s/p ventricular drain placement arterial line, central venous catheter, picc placement history of present illness: pt is a 63 year old man with a hx of htn, dm, and copd who went to work as usual today and was last seen normal around 7:00am. at 10:30, a customer found him "confused" and "staggaring around" his trophy shop. ems was called. they found him sitting on the ground outside the store. vitals in the field were: 168/90 58 16 100%. he was noted to be non verbal and had a right hp. per their notes, he appeared to understand what was being said to him. on arrival to the er, vitals were: t 97.4, bp 162/98, hr 58 rr18 and o2sat 100%. he was initially examined by the er resident and the stroke fellow who found him awake, but with a fluctuating level of arousal, non-verbal, not following commands, and with a dense right hemiplegia. he was intubated for airway protection and is now sedated in the er. ct scan showed large left putamenal hemorrhage with intraventricular extension. neurosurgery evaluated the patient and felt that no surgical intervention was indicated at this point. he will be admitted to the neuro icu for continued care. past medical history: copd, htn, dm social history: divorced, has one son . lives with son, daughter-in-law and grandson. owns and works in a trophy shop in . former tob, no etoh or drugs. family history: unknown physical exam: t afebrile bp158/80 hr50's rr14-18 o2 sat 100% gen: intubated, +spontaneous movement of the left arm and leg heent: nc/at, no icterus or injection, et and og tubes in place. neck: difficult to rotate or flex neck, no kernigs, no bruit cv: rrr, nl s1 and s2, lung: +course bs bilaterally anteriorly abd: +bs soft, non-distended ext: no edema neurologic examination: mental status: unresponsive, does not open eyes to verbal or tactile stimulation. grimaces to noxious stim and moves the left arm and leg spontaneously. doesn't follow commands. cranial nerves: no blink to threat bilaterally. pupils 3mm and sluggish bilaterally, fundi could not be visualised. eyes disconjugate with the left eye slightly laterally deviated. +dolls bilaterally. +corneal reflex bilaterally,. +gag movement of ett. motor: normal bulk bilaterally. tone increased in the right le. right ue flaccid. does not move or withdraw right side spontaneously or to noxious stim. left arm and leg with vigorous spontaneous movement (at least ) sensation: winces to pain in all 4 extremities reflexes: dtrs normal but slightly more brisk on the right. toes upgoing bilaterally coordination and gait: unable to assess due to mental status pertinent results: wbc-10.1 hgb-13.1* hct-37.3* plt-184 pt-12.7 ptt-26.1 inr(pt)-1.1 na-141 k-4.5 cl-106 hco3-26 bun-22 creat-1.1 gluc 150 calcium-8.8 phosphate-3.4 magnesium-1.4* cardiac enzymes negative %hgba1c 6.5 triglycer-144 chol-186 ldl-113 hdl chol-44 head ct: roughly 3.6 cm hemorrhage in the left basal ganglia, involving putamen and globus pallidus. blood has dissected into the ventricular system, and there is blood in all of the ventricles. there is some expansion of the left temporal , and there is edema in the adjacent periventricular white matter. otherwise, the ventricles are not dilated. the hematoma impresses the left lateral ventricle, but there is minimal shift of midline structures to the right. patchy areas of decreased attenuation are present in the cerebral white matter, likely reflecting microvascular infarction. brief hospital course: assessment: 63 year old man with hypertension, diabetes who was found confused with right sided weakness on morning of admission. on arrival to the er, he was non-verbal with fluctuating level of arousal and flaccid right hemiparesis. he was intubated due to declining mental status. ct scan showed large hemorrhage in the left basal ganglia with intraventricular extension. the location of the bleed is typical for hypertensive hemorrhage. 1. hemorrhagic cerebral infarction: mr was admitted to the neuro icu service. blood pressure was controlled with labetalol to try and minimize further hemorrhage. repeat head ct showed slight interval increase in left midbrain compression and loss of the paramesencephalic space, with extension of blood into the fourth ventricle. he was started on mannitol and a ventricular drain was placed by neurosurgery on given high likelihood of developing hydrocephalus. drain was removed on , mannitol discontinued a few days prior. after several days in the icu, he became intermittently agitated and was restarted on propofol. this was successfully discontinued, and several days later he became more alert and responsive, starting ~. additionally, he began to recover some movement of his right leg, and some minimal movement of his right arm. multipodus boots were started, as was range of motion exercises of his right hand to prevent flexion contractures once tone began ot increase. he was very dysarthric, but did follow simple commands and could repeat simple words. with assistance of consult, blood sugars were also controlled to help neurological recovery. though bleed was likely due to hypertension, mri was done to evaluate for any other etiology. it showed unusual enhancement of basal cisterns and area just lateral to bleed, which per neuroradiology could represent effect of blood vs infection- advised sending csf. initial csf showed elevated rbcs from the intraventricular blood but no evidence of infection. 2. pulmonary: pt was intubated in ed due to fluctuating mental status and concern for airway protection. once he became more alert and started following simple commands he was extubated on . post-extubation he had difficulty managing secretions and was not oxygenating well. however, with aggressive pulmonary toilet, this improved and he was weaned to nasal cannula. there was initially concern for possible aspiration, as pt did vomit prior to arrival in ed. however, chest x-ray remained clear, without evidence of infiltrates. 3. cardiovascular: pt was ruled out for a myocardial infarction with serial ekgs and enzymes. he was weaned form labetalol to captopril and metoprolol for blood pressure control. 4. id: shortly after admission he began to spike fevers and had elevated white count. sputum, blood and urine cultures remained negative. lfts, pancreatic enzymes were also normal, and head ct without evidence of sinusitis. he was on ancef prophylactically while drain was in place. csf sampled from the ventricular drain on still had significant rbcs and a proportional number of wbcs, so still without evidence of infection. on , patient was less alert than in the several days prior, lungs had increased crackles, and sputum had gram-positive cocci on gram stain so he was started empirically on levofloxacin and vancomycin as fevers to 102 persisted, wbc count remained at 14, and it was felt his decreased alertness was likely due to fever and infection. fever slightly better on , but then on spiked again to 102 and wbc count up to 16. lumbar puncture was done, and csf was xanthochromic with 300 wbc (69%n, 4%l, 27%m), 166 rbc, protein 150, glucose 53. therefore, levofloxacin was discontinued, he was started on ceftraixone 2gm, and vancomycin was continued as csf was consistent with partially treated bacterial meningitis, especially as he was s/p ventricular drain. his mental status improved and he became more alert as treatment continued. 5. fen: while intubated pt was given tube feeds to maintain adequate nutrition. after extubation, he was sleepy and inattentive, most likely due to infection, so tube feeds were continued. course on floor: patient was transferred to the floor on . his exam remained unchanged and he was felt to be too sleepy for swallow evaluation. an extensive family meeting was held on both and and the decision was made to make the patient cmo. all medications were stopped and morphine and ativan given for comfort as needed. however, over the course of the next week the patient became much more alert and responsive and seemed to start gaining some receptive language function. based on this marked improvement another family meeting was held and the cmo was reversed, he was made dnr/dni. antihypertensives and insulin sliding scale were restarted. sc heparin was restarted for dvt prophylaxis. speech and swallow evaluation was performed and patient was started on nectar thick liquids and ground solids. over the remainder of his stay he coninued to make improvements with some antigravity movement of his rue and productive language (said "baseball," grandson's name) and was able to follow one step axial and appendicular commands. he was discharged to an acute rehab facility. medications on admission: beta blocker insulin discharge medications: 1. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). ml 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 150 mg/15 ml liquid sig: one (1) tab po bid (2 times a day). 5. multivitamin capsule sig: one (1) cap po daily (daily). 6. insulin regular human 100 unit/ml solution sig: one (1) dose injection asdir (as directed). discharge disposition: extended care facility: hospital - discharge diagnosis: l putamenal hemorrhage with intraventricular extension, likely hypertensive discharge condition: improved, patient is following simple commands and speaks multiple single words appropriately, has some antigravity movement of his right upper and lower extremity. discharge instructions: patient can be restarted on his home insulin regimen once he is taking full po's followup instructions: please call dr. office at to give registration information and schedule him for a follow up appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube intravascular imaging of intrathoracic vessels arterial catheterization insertion of (naso-)intestinal tube diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified intracerebral hemorrhage paroxysmal ventricular tachycardia pneumonitis due to inhalation of food or vomitus meningitis due to unspecified bacterium 

Answer: The patient is high likely exposed to