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: this is an 83-year-old female with witnessed fall out of wheelchair, hitting head on a cabinet. she currently lived in a nursing home at the time of injury. she was brought to where a ct showed a left frontal subarachnoid hemorrhage with contusion. daughter was with the patient at the time of the fall and reports that she has had declining mental status. at baseline she has right-sided weakness with some speech difficulty from an old cerebrovascular accident which was many years prior to admission, however, now worse. she also was on coumadin for her cerebrovascular accident. patient speaks portuguese only. the daughter assisted with translation. on arrival to the emergency room her vital signs blood pressure was 190 systolic, heart rate in the 90s, 16. patient had a collar in place for c-spine precautions. she also had a sutured wound over her right eye and a stapled wound in her front scalp. her eyes opened to voice. she followed some commands. pupils were 3 to 2 bilaterally, sluggish, reactive. eoms appeared full. motor strength in her left upper extremity was antigravity. left lower extremity was antigravity. right upper extremity had no movement, and right lower extremity she did attempt to lift. her deep tendon reflexes were 1 throughout. admitting medications: 1. protonix 40. 2. senna b.i.d. 3. lasix 80 once daily. 4. mvi. 5. lactulose 30 cc. 6. celexa 20. 7. nitrodisc 0.3 mg an hour. 8. duragesic. 9. coumadin 5 mg. past medical history: significant for ascites, coronary artery disease, hypertension, old cerebrovascular accident. allergies: no known drug allergies. laboratory data on admission: pt was 23, ptt 44, inr 3.3. white count 8.3, hematocrit 27.4, platelets 153. sodium 143, 3.7, 101 for chloride, 30 for bicarbonate, bun was 35/1.7, and 159 for her glucose. hospital course: mrs. was a jehovah's witness and that made us unable to give her any blood products, such as fresh frozen plasma. her increased inr was treated with vitamin k only. again, mrs. was a jehovah's witness and we were unable to give her any blood products. her inr was covered only with vitamin k injections. she had a repeat stat head ct. she was given vitamin k to decrease her inr. neuro medicine saw the patient also and strict blood pressure parameters. trauma surgery also saw the patient due to her fall, which they cleared her c, l, and t spines without difficulty and did not have any further recommendations. she was admitted to the intensive care unit where her blood pressure was controlled with antihypertensives and her inr was repressed. on her second hospital day her inr still remained high at 2.5. her hematocrit was stable at 27.4. she continued to have her blood pressure controlled less than 140. her head ct on her second hospital day was stable. she was given nicardipine for blood pressure control. she had a left subclavian placed. was noted to have abdominal distention. she also had questionable pain to her abdomen, and abdominal ct revealed ascites, which they felt was old, but no acute pathology was going on. neurologically, she moved her left side well, and she followed commands. on hospital day number 3 there were discussions with the family, who made sure again that she was a dnr/dni. also, she had some episodes of atrial flutter for which she was given 15 mg of lopressor which decreased her rate. patient was also a jehovah's witness, so no blood products were allowed to be given. cardiology was consulted for slow atrial fibrillation for which they recommended an echocardiogram and monitoring the patient closely, using atropine as needed for low heart rate. vitamin k continued to be kept in hopes of decreasing her inr. on family requested that her collar be removed. however, because patient was not a reliable source to tell us if she had neck pain, we were hesitant to remove her c-spine cervical collar. however, the family insisted and was given the risks of possibly removing it, such as paralysis of her spinal cord injury. however, they insisted to have the c- collar removed. on she was found to be awake, following some commands. hematocrit dropped to 23 down from 27. the family again did not want transfusions based on being a jehovah's witness. inr had come down to 1.5 using only vitamin k. her sodium had been noted to be at 149. she was taking some p.o. fluids on her own. she was transferred to the surgical floor, noting that she was a dnr/dni, and the family did not want aggressive treatment. on she was awake, alert, had some internal rotation of her upper extremity, was moving her left side spontaneously, and followed some commands. physical therapy was consulted to work with her. on the morning of the patient was noted to be tachypneic overnight and was given lasix 120 mg. over a total of 3 hours she put out 575 cc of urine. her lungs had bilateral crackles, left greater than right. her heart rate was irregular in the 90s and was noted to have a systolic murmur. abdomen was distended. bowel sounds were faint. she opened her eyes spontaneously. she was afebrile. blood pressures were 140s/70s, heart rate 80 to 100, respirations were 22 to 30, and her o2 sat was 96 to 98 percent on 50 percent face mask. abg was sent and showed 7.30 for ph, 35 for co2, 108 for po2. a chest x-ray was also placed, and the family was called. spoke with her daughter, , who was the healthcare proxy. it was reiterated that mrs. did not want to have any life prolonging procedures, such as intubation, no tubes, and no further tests such as a cat scan. they just wanted to make her as comfortable as possible. so, at that point we decided to make her comfort measures only. she was started on some intravenous fluids since she was not drinking. she was given lasix to help diurese her and help decrease her congestive heart failure. on at 1:20 in the morning mrs. passed away. she was given periodic morphine as needed. , dictated by: medquist36 d: 11:32:58 t: 13:17:14 job#: procedure: arterial catheterization diagnoses: congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified atrial fibrillation open wound of scalp, without mention of complication open wound of forehead, without mention of complication other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, unspecified state of consciousness paroxysmal supraventricular tachycardia unspecified psychosis accidental fall from wheelchair 

Answer: The patient is high likely exposed to