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: the patient is a 44-year-old male with a significant past medical history including type 1 diabetes since childhood. he developed renal failure requiring dialysis and underwent a renal pancreas transplant approximately 11 years ago. he has had high blood pressure since that time and multiple other medical problems. on the day of admission, the patient was feeling well and watching television. he got up to do some laundry, and then he felt as if his left leg was weak. he quickly developed an intense headache with emesis. the emergency medical service arrived, and he gave some wrong answers; such as his age. he became progressively more confused and lethargic and was ultimately intubated. a computerized axial tomography showed a right vasoganglia bleed with some casting of blood into the ventricles; worse on the right. past medical history: (significant for) 1. basal cell carcinoma. 2. renal failure requiring dialysis and then renal pancreas transplant approximately 11 years ago. 3. urethral stricture. 4. he also has a penile implant. 5. sleep apnea. 6. urinary retention. past surgical history: (notable for) 1. kidney-pancreas transplant in . 2. penile implant. 3. foot surgeries. allergies: penicillin. medications on admission: 1. prednisone 5 mg 2.5 tablets once per day. 2. tacrolimus 1 mg two in the morning and one in the afternoon. 3. diltiazem extended release 90 mg by mouth twice per day. social history: the patient works for the cable company. he is a traffic coordinator. the patient is an ex-smoker. physical examination on presentation: initial examination in the emergency department revealed his blood pressure was 215/110. his pulse was 160. his was intubated. the chest was clear. he had a regular rate and rhythm. the abdomen was soft. there was no peripheral edema. he had a right foot ulceration noted. on neurologic examination, he had pinpoint pupils; nonreactive, no response to corneas or dolls maneuver. no gag. the patient had slight withdrawal of both upper extremities, and no response in either leg. nail bed pressure was given. no reflexes. pertinent laboratory values on presentation: initial laboratories from the outside hospital revealed his white blood cell count was 13,000. his platelets were 300,000. coagulations were normal. brief summary of hospital course: the patient had a immediate ventriculostomy drain placed at the bedside without complications. the height was at 10 cm above the tragus. he was admitted to the intensive care unit. his blood pressures were kept in the 100 to 150 systolic range. his coagulations were followed carefully. all sedation was held to get a more appropriate neurologic examination. the patient was also placed on dilantin 100 mg intravenously q.8h. and famotidine 20 mg by mouth twice per day. he was placed on heparin for deep venous thrombosis prophylaxis. he was placed on an insulin sliding-scale, and labetalol to control his blood pressure, and vancomycin for ventilator drain prophylaxis due to his allergy to penicillin. he was extubated on his first hospital day. his neurologic examination on his first hospital day showed him to be alert and fell asleep when under stimulated. he was disoriented to place and date, but not to person. he thought he was at home. he did not think anything was wrong with him. his attention was difficult to assess due the patient's mental status. his speech flow was fluent. the language content was normal, and his grammar was correct. there was good repetition. comprehension was normal for simple commands. the patient was able to show fingers, raise legs, etcetera. his visual fields were defective, mostly on the left superior quadrant when tested. the pupils were equal. the extraocular movements were intact. motor testing showed no atrophy and no asymmetry. pronator drift was not present. his left leg did not move. he was able to wiggle his ties slightly. his right leg had normal strength. his reflexes were symmetric. the toes were downgoing on the right but upgoing on the left. sensation testing revealed he could sense painful stimulation in all limbs. the neurology service saw him on his first hospital day and recommended and metabolic toxic workup such as a urine toxicology screen, infectious workup, and monitoring his diabetes status. a repeat head computed tomography after placement of a ventriculostomy drain on his first hospital day showed a substantial intraventricular blood in all visualized cerebral ventricles. there was a focus of bleeding in the right hemisphere in the white periventricular white matter possibly involving portions of the thalamus. there was low-density zone in the central aspect of the pons which could reflect a pons infarction. on , the patient was following commands inconsistently; although, he was having some respiratory difficulties and required significant pulmonary toilet. his drain was kept at 12 cm of water above the tragus, and his blood pressure was kept in close control in the low 160s. the patient's labetalol was increased to 400 mg three times per day and cardizem was added. later on , the patient needed to be intubated due to an upper airway obstruction despite -level positive airway pressure and rigorous pulmonary toilet. also on , the patient was seen by the renal service in consultation due to his end-stage renal disease and his past renal transplant. they recommended a renal ultrasound which showed no hydronephrosis, fluid collection, or evidence of rejection at that time. on , his creatinine was 1.6. his baseline creatinine is in the 1.6 to 2.1 range. on , his sputum grew out gram-negative rods. he was following commands in his upper extremities. we wanted to obtain a magnetic resonance imaging done; however, due to the fact that he had a penile implant, it took until to obtain that study. this study eventually showed evolving blood products with the posterior right caudate nucleus. blood products were also seen within the ventricular system. no abnormality was detected within the pons or the remainder of the brain stem. during the patient's time in the intensive care unit, the renal service was involved with his care and gave guidelines for his anti-rejection drugs and monitoring his creatinine and antibiotics that he was receiving. on , the patient developed hypernatremia. his sodium was at 147. he was given 1.5 liters of free water boluses. the patient continued to be intubated and sedated on propofol in order to control his blood pressure. his neurologic examination oxidation showed no voluntary movement; however, his eyes opened spontaneously. he localized in his right upper extremity and small movement in his left upper extremity. there was trace movement in his lower extremities. he moved his right side spontaneously. the patient's blood pressure continued to be controlled with cardizem and labetalol. he continued to be on dilantin for seizure prophylaxis and vancomycin for his drain prophylaxis. on , the patient's eye opened to stimulation. he had a dysconjugate gaze. his intracranial pressures were in the range of 6 to 12. he had trace movement of his left upper extremity. he internally rotated his right upper extremity. he withdrew his right lower extremity. he slightly withdrew his left lower extremity. his cerebrospinal fluid was becoming more clear, and the drain seemed to be working without difficulty. the patient was weaned off nipride on that same day, and hydralazine was added to control his blood pressure. the patient needed to be maintained on propofol also in order to control blood pressures and also for comfort while he was intubated. on , the patient did have a carotid ultrasound done which showed no evidence of stenosis in either carotid artery. this was done prior to his magnetic resonance imaging due to an inability to obtain the magnetic resonance imaging to rule out stroke. on the patient did have a bronchoscopy done to assess the reason for his thick white secretions. the airways appeared normal up to the carina. on , the patient continued to have temperature spikes in the range of 101 degrees fahrenheit. his intracranial pressure range was 7 to 21. his renal function was stable with a creatinine of 7.1. an electroencephalogram was showing encephalopathy at this time, and he was growing gram-negative rods and gram-positive cocci from his endotracheal tube. the patient's eyes opened spontaneously. he had some spontaneous right-sided movement. he withdrew his right upper extremity to stimulation. there was slight movement of his right lower extremity. there was no real movement on his left side. on , his urine grew out gram-negative rods of greater than 100,000. the patient was started on levofloxacin 500 mg by mouth once per day. also on , he needed to have his ventriculoscopy drain changed due to the prior one not working. it was changed without complications. a head computed tomography showed evolution of blood products and a slight decrease in surrounding edema in the right parenchymal hemorrhage area, a decreased amount of intraventricular blood, with decreased distention of the right lateral ventricle. on , the patient had a repeat head computed tomography which showed no new hemorrhages, persistent right deep parenchymal hemorrhage and intraventricular hemorrhage, and a question of a new right occipital infarction. the patient continued to be treated with 10 days of levaquin for a nosocomial urinary tract infection. on , we asked the neurology service to follow up with the patient. the neurology attending felt that most likely the patient did not suffer a infarction. on , a transesophageal echocardiogram was done in order to rule out a cardiac source of embolus. this showed moderate aortic sclerosis, mild left ventricular hypertrophy, with an ejection fraction of greater than 60%. there were no vegetations detected on any of the valves. the final decision by neurology was that he did not have a new infarction. his magnetic resonance diffusion-weighted imaging was negative. it was most likely that this bleed was of a hypertensive source. on , the patient was grimacing, opened his eyes to voice, slight movement of the right side, slight withdrawal of his lower extremity. his drain was clamped in an attempt to wean. the patient had a percutaneous endoscopic gastrostomy tube and tracheostomy tube done on without any difficulty. his final cultures were showing negative growth from blood cultures. sputum had coagulase staphylococcus from with rare growth. showed coagulase-positive staphylococcus and gram-negative rods. also, again on gram-negative rods and positive staphylococcus. his urine was negative as of . his cerebrospinal fluid always remained negative. the patient received one unit of blood for a hematocrit of 27.7. on , the patient's ventriculostomy drain was discontinued. a head computed tomography was done which showed no new areas of hemorrhage. there had been interval evolution of the blood products. there was no hydrocephalus. on , he was sent to the stepdown unit where he continued to receive supportive nursing care, aggressive pulmonary toilet, tube feedings, and close observation. the patient appeared to develop a maculopapular rash which developed in his trunk and then to his lower extremities. he was seen by dermatology who recommended discontinuing whatever medications could be discontinued. levaquin had been discontinued the day prior to the rash. his potassium was noted on to be at 5.9. the patient received two doses of kayexalate. his potassium came down to 5.6. the patient also had a sodium at 152. his tube feedings were changed to nepro. he received increased free water in his tube feedings up to correct a fluid deficit of 2.5 liters to 3 liters, and he received another dose of kayexalate the following day. on the patient's potassium was 4.5, and his sodium was 149. he continued to receive 2.5 liters fluid water bolus along with his nepro tube feedings. the patient needs to remain on vancomycin 1 gram q.24h. until to treat his coagulase-positive staphylococcus sputum. medications on discharge: 1. lacri-lube ointment one application both eyes twice per day; due to his inability to control his eye movements and his inability to close his eyes on his own. 2. fluocinonide 0.05% cream applied to his rash area for three days (to his legs). 3. prednisone 10 mg by mouth once per day. 4. lansoprazole 15 mg by mouth once per day. 5. reglan 5 mg by mouth three times per day as needed (for high tube feed residuals). 6. tacrolimus 3 mg by mouth twice per day. 7. albuterol 4 puffs q.6h. as needed (for bronchospasms). 8. colace 100 mg by mouth twice per day. 9. senna one tablet by mouth twice per day. 10. diltiazem 60 mg by mouth four times per day. 11. labetalol 400 mg by mouth three times per day. 12. heparin 5000 units subcutaneously q.12h. discharge disposition: neurologic examination on revealed the patient grimaced with left facial weakness. he did not open eyes to commands. he did not follow commands. he did withdrawal his right upper extremity and trace withdrawal of his right lower extremity. his tube feedings should be nepro full strength at a goal rate of 50 an hour with residual checks every q.4h. he should also receive free water of between 1500 cc to cc per day; and that is based on what his sodium is showing. discharge instructions/followup: the patient was instructed to follow up with dr. one month from discharge. the patient was instructed to have a computerized axial tomography at that time. discharge status: the patient was to be transferred to an acute care facility where he can have aggressive physical and occupational therapy. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other permanent tracheostomy percutaneous [endoscopic] gastrostomy [peg] intravascular imaging of intrathoracic vessels arterial catheterization transfusion of packed cells closed biopsy of skin and subcutaneous tissue diagnoses: acidosis urinary tract infection, site not specified acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified intracerebral hemorrhage pulmonary collapse hyperosmolality and/or hypernatremia complications of transplanted kidney 

Answer: The patient is high likely exposed to