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: iodine attending: chief complaint: acute onset dizziness and bilateral leg weakness after sexual intercourse, transferred for pontine hemorrhage major surgical or invasive procedure: intubation/extubation peg placement tracheostomy history of present illness: the patient is a 58 year old man with a history of uncontrolled hypertension, hcv, and prostate cancer s/p resection in who presents with a 2 week history of throbbing headaches and then 1 day pta developed acute onset dizziness and bilateral leg weakness after sexual intercourse and viagra use, who was transferred from an osh with pontine hemorrhage and extension into the fourth ventricle with resultant hydrocephalus. this history is obtained from the patient's wife and the medical record. over the past 2 weeks, he has complained of headaches that are not constant and relieved by excedrin. they have not been associated with weakness, numbness, or visual changes. 2 days pta, he was at a wedding and had a throbbing headache around 6:30-7:00 pm, but this was relieved by excedrin. on the day of admission, he took a viagra and had sexual intercourse with his wife. this was not the first time he had used viagra. after having sex, they were lying down in bed and talking, and he had no deficits. then he sat up on the side of the bed (at approximately 11:30 pm), and suddenly felt dizzy, sob, and had the feeling that he could not move his legs. he told his wife to call 911. his wife had to dress him because he was unable to use his legs. his wife reported that he had slurred speech like his "voice was thick", and she wondered if he was having trouble swallowing. he did not have a headache associated with this episode. on the scene, ems noted pinpoint pupils and gave narcan 4 mg total without change. his wife reports that he misses his anti-hypertensives more often than he takes them. she is unclear what his blood pressure normally runs, but his most recent pcp appointment in his bp was 158/100. at hospital, vitals on admission were temp 95.8, bp 203/98, hr 88, rr 16, sao2 100% on nrb. he was reported to "move ue bilaterally proximally" and "nod head to answer some questions", but "no spontaneous movement of le." he was given narcan 1 mg iv x1. he had sob and was intubated with etomidate 20 ml iv x1, succinylcholine, and versed 2.5 mg x4. he was also given vecuronium 10 mg iv x1. he was given labetolol 10 mg iv x1, and ativan 2 mg iv x2. labs showed ckmb 2.0, trop i 0.01, pt 13.9, inr 1.1, ptt 27.9, wbc 7.2, hct 38.8, plt 197. ct head showed pontine hemorrhage with extension into the fourth ventricle, nonspecific bilateral frontal and parietal lobe white matter disease, which may represent chronic small vessel ischemia. he was transferred to at the ed, he had a ct head which showed moderate-sized pontine hemorrhage with extension into the fourth ventricle resulting in mild hydrocephalus involving the lateral ventricles and third ventricle which appears progressed from outside imaging. he was given labetalol 10 mg iv x1, 20 mg iv x1, then started on labetalol gtt. neurosurgery was consulted and indicated that there is no neurosurgical indication at this time. he was transferred to neurology/sicu. past medical history: -hypertension -chronic hepatitis c genotype 1, stage 0-i fibrosis -? heart murmur vs. "hole in heart" per wife, takes prior to dental procedures -prostate cancer s/p radical prostatectomy in -laparoscopic pelvic lymphocele decortication social history: he lives at home with his wife and brother. formerly was an underground cable splicer for an electric company, but now works in electrical system design. he quit smoking in , but prior to that was smoking 1 pack every 3 days for the past 43 years. he has not had a problem with alcohol abuse. he did use heroin 40 years ago, which his wife reports was how he aquired hcv. he has had no recent cocaine or heroin use. family history: his mother had hypertension, strokes, and a heart valve replacement. his brother had sleep apnea. physical exam: vitals: t:97.6 p:78 r:13 bp146/88: sao2:100% ra general: intubated. not sedated, but unresponsive as below. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: unresponsive to name or noxious. doesn't follow any commands. eyes closed at all times. -cranial nerves: pupils midline, pinpoint, symmetrical and unreactive. no corneal reflexes. no ocrs. minimal but definite response to nasal stimulus. inconsistent response to tug on the ett. no obvious facial droop. -motor: no movement of any limbs to noxious stimuli. -sensory: as above. - reflex: no clonus tri bra pat an toes c5 c7 c6 l4 s1 cst ltr tr tr tr 2 down rtr tr tr tr 2 down pertinent results: imaging: ct head (): findings: there is a large brainstem hemorrhage measuring approximately 16.5 x 22.5 mm centered within the left dorsolateral aspect of the pons with extension into the fourth ventricle, resulting in now worsening mild hydrocephalus with dilatation of the occipital and temporal horns when compared to outside imaging. the left occipital measures up to 14 mm. mild surrounding hyperattenuating changes noted around the hemorrhage likely related to underlying brainstem edema. the remaining cerebral matter is normal with appropriate maintenance of the -white differentiation and no evidence of acute large vascular territorial infarct. the globes are intact. mild soft tissue asymmetry is noted along the left cerebral hemisphere likely related to patient positioning. aerosolized secretions are noted within the oral and nasopharynx in this intubated patient. the paranasal sinuses and mastoid air cells are otherwise unremarkable. impression: moderate-sized pontine hemorrhage with extension into the fourth ventricle resulting in mild hydrocephalus involving the lateral ventricles and third ventricle which appears progressed from outside imaging. ecg (): sinus rhythm at a rate of 78, prominent precordial low qrs voltage - is nondiagnostic and is probably normal ecg cxr (): impression: properly positioned lines and tubes with a minimal left basilar atelectasis. prominent left upper mediastinal border of unclear etiology, but probably related to thyroid enlargement or vascular ectasia. cta head/neck (): impression: 1. stable appearance of pontine hemorrhage extending into the fourth ventricle. no vascular abnormality or abnormal enhancement is identified in the region of hemorrhage. 2. stable appearance of hydrocephalus. 3. the carotid and vertebral arteries and their major branches are patent without evidence of stenosis. brief hospital course: 1. pontine hemorrhage: the patient is a 58 year old man with a history of uncontrolled hypertension, hcv, and prostate cancer s/p resection in who presented with a 2 week history of throbbing headaches and then 1 day prior to admission developed acute onset dizziness and bilateral leg weakness after sexual intercourse and viagra use, who was transferred from an osh with pontine hemorrhage and extension into the fourth ventricle with resultant hydrocephalus. on the day prior to admission after viagra use and sexual intercourse, he developed acute onset dizziness, weakness in bilateral legs, and sob. he was transferred to an osh where he was found to have a blood pressure of 203/98 and pinpoint pupils, and was intubated given his sob. head ct there showed pontine hemorrhage with extension into the fourth ventricle. he was transferred to where neurosurgery determined there was no acute indication for neurosurgery. head ct showed pontine hemorrhage with extension into the fourth ventricle resulting in mild hydrocephalus of the lateral ventricles and third ventricles. physical examination on admission showed no response to verbal stimuli, pinpoint pupils that are not reactive to light, fixed eyes on ocrs, does not blink to threat. he withdrew his bilateral ue and le to nailbed pressure, but was weaker on the right than left. his reflexes were 3+ and symmetric in biceps, brachioradialis, triceps, and knees with nonfatiguable clonus in the bilateral ankles and upgoing toes bilaterally. the most likely cause of his pontine hemorrhage was uncontrolled hypertension. his neurological exam continued to improve, and subsequent head cts showed stable appearance of the hemorrhage. cta head showed no vascular abnormality or abnormal enhancement in the region of hemorrhage, the carotid and vertebral arteries and their major branches are patent without evidence of stenosis. mri head showed a pontine hemorrhage. neurological examination on discharge showed mr exam was significant at discharge for: alert, oriented to time and person. non-fluent aphasia, with preserved comprehension. follows commands. cn: pinpoint pupils 1.5 mm to 1.0 mm r eye, 1.0 mm to trace left eye both to direct and consensual stimuli. bl vi cranial nerve paresis, b/l face weakness, no palate elevation. right sided weakness: delt 3, tric 3, biceps 3-, we 3-, wf 3-, fe anf ff 3. left sided weakness 5/5 for all muscle groups. inferior extremity right weakness: toe flexion and extension, hamstring , quad 3-,ip 3/ 5. left leg: all groups. decreased pinprick sensation in left hemibody. the patient should follow up with dr. in neurology as an outpatient. 2. hypertension: he was intially on a labetalol gtt to keep his map <130 and sbp 120-150. his blood pressure medications on discharge were . 3. respiratory: the patient was intubated at the osh after complaining of shortness of breath. he was extubated at on . he continued to have increased secretions requiring frequent suctioning, so a tracheostomy was placed on . 4. sinusitis: head ct on showed new air-fluid level seen within the left maxillary sinus. at that time he was having increased secretions from his et tube. a sputum culture grew moderate moraxella catarrhalis and sparse oropharyngeal flora. he received 5 days of unasyn. 5. esophageal candidiasis: during peg placement, gastroscope showed considerable whitened mucosa and exudate in the esophagus. he was started on fluconazole to complete a day course. 6. fen: speech and swallow evaluated the patient after extubation, and recommended that he remain npo. an ng tube was placed initially, and a peg tube was placed . he had pain at the peg tube site after insertion, and kub showed marked gaseous distension of splenic flexure and stomach. a gastrograffen study showed no leaking around the peg. his pain improved with fentanyl prn, and he was tolerating tube feeds at the time of discharge. 7. full code: social work and palliative care were consulted during this admission, and family meetings were held on and . his living will states he wishes no resuscitation, artificial feeding, or hydration if in a persistent vegatative state or has a terminal illness. currently neither of these are true, so he remained full code. the family and patient agreed to peg and tracheostomy placement. pt was consulted during the admission. medications on admission: triamterene/hctz 37.5-25 mg daily lisinopril 10 mg daily viagra 100 mg prn discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 4. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 7. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 8. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: extended care facility: - discharge diagnosis: primary: pontine hemorrhage sinusitis esophageal candidiasis secondary: hypertension discharge condition: mr exam was significant at discharge for: alert, oriented to time and person. non-fluent aphasia, with preserved comprehension. follows commands. cn: pinpoint pupils 1.5 mm to 1.0 mm r eye, 1.0 mm to trace left eye both to direct and consensual stimuli. bl vi cranial nerve paresis, b/l face weakness, no palate elevation. right sided weakness: delt 3, tric 3, bicepd 3-, we 3-, wf 3-, fe anf ff 3. left sided weakness 5/5 for all muscle groups. inferior extremity right weakness: toe flexion and extension, hamstring , quad 3-,ip 3/ 5. left leg: all groups. decreased pinprick sensation in left hemibody. followup instructions: you will need to follow up with dr. in neurology 10/ 06/ 08 at 2:30 pm in the stroke clinic ( ). procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] laryngoscopy and other tracheoscopy temporary tracheostomy diagnoses: obstructive hydrocephalus unspecified essential hypertension chronic hepatitis c without mention of hepatic coma unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia personal history of malignant neoplasm of prostate intracerebral hemorrhage encounter for palliative care dehydration hyperosmolality and/or hypernatremia aphasia hemiplegia, unspecified, affecting unspecified side chronic maxillary sinusitis other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms candidal esophagitis 

Answer: The patient is high likely exposed to