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: no known allergies / adverse drug reactions attending: chief complaint: headache, left-sided weakness major surgical or invasive procedure: n/a history of present illness: history of present illness (per dr. ): mr is an 84 m w/ history of hypertension, hlp, glaucoma, prostate cancer, squamous cell cancer, and hernias who presents from an outside hospital with with right sided weakness, headache, and new temporal lobe intraparechymal hemorrhage. history taken from wife who is at bedside. mr has never been one to experience headaches. however, over the past couple of weeks he has been experiencing new onset headaches off and on that have been for the most part relieved with tylenol. however, last night he was on the couch and began experiencing the sudden onset of a rigtht sided headache. he went to bed but was very restless. he woke up at midnight and started vomiting around 2 am . around 6 am this morning his wife noticed that he was unable to walk and was having weakness along the left side of his body. at this point he was brought to an osh where he had a bp of 190/95 and a ct of the head demonstrated a right iph. with no neurology on staff he was transferred to for further evaluation. upon arrival he was reportedly aggitated and was given 2.5 mg of iv haldol. he has been somulent since. per wife on neuro ros, the pt denies loss of vision, blurred vision, diplopia, dysarthria, dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. denies difficulties producing or comprehending speech. denies focal numbness, parasthesiae. no bowel or bladder incontinence or retention. per wife on general review of systems, the pt denies recent fever or chills. denies cough, shortness of breath. denies chest pain or tightness, palpitations. denies diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denies arthralgias or myalgias. had recent eczema. past medical history: hypertension hlp glaucoma prostate cancer s/p prostectomy () squamous cell carcinoma hernia x 2 () social history: married, social etoh, no smoking, no recreational drugs family history: noncontributory physical exam: physical examination (on admission per dr.): vitals: t:98.7 p:56 r: 20 bp:142/58 sao2:99% general: drowsy. requires fequent simulation to maintain consciousness. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities:warm and well perfused neurologic: -mental status: drowsy requiring frequent stimulation. oriented to person, place and date. unable to relay story. language is fluent with intact repetition and comprehension. normal prosody. there were no paraphasic errors. speech was not dysarthric. able to follow simple commands. -cranial nerves: i: olfaction not tested. ii: perrl 2 to 1.5mm. reacts to threat in bl visual fields. iii, iv, vi: eomi without nystagmus. normal saccades. v: facial sensation intact to light touch. vii: no facial droop, facial musculature symmetric. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes in midline. -motor: increased tone on left. left sided pronator drift. was able to keep right arm elevated greater than 10 seconds. left arm less than 8 seconds. too inattentive to test individual muscle groups reliably. in lower extremities was able to keep right leg elevated greater than 5 seconds. left leg about 3 seconds. -sensory: withdrew all 4 extremities to noxious. left sided extinction to dss both tactile and visual. -dtrs: tri pat ach l 2 2 2 2 2 r 2 2 2 2 2 plantar response was extensor on the left and flexor on the right -coordination: no obvious abnormal movements. -gait: not tested pertinent results: labs: 05:34pm ck(cpk)-89 05:34pm ck-mb-3 03:35pm urine color-yellow appear-clear sp -1.016 03:35pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 03:35pm urine rbc-244* wbc-3 bacteria-none yeast-none epi-0 10:00am glucose-153* urea n-22* creat-1.3* sodium-140 potassium-3.9 chloride-101 total co2-27 anion gap-16 10:00am estgfr-using this 10:00am alt(sgpt)-30 ast(sgot)-32 ld(ldh)-219 ck(cpk)-84 alk phos-77 tot bili-0.5 10:00am ck-mb-3 ctropnt-<0.01 10:00am albumin-4.4 10:00am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:00am urine hours-random 10:00am urine hours-random 10:00am urine uhold-hold 10:00am urine gr hold-hold 10:00am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 10:00am wbc-16.1* rbc-4.44* hgb-14.7 hct-40.7 mcv-92 mch-33.1* mchc-36.1* rdw-11.8 10:00am neuts-91.8* lymphs-5.9* monos-1.9* eos-0.1 basos-0.4 10:00am plt count-248 10:00am pt-12.8 ptt-20.0* inr(pt)-1.1 micro: urine cx ( neg, enterococcus x2, neg, neg) blood cx ( negx2, negx2, negx2, pendingx2) bal ( >100,000 organisms/ml. commensal respiratory flora, enterobacter) imaging: ct head (): impression: large right frontotemporal hematoma and blood components in the subdural space and intraventricular region with leftward midline shift is unchanged. ct head (): impression: 1. no significant change in the right intraparenchymal hemorrhage with minimal decrease/technical with unchanged right subdural hemorrhage. 2. new extension of blood into the left occipital of the lateral ventricle. eeg (): slow background which reached a maximum of 7 hz frequency which represents a mild encephalopathy and diffuse cerebral dysfunction. it is also abnormal due to the presence of bifrontal and right centro-temporal delta slowing which represents a focal subcortical dysfunction. there were no epileptiform discharges or electrographic seizures. carotid u/s (): impression: right ica stenosis 40-59%. left ica stenosis <40%. bilateral lenis ( and ): impression: no evidence of deep venous thrombosis of the bilateral lower extremities. cxr (): cardiomegaly is stable. bilateral pleural effusions are small. the lungs are clear. cxr (): pulmonary vascular congestion has improved since earlier in the day. residual peribronchial opacification in the left lower lobe is probably dependent edema but should be followed to exclude an early pneumonia. the right lung is entirely clear. cxr (): the cardiac silhouette is stable. indistinctness of somewhat engorged pulmonary vessels suggests elevated pulmonary venous pressure. minimal atelectatic changes are seen at the bases and no discrete focal pneumonia is appreciated. gallbladder u/s (): impression: moderately distended gallbladder containing sludge. these findings may represent acute cholecystitis in the correct clinical setting, but are not specific for it. if there is continued clinical concern, a hida scan can be obtained. no biliary dilatation. hida scan (): impression: chronic cholecystitis. brief hospital course: mr. is an 84 year old male who was admitted on . he was initially transferred to the icu for management and was transferred out of the icu on . below are the events that transpired during his hospital stay. . neurology: right temporal hemorrhage. stable on repeat ct scans. had bp parameters < 160. hob greater than 30 degrees. able to move his right upper and lower extremities spontaneously. opens eyes and follows some commands. he is moving left lower extremity in the plane of the bed, but he is not moving his left upper extremity. . cardiovascular: bp medications were adjusted. he is currently on amlodipine, lisinopril, and metoprolol. he was started on clonidine in the surgical icu. we have started hctz for further blood pressure control. we discontinued his clonidine on the day of discharge. . id: spiked fever in icu. u/a was positive and was initially started on ciprofloxacin. remained febrile and urine culture grew enterococcus. he was started on linezolid (in case of vre b/c he remained febrile). despite linezolid, fevers persisted. he underwent bronchoscopy. prior to culture data becoming available and because he was still spiking daily fevers, abdominal source was sought after and an abdominal u/s performed. the study revealed a distended gallbladder w/ sludge and was concerning for possible acute cholecystitis. hida scan was performed for further evaluation, which revealed chronic cholecystitis. surgery consult was obtained and no immediate intervention was recommended. . cultures from bal eventually grew enterobacter and kliebsiella. id was consulted. he is completing an 8 day course of treatment for treatment of vap. his antibiotics for treatment of pna also covered enterococcus from urine culture. therefore, his uti is adequately treated. . pulmonary: was intubated in the icu for airway protection initially. he is s/p trach and maintaining good o2 sats on trach collar. . gastrointestinal: had peg tube placed for nutrition in the icu. his tubefeeds are boost glucose control (full strength). we add banana flakes on his tubefeeds. his rate is 60cc/hr and his residual checks should be every 4 hours. tubefeeds should be held for residuals greater than 200cc. his peg tube should be flushed with 30cc of water every four hours. . he had a speech and swallow consult on transfer to the floor and they recommended a pmv with oral care every 4 hours. instructions for pmv care will be included in his discharge paperwork. he should continue with speech therapy at rehab. general care: pt. should wear multipodus boots until he starts ambulating. he does have a foley and flexiseal are in place. medications on admission: aspirin 81 mg po daily lipitor 10 mg po daily lisinopril/hctz 5mg? unsure dosing glaucoma eye drop (alphagan?)and steroid eye drop. discharge medications: 1. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheeze. 2. sulfacetamide-prednisolone 10-0.2 % drops, suspension sig: one (1) drop ophthalmic q6h (every 6 hours). 3. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 4. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 7. acetaminophen 650 mg/20.3 ml solution sig: one (1) po q6h (every 6 hours) as needed for pain/fever. 8. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 9. metoprolol tartrate 50 mg tablet sig: 2.5 tablets po tid (3 times a day). 10. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 11. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po qhs (once a day (at bedtime)) as needed for restlessness. 12. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 13. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 14. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 15. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 16. aspirin, buffered 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: hospital - discharge diagnosis: primary diagnosis: temporal intraparenchymal hemorrhage . secondary diagnosis: urinary tract infection ventilator-associated pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you during your hospital stay. you were admitted after you developed a new intracranial bleed. you had a short hospital stay in the intensive care unit. during your hospital stay, you had a trach and peg completed. you were treated with antibiotics for a ventilator-associated pneumonia and urinary tract infection. you will finish your course of antibiotics on . please follow up with your primary care physician 1 week. in addition, you should follow up with dr. as an outpatient. please follow up in 6 to 8 weeks with dr. after discharge. his office phone number is as follows: (. followup instructions: please follow-up in 6 weeks in the stroke clinic. we have scheduled an appointment with dr. on tuesday, at 1:30pm. if you need to change your appointment date, please call (. dr. office is located in the building on the . procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus injection or infusion of oxazolidinone class of antibiotics diagnoses: urinary tract infection, site not specified unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site unspecified protein-calorie malnutrition personal history of malignant neoplasm of prostate unspecified glaucoma intracerebral hemorrhage other and unspecified hyperlipidemia acute respiratory failure personal history of other malignant neoplasm of skin cerebral edema streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] ventilator associated pneumonia hemiplegia, unspecified, affecting unspecified side chronic cholecystitis 

Answer: The patient is high likely exposed to