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: status-post arrest major surgical or invasive procedure: none history of present illness: mr. is a year male with past medical history of a traumatic subdural hematoma s/p craniectomy, htn, and afib. today while at his nursing home, he was noted to have tonic-clonic movements, then collapsed on the floor. per report from the nursing home, no pulse was appreciated at that time. cpr was started, and portable defibrillator pads were placed, which advised no shock. he was reported to be asystolic. ems arrived approximately 3 minutes later. intravenous access was established and he was given 1 mg of epinephrine. the ems team attempted to intubated the patient, at which time zucchini was noted in the airway above the vocal cords. this was removed and he was intubated. cpr was continued and he was transported to . on route, he was noted to have return of spontaneous circulation, with atrial fibrillation at a rate of 140 was noted, with systolic blood pressure of 90. . upon arrival to the ed, he was intubated, with a heart rate of 140 in atrial fibrillation and systolic blood pressure of 80. levophed was started. he converted into sinus before he was able to be cardioverted, with improvement in his blood pressure. ekgs demonstrated left axis deviation, rbbb, and st depressions in leads v3-v6. a right ij was placed. he underwent a head ct which demonstrated bilateral small collections, with possible acute component. no trauma was apparent on examination. neurosurgery evaluated the patient in the ed and concluded no surgical intervention was necessary. a chest x-ray was unremarkable and revealed appropriate cvl and ett placement. . he was started on the arctic sun protocol 90 minutes after arrival and reached goal temp of 34c 150 minutes after arrival. his granddaughter arrived to the emergency room. he was transferred to the icu for management. . upon arrival to the icu the patient is intubated, unresponsive, and cooled to 34c. fentanyl, versed, and norephinepherine drips are running. past medical history: - receives medical care at medical center - traumatic subdural hematoma s/p 3 drainage procedures ~18 months ago - parkinsons disease - htn - atrial fibrillation - hyperlipidemia - dysphagia - worsening gait - incontinence social history: from , has lived in the usa for >75 years. lived independently until 18 months ago. had a fall with subdural hematoma s/p 3 drainage procedures. has since lived in a at . at baseline good mental status with "only a little" memory impairment. he walks with a walker, and requires help often with eating, hygeine and other adls and iadls. does not use tobacco, etoh or other substances. granddaughter is his health care proxy. family history: noncontributory. parents lived into their 100s. physical exam: vs: t=33.8c (bladder), hr=57, bp=106/64, intubated a/c 50% o2, 5 peep, 500cc tv, 16 rr, 100% saturation. gen: appears younger than given age. intubated, arctic sun cooling device in place, lying unresponsive. neuro: does not respond to voice. does not withdraw to painful stimuli. r pupil unresponsive, l pupil 3->2.5mm sluggish response to light without apparent consensual r pupil reflex. no vestibuloocular reflex. unable to access remaining cranial nerves. limbs are atonic. reflexes absent throughout, toes unresponsive on babinski. heent: head without any lesions. moist occular mucosa, sclera noninjected, nonicteric. nasogastric tube in place. nasopharynx without exudate. oropharynx difficult to access with endotrachael tube in place. no apparent lesions. moist mucosa. neck: supple. no lymphadenopathy. no thyromegaly. r ij in place, clean. cv: jvd not elevated. pmi in the midclavicular line. heart sounds are soft. regular rate. preserved s1 and s2. no murmurs. no gallop. pulm: limited exam. clear anteriorly and laterally with good air movement bilaterally. abd: exam limited by circumfirential cooling device. +bs. soft. no masses appreciated. 60cc dark urine in foley. ext: cool. present radial pulses. no pedal pulses. good capillary refill. no edema. no cyanosis. pertinent results: 01:06pm fibrinoge-73* 01:06pm pt-28.8* ptt-117.3* inr(pt)-2.9* 01:06pm plt smr-very low plt count-42* 01:06pm wbc-2.2* rbc-0.84* hgb-2.7* hct-9.0* mcv-106* mch-31.7 mchc-29.9* rdw-14.1 01:06pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:06pm lipase-16 01:06pm estgfr-using this 01:06pm urea n-17 creat-0.6 01:19pm glucose-84 lactate-4.0* na+-146 k+-1.2* cl--137* tco2-6* 01:19pm type- comments-green tube 01:34pm fibrinoge-263# 01:34pm pt-16.4* ptt-45.7* inr(pt)-1.5* 01:34pm plt count-165 01:34pm wbc-13.5*# rbc-3.17*# hgb-10.5*# hct-31.8*# mcv-100* mch-33.2* mchc-33.1# rdw-13.1 01:34pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:34pm albumin-3.4 calcium-8.0* phosphate-7.4* magnesium-2.5 01:34pm ck-mb-notdone 01:34pm ctropnt-0.01 01:34pm alt(sgpt)-40 ast(sgot)-203* ld(ldh)-357* ck(cpk)-74 alk phos-77 amylase-251* tot bili-0.3 01:34pm glucose-217* urea n-42* creat-1.9*# sodium-144 potassium-4.4 chloride-110* total co2-12* anion gap-26* 01:41pm k+-4.3 01:41pm po2-494* pco2-37 ph-7.10* total co2-12* base xs--17 01:52pm glucose-200* lactate-9.1* na+-145 k+-4.5 cl--113* tco2-12* 05:12pm pt-14.9* ptt-33.7 inr(pt)-1.3* 05:12pm plt count-137* 05:12pm wbc-12.0* rbc-3.38* hgb-11.0* hct-33.4* mcv-99* mch-32.4* mchc-32.8 rdw-13.0 05:12pm albumin-3.4 calcium-6.8* phosphate-3.8# magnesium-2.2 05:12pm ck-mb-4 ctropnt-0.04* 05:12pm alt(sgpt)-54* ast(sgot)-255* ld(ldh)-437* ck(cpk)-102 alk phos-73 tot bili-0.4 05:12pm glucose-202* urea n-42* creat-1.6* sodium-144 potassium-4.5 chloride-117* total co2-17* anion gap-15 05:48pm hgb-11.5* calchct-35 05:48pm glucose-183* lactate-3.0* na+-142 k+-4.6 cl--115* 05:48pm type-art po2-129* pco2-37 ph-7.24* total co2-17* base xs--10 10:45pm freeca-1.22 10:45pm hgb-12.8* calchct-38 10:45pm glucose-121* lactate-3.0* na+-143 k+-4.8 cl--115* 10:45pm type-art temp-34 po2-141* pco2-36 ph-7.23* total co2-16* base xs--11 intubated-intubated 11:14pm urine uric acid-rare 11:14pm urine granular-7* 11:14pm urine rbc-52* wbc-6* bacteria-few yeast-none epi-0 11:14pm urine blood-mod nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 11:14pm urine color-yellow appear-hazy sp -1.013 11:14pm urine osmolal-528 11:14pm urine hours-random urea n-500 creat-114 sodium-32 ct head : impression: 1. small mixed density bifrontal subdural collections, likely acute on chronic. 2. bilateral ethmoidal mucosal thickening, left maxillary mucosal thickening and aerosolized secretions in the nasal cavity. clinical correlation recommended. echo : the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity is small. left ventricular systolic function is hyperdynamic (ef 70-80%). there is no ventricular septal defect. the right ventricular cavity is dilated with borderline normal free wall function. the ascending aorta is moderately dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: dilated, borderline hypocontractile right ventricle; small, hyperdynamic left ventricle ct head : conclusion: negligible interval change from prior study. brief hospital course: yo m with chronic subdural hematoma, parkinsons, and dependant at baseline who presented after cardiac arrest. the patient suffered severe anoxic brain injury and was made cmo by his family on the evening of with plan for hospice care. the patient is to not receive iv fluids, any antibiotics, feeding tubes or dobhoffs nor is he to be rehospitalized for any reason. the patient is to be full hospice care. #) arrest: pt suspicious for asphyxiation leading to cardiopulmonary arrest with asystole given that he was found to have food at the vocal cords and he had an "non shockable" rhythm. his history does not support other common causes of pea/asystole, and his lab abnormalities are likely a result and not cause of arrest. pt did not have circulation for a total of 10min. he was started on the arctic sun cooling protocol w/ goal 34c. pt remained on artic sun for 24h then rewarmed, electrolytes were monitered closely during rewarming. pt did not have any hemodynamic compromise after this. #) anoxic brain injury / ams: patient's neurologic exam is concerning for significant impairment secondary to cardiopulmonary arrest leading to anoxic brain injury. neurology was consulted. initially sz activity was also on the differential, but the eeg showed no epileptiform activity and no lateralizing areas. his myoclonic jerks were attributed to his anoxic brain injury. pt did have intact pupillary reflex and weak ocr, but absent corneal reflex, and stereotypic posturing to pain in all extremities. his prognosis is very poor w/ little chance of meaningful recovery and very likely to stay in vegetative state. family meeting was held and decided to attempt extubation, and not reintubate if pt declines. family was against the idea of a trach/peg, but are willing to have ng tube - for food/meds. tf started. palliative care consulted. #) respiratory failure: there was no evidence on exam or cxr of respiratory failure or significant gas exchange abnormality and no evidence of further aspiration. maintained on mandatory ventilation while cooling. wean o2 as tolerated. his peak airway pressures have been in the 30s. this may be due to some obstructive airway disease at baseline/ elevated lung volumes. pt was kept on vent because of his poor ms and inability to protect airway, at least until a decision was made on pt's goals of care. pt was extubated and tolerated extubation well. #) aspiration pneumonitis: his cxr was concerning for aspiration pna the next day and pt was started on vanc/zosyn. pt's sputum and blood cx remained negative for g(+) and vanc was d/c. pt continues to have significant secretions even after extubation. pt was continued on an 8 day course of zosyn, currently on day . #) anion gap: patient has an anion gap with an elevated lactate, both of which are improving with iv fluids and improved hemodynamic status. this is secondary to cardiac arrest and resultant poor perfusion. #) bifrontal subdural fluid collections - patient with known chronic subdural hematomas. ct concerning for possible new acute progression in left frontal area. seen by neurosurgery. no need for acute intervention. reimaging did now show any chagnes. #) acute kidney injury - patient has an elevated creatinine likely due to prerenal azotemia. this could be strictly prerenal or may have progressed to atn. it is reassuring that his creatinine is now trending down. rhabdomyolsis is unlikely given the normal ck. pt's prerenal failure resolveed. #) st depressions - ekg shows precordial st depressions and troponin is elevated. this is likely secondary to arrest and cpr leading to cardiac myocyte damage. acs is unlikely by history. pt . medications on admission: atenolol 25mg po daily lisinopril 2.5mg po daily prilosec 20mg po daily carbidopa/levodopa 25/100 mg po daily colace 100mg po bid ipratropium-albuterol neb qid prn dyspnea mirapex 0.125mg qac discharge medications: 1. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 2. morphine concentrate 20 mg/ml solution sig: 5-15 mg po q2h (every 2 hours) as needed. 3. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 4. acetaminophen 160 mg/5 ml solution sig: 325-650 mg po q6h (every 6 hours) as needed for fever. 5. acetaminophen 650 mg suppository sig: one (1) suppository rectal q6h (every 6 hours) as needed. 6. scopolamine base 1.5 mg patch 72 hr sig: one (1) patch 72 hr transdermal prn (as needed). discharge disposition: extended care facility: center discharge diagnosis: anoxic brain injury cardiopulmonary arrest acute renal failure elevated lfts atrial fibrillation discharge condition: comfort meausures only. dnr/dni, do not rehospitalize. no ivf, antibiotics. the goal of care is comfort. discharge instructions: the patient has been made cmo. dnr/dni, do not rehospitalize. no ivf, antibiotics. the goal of care is comfort. followup instructions: patient is cmo. care at . procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: unspecified essential hypertension acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation other convulsions other and unspecified hyperlipidemia paralysis agitans acute respiratory failure pneumonitis due to inhalation of food or vomitus cardiac arrest anoxic brain damage inhalation and ingestion of food causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to