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: headache major surgical or invasive procedure: cerebral angiogram history of present illness: hpi:45 y/o male patient presents from osh s/p excruciating headache that awoke him from his sleep 4:30 in the morning. he states that he has a history of migraines, but reports that this pain is worse than his migraine pains. he also reports some neck pain and nausea and vomiting. he denies any dizziness, loss of vision, loss of consciousness, or trauma. in osh, ct scan was ordered and patient recieved nimodipine 7:30 am and was then transfered to with a sah for further neurosurgical workup. past medical history: pmhx:non-insulin dependent diabetes, migraine headaches, tonsillectomy, hyperlipidemia, borderline hypertension social history: denies tobacco, recretional drug use, or etoh family history: mother cva physical exam: physical exam: hr:88 r :12 gen: lethargic, obese gentleman, comfortable, nad. heent: pupils:perrl 2 and flicker eoms: intact neck: supple. extrem: cold to touch, dorsalis pedis 2+. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light,2 and flicker bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, toes downgoing bilaterally coordination: normal on finger-nose-finger discharge exam:############# pertinent results: admission labs: 08:30am wbc-12.1* rbc-4.93 hgb-13.2* hct-39.5* mcv-80* mch-26.8* mchc-33.4 rdw-16.2* 08:30am neuts-84.1* lymphs-12.7* monos-2.6 eos-0.3 basos-0.4 08:30am plt count-294 08:30am pt-12.4 ptt-21.6* inr(pt)-1.0 08:30am glucose-374* urea n-14 creat-0.7 sodium-139 potassium-4.3 chloride-101 total co2-25 anion gap-17 08:30am ck(cpk)-49 labs on discahrge: 05:40am blood wbc-10.7 rbc-4.39* hgb-11.8* hct-35.1* mcv-80* mch-26.8* mchc-33.5 rdw-15.9* plt ct-361 05:40am blood pt-12.7 ptt-20.6* inr(pt)-1.1 05:40am blood glucose-257* urean-8 creat-0.6 na-137 k-4.1 cl-100 hco3-28 angap-13 05:40am blood calcium-8.7 phos-3.1 mg-2.1 05:10am blood phenyto-14.5 05:45pm blood %hba1c-8.0* imaging: cta head : technique: mdct axial images of the head were obtained prior to and following administration of 80 cc of optiray intravenously per head cta protocol. coronal, axial, and sagittal maximum intensity projection images, as well volume-rendered 3d-reconstructed images were processed on a separate workstation and reviewed. ct head: there is large amount of subarachnoid blood, mostly at the level of the foramen magnum, extending into interpeduncular, ambient, quadrigeminal plate and suprasellar cisterns. small amount of subarachnoid hemorrhage is seen in the left sylvian fissure. trace intraventricular hemorrhage is seen in the occipital of the left lateral ventricle; blood is also present in the fourth ventricle. there is no shift of normally midline structures or hydrocephalus. the -white matter differentiation is preserved. there is no evidence of major vascular territorial infarction or mass. there is no parenchymal hemorrhage or fracture. imaged paranasal sinuses and mastoid air cells are pneumatized and well aerated. cta: the carotid arteries and their major branches are patent without evidence of stenosis or aneurysm larger than 2mm in diameter. there is a small amount of noncalcified plaque and tiny punctate calcification involving the left vertebral artery, seen at the level of, but separate and distinct from the pica origin, which is unremarkable. on the rotational 3d volume-rendered images, there is an apparent 3 mm outpouching, emanating from left posterolateral aspect of that vertebral artery, separate from the pica origin, which may represent partial-volume averaging of mural plaque with associated overlying contour anormality and the adjacent quite tortuous pica vessel. impression: focal noncalcified and calcified plaque in the distal left vertebral artery at the level of, but separate from, the left pica origin; this appears as a focal outpouching or contour abnormality on the 3d volume-rendered images, which may be technical in nature. while this process may simply represent so-called "benign perimesencephalic sah," this is a diagnosis- of- exclusion, and, given the overall large amount and the distribution of the subarachnoid hemorrhage, the ventricular hemorrhage (highly atypical), as well as the equivocal finding in the left vertebral artery, of unknown significance, catheter cerebral angiography was scheduled and performed, directly thereafter. ekg : sinus rhythm with first degree atrio-ventricular conduction delay. otherwise, within normal limits. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 87 226 94 370/417 34 25 51 brief hospital course: pt. was taken to the angio suite from the emergency room for a four vessel cerebral angio, given the questionable finding on cta of an aneurysm arising from the vertebral artery. diagnostic angiogram on first look was negative for an underlying aneurysm, the patient was transferred to the icu for hemodynamic and neurologic monitoring as hydrocephalus was a concern. on the patient remained neurologically stable and was transferred to the sd unit. , he had another angiogram with revealed distal parietal branch of the mca occulusion wiithout any ill effect. was also consulted for elevated blood surgars(history of dm 2), and adjustements to his medical regimen were made. he was restarted on metformin, began glipizide and lantus on . he was further seen and evaluated by pt/ot; who determined that he would be an appropriate candidate for rehabilitation. he was discharged to an appropriate facility on , with directions for follow up care. medications on admission: metformin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*45 capsule(s)* refills:*0* 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for headache. disp:*45 tablet(s)* refills:*0* 4. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po tid (3 times a day). disp:*180 capsule(s)* refills:*0* 5. glipizide 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 7. glipizide 5 mg tablet sig: 0.5 tablet po qpm (once a day (in the evening)). disp:*15 tablet(s)* refills:*0* 8. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: five (5) ml po q6h (every 6 hours) as needed for cough. 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 10. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*45 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: sah discharge condition: neurologically stable discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. **you also need to call and schedule a follow up appointment at the diabetes center for ongoing managment of your diabetes. this appointment should be made within the next week. their phone number is: (. be sure to tell them you were seen during your inpatient hospitalization at . procedure: arteriography of cerebral arteries arteriography of cerebral arteries arterial catheterization diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled subarachnoid hemorrhage other and unspecified hyperlipidemia migraine, unspecified, without mention of intractable migraine without mention of status migrainosus cerebral artery occlusion, unspecified without mention of cerebral infarction 

Answer: The patient is high likely exposed to