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: epinephrine attending: chief complaint: cerebellar hemorrhage major surgical or invasive procedure: placement of right external ventricular catheter history of present illness: this is an 81 year old white female who was on coumadin at home. the day prior to presentation she suffered from slurred speech. according to her son, she refused care. she was seen at and ct imaging showed a left cerebellar bleed. past medical history: panhypopituitarism on prednisone, horomones, synthroid htn afib on coumadin tia (post op, off coumadin) diverticulosis depression arthritis glaucoma b/l temporal artery biopsy l. knee arthroscopy b/l bunion repair social history: lives alone. has a cane at home to walk. independent adls. denies smoking, alcohol, drug use family history: non-contributory physical exam: on admission: o: t: af bp: 200's / 160's-180's hr:60 r 20 gen: wd/wn, comfortable, nad / occasionally yells out about headache. heent: pupils: 3-2 mm bilaterally eom grossly intact / conjugate no battles/ raccoons signs / no hemotympanum or csf rhinorrhea or otorrhea. ncat neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awakens to voice with light noxious at times/ falls asleep without interruption. cooperative with exam, but needs prompting. orientation: oriented to person, place, and date. language: speech fluent / hypophonic and slightly slurred at times. good comprehension with prompting. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm 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 on discharge: she is lethargic at times. she is oriented to year. she follow commands with all four extremities. pertinent results: 07:27pm pt-16.2* ptt-28.7 inr(pt)-1.4* ct head 1. left cerebellar intraparenchymal hemorrhage, with mass effect and partial effacement of the fourth ventricle. mri with contrast is recommended to exclude an underlying mass lesion. 2. small lytic lesion within the left temporal bone may be a vascular channel, but clinical correlation with any history of malignancy is recommended. 3. sphenoid sinus opacification. cta head : left cerebellar parenchymal hemorrhage is slightly larger than on the previous study. no new focus of hemorrhage. angiographic images reveal no underlying vascular abnormalities. full read in am ct head : 1. right frontal ventriculostomy catheter terminates in the right lateral ventricle near foramen of . 2. slight increase in ventricular size . 3. stable hemorrhage from earlier the same evening. ct head : no change in size and appearance of left cerebellar hemorrhage with associated fourth ventricle effacement and mild inferior tonsillar displacement brief hospital course: ms. was admitted to the neurosurgery service in the tsicu under the care of dr. . she had a right evd placement after she became increasingy lethargic. it was open at 20 cm h20. her icp's were well controlled. she was on mannotil and the icu team was to change to 23% nss on . on 23% ns was tapered and discontinued on . evd remained but no drainage was recorded. on the evd was clamped in the a.m., and a head ct was performed which was stable. the evd was removed on the speech and swallow followed patient while she was here making ongoing recommendations. on the patient returned back to the icu for decline in mental status the ventricular size appeared stable and family wished not to place an evd again, she was treated with mannitol which greatly improved mental status on mannitol was changed to hypertonic saline to increase sodium and treat mental status. she was transferred back to the floor on and the hypertonic saline was discontinued. on she became lethargic and was not following commands or speaking- family was notified and refused surgical intervention; mannitol 50gm was given once with good effect. on she remained stable. a family meeting was held on with dr. , speech therapy and palliative care. calorie counts were initiated for a 3 day course. she did not meet her goal and this was communicated by nutrition. a peg was recommended but the hcp and other family members refused. pt/ot evaluated patient and felt that she would benfit from acute rehab. she was trasnfered there on medications on admission: medications prior to admission: coumadin 2mg tabs (two tabs once daily / up to three tabs daily) prednisone 2.5 mg diovan 160 mg po qd synthroid .175 mg daily discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation . 4. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 5. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 6. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po q6h (every 6 hours). 8. acetaminophen 160 mg/5 ml solution sig: five (5) cc po q6h (every 6 hours) as needed for fever / pain . 9. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 10. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed) as needed for xerophthalmia. 11. levothyroxine 100 mcg tablet sig: two (2) tablet po daily (daily). 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 13. prednisone 5 mg po qam 14. prednisone 2.5 mg po qpm discharge disposition: extended care facility: for the aged - macu discharge diagnosis: left cerebellar hemorrhage hydrocephalus uti discharge condition: stable mental status:confused - always level of consciousness:lethargic but arousable activity status:out of bed with assistance to chair or wheelchair 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, and ibuprofen etc. 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. 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. procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances ventricular shunt to extracranial site nec diagnoses: obstructive hydrocephalus urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation intracerebral hemorrhage cerebral edema long-term (current) use of anticoagulants panhypopituitarism 

Answer: The patient is high likely exposed to