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: pt found down at home, sdh seen on head ct major surgical or invasive procedure: left craniotomy, subdural hematoma evacuation history of present illness: 86m found down at his home in am on . he was transported to where he had a head ct which showed a large left sdh with significant midline shift and impending uncal herniation. the patient was then transferred to . he is having difficulty speaking and is moving his extremities but the left side is moving much more than the right side. he had a repeat ct scan here which was unchanged from the prior scan. the patient was intubated while in the er is being sent emergently to the or for evacuation of the sdh. past medical history: unknown social history: retired professor, lives independently family history: unknown physical exam: on admission t:afebrile sbp:130s-150s rr:10 o2sats 98% gen: the patient is lethargic. gcs 12: eye opening-4 motor-6 verbal-2 heent: pupils: perrl eoms-unable to test neck: in cervical collar. no tenderness. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: the patient is lethargic and is only able to participate with some portions of the exam. orientation: oriented to person only. language: patient only able to say a few words. (+) dysarthria. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2 to 1 mm bilaterally. iii, iv, vi: unable to participate v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: unable to participate : unable to participate xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. moving the left side spontaneously and purposefully. he is able to squeeze with the left hand. his right side is much weaker. he withdraws to pain in the rue and briskly triple flexes with the rle. sensation: appears to be intact to light touch bilaterally. toes upgoing on the right and downgoing on the left. on discharge 99.9 64 121/65 16 93%ra comfortable, smiling, nad aa+ox2 oriented to "" eyes open, perrla, eomi smile symmetric, facial sensation intact, tongue midline following commands now moves all 4 extremities including rue antigravity wound site c/d/i pertinent results: bedside swallowing evaluation this swallowing pattern correlates to a dysphagia outcome severity scale (doss) rating of 5, mild dysphagia. recommendations: 1. suggest a po diet of nectar thick liquids and ground consistency solids when most awake. 2. pills whole with puree when fully awake. crush with puree if more lethargic. 3. we will repeat the evaluation on wednesday for possible upgrade. these recommendations were shared with the patient, nurse and medical team. repeat bedside swallowing evaluation this swallowing pattern correlates to a dysphagia outcome severity scale (doss) rating of 5, mild dysphagia. recommendations: 1. suggest advancing the pt to a po diet of thin liquids and soft consistency solids. 2. single sips of liquid by the cup. 3. 1:1 supervision to assist with feeding and rate of intake. 4. pills whole with liquids. 5. speech-language therapy in rehab for aphasia. these recommendations were shared with the patient, nurse and medical team. 09:00pm urine rbc-21-50* wbc-0-2 bacteria-occ yeast-none epi-0-2 09:00pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 09:00pm urine color-straw appear-clear sp -1.013 09:00pm pt-13.1 ptt-23.3 inr(pt)-1.1 09:00pm plt count-226 09:00pm neuts-77.5* lymphs-18.4 monos-3.3 eos-0.4 basos-0.3 09:00pm wbc-7.9# rbc-4.37* hgb-13.7* hct-40.4 mcv-92 mch-31.3 mchc-33.9 rdw-15.0 ct head w/o contrast impression: unchanged appearance of left cerebral subdural hematoma. unchanged appearance of the degree of subfalcine herniation towards the right. ct head w/o contrast conclusion: persistent, large mixed density gas and fluid collection presumably representing residual left cerebral hemispheric subdural hemorrhage. no change in the degree of subfalcine herniation. ct head w/o contrast impression: compared to , there has been no significant interval change of left subdural hematoma and drain in place. persistent mass effect and shift of normally midline structures in addition to a component of subfalcine herniation. new left eye preseptal emphysema. clinical correlation is recommended. ct head w/o contrast impression: 1. interval removal of left-sided drain with no significant change in left subdural hematoma and rightward subfalcine herniation. ct head w/o contrast impression: status post evacuation of a large left subdural hematoma, with postoperative changes, residual hemorrhage layering posteriorly. air now replaces the previous subdural hematoma, with mass effect upon the left frontal and parietal lobes. slightly decreased shift of normally midline structures measuring 1.5 cm and subfalcine herniation. catheter within the post- evacuation bed. ct head w/o contrast impression: massive left subdural hematoma as above resulting in approximately 19 mm of rightward midline shift and subfalcine herniation brief hospital course: 86m transferred from osh on for l sdh evacuation and placement of l sdh drain. he was monitored closely in the icu post op. post-op ct showed: postoperative changes with a drain placement in the left-sided subdural hematoma. since the previous study, the amount of air in the subdural space has decreased with better visualization of residual blood products. there is left to right midline shift and subfalcine herniation with mass effect on the sulci of the left cerebral hemisphere as noted before. compared to the prior study, there is now some visualization of the sulci at the convexity indicating decreasing mass effect. there are no significant new abnormalities noted. his neurologic exam slowly improved and he was following commands with weakness on right. sdh drain had minimal output and was d/c'd on . head ct after drain removal: compared to , there has been no significant interval change of left subdural hematoma and drain in place. persistent mass effect and shift of normally midline structures in addition to a component of subfalcine herniation. new left eye preseptal emphysema noted, these findings are expected given his surgical approach. his diet and activity were advanced as tolerated, and he was evaluated by nutrition. their recommendations were listed on and . during his hospital course, he was seen by pt and ot, and they recommended that he be discharged to rehab. daily, he continued to improve neurologically, and he is being discharged from to rehab today neurologically improved with his vital signs and laboratory values within normal limits. medications on admission: asa 81 discharge medications: 1. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 2. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 3. ondansetron 4 mg iv q8h:prn nausea 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*qs tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*qs capsule(s)* refills:*0* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*qs tablet(s)* refills:*0* 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). disp:*qs tablet, delayed release (e.c.)(s)* refills:*0* 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*qs tablet(s)* refills:*0* 9. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*qs capsule(s)* refills:*0* 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). disp:*qs * refills:*0* discharge disposition: extended care facility: - discharge diagnosis: left subdural hematoma discharge condition: neurologically improved discharge instructions: discharge instructions for craniotomy have a family member check your incision daily for signs of infection take your pain medicine as prescribed exercise should be limited to walking; no lifting, straining, excessive bending you may wash your hair only after sutures and/or staples have been removed you may shower before this time with assistance and use of a shower cap increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: new onset of tremors or seizures any confusion 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 any signs of infection at the wound site: redness, swelling, tenderness, drainage fever greater than or equal to 101?????? f followup instructions: please return to the office in 10 days for removal of your staples/sutures or have them removed at rehab. please call to schedule an appointment with dr. to be seen in 6 weeks. you will need a cat scan of the brain without contrast in 2 (two) weeks. procedure: incision of cerebral meninges insertion of endotracheal tube diagnoses: multiple myeloma, without mention of having achieved remission subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness home accidents other fall history of fall 

Answer: The patient is high likely exposed to