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: cefazolin attending: chief complaint: trauma/intracranial hemorrhage major surgical or invasive procedure: mechanical ventilation s/p open gj tube placement history of present illness: patient is a 78 yo (?age) male with dm, dylipidemia who was found down by a neighbor after what seems like a fall down the stairs on and suffered multifocal left-sided intracranial hemorrhage. patient lives alone and is intubated now so full history is limited. according to ed note, patient was found down at base of 10 stairs on concrete floor. he was found loc and bleeding from left facial laceration. he was brought to ed in "semi-conscious state". admission vitals from 1pm were af, hr 80, bp 158/60. he was intubated for airway protection. head ct done and showed acute intracranial hemorrhage seen in left basal ganglia, left frontal lobe, and both lateral ventricles and c-spine ct showed nondisplaced fracture of left c7 transverse process and severe degenerative changes at multiple levels. patient admitted to trauma surgery who did ct-pelvis and abdomen both negative. neurosurgery consulted and no surgical intervention recommended. repeat head ct on showed some interval increase in amount of intraventricular blood. neurology called to consult as concern of left sided weakness and on exam may suggest stroke. past medical history: dm dyslipidemia depression social history: unknown family history: unknown physical exam: physical exam: o: tm: 97.8-100.3 bp: 113/49-159/57 hr: 57-64 rr: o2sat 100% on cpap 5 gen: intubated, alert heent: roving eyes, conjugate movement. midline at rest neck: c-collar in place. l. clavicular deformity lungs: cta bilaterally. no r/r/w. cardiac: rrr abd: soft, nt, nd, +nabs. no rebound or guarding. extrem: warm and well-perfused. no c/c/e. neuro: mental status: opens eyes to voice. follows midline and appendicular commands though inconsistent cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2 to 1.5 mm bilaterally. does not blink to threat on left. iii, iv, vi: does not track but has horizontal conjugate eye movements with no full abduction bilat. v, vii: facial assym with ett. coreals intact bilat viii: turns to voice bilat ix, x: deferred : deferred xii: deferred motor: increased tone bilat legs. lifts left arm ag spont. lifts left leg spont ag and flexes. has minimal spont ag movement of right leg. right arm flexes only to deep nail bed pressure though minimal spont finger movement seen on this side. fasiculations noted in left hand and bilat thighs sensation: withdraws more briskly on left than right ue and le. withdraws more ue> le overall. reflexes: b t br pa ac right 2 2 2 3 2 left 2 2 2 3 2 grasp reflex absent. toes downgoing bilaterally. no clonus pertinent results: labs on admission: 01:45pm wbc-9.5 rbc-2.74* hgb-8.8* hct-24.6* mcv-90 mch-32.2* mchc-36.0* rdw-13.2 01:45pm pt-15.7* ptt-38.4* inr(pt)-1.4* 01:45pm fibrinoge-128* 01:45pm urine color-yellow appear-clear sp -1.018 01:45pm urine blood-neg nitrite-neg protein-neg glucose-250 ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 01:45pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 01:45pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:45pm ck-mb-notdone ctropnt-<0.01 01:45pm ck(cpk)-89 amylase-24 06:41pm type-art temp-36.6 rates-12/ tidal vol-600 peep-5 o2-100 po2-382* pco2-39 ph-7.37 total co2-23 base xs--2 aado2-301 req o2-56 -assist/con intubated-intubated imaging studies: ct-head : 1. acute intracranial hemorrhage seen in left basal ganglia, left frontal lobe, and both lateral ventricles. the other suspicious mass lesion seen within the lateral ventricles also most likely represents hematoma. 2. no fracture is noted. scalp hematoma is noted on the left frontal side ct c-spine : impression: 1. nondisplaced fracture of left c7 transverse process. 2. severe degenerative changes at multiple levels, with severe disc space narrowing and osteophyte formation. 3. a small ossific density anterior to the c4-7 vertebral bodies is most likely due to prior injury or might be secondary to degenerative effects. ct sinus : impression: no facial fractures. left occipital and mandibular soft tissue injuries. intracranial hemorrhage better characterized on the dedicated head ct. ct torso : ct chest: the heart size is normal. vascular calcifications are identified. there is no axillary, mediastinal, or hilar lymphadenopathy. there is dependent atelectasis. the lungs are otherwise clear. there is no evidence of pneumothorax or pleural effusion. ct abdomen: tiny left hepatic hypodensity is too small to be characterized. the liver is otherwise unremarkable. the gallbladder, pancreas, spleen, adrenal glands, kidneys, stomach, and bowel loops are unremarkable within the limits of this study without oral contrast. there is no free air or free fluid. no mesenteric or retroperitoneal lymphadenopathy is identified. ct pelvis: foley catheter and air are noted in the bladder. the prostate, seminal vesicles, sigmoid colon, and rectum are unremarkable. there is no free fluid and no pelvic or inguinal lymphadenopathy. bone windows: there are no suspicious lytic or sclerotic osseous lesions. no fractures are identified. degenerative changes of the thoracic and lumbar spine are noted with minimal lumbar levoscoliosis. mri head : impression: tiny foci of hemorrhage within the left cerebral hemisphere and blood within the ventricles, potentially related to recent traumatic injury, v. hemorrhagic residua from prior small vessel infarcts (the latter consideration referring to the brain parenchymal lesions). the focus of hemorrhage within the left internal capsule and a small focus adjacent to the occipital of the right lateral ventricle demonstrate restricted diffusion, a finding that is nonspecific in etiology. however, diffuse axonal injury is a diagnostic consideration, as opposed to evolving infarcts. mr : impression: 1. mild compression of t3 vertebra without retropulsion with marrow edema seen on inversion recovery images. 2.subtle increased signal visualized at the site of nondisplaced fracture visualized on transverse processes of c7 on the left. no evidence of hematoma seen. 3. multilevel degenerative changes with mild-to-moderate spinal stenosis at c3-4 level. no evidence of ligamentous disruption, intraspinal hematoma, or extrinsic spinal cord compression. video swallow : indication: aspiration. technique/findings: an oropharyngeal swallowing video fluoroscopy study was performed in conjunction with speech pathology department. varying consistencies of barium were administered orally under constant video fluoroscopy. moderate impairment of the oral phase of swallowing was seen, with severe difficulties of the bolus transfer. residue is seen within the vallecula and piriform sinuses. patient demonstrated penetration with honey and nectar thin liquids, with aspiration of nectar thin liquids before swallowing. this appeared to clear with cough. labs on discharge: wbc 15.9 hct 35.6 plts 444 na 137 k 4.1 cl 103 hco3 24 bun 15 cr 0.7 glu 89 ca 8.1 mg 2.1 phos 2.9 brief hospital course: patient was admitted to trauma service and placed in trauma icu on admission due to intubation for protection of airway. 1) s/p fall with intracranial hemorrhage: secondary to the fall, patient developed intracranial hemorrhage and diffuse axonal injury (seen on ct and mri) leading to a some cognitive impairment and right hemiparesis. eeg was done and had non-specific findings. patient completed 7-day course of phenytoin for seizure prophylaxis in setting of traumatic brain injury. he continues to have residual right-sided deficits and depressed mental status that seem to be improving slowly. he was discharged to for long term rehab. 2) c7 fracture: trauma workup revealed nondisplaced fracture of left c7 transverse process and severe degenerative changes at multiple levels. patient was initially in cervical collar for this but was later cleared by neurosurgery. ct abdomen, pelvis were done and showed no acute injury. he will need follow-up with neurosurgery as an outpatient. 3) nutrition: initially, he was started on tubefeedings while intubated. however, after he removed his nasogastric tube, oral diet was attempted. however, having failed 2 video swallow evaluations, patient's po intake was limited by coughing/aspiration. after discussion with patient and his healthcare proxy, since there was a possibility of recovery of some function, a decision was made to place a percutaneous gastrostomy tube for nutritional supplementation. unfortunately, a peg was unable to be placed by gi safely due to a large hiatal hernia and could not be placed by ir secondary to overlying mesentery and colon. surgery was consulted for placement of an open gj feeding tube and due to the increased morbidities of an open procedure, calorie counts and the patient's po intake was monitored closely for several days prior. the patient was again evaluated by speech and swallow who felt that his aspiration risk was compounded by the fact that he fatigued very easily during feeding. thus, he went for placement of an open gj tube by surgery. tube feeds were initiated 24 hrs afterwards, which the pt tolerated with addition of standing reglan. during tube feed titration, it was noted that his residuals were gastrooccult positive, which was accompanied by a hct drop. surgery was called who felt that this was likely due to a hematoma that is breaking down. his hct was followed and remained stable without further transfusion and was placed on a ppi. by the time of discharge, the patient was tolerating his tube feeds at 70 cc/hr and residuals were gastrooccult negative. 4) resp: patient came to trauma service intubated in the ed for airway protection. he was extubated in micu without complications. 5) diabetes mellitus: patient was maintained on glargine and sliding scale in house for glycemic control. he had several episodes of am hypoglycemia and his lantus was titrated down to 20 u qhs. although his fs were noted to be not persistently at goal, his insulin regimen was not further titrated up. 6) leukocytosis: pt with leukocytosis during majority of hospital course with low grade fevers initially, and then without fevers during the last 3 weeks of hospitalization. cultures only significant for a sputum culture with mrsa; however no evidence of pna on cxr. was swabbed for mrsa both nasally and rectally and found to be carrier of mrsa. completed 10 day course of iv vancomycin and zosyn regardless. a trial of foley d/c was attempted on multiple occasions, but was replaced each time for failure to void and high residuals on bladder scan. review of medications was not significant for agents that would cause significant urinary retention, beyond prn dilaudid, which the pt was not receiving. he will need his foley clamped during his rehab stay several times prior to d/c of foley to help promote bladder function. . code: dnr but may intubate. he was discharged to rehab in fair condition for continued stroke pt and ot, and tube feeds. medications on admission: 1. glyburide 2. prozac 3. trazadone 4. aspirin discharge medications: 1. acetaminophen 160 mg/5 ml solution sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*60 tablets* refills:*0* 2. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 3. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po every twelve (12) hours. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. disp:*500 ml(s)* refills:*0* 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). disp:*600 ml* refills:*2* 9. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day): apply to medial aspect of l thigh/leg. disp:*1 tube* refills:*2* 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed. disp:*30 suppository(s)* refills:*0* 11. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical (2 times a day) as needed. disp:*1 bottle* refills:*0* 12. albuterol sulfate 0.083 % solution sig: one (1) nebulizer inhalation q6h (every 6 hours) as needed. disp:*30 nebulizer* refills:*0* 13. ipratropium bromide 0.02 % solution sig: one (1) nebulizer inhalation q6h (every 6 hours) as needed. disp:*30 nebulizer* refills:*0* 14. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous at bedtime. disp:*600 units* refills:*2* 15. insulin lispro (human) 100 unit/ml solution sig: per enclosed sliding scale chart units subcutaneous qachs. disp:*500 units* refills:*2* 16. metoclopramide 10 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 17. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 18. hydromorphone 2 mg/ml syringe sig: 0.5 - 2 mg injection q6h (every 6 hours) as needed for pain. disp:*50 mg* refills:*0* 19. tube feeds nutren pulmonary full strength starting rate: 10 cc/hr, advancing 10 cc q4h to goal rate of 80 cc/hr (feeds running at 70 cc/hr by time of transfer) please cycle: start 4 pm, end 10 am residual check q4h, holding for residuals > 100 cc flush with 250 cc free h20 q6h discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis: s/p fall with l basal ganglia and intraventricular bleed c7 fracture secondary diagnosis: dm ii hyperlipiedemia depression discharge condition: fair, eating fair amt of pos with assitance, breathing well on room air, not ambulatory. discharge instructions: you were admitted after a fall and were found to have a c7 fracture as well as a head bleed that has resulted in an inability to move the right side of your body. you had a feeding tube placed to help support your nutrition needs pending further improvement in your mental status. please take all medications as prescribed. call your physician or return to the emergency room if you experience any of the following: increasing confusion and altered mental status, fever > 101, shortness of breath, abdominal pain. followup instructions: please follow-up with neurosurgery within 2-4 weeks for your stable c7 fracture. call to make an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances other intubation of respiratory tract closure of skin and subcutaneous tissue of other sites other gastrostomy diagnoses: polyneuropathy in diabetes open wound of scalp, without mention of complication diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia acute respiratory failure accidental fall on or from other stairs or steps retention of urine, unspecified late effects of cerebrovascular disease, hemiplegia affecting unspecified side dermatitis due to drugs and medicines taken internally encephalopathy, unspecified closed fracture of seventh cervical vertebra other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration diabetes with neurological manifestations, type ii or unspecified type, uncontrolled cephalosporin group causing adverse effects in therapeutic use foreign body in respiratory tree, unspecified inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation carrier or suspected carrier of other specified bacterial diseases other late effects of cerebrovascular disease, dysphagia open wound of face, unspecified site, without mention of complication open wound of buccal mucosa, without mention of complication 

Answer: The patient is high likely exposed to