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: no known allergies / adverse drug reactions attending: chief complaint: transferred from an osh for higher level of care, problems with right sided weakness and slurred speech major surgical or invasive procedure: endotracheal intubation history of present illness: 68 rhm with pmh of htn and heavy alcohol abuse with smoking abuse was transfered from osh for neuro eval. next, neurology was called. he was noted in usoh last night when he went to sleep. this am, around 8, he was noted to have some slurred speech but went out with his son and came back. after coming home he went to bathroom and came back with right sided weakness. he preferred to be in couch and was noted to have weakness of right side and was not able to speak and was drowsy. this was in the afternoon around 3 pm. 911 was called and he was taken to osh. at osh, bp 212/102, hr 78, t 97.7, rr 16, 98 ra. he was given 20 mg labetelol and underwent ct head which showed iph as described below. bloods showed : cbc : 8.6/14-40/253, inr 1. cxr normal. he was given 6 platelets and 1 gm of dilantin. prompt referral to was arranged for neuro eval. his son was at bedside who provided with hpi. of note, patient is heavy alcoholic and smoker. he doesnt follow with doctors and health maintenence. review of systems could not be done secondary to poor mental status past medical history: htn lipids stroke (cva) unknown type, 12 yrs ago with right hemi, resolved with no deficits heavy alcohol abuse and smoking social history: lives with son. heavy alcohol (12-15 beers /day), smoking 2 ppd for over 20 years, no drugs family history: father had crf physical exam: physical examination on admission v:97.9 62 148/74 14 98% 2l gen: drowsy male in supine position, not in distress heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, extremities/skin: dry and sclerotic neuro: mental status: drowsy. opens eyes to commands but goes back to sleep again. follows few midline commands as well as few on the left such as grabbing hand and wiggling toes. doesnt verbalise. cranial nerves: -pupils equally round and reactive to light,2 to 1 mm bilaterally. obvious right facial droop (umn type). other cr nerves difficult to assess -no gaze deviation, no bobbing, no nystagmus,positive gag motor: no movement on right ue and le, withdraws minimally to pain on right side. moves left side spontaneusely. reflexes: brisk on right. absent on left. toes upgoing on right. mute on left gait/ coordination : defd physical exam on discharge: vital signs: tm 98.4, tc 97.6, bp 149/75, hr 60-70's, rr 18, 98%ra gen: elderly male lying in bed in nad heent: op clear, mm mildly dry cv: rrr pulm: cta-b abd: soft, nt, nd ext: no periph edema . neurological exam: ms - patient could pick out of choices that he was in a hospital, knew he lived in , thought he was 30 years old, was able to name high and low frequency objects, could repeat short phrases, wrote his name, but it was illegible, able to follow simple commands with l->r confusion. cn - perrl 4->3mm, eomi, tongue midline, r facial droop present, facial sensation intact, hearing intact bilaterally motor - in all 4 extremities sensory - pt unable to cooperate with sensory exam coordination - ataxic on r fnf, l fnf intact gait - deferred pertinent results: labs on admission: 06:45pm blood wbc-9.4 rbc-4.37* hgb-14.6 hct-41.2 mcv-94 mch-33.5* mchc-35.5* rdw-13.3 plt ct-295 06:45pm blood pt-12.0 ptt-29.9 inr(pt)-1.0 06:45pm blood glucose-121* urean-7 creat-0.7 na-128* k-4.0 cl-93* hco3-22 angap-17 06:45pm blood ck(cpk)-172 06:45pm blood ctropnt-<0.01 02:45am blood ck-mb-4 ctropnt-<0.01 10:45pm blood alt-52* ast-50* alkphos-100 totbili-0.9 02:45am blood ck(cpk)-247 06:45pm blood calcium-9.5 phos-4.2 mg-2.1 02:45am blood triglyc-1011* hdl-68 chol/hd-2.4 06:45pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 10:22pm blood type-art po2-142* pco2-43 ph-7.41 caltco2-28 base xs-2 10:30pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-tr 10:30pm urine rbc-10* wbc-6* bacteri-few yeast-none epi-0 10:30pm urine casthy-2* 10:30pm urine color-straw appear-clear sp -1.008 10:30pm urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg : urine culture negative labs on discharge: 05:45am blood wbc-6.3 rbc-4.09* hgb-13.3* hct-37.3* mcv-91 mch-32.5* mchc-35.7* rdw-12.9 plt ct-330 05:45am blood glucose-101* urean-8 creat-0.6 na-133 k-3.6 cl-100 hco3-21* angap-16 05:45am blood calcium-8.9 phos-3.9 mg-1.9 imaging: nchct : what is noted is a left basal ganglia parenchymal hemorrhage that is stable to marginally increased in size measuring approximately 2 x 5 x 3.5 cm (2; 18 and 601b; 51). there is minimal surrounding edema. there is equivocal midline shift (at most, 3 mm from left to right), slightly increased from prior study. no other areas of hemorrhage are seen and there is no intraventricular hemorrhage. the mastoid air cells are clear. mucosal thickening is seen in the bilateral frontal and ethmoid sinuses. left basal ganglia hemorrhage, marginally increased, with 3-mm rightward midline shift. nchct : no significant change in the left putamen and lateral globus pallidus intraparenchymal hemorrhage with mild surrounding edema. however, given the differential attenuation within the hematoma and a hypodense component anteriorly, attention for ongoing hemorrhage is rec. by close followup; clinical correlation for htn, coagulopathy; further workup for any other underlying cause to be based on clinical correlation. no shift of midline structures, herniation or intraventricular hemorrhage brief hospital course: mr. was transferred to the for a higher level of care. he essentially presented to an osh with slurred speech and right sided weakness and was found to be hypertensive and with a large iph in the left basal ganglia (putamen/gp). in our ed, he was quite lethargic and was intubated for airway protection. he was admitted to the neuro-icu under the care of drs. and (attending physicians) and remained on propofol for sedation. his blood pressures were kept under control with iv antihypertensive drips (nicardipine). his follow up ct scans were without change. on his second hospital day, he was successfully extubated to nasal cannula oxygen and did well. he did display some agitation for which he was placed on the ciwa scale and received prn iv ativan (he is a heavy alcoholic). he did display significant hypophonia and mild right sided weakness, but had no anomia or obvious language deficits. on he had an episode of svt that responded to iv lopressor, and thereafter became quite agitated for which he received iv ativan per ciwa protocol which caused sedation. out of concern for progression to dts, he remained in the icu for one more day. on the day of his transfer, he was noted to be calm and hemodynamically stable. he is significantly dysarthric with significant right sided facial weakness but with full strength in all extremities. at the time of his transfer, he had developed a slightly elevated wbc with 12.1k but had been afebrile and otherwise well appearing. he was pancultured at this time, and antibiotics were deferred. however, his u/a returned positive for wbcs, so he was started on ceftriaxone for a presumed uti. when his ucx did not grow anything, this was stopped on . while on the floor he continued to do well, no longer needed restraints and was able to successfully be sent to rehab. he was started on lisinopril, and this was uptitrated to 40mg once a day. subcutaneous heparin was started on for dvt prophylaxis. pending labs: none transitional care issues: he will need to be started on asa 81mg qd on (10 days s/p iph). he will also need to have an mri booked for at to have it prior to his follow-up appointment. medications on admission: ecotrex citalopram 30 discharge medications: 1. citalopram 20 mg tablet sig: 1.5 tablets po daily (daily). 2. erythromycin 5 mg/gram (0.5 %) ointment sig: one (1) application ophthalmic qid (4 times a day). 3. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain, fever >100.4. 9. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 10. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). discharge disposition: extended care facility: - discharge diagnosis: primary: left centrum ovale and basal ganglia intraparenchymal hemorrhage secondary: hypertension, hx of alcohol abuse discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: ambulatory - requires assistance or aid (walker or cane). neuro exam: hypophonic, aaox1-2, full strength in all 4 extremities discharge instructions: dear mr. , you were seen in the hospital for a bleed in your brain. while you were here you were monitored to ensure that the bleed remained stable. you improved clinically and were able to be sent to a rehabilitation facility to help make you stronger. we want you to start taking aspirin (81mg once a day) on (10 days after your brain bleed). we made the following changes to your medications: 1) we started you on erythromycin eye ointment four times a day. 2) we started you on a nicotine patch once a day. 3) we started you on metoprolol tartrate 12.5mg twice a day. 4) we started you on famotidine 20mg twice a day. 5) we started you on thiamine 100mg once a day. 6) we started you on folic acid 1mg once a day. 7) we started you on tylenol 325mg every 6 hours as needed for pain or fever > temperature. 8) we started you on subcutaneous heparin three times a day. 9) we started you on lisinopril 40mg once a day. please continue to take your other medications as prescribed. if you experience any of the below listed danger signs, please contact your doctor or go to the nearest emergency room. it was a pleasure taking care of you on this hospitalization. followup instructions: please call phone: ( to set up an mri appointment before you see dr. at the below listed appointment. you should have this mri 6 weeks from discharge (in ). department: neurology when: monday at 3:30 pm with: , md building: campus: east best parking: garage procedure: insertion of endotracheal tube diagnoses: tobacco use disorder unspecified essential hypertension intracerebral hemorrhage other and unspecified hyperlipidemia other specified cardiac dysrhythmias personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits other and unspecified alcohol dependence, unspecified other late effects of cerebrovascular disease, facial weakness 

Answer: The patient is high likely exposed to