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: spontaneous sah major surgical or invasive procedure: : cerebral angiogram with coiling : left evd placement : left vp shunt placement history of present illness: 35yom with ha started 2d ago, seen at osh ed yesterday dx with sinusitis, headache had resolved per osh records, negative ct scan, pt refused spinal tap, sent home on amoxicillin. today sudden severe b/l frontal ha with loc in bathroom, wife states convulsive sz type activity few minutes. ambulating when ems arrived per report. cta at osh today with aca aneurysm +blood, xfr to . + emesis yesterday. past medical history: unknown social history: unknown family history: unknown physical exam: on admission: o: t: bp: 149/95 hr: 42 r o2sats gen: lethargic, alert to name heent: pupils: equal, round, b/l, disconjugate gaze not cooperative with exam moving all 4 extremities, antigravity remainder deferred for rapid intubation upon discharge: alert, oriented x3, following commands, mae, affect- frontal/childlike at times. although oriented, has had times of not knowing where he is. difficulty with complex commands at times- needs prompting. incision is c/d/i. pertinent results: cta head : there is a 6-mm aneurysm arising from the a2 segment of the left anterior cerebral artery. the neck of this aneurysm meausures 2-mm. the petrous, cavernous, and supraclinoid internal carotid arteries are of normal course and caliber. the bilateral internal carotid arteries as well as the middle and posterior cerebral arteries are of normal course and caliber. the basilar and the vertebral arteries are of normal course and caliber. no evidence of other aneurysm, dissection or stenosis. interval development of right frontal intraparenchymal hemorrhage extending along the pericallosal region posteriorly as well as intraventricular into the lateral ventricles, third ventricle, and fourth ventricle. there is mass effect over the frontal of the right lateral ventricle and a 7-mm midline shift to the left. diffuse cerebral edema, worse at the brainstem. bilateral subarachnoid hemorrhage. ct head : impression: 1. stable right frontal and posterior pericallosal intraparenchymal hemorrhage with worsening associated edema and intraventricular extension with blood products more evident in the lateral and fourth ventricles as well as into the subarachnoid space. 2. obliteration of supracellar cisterns concerning for herniation. echo : the left atrium and right atrium are normal in cavity size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a prominent fat pad. impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. no valvular pathology or pathologic flow identified. head ct : impression: 1. unchanged left transfrontal ventriculostomy drain. persistent large amount of intraventricular hemorrhage, without evidence of developing hydrocephalus. 2. persistent large amount of intraparenchymal hemorrhage along the right frontal lobe and also the pericallosal region. slightly decreased leftward shift. persistent mild effacement of the suprasellar cisterns, again raising concern of possible herniation. 3. interval placement of metallic aneurysmal coil in the expected location of the left anterior cerebral artery. please refer to the operative note for further details. head ct : impression: study, quite limited by poor vascular opacification, with: 1. no specific evidence of vasospasm. 2. stable right frontal parenchymal hemorrhage with intraventricular extension. 3. minimal decrease (from 5 mm to 4 mm) in the leftward shift of the midline structures. 4. stable effacement of the suprasellar cisterns. cxr : cardiac size is normal. widened mediastinum has improved. pulmonary edema has resolved. there is no pneumothorax or large pleural effusion. right picc tip is in the lower svc. there is mild vascular congestion. lenis : impression: 1. no features to suggest thrombosis within the deep venous structures of both lower extremities. 2. note is made, however, of non-occlusive thrombus within the right great saphenous vein which is classified as a superficial vein. head ct : impression: 1. expected evolution of the right frontal intraparenchymal hemorrhage without evidence of new hemorrhage. 2. redistribution of blood within the intraventricular and subarachnoid space. 3. stable mass effect with sulci effacement and approximately 4 mm of leftward shift of the midline structures. head ct : impression: 1. no significant change in extent of right frontal intraparenchymal hemorrhage, intraventricular hemorrhage, and subarachnoid hemorrhage. 2. mild decrease in mass effect with leftward shift of the normal midline structures. 3. stable opacification of the maxillary and ethmoid sinuses. 06:04am blood wbc-15.4* rbc-4.31* hgb-13.7* hct-40.7 mcv-94 mch-31.7 mchc-33.6 rdw-13.3 plt ct-271 07:35pm blood wbc-12.3* rbc-4.42* hgb-14.2 hct-41.5 mcv-94 mch-32.2* mchc-34.2 rdw-13.4 plt ct-250 02:14am blood wbc-12.4* rbc-4.30* hgb-13.7* hct-39.8* mcv-93 mch-31.8 mchc-34.4 rdw-13.4 plt ct-261 02:28am blood wbc-13.6* rbc-4.53* hgb-14.6 hct-41.7 mcv-92 mch-32.2* mchc-35.0 rdw-13.6 plt ct-264 06:04am blood plt ct-271 02:28am blood pt-13.3* ptt-29.4 inr(pt)-1.2* 06:04am blood glucose-134* urean-14 creat-0.5 na-136 k-4.3 cl-98 hco3-29 angap-13 07:35pm blood glucose-137* urean-15 creat-0.6 na-139 k-4.3 cl-102 hco3-29 angap-12 02:14am blood glucose-130* urean-19 creat-0.5 na-139 k-4.1 cl-100 hco3-31 angap-12 02:28am blood glucose-117* urean-16 creat-0.6 na-139 k-4.4 cl-101 hco3-30 angap-12 06:04am blood calcium-9.5 phos-4.0 mg-2.1 07:35pm blood calcium-9.2 phos-3.5 mg-2.1 02:14am blood calcium-9.4 phos-4.4 mg-2.1 02:28am blood calcium-9.7 phos-4.9* brief hospital course: 35 y/o f with sudden onset of headache and loc, ? of seizure. cta at osh showed sah and l aca aneurysm. patient was transferred to for further neurosurgical intervention. on arrival, patient was intubated for airway protection and evd placed for hydrocephalus. patient was then taken to angiogram where 3 coils were placed. he was taken to the icu post procedure for close monitoring. sbp was liberalized and cardiac enzymes and echo were ordered to evaluate for sympathetic surge. ef > 55% on echo. because of the difficulty of obtaining access in angio, vascular was involved and removed the sheaths on . on , spiked fever, cultures sent. tcds from have shown no vasospasm. his exam has remained stable. on , his evd was raised to 15cm from 10cm. patient passed a speech eval for ground soulids and thin liquids, his evd was raised to 20cmo of water and he tolerated that well. evd clamping trial was initiated and he failed wihtin the first hour. vps placement was arranged for with general surgery to assist. csf was sent in preperation for the procedure which remained negative. on he was transferred to the step down unit where he remained stable. on , he went to the or for placement of his vp shunt. post-op he remained stable without changes. post-op head ct was stable with no hemorrhage and cath tip placement in the l lateral ventricle. he was seen by pt/ot and rehab was recommended. on , his exam was improved as he appeared clearer. a head ct was done in preparation for discharge to once again confirm placement of his shunt catheter. the ct head was stable. he was discharged to rehab in the late afternoon. medications on admission: amoxicillin ibuprofen discharge medications: 1. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours): started on , please continue for total of 21 days. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for headache/pain. 6. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 7. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for pain. 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 10. hydralazine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for sbp>160. 11. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: extended care facility: discharge diagnosis: sah left anterior cerebral artery aneursym hydrocephalus interventricular hemorrhage fever confusion intracerebral hemorrhage intraventricular hemorrhage venous thrombus / right greater saphenous respiratory failure dysphagia requiring modified diet discharge condition: mental status: confused - always. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: medications: ?????? take aspirin 325mg (enteric coated) once daily. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: please follow-up with dr in 4 weeks with an mri/mra protocol. please call to make this appointment. staple removal 14 day post-op. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances arteriography of femoral and other lower extremity arteries laparoscopy arteriography of cerebral arteries ventricular shunt to abdominal cavity and organs endovascular embolization or occlusion of vessel(s) of head or neck using bare coils central venous catheter placement with guidance central venous catheter placement with guidance insertion or replacement of external ventricular drain [evd] diagnoses: obstructive sleep apnea (adult)(pediatric) obstructive hydrocephalus subarachnoid hemorrhage intracerebral hemorrhage acute respiratory failure cerebral edema morbid obesity delirium due to conditions classified elsewhere body mass index 50.0-59.9, adult venous embolism and thrombosis of superficial vessels of lower extremity dysphagia, unspecified 

Answer: The patient is high likely exposed to