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: seizures major surgical or invasive procedure: intubation/extubation history of present illness: the pt is a 78 yo m with htn, hl, who presents with new seizure episodes. he was in usual state of health until 2am this morning. wife found him lying in bed snoring and was not arousable. she noticed blood on the pillow next to him. she called ems. vitals sigs at the time were bp 180/100 hr 90 rr 18, fs 170. he seized in front of ems and then received 2mg ativan which helped stop the overt activity, however he then restarted seizing 2 more times. he received 6mg total before arriving in the ed and was intubated in the field. he did not receive other sedation. once here he was found to be sedated but given the concern for possible ongoing another seizure episodes he was loaded was loaded with phenytoin. his bp then dropped to the 80s systolic and he was bolused with 2l ns. his sedation from ativan was wearing off and he was then started on midaz gtt. on neuro ros, pt was intubated and sedated past medical history: -htn - on hctz -hl - on statin social history: retired, lives with his wife, alcohol, no smoking family history: sister: died at 49 from gbm brother: body dementia, died 5 years ago from primary brain tumor physical exam: physical exam: vitals: t: 101 p: 96 r: 16 bp: 89/56 sao2: 100% intubated general: intubated, sedated from the ativan iv heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: intubated, sedated from recent ativan, not arousable, not following commands, roving eye movements. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm and brisk, eyes roving with slight disconjugate gaze iii, iv, vi: vor intact vii: no facial droop, ix, x: + gag -motor: normal bulk, decreased tone on the right. no adventitious movements, such as tremor, noted. extensor posturing in left upper extremity, triple flex in left lower, no withdrawal to noxious on right side although grimaces -sensory: grimaces or withdraws to noxious in all limbs -dtrs: tri pat ach l 1 1 1 na 0 r 1 1 1 1 0 plantar response was extensor bilaterally. -coordination/gait: defered ************* physical exam on discharge: gen: lying in bed in nad heent: op clear cv: rrr pulm: ctab abd: soft, nt, nd ext: no edema neuro: ms - aaox3, speech fluent cn - mild r facial droop, eomi, perrl 3->2, facial sensation intact, tongue midline motor - throughout sensation - intact to light touch throughout coordination - fnf intact bilaterally gait - mildly unsteady, but independent and narrow based pertinent results: asmission labs: 10:15am glucose-122* urea n-19 creat-1.0 sodium-141 potassium-4.0 chloride-110* total co2-22 anion gap-13 10:15am alt(sgpt)-20 ast(sgot)-26 ld(ldh)-190 ck(cpk)-118 alk phos-56 tot bili-0.3 10:15am ck-mb-3 ctropnt-<0.01 10:15am albumin-3.4* calcium-8.0* phosphate-2.4* magnesium-1.7 iron-48 cholest-103 10:15am %hba1c-5.6 eag-114 10:15am triglycer-45 hdl chol-40 chol/hdl-2.6 ldl(calc)-54 10:15am wbc-11.0 rbc-3.78* hgb-12.1* hct-36.2* mcv-96 mch-32.1* mchc-33.5 rdw-13.4 10:15am plt count-194 10:15am pt-11.2 ptt-24.9* inr(pt)-1.0 08:00am glucose-99 urea n-15 creat-0.8 sodium-145 potassium-3.1* chloride-120* total co2-22 anion gap-6* 08:00am alt(sgpt)-16 ast(sgot)-19 ld(ldh)-117 ck(cpk)-70 alk phos-39* tot bili-0.2 08:00am ck-mb-2 ctropnt-<0.01 08:00am albumin-2.6* calcium-5.6* phosphate-1.4*# magnesium-1.4* iron-45 cholest-77 08:00am %hba1c-5.5 eag-111 08:00am triglycer-39 hdl chol-29 chol/hdl-2.7 ldl(calc)-40 08:00am phenytoin-10.4 08:00am wbc-13.8* rbc-3.99* hgb-12.6* hct-38.3* mcv-96 mch-31.5 mchc-32.8 rdw-13.5 08:00am plt count-213 08:00am pt-11.4 ptt-24.0* inr(pt)-1.1 07:59am type-art rates-16/0 tidal vol-500 peep-5 o2-100 po2-204* pco2-43 ph-7.34* total co2-24 base xs--2 aado2-476 req o2-80 -assist/con intubated-intubated 06:25am type-art rates-16/ tidal vol-500 peep-5 o2-100 po2-32* pco2-38 ph-7.26* total co2-18* base xs--10 aado2-653 req o2-100 -assist/con intubated-intubated 06:25am lactate-2.8* 06:25am o2 sat-46 05:40am urine hours-random 05:40am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 05:40am urine color-yellow appear-clear sp -1.015 05:40am urine blood-tr nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 05:40am urine rbc-<1 wbc-1 bacteria-few yeast-rare epi-0 renal epi-<1 05:40am urine hyaline-4* 05:40am urine mucous-rare 05:03am ph-7.19* comments-green top 05:03am glucose-167* lactate-9.5* na+-140 k+-4.4 cl--107 tco2-19* 05:03am hgb-14.5 calchct-44 05:03am freeca-1.18 05:00am urea n-21* creat-1.3* 05:00am estgfr-using this 05:00am lipase-23 05:00am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:00am wbc-13.6* rbc-4.31* hgb-13.9* hct-42.0 mcv-97 mch-32.3* mchc-33.2 rdw-13.4 05:00am pt-10.4 ptt-25.6 inr(pt)-1.0 05:00am plt count-278 05:00am fibrinoge-260 discharge labs: 133 / 97 / 14 --------------< 105 3.5 / 25 / 0.9 ca: 9.1 mg: 1.8 p: 3.1 14.0 11.1 >-----< 207 41.1 ct head : impression: 3.1 x 1.7 x 1.9 cm left inferior frontal intraparenchymal hemorrhage. continued followup is recommended. cxr : impression: 1. endotracheal tube is at the origin of the right mainstem bronchus and retraction is recommended. 2. left lower lobe collapse which in this case may be due to aspiration given the patient's history. cxr : the et tube tip has been pulled up currently 4 cm above the carina. the ng tube tip is in the stomach. left retrocardiac opacity has improved consistent with resolution of atelectasis. mri/a head : impression: stable appearance of early subacute left frontal hematoma with moderate surrounding edema without abnormal enhancement to suggest mass lesion. however, followup after resolution for subtle lesions such as cavernoma/ amyloid angiopathy, etc. correlate for risk factors. patent major arteries without focal flow limiting stenosis, occlusion or aneurysm more than 3mm within the resolution of mra. eeg : impression: this telemetry captured no pushbutton activations. the background remained of low voltage and rapid throughout. this suggested primarily medication effect. there was minimal left frontal slowing seen occasionally, but there was no area of persistent focal slowing, and there were no epileptiform features. there were no electrographic seizures. eeg : impression: this telemetry captured no pushbutton activations. the background remained of low voltage and rapid throughout. this suggested primarily medication effect. there was minimal left frontal slowing seen occasionally, but there was no area of persistent focal slowing, and there were no epileptiform features. there were no electrographic seizures. eeg : impression: this telemetry captured no pushbutton activations. it showed a low voltage faster background throughout. this can be normal but is often a reflection of medication effect. there was minimal left hemisphere slowing. there were no clearly epileptiform features, and there were no electrographic seizures. brief hospital course: is a 79 yo m with htn, hl presenting with new onset seizure activity, found to have l frontal iph. neuro exam on admission was limited by sedation but revealed asymmetry in response to pain on left side, likely related to post-ictal paralysis. potential etiologies for hemorrhage include hypertension (bp 180/100 on presentation, although not typical location), hemorrhagic conversion of ischemic stroke (?branch of aca territory), underlying mass lesion (pt has strong fh of brain tumors), avm/vascular malformation, trauma, or less likely amyloidosis. he was admitted to the icu for close monitoring and further evaluation, and when his exam improved he was able to be transferred to the neurology floor. # neuro: he was maintained on q2hr neurochecks and his exam improved as the effects of sedation wore off. bp was closely controlled with a goal sbp of 120-160. antiplatelets and anticoagulants were held. dilantin was switched to keppra and he was connected to ltm. as midazolam gtt was weaned he began to develop electrographic seizure activity from l frontal region without clinical correlate. keppra was increased to 2g and midazolam gtt was restarted overnight from . seizure activity resolved and midazolam was again weaned on the am of . he was much more alert and following commands and was extubated on . mri/a showed no obvious evidence of underlying lesion or vascular malformation. he was started on vimpat 100mg when he began to show some pleds on eeg. his exam once extubated was only significant for mild r facial droop. # cardiovascular: he was maintained on tele monitoring. bp was closely monitored and controlled as above. aspirin was held and he was continued on his home statin. ldl was 54. # pulm: ventilatory support was weaned and he was successfully extubated on . respiratory status subsequently remained stable. # endo: he was maintained on finger sticks and iss for blood glucose control. hba1c was 5.6%. # nutrition: he remained npo while intubated and his diet was advanced as tolerated once extubated. # renal: cr was elevated to 1.3 on admission but normalized after gentle iv hydration. electrolytes were monitored and repleted as needed. # prophylaxis: he was maintained on pneumoboots for dvt prophylaxis. sc heparin was held in setting of bleed until . he was maintained on a bowel regimen and famotidine for gi prophylaxis. # code status: full (confirmed with family) pending labs: none transitional care issues: he may need to have his aed's weaned off in the future. medications on admission: preadmissions medications listed are incomplete and require futher investigation. information was obtained from patient. 1. aspirin 81 mg po daily 2. hydrochlorothiazide 25 mg po daily 3. simvastatin 30 mg po daily 4. lisinopril 5 mg po daily 5. timolol maleate 0.5% 1 drop both eyes daily discharge medications: 1. simvastatin 30 mg po daily 2. lacosamide 100 mg po bid rx *vimpat 100 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*6 3. levetiracetam mg po bid rx *levetiracetam 1,000 mg 2 tablet(s) by mouth twice a day disp #*120 tablet refills:*6 4. timolol maleate 0.5% 1 drop both eyes daily 5. hydrochlorothiazide 25 mg po daily 6. lisinopril 5 mg po daily discharge disposition: home with service facility: americare at home inc discharge diagnosis: left frontal intraparenchymal hemorrhage discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). neuro exam: mild r facial droop, full strength throughout discharge instructions: dear mr. , you were seen in the hospital for seizures and were found to have a bleed in your brain. you were monitored initially in the icu, but when you were stable enough you were sent to the neurology floor. while here, you were noted to have some incontinence. this will likely improve as your brain bleed improves. we made the following changes to your medications: 1) we started you on keppra 2,000mg twice a day. 2) we started you on vimpat 100mg twice a day. 3) we stopped your aspirin. please continue to take your other medications as previously 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: department: bidhc when: tuesday at 8:30 am with: , md building: (, ma) campus: off campus best parking: free parking on site department: neurology when: monday at 1 pm with: , md building: campus: east best parking: garage you will be called by the radiology department to schedule an mri of your head in 6 weeks from your hospital discharge. if you do not hear from them, please call their office at: ( md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours video and radio-telemetered electroencephalographic monitoring diagnoses: unspecified essential hypertension other and unspecified hyperlipidemia altered mental status unspecified intracranial hemorrhage other specified paralytic syndrome benzodiazepine-based tranquilizers causing adverse effects in therapeutic use other forms of epilepsy and recurrent seizures, without mention of intractable epilepsy facial weakness personal history of benign neoplasm of the brain 

Answer: The patient is high likely exposed to