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: plavix / dofetilide attending: chief complaint: cc: major surgical or invasive procedure: none history of present illness: hpi:asked to eval this 64 year old white male with extensive pmh on coumadin for sdh. pt states he hit his head on a low ceiling 2 days ago. denies loc at that time or since. denies n/v, seizure, visula changes. today he noted that his speech was slurred so he drove himself to his pcp's office. was brought in by ambulance from pcp . ct scan shows right sided sdh with interhemispheric component. past medical history: 1. cad: s/p cabg in (lima to lad, svg to om1, svg to pda) - echo: ef 20%, mr - stress: negative, though stopped fatigue - cath: stenting of the proximal svg-rca lesion, angio-jet thrombectomy of the thrombotic occlusion svg-om graft, stenting of the mid-graft and ostial graft svg-om lesions - cath: done for recurrent angina showed severe native vessel disease, a patent lima with a 40% stenosis in the lad distal to the touchdown, a proximal 50% stenosis in the svg to rca, and a mid 50% stenosis in the svg to the om branch. -: coronary artery bypass graft x 3,including one arterial and two saphenous vein anastomoses, left internal mammary artery to the left anterior descending coronary artery, saphenous vein graft to first obtuse marginal, saphenous vein graft to posterior descending coronary artery. 2. type ii diabetes mellitus. 3. hypertension. 4. hypercholesterolemia 5. cri 6. biv placed in for low ef, generator changed (ddd 45-120) on 7. enterococcal bacteremia- admitted 8. afib- started on coumadin . social history: denies smoking and drinking. he works as a cab driver. lives alone. there is no history of alcohol abuse. family history: father died at 59 years with diabetic complications. mother died at 77 years. she had a coronary artery bypass graft in her mid 50s. brother had a coronary artery bypass graft at the age of 53. physical exam: physical exam: o: t:afebrile bp:116 / 68 hr: 74 r 18 o2sats95% gen: wd/wn, comfortable, nad. heent: ncat pupils: errl eomi extrem: venous stasis changes to lower extremeties. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech slurred with good comprehension and repetition. naming intact. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: right facial noted (slight), sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius difficult to assess/ (pt s/p sz at present and attempting to participate. xii: tongue slight left deviation motor: normal bulk and tone bilaterally. strength full power throughout (?participartion). ? left pronator drift toes downgoing bilaterally no clonus pertinent results: radiology final report ct head w/o contrast 10:22 pm ct head w/o contrast; -76 by same physician reason: s/p 2 seizures, known sdh. ? expansion. medical condition: 64 year old man with sdh, now s/p 2 seizures reason for this examination: eval for expansion contraindications for iv contrast: none. study: ct head without contrast. indication: 64-year-old male with subdural hematoma status post two seizures, evaluate for expansion. comparison: , two hours prior. technique: ct head without iv contrast. findings: again noted is a hyperattenuating collection along the right cerebral convexity and layering adjacent to the right side of the falx cerebri and tentorium cerebelli, consistent with an acute subdural hematoma. there has been no appreciable increase in mass effect from this collection. the major intracranial cisterns are preserved and there is no evidence of transtentorial or uncal herniation. there is no hydrocephalus or evidence of intraventricular extension of blood products. again noted is opacification of the right maxillary sinus. there is some hyperdensity of the central components in this sinus- inspissated secretions or hemorrhage could both be considered. impression: no significant increase in acute subdural hematoma or mass effect. the study and the report were reviewed by the staff radiologist. dr. dr. approved: fri 9:26 am radiology final report ct head w/o contrast 10:14 am ct head w/o contrast reason: change in mental status, decreased l sided movement medical condition: 64 year old man with reason for this examination: change in mental status, decreased l sided movement contraindications for iv contrast: none. history: 64-year-old man with change in mental status and decreased left-sided movement. technique: non-contrast head ct scan. comparison study: numerous prior head ct scans, the last having been obtained on . findings: there is continued demonstration of the longitudinally extensive acute subdural hemorrhage covering the right cerebral convexity surface, with a subtentorial component as well as a parafalcine component. overall, there seems little progression in extent of the subdural hemorrhage. there is minor compression of the right lateral ventricular body, not overtly changed compared to the prior examination. there is no definite subfalcine or uncal herniation noted at this time. there is continued near complete opacification of the right maxillary sinus. no other new extracranial abnormality discerned. conclusion: stable but very extensive right cerebral hemispheric acute subdural hemorrhage as noted above. dr. approved: tue 4:32 pm radiology final report chest (portable ap) 12:52 pm chest (portable ap) reason: s/p change of ett. confirm placement medical condition: 64 year old man with sdh, intubated for decreased mental status. ngt replaced reason for this examination: s/p change of ett. confirm placement indication: endotracheal tube placement for decreased mental status. chest, one view: comparison with , among multiple previous other studies. endotracheal tube, nasogastric tube, triple-lead biventricular defibrillator, and nasogastric tube are unchanged in position. heart shadow is enlarged but unchanged. midline sternotomy wires, clips, and stent along the left heart border are unchanged. bilateral perihilar fullness, bilateral small pleural effusions, and left lower lobe atelectasis are similar to the last examination. osseous structures are also unchanged. impression: similar appearance of mild pulmonary edema, bilateral small pleural effusions, and left lower lobe atelectasis. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 6:43 am radiology final report unilat up ext veins us left port 1:35 pm unilat up ext veins us left po reason: swelling assess for clot medical condition: 64 year old man with subdural hematoma. left arm swelling reason for this examination: assess for clot indication: 64-year-old male with subdural hematoma and left arm swelling. please assess for clot. findings: scale, color and pulse wave doppler son were performed of the left internal jugular, subclavian, axillary, brachial, and basilic veins. normal flow, compressibility, waveforms, and augmentation is demonstrated. no intraluminal thrombus is identified. impression: no evidence of dvt in the left upper extremity. the study and the report were reviewed by the staff radiologist. dr. dr. approved: mon 10:50 am brief hospital course: neurology: patient was admitted to neurosurgery service for acute sdh after presentation to pcp for slurred speech. his inr on admission was 3.9 with nml platelets. this was actively reversed with profiline 9, vit k and ffp. he was admitted to the icu / neurosurgical service for observation. while in ed, the patient had 3 generalized tonic clonic seizures and patient was given a dilantin load. he had one seizure after this with in the 24 hour period (no dilantin post load level checked) and keppra was started. the lp was neg for infection with csf cx ngtd. patient was noted to be very somulent and was intubated on hod 2 for airway protection. he was noted to be more alert on the following days and eeg done on showed showed global encephalopathy without active or subclinical sz. patient was monitored closely in neuro icu because of noted right cerebral edema though minimal midline shift noted. no neurosurgical intervention recommended. neurology was consulted and recommended glycerol and mannitol which was started. the patient became slightly more alert in the icu and was able to be extubated by hod #7. he was then transferred to the neurology service step down unit where he was noted to have a wax and alertness. his mannitol was weaned off slowly. all sedating medications were discontinued and metabolic work-up revealed increased pulmonary edema. the patient's mental status gradually improved but follow-up head ct on showed evidence of increased right cerebral edema with new 8 mm midline shift. neurosurgery was notified and again no surgical intervention recommended. his neurological exam has been followed closely and it was felt patient was staying alert, awake, oriented, and interactive. no change in motor or sensory exam. he was seen with pt/ot which recommended acute rehab needs. he will also benefit from speech therapy as well. patient had repeat eeg on which showed generalized slowing consistent with encephalopathy. the patient's keppra was decreased to 1250 mg po bid and dilantin should continue at 100 mg po tid cv: patient has known ef 15-20% and biventricular in place. baseline sbp per pcp is 80s to low 100s. he had some evidence of worsening pulmonary edema on cxrs and was treated with lasix and bumex standing medications. last cxr was which showed increased pulmonary edema and bumex was increased 2 mg po qday. on , patient respiratory exam was stable and he was being titrated down for 35% face mask to room air. fen/gi: patient had multiple failed swallow studies for somulence. during this time patient was on ng tube feeds of nutrin pulmonary at goal 60cc hour with free water flushes. on , patient was finally alert enough to have a video swallow which revealed that though patient was impulsive, he could tolerate purees and thin liquids with crushed meds. one to one supervision with his diet is recommended. with encouragement, the patient is taking good oral intake. id: patient had ucx on /o7 which grew coag negative staph. no treatment initiated. endo: patient was on nph 10 units in the am and 10 units qhs and insulin sliding scale. on early am, he had one low fs of 50 and nph dose was decreased by half. it may be prudent to decrease nph dosing to half doses in rehab while patient working on oral feeds and following fingersticks closely. social: health care proxy is daughter . medications on admission: medications prior to admission: coumadin 3mg / 3 tabs qd coreg 3.125 mg lipitor 20 daily asa 325 daily amioderone 200 qd bumex 2mg ativan .5 qd- prn lantus 22units at bedtime zantac 150 i tab daily humulin r potassium chloride 10 meq, 3 tabs qd discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. acetaminophen 325 mg tablet : one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain. 3. miconazole nitrate 2 % powder : one (1) appl topical (2 times a day). 4. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 5. carvedilol 3.125 mg tablet : one (1) tablet po bid (2 times a day). 6. senna 8.6 mg capsule : 1-2 tablets po bid (2 times a day) as needed for constipation. 7. docusate sodium 50 mg/5 ml liquid : po bid (2 times a day) as needed for constipation. 8. phenytoin 100 mg/4 ml suspension : one (1) po tid (3 times a day). 9. albuterol sulfate 0.083 % (0.83 mg/ml) solution : one (1) inhalation q4-6h (every 4 to 6 hours) as needed for wheezing. 10. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed for wheezing. 11. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 12. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 13. furosemide 40 mg tablet : one (1) tablet po daily (daily). 14. bumetanide 2 mg tablet : one (1) tablet po bid (2 times a day). 15. levetiracetam 500 mg tablet : 2.5 tablets po bid (2 times a day). 16. insulin regular human 100 unit/ml cartridge : sliding scale injection qac and qhs: sliding scale per your institution. 17. insulin nph-regular human rec 100 unit/ml (70-30) cartridge : ten (10) units subcutaneous twice a day: would use 1/2 dose if patient not taking good po or npo. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: right subdural hematoma discharge condition: neurologically patient has left arm hemiparesis with proximal 0/5 delt, triceps, biceps, 0/5 we, wf and 5-/5 grip. he has hip flexion and quads, triple flexes with stim on left. discharge instructions: weigh yourself every morning, call pmd if weight > 3 lbs. adhere to 2 gm sodium diet. you have a seizure disorder after your brain injury. no bathing, swimming alone. avoid heights. by massachusettes law, you cannot drive 6 months after last seizure activity. followup instructions: 1. call dr. for an appointment to be seen in 4 weeks with a ct scan of your brain. 2. provider: , md phone: date/time: 2:40 provider: call transmissions phone: date/time: 11:30 3. provider: clinic phone: date/time: 3:00 pm 4. clinic provider: / phone: date/time: 4:30 pm md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances transfusion of other serum diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acquired coagulation factor deficiency atrial fibrillation aortocoronary bypass status other convulsions systolic heart failure, unspecified other and unspecified hyperlipidemia cerebral edema family history of ischemic heart disease automatic implantable cardiac defibrillator in situ other encephalopathy subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness hemiplegia, unspecified, affecting unspecified side family history of diabetes mellitus striking against or struck accidentally by other stationary object without subsequent fall 

Answer: The patient is high likely exposed to