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: patient recorded as having no known allergies to drugs attending: chief complaint: found down major surgical or invasive procedure: none history of present illness: 75 yo male fall from standing, resident of with known history of alcohol abuse and admitted last year for similiar episode. 8pm fall 9pm discovered with incont episode.transferred from outside hosp after sdh found past medical history: chronic alcohol, depression social history: resides in per report at osh; etoh abuse family history: n/c physical exam: physical exam: o: t: 98.2 bp:162 /99 hr:96 r 18 o2sats 96 gen: wd/wn, comfortable, nad. heent: l facial lac with periorbital ecchymosis pupils: bilat sluggish eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech not fluent with bad comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right brisk left brisk toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin exam on discharge: awake alert x with slight prompting, speech clear, follows commnads, cn ii-xii intact, no drift, motor 4+/5 throughout, no focal deficit, naming intact, discerns l and r. in the am, pt more lethargic/ gets brighter throughout the day. pertinent results: , m 75 cardiology report ecg study date of 12:22:54 am sinus rhythm. left anterior fascicular block. cannot exclude a prior inferior myocardial infarction. poor r wave progression. non-specific inferior t wave changes. compared to the previous tracing of no significant change. read by: , k. intervals axes rate pr qrs qt/qtc p qrs t 96 144 92 366/429 36 -54 11 , m 75 radiology report ct head w/o contrast study date of 12:23 am , eu 12:23 am ct head w/o contrast clip # reason: sdh from osh . assess. medical condition: 75 year old man with sdh at osh reason for this examination: please eval for progression contraindications for iv contrast: none. wet read: gwp fri 3:09 am l parafalcine sdh 6 x 19 mm before 5 x 14mm new or more prominent sah ant l temporal wet read audit # 1 gwp fri 1:25 am l parafalcine sdh 5mm sah ant l temporal - await outside scan upload wet read audit # 2 gwp fri , 3:05 am l parafalcine sdh 5 x 19 mm before 5 x 14mm new sah ant l temporal final report indication: sdh at outside hospital, for comparison. comparison: hospital scan from two hours prior. technique: non-contrast head ct. findings: left parafalcine subdural hematoma measuring 6 x 19 mm, previously 5 x 14 mm. small amount of subarachnoid blood in the sulci of the anterior temporal lobe, new or slightly increased from prior. -white matter junction is preserved. there is no mass effect or edema. ventricles, sulci, and cisterns are unchanged from prior and from comparison film of . there is no depressed skull fracture. mastoid air cells are clear. visualized paranasal sinuses are unremarkable. impression: left parafalcine subdural hematoma slightly increased in size from prior with a small amount of subarachnoid blood, increased or new in the anterior left temporal lobe. , m 75 radiology report ct abdomen w/contrast study date of 12:24 am , eu 12:24 am ct abdomen w/contrast; ct pelvis w/contrast clip # reason: sdh from osh, ? fall. field of view: 36 contrast: optiray amt: 130 medical condition: 75 year old man with sdh at osh, ? fall reason for this examination: ? intra abd injury contraindications for iv contrast: none. wet read: gwp fri 1:37 am no injury to organs no free fluid hepatic steatosis mild cardiomegaly and coronary artery calcifications final report indication: fall, query intra-abdominal injury. comparison: . technique: multiple mdct axial images were obtained from the lung bases to the proximal thighs after the uneventful administration of 130 ml of optiray intravenously. sagittal and coronal reformations were derived. ct of the abdomen with intravenous contrast: in the visualized thorax, the lungs demonstrate mild bibasilar atelectasis. there is no pleural effusion or pneumothorax. the heart is mildly enlarged. there is no pericardial effusion. there are dense coronary artery calcifications. there is no pericardial effusion. in the abdomen, the liver and spleen demonstrates subtle areas of hypodensity which may be artfactual since the scan was performed with one arm down. the gallbladder appears normal. the pancreas is slightly atrophic. the kidneys enhance and secrete contrast symmetrically without hydronephrosis. the adrenals are normal. the stomach and duodenum are normal. abdominal loops of small bowel are decompressed. there is no abdominal free air or free fluid. again seen are calcified mesenteric lymph nodes. the abdominal aorta is densely calcified. the celiac trunk and sma are patent. ct of the pelvis with intravenous contrast: pelvic loops of bowel appear normal. the bladder is decompressed with a foley in it. the prostate and seminal vesicles are normal. musculoskeletal: there is no suspicious osteolytic or osteoblastic lesion. multilevel degenerative changes. impression: 1. no intra-abdominal injury to the solid organs. no free fluid. 2. persisitent calcified mesenteric nodes , m 75 radiology report ct c-spine w/o contrast study date of 11:33 am , j. nsurg tsicu 11:33 am ct c-spine w/o contrast clip # reason: c-spine injury medical condition: 75 year old man with l sdh reason for this examination: c-spine injury contraindications for iv contrast: none. provisional findings impression: jekh fri 6:08 pm pfi: widening at the c3/c4 level that is likely degenerative since there is no associated prevertebral soft tissue swelling; however, we would recommend an mr warranted. no sign of fracture or dislocation. final report history: 75-year-old male with subdural hematoma, status post trauma. evaluate for cervical fracture. study and technique: ct of the cervical spine without contrast. contiguous axial non-contrast images of the cervical spine were obtained. sagittal and coronal reconstructions were obtained. findings: there is widening at the c3/c4 level that is likely degenerative in nature, as there is no associated prevertebral soft tissue swelling; however, an mr should be ordered if indicated. the lateral masses of c1 seat appropriately on c2 and are equidistant from the dens bilaterally. there are degenerative changes noted throughout the cervical spine with osteophytes at c1, c2, c5, c6, and c7. the cervical spinal canal is most narrowed at the level of c5/c6, but there is no cord compression noted. the intervertebral disc at c2/c3 is calcified. there is no sign of a fracture or abnormal alignment. although ct is not able to provide intrathecal detail comparable to mri, the visualized outline of the thecal sac appears unremarkable. there are calcifications noted in the left vertebral artery and the carotid arteries bilaterally. prevertebral soft tissues appear normal. impression: widening at the c3/c4 level that is likely degenerative since there is no associated prevertebral soft tissue swelling; however, we would recommend an mr warranted. no sign of fracture or dislocation. the study and the report were reviewed by the staff radiologist. , m 75 radiology report mr cervical spine w/o contrast study date of 12:55 am , j. nsurg tsicu 12:55 am mr cervical spine w/o contrast clip # reason: ? ligamentous injury around c-spine medical condition: 75 year old man with fall, sdh & edh reason for this examination: ? ligamentous injury around c-spine contraindications for iv contrast: none. provisional findings impression: afsn sat 1:43 pm degenerative changes in the cervical region. no ligamentous spinal cord injury. degenerative changes. final report exam: mri of the cervical spine. clinical information: patient with fall and subdural hematoma, question of cervical spine injury. technique: t1, t2 and inversion recovery sagittal and gradient echo axial images of cervical spine were acquired. findings: there is no evidence of ligamentous disruption identified. at the craniocervical junction, no abnormalities are seen. at c2-c3 and c3-c4, mild degenerative change is seen. slight increased signal within the t2-t3 disc appears to be due to calcification, as this area is bright and is of increased signal on t1-weighted images as well. at c3-c4, mild disc bulging and mild foraminal narrowing seen. at c4-c5, mild disc bulging identified. at c5-c6, there is posterior ridging and disc bulging with moderate bilateral foraminal narrowing and mild indentation on the thecal sac. at c6-c7, disc and uncovertebral degenerative changes result in moderate bilateral spinal stenosis. at c7-t1 and t1-2 degenerative change seen. the spinal cord shows normal intrinsic signal without extrinsic compression. the prevertebral soft tissue thickness is maintained. the facet joint alignment is normal, although degenerative changes are seen within the facet joints. impression: no evidence of ligamentous disruption or fracture. no evidence of prevertebral hematoma. no evidence of intraspinal hematoma or spinal cord compression. no evidence of spinal cord injury. degenerative changes as described above. , m 75 radiology report ct head w/o contrast study date of 12:42 am , j. nsurg fa11 12:42 am ct head w/o contrast clip # reason: 75 year old man with known sdh, actively seizing. medical condition: 75 year old man with known sdh, actively seizing. reason for this examination: 75 year old man with known sdh, actively seizing. contraindications for iv contrast: none. wet read: pxdb sun 1:09 am no acute intracranial process. final report indication: a 75-year-old man with subdural hematoma. comparison: . technique: noncontrast head ct. findings: there is no acute intra- or extra-axial hemorrhage, masses, mass effect, or shift of normally midline structures. the ventricles and sulci are mildly prominent, unchanged since prior study and may reflect age-associated involutionary changes. there is minimal periventricular white matter hypoattenuation in the frontal region and could reflect small vessel ischemic disease. there are no obvious acute major vascular territorial infarcts. calcification in the left vertebral artery is noted. the paranasal air sinuses are clear. the visualized osseous and soft tissue structures are unremarkable except for small amount of swelling and increased attneuation in the left frontal ssubgaleal soft tissues. impression: no evidence of intracranial hemorrhage. the study and the report were reviewed by the staff radiologist. , m 75 radiology report chest (pa & lat) study date of 3:59 pm , j. nsurg fa11 3:59 pm chest (pa & lat) clip # reason: eval for right hilar ? andenopathy / new per rads / found du medical condition: 75 year old man with fever reason for this examination: eval for right hilar ? andenopathy / new per rads / found during cxr for fever w/u provisional findings impression: dmfj mon 7:04 pm normal right hilar contour. final report history: a 75-year-old male with fever and question of right hilar adenopathy. ap and lateral chest radiographs are compared to , and scout radiograph of ct performed on . moderate cardiomegaly is unchanged. compared to the most recent examination on , the patient is more symmetrically oriented on the frontal radiograph, and the right hilar contour is unchanged compared to the scout examination from . overall, the right hilar contour is normal and does not suggest underlying adenopathy. the left hilar contour is normal as well. the lungs are clear aside from minimal left basilar atelectasis. there is no pneumothorax or pleural effusion. impression: unremarkable right hilar contour. unchanged moderate cardiomegaly without superimposed acute cardiopulmonary process. the study and the report were reviewed by the staff radiologist. complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:20am 7.9 3.94* 13.1* 39.5* 100* 33.2* 33.1 13.5 298 differential neuts bands lymphs monos eos baso atyps metas 12:20am 80.9* 13.5* 3.5 1.8 0.3 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 05:20am 298 chemistry renal & glucose glucose urean creat na k cl hco3 angap 05:20am 72 9 0.8 140 4.0 103 25 16 estimated gfr (mdrd calculation) estgfr 05:30am using this1 using this patient's age, gender, and serum creatinine value of 0.9, estimated gfr = >75 if non african-american (ml/min/1.73 m2) estimated gfr = >75 if african-american (ml/min/1.73 m2) for comparison, mean gfr for age group 70+ is 75 (ml/min/1.73 m2) gfr<60 = chronic kidney disease, gfr<15 = kidney failure enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 12:20am 164 cpk isoenzymes ck-mb ctropnt 12:20am <0.011 12:20am 4 <0.01 ctropnt > 0.10 ng/ml suggests acute mi chemistry totprot albumin globuln calcium phos mg uricacd iron 05:20am 8.9 4.1 2.1 neuropsychiatric phenyto 05:30am 16.3 toxicology, serum and other drugs asa ethanol acetmnp bnzodzp barbitr tricycl 12:20am neg 202*1 neg neg neg neg2 brief hospital course: pt was admitted on to the neurosurgery service for acute left sdh and monitored closely in icu. he was placed on ciwa scale prophylaxis for etoh abuse. on pt was transferred out of the icu to the general floor. neurologic exam continues to remain stable. he was evaluated by pt/ot. he was also followed by social work for discharge assistance. care coordination has been following mr. for anticipated post discharge needs. he was on dilantin for one week seizure prophylaxis and this was then discontinued. his repeat head cts were stable and showed resolution of sdh. dilantin was discontiued on . he had a witnessed sz on for which dilantin was reloaded - that 1gm loading dose was given iv and found to have infiltrated in the rue. he developed profound erythema and pain in theat rue without blistering or skin breakdown. origin work up included r/o dvt (which was negative) and possible cellulitis. it was learned the following day that this erythema was in fact due to the drug infiltration. he was then seen by ortho hand service for definative treatment. the day of his iv load of dilantin he spiked a temp to 101.8. fever workup was negative including cxr, ua and blood cultures which are still pending but have no growth to date (three days at present). he has remained afebrile since. his dilantin was thought to possibly contribute to the cause of the fever and he was transitioned to keppra po today. he was approved for rehab services and is to be discharged to day - he agrees with this plan. medications on admission: none discharge medications: 1. multivitamin tablet sig: one (1) tablet po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever,pain. 7. lorazepam 1 mg tablet sig: one (1) tablet po q1h (every hour) as needed for ciwa protocol. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 11. haloperidol 0.5 mg tablet sig: 0.5 tablet po bid (2 times a day) as needed for aggitation. 12. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 doses. 13. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). discharge disposition: extended care facility: park skilled facility discharge diagnosis: traumatic brain injury left facial laceration fever seizure iv medication / drug infiltration rue alcohol intoxication on admission / resolved discharge condition: stable discharge instructions: general instructions please elevate rue in volar resting hand splint / in stocking, elbow must be higher than shoulder. ?????? take your medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending for 2 weeks then resume normal activities. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. procedure: linear repair of laceration of eyelid or eyebrow suture of laceration of nose diagnoses: tobacco use disorder aortocoronary bypass status other convulsions unspecified fall alcohol abuse, unspecified other persistent mental disorders due to conditions classified elsewhere open wound of forehead, without mention of complication dysthymic disorder other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure fever, unspecified abrasion or friction burn of face, neck, and scalp except eye, without mention of infection subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness open wound of nose, unspecified site, without mention of complication hydantoin derivatives causing adverse effects in therapeutic use subarachnoid hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness fever presenting with conditions classified elsewhere contusion of orbital tissues extravasation of other vesicant agent 

Answer: The patient is high likely exposed to