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: iron attending: chief complaint: worsened dystonia, incontinence, worsened gait major surgical or invasive procedure: removal of dbs batteries and hardware history of present illness: ms. is a 30 year old woman with intractable generalized dystonia s/p bilateral dbs placement, with stage ii placement on , who now returns with worsening movement disorder, inattentiveness and new onset urinary incontinence. bilateral globus pallidus interna dbs leads were placed , stage ii operation on , the pt had worsened dystonic jerks, worsening retrocollis, sleeping poorly, falling out of bed (a rare occurrence at baseline) resulting in an abrasion to her forehead walking into walls, and new onset urinary incontinence. the pt was seen by dr. today in clinic and referred to the ed for urgent head ct and further evaluation. in the ed, serum wbc elevated to 18.8, pt was given ceftriaxone 2g iv, vancomycin 1g iv. ativan 2mg x 1. propofol was needed for sedation to obtain at noncontrast head ct, which revealed r frontal hemorrhage tracking down dbs lead with 4mm r-->l midline shift. patent ventricular system. at present the pt and her family deny and fevers at home, or any headache or neck pain. she has been pocketing food in her mouth. she normally sustains eye contact, but per her sister now has a right gaze preference. at baseline she attends a day program where she makes jewlery. she completed high school and was able to type a few words on the computer, but she is not fully literate. ros: no fevers, no headache or neck pain. denies sob, cp. past medical history: 1. hypothyroidism 2. dystonia, uncontrollable chorea 3. s/p dbs placement in 4. s/p dbs removal 5. s/p baclofen pump placement social history: resides at home with mother and sister in one level home. denies smoking, etoh, or other substances. family history: non-contribuitory physical exam: vitals: t 99.6, bp 114/94, hr 90, rr 14, 100% ra gen- intractable slow truncal posturing with retrocollis followed by occasional bilateral arm and leg movements, pt does not appear to be in distress. attends to examiner. heent: r frontal and parietal surgical wounds appear erythematous with scale, left frontal and parietal surgical sites are cdi. anicteric sclera, mmm, op clear. neck- nontender, no rigidity, no carotid bruits bilat. cv- rrr, no mrg pulm- cta b abd- scar from prior baclofen pump in ruq, nt, nd, bs+ extrem- thin, l lateral malleolus appear erythematous and warm vs. the right, non-tender to passive and active rom. no cce neurologic exam: ms- nods/mouths yes or no to questions appropriately. she follows all midline and appendicular commands, but appears impersistent. when asked to uncross her legs, she does so, but then re-crosses the other leg. she waves goodbye appropriately. cn- perrl 4-->2, funduscopic exam could not be performed, eom's are intact without nystagmus, her face appear symmetric, no facial weakness, localizes to finger snapping bilaterally, palate elevates symm, scm and trap could not be tested, tongue protrudes at midline without fasciculation. motor- intractable slow truncal posturing with prominent retrocollis followed by occasional bilateral arm and leg extension. she has generalized muscle wasting. her tone appears increase throughout. she is able to hold her arms and legs antigravity for 10 seconds bilaterally. formal strength testing was difficult. sensory- intact to light touch, pp, vibration throughout. proprioception not tested. reflexes- difficult to obtain given mvmt disorder. right toe is upgoing (new per prior records), left toe is equivocal. gait- did not test due to frequent movements. on discharge pt with increased awareness and level of consciousness. she is oriented x 3 and able to make needs known through yes/no questions and simple answers. her dystonia remains severe. her surgical incisions are well healed - the sutures have been removed. pertinent results: 06:50am glucose-91 urea n-9 creat-0.4 sodium-138 potassium-4.1 chloride-104 total co2-28 anion gap-10 06:50am calcium-8.8 phosphate-3.3 magnesium-1.8 06:50am wbc-10.8 rbc-3.19* hgb-9.9* hct-28.9* mcv-91 mch-31.1 mchc-34.4 rdw-12.3 06:50am pt-13.2 ptt-30.1 inr(pt)-1.1 09:10pm urine color-yellow appear-clear sp -1.023 09:10pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-7.0 leuk-neg 06:00pm glucose-106* urea n-15 creat-0.5 sodium-141 potassium-4.1 chloride-101 total co2-32 anion gap-12 06:00pm crp-19.9* 06:00pm wbc-18.8*# rbc-3.73* hgb-11.4* hct-33.1* mcv-89 mch-30.7 mchc-34.5 rdw-12.3 06:00pm neuts-89.0* bands-0 lymphs-7.5* monos-2.6 eos-0.5 basos-0.4 06:00pm sed rate-33* cth: : 2.1 x 2.0 cm parenchymal hemorrhage in the right frontal lobe along the course of the right deep brain stimulator catheter. a tiny focus of air is noted in this region with edema surrounding both stimulators suggests recent manipulation; this could explain the hemorrhage. please correlate with the patient's history. there is associated 5 mm leftward subfalcine herniation. cxr: limited evaluation due to patient rotation. hazy opacity in the right chest could be a summation artifact. a lateral view would be helpful for further evaluation if indicated. ct chest: impression: expiratory study showed posterior dependent atelectasis. no evidence of lung consolidations, masses, or abscess. cth+/-: : 1. right frontal hemorrhage with surrounding vasogenic edema; a superimposed infection cannot be excluded but abscess formation is not apparent on the present study. 2. no definate ctv evidence for venous sinus thrombosis. 3. increased prominence of the right cavernous sinus of uncertain clinical significance. brief hospital course: pt admitted to neurologic service with concern for cns infection after dbs placement on . her ct was noted to have bilateral frontal edema and l midline shift - likely responsible for her urinary incontinence and increased confusion. pt with elevated wbc and inflammatory markers concerning for infection. pt was started on broad spectrum coverage - vancomycin and ceftazidime - per id recommendations. with concern for hardward infection, cth +/- and ct chest +/- was performed without evidence of abscess in either location, although significant artifact from dbs hardware. us of area was performed which demonstrates a small amount of subcutaneous fluid over the anterior aspect of device. this fluid measures 2-3 mm which appears simple and encapsulated, conforming to the anterior aspect of the device. no specific signs of infection are detected such internal complexity or hyperemia on color evaluation. an mri of the brain was done which demonstrated 1. bifrontal edema along the proximal portion of the both electrodes. the right-sided edema extends to the basal ganglia region. 2. hematoma in the right frontal lobe with intense enhancement at the margin is suspicious for superimposed infection. 3. small acute infarct in the corpus callosum. she was started on mannitol for 2 days and then weaned to off to see if her mental status would improve with relation to the cerebral edema and midline shift. her exam did improve. before she was transfered out of the icu, she had a picc line placed in the left arm. for nutrition as well as failre to thrive, an ngt was placed and feedings started. peg placement was discussed with the family and refused. their concern was that she would end up wiht another post operative infection. they also felt that she was stressed and confined during the hospital stay and she would do well at home. her dobhoff was removed in the am of mainly because it needed to be advanced and the guidewire was out. she did not have feeds runnning at the time. she was made npo briefly for possible peg which was refused by the family. pt and ot evals also were done - recommendations were for the pt to go to rehab - the family is refusing this as well. her antibiotics were switched to nafcillin per id recs. they will continue until at least . her medications for her dystonia were adjusted by neurology and are reflected in the discharge orders. sutures to her scalp and anterior chest wall were removed. she remained afebrile during the course of her stay. medications on admission: synthroid 50mcg daily artane 8mg tid clonazepam 2mg tid discharge medications: 1. outpatient lab work please draw the following laboratory values weekly and fax results to dr. in the clinic at cbc, chem 7, lft's 2. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 3. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day): you should take this if taking the pain medicine to avoid constipation. disp:*60 * refills:*0* 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 5. clonazepam 1 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 6. trihexyphenidyl 5 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. diazepam 2 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*90 tablet(s)* refills:*1* 8. nafcillin 2 gram piggyback sig: one (1) intravenous every four (4) hours: 2gm every four hours until . disp:*qs qs* refills:*0* 9. picc picc line care per phcs protocol discharge disposition: home with service facility: bayada discharge diagnosis: dystonia failure to thrive cns infection hypokalemia discharge condition: neurologically improved / dystonia remains severe discharge instructions: please follow up with dr. as outpatient. please contact her with any fever, worsening symptoms, worsened gait, or for any other patient concerns. discharge instructions for craniotomy ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion 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 ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please call dr. at to schedule a follow up appointment. do this when you get home, she will tell you when she wants to see you in the office. please call dr. at for an appointment to be seen in one month. you will need an mri of the brain with and without contrast under sedation with an anesthesiologist. please notify the office of this when you call for the appoinment. you have been given a prescription for laboratory values to be drawn weekly and fax'd to dr. at the clinic at this be done by the infusion/picc nurse. provider: , md phone: date/time: 10:30 provider: , md phone: date/time: 9:30 md procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances removal of intracranial neurostimulator lead(s) diagnoses: cellulitis and abscess of trunk unspecified acquired hypothyroidism intracerebral hemorrhage hypopotassemia cerebral edema epilepsy, unspecified, without mention of intractable epilepsy intracranial abscess iatrogenic cerebrovascular infarction or hemorrhage infantile cerebral palsy, unspecified infection and inflammatory reaction due to nervous system device, implant, and graft genetic torsion dystonia 

Answer: The patient is high likely exposed to