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: shellfish derived attending: chief complaint: unable to give major surgical or invasive procedure: angiogram with coiling of aneurysm vp shunt placement history of present illness: hpi:this is 55 year old who was at home and was experiencing hallucination, nausea, vomiting, incontinence of stool and urine as well as severe headache prior to bed last night. this morning the patient was unarousable and was brought to an outside hospital where his head ct was consistent with diffuse subarachnoid hemorrhage. the patient was transferred here after difficult intubation and dilantin load with 1 gram iv for further management. this hpi was obtained from the medical record form the outside hospital and verbal report from the emergency department resident as the patient is unable to answers questions at the time of the initial evaluation. past medical history: pmhx:none social history: social hx:lives at home with wife family history: family hx:non contributory physical exam: physical exam: gen: gcs=6t, intubated -non responsive heent: pupils:2mm minimally reactive eoms unable to test neck: unable to test extrem: warm and well-perfused. neuro: mental status/orientation:intubated non-responsive recall/language: unable to respond cranial nerves: i: not tested ii: pupils equally 2mm round and sluggish reaction to light, visual fields unable to test. iii, iv, vi: extraocular movements unable to test. v, vii: facial strength appears grossly intact viii: hearing unable to test ix, x: palatal elevation unable to test : sternocleidomastoid and trapezius unable to test xii: tongue midline unable to test motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full-minimal movement of all 4 extremities appears symmetrical. pronator drift-unable to test sensation:unable to test on discharge: patient is alert and oriented to self follows commands intermittenly, waxes and wanes perrl eoms intact peripheral visual fields are limited, patient difficult to access face symmetrical tongue midline 5/5 strength throughout pertinent results: cta head w&w/o c & recons 1. 9 mm x 6 mm anterior communicating artery bilobed aneurysm with extensive right frontal parenchymal hematoma, intraventricular hemorrhage with obstructive hydrocephalus, and diffuse subarachnoid hemorrhage. 2. no additional aneurysm identified. carotid/cerebral bilat cerebral angiogram demonstrates bilobed anterior communicating aneurysm that measures 9 x 8 x 6 mm. this aneurysm was successfully coiled using ten gdc coils. post-embolization runs showed almost complete obliteration of the aneurysm with normal flow in both anterior cerebral arteries and anterior communicating artery. cta head w&w/o c & recons 1. status post coiling of the anterior communicating artery aneurysm with interval evolution of the right frontal parenchymal hematoma with intraventricular and subarachnoid hemorrhage. no new blood products are identified. 2. status post ventriculostomy shunt catheter placement with interval decompression of obstructive hydrocephalus. 3. patent major arteries as described above without flow limiting stenosis or ooclusion; assessment of subtle vasospasm or anrrowing is limited due to artifacts. no perfusion defects in the imaged portions of brain. ct head w/o contrast 1. apparently status post interval placement of new external ventricular drain, with ventriculostomy catheter tip reaching the region of the right foramen of , and expected post-procedural pneumocephalus. 2. ventricles not significantly changed in overall size and configuration since the study with further resorption of the intraventricular blood. 3. status post recent acom aneurysm coiling, with continued resorption of the associated subarachnoid and right frontal parenchymal hemorrhage, and no new hemorrhage seen. 4. further evolution of the subacute infarct involving the right occipital lobe, extending into that parietal lobe and likely involving the splenium of the corpus callosum in a right posterior cerebral arterial distribution. this finding should be closely correlated with relevant clinical data, i.e. has the patient developed a corresponding visual field abnormality? brief hospital course: pt was admitted through the emergency room after ct revealed sah at an osh where he was intubated. he was taken for cerebral angiogram and his anterior communicating artery was coiled. an external ventricular drian was placed for hydrocephalus. he was extubated the following am. his is improved, patient is more awake and following commands. he has downward gaze, but eoms intact and pupils reactive. he is alert and oriented to self and place. patient is also full strength in all four extremities. his evd was raised to 20. echo results showed normal ejection fraction of the lv. on overnight patient had an increase in icps, highest of 38. mental status and exam was unchanged, but patient was aggitated. mannitol was administered x 2 along with dexamethasone 4mg iv. patient was also given haldol. he was sent for a cta/p to rule out vasospasm or new hemorrhage. after the administration of mannitol, patient's icps came down significantly to 8. in the morning, patient was lethargic due to sedative, but was alert and oriented to self. he was moving all extremites, pupils equal and reactive. his upward gaze was restricted and he followed only simple commands. icps continue to be around 8. on , patient was able to pull at evd and disrupted the intregrity of drain. the catheter was replaced and cultures sent to rule out infection. cta/p sowed mild non-occlusive vasospasm of the a2 segments which was no change from previous study. patient was then able to pull at evd catheter again on and tubing and bag was replaced and clamped at 15. his exam remained alert and oriented to self and full strength, but icp waveform was poor. when a proper waveform was achieved, icps were in the mid 20s and evd was then open to drainage to reduce pressures. icps range from . on , after failing clamping trials and breaking his evd catheter, patient was taken to have a vp shunt placed for hydrocephalus. he was found to test positive for c.diff and placed on flagyl/vanc for a total of 14 days. he was transferred to the floor after the or and continued to have a stable exam. he was alert and oriented to himself and full strength in all four extremities. he was discharged to rehab on . medications on admission: none discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily). 2. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 3. nimodipine 30 mg capsule : two (2) capsule po q4h (every 4 hours) as needed for vasospasm: continue until . 4. simvastatin 10 mg tablet : two (2) tablet po daily (daily). 5. oxycodone 5 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. docusate sodium 50 mg/5 ml liquid : two (2) po bid (2 times a day). 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 8. folic acid 1 mg tablet : one (1) tablet po daily (daily). 9. thiamine hcl 100 mg tablet : one (1) tablet po daily (daily). 10. multivitamin,tx-minerals tablet : one (1) tablet po daily (daily). 11. diphenhydramine hcl 25 mg capsule : 0.5 capsule po q6h (every 6 hours) as needed for anxiety agitation. 12. quetiapine 25 mg tablet : two (2) tablet po tid (3 times a day). 13. metronidazole 500 mg tablet : one (1) tablet po tid (3 times a day) for 14 days: please d/c on . 14. vancomycin 250 mg capsule : one (1) capsule po q6h (every 6 hours): please d/c on . 15. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed for pain. discharge disposition: extended care facility: discharge diagnosis: sah with hydrocephalus acomm aneurysm coiling r occipital lobe infarct discharge condition: neurologically stable discharge instructions: angiogram with embolization and/or stent placement 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 call the office to be seen by dr. at to be seen in 4 weeks. you will need a cta of the brain on that same day. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified ventricular shunt to abdominal cavity and organs intravascular imaging of intrathoracic vessels aortography replacement of ventricular shunt gingivoplasty replacement of ventricular shunt gingivoplasty endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coils diagnoses: obstructive hydrocephalus subarachnoid hemorrhage intestinal infection due to clostridium difficile cerebral artery occlusion, unspecified with cerebral infarction other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to