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: dyspnea major surgical or invasive procedure: right-sided crani for evac of subdural hematoma history of present illness: 81 year-old male with history of chf, atrial fibrillation, ascending aortic aneurysm and mitral regurgitation who is admitted with dyspnea and failure to thrive. . the patient's daughter reports that the patient has been sick for "a while", particularly since he was admitted in . since his discharge, he was improving and doing better at home until three days ago when he started declining rather rapidly. she reports that he has had shortness of breath, slurred speech and difficulty walking over the last three days. he has also been confused and falling asleep in his chair and falling out of the chair and from his bed. he has been refusing help, but unable to get up. she also reports that her father has had decreased grip strength and things have been falling out of his hands. as a result of his confusion, he has been eating less, though he has been very thirsty and is drinking a lot of fluids. there have been no fevers, chills, night sweats, cough, emesis, diarrhea. she also reports "difficulty with motor planning", as if he had trouble "putting one foot in front of the other". interestingly, his mental status has been waxing and . although he has been confused, he was able to have a completely coherent conversation with his sister yesterday. was recently on coumadin but this was held secondary to fall risk. . in the ed, he was given 100mg of iv lasix and asa 325mg x 1. . today, the patient states that his main concern is his shortness of breath. he has been feeling dyspneic over the last several days. has a mild cough, non-productive. no chest pain or palpitations. denies edema. reports orthopnea but no pnd. past medical history: 1. chf: echo: mild symm lvh, ef 55% but likely overestimation with degree of mr 2. 3+ mitral regurgitation 3. atrial fibrillation 4. ascending aortic aneurysm- cta: 5.7 x 5.4 cm stable (pt. currently not interested in surgery) 5. dm2 6. gout 7. inflammatory colitis (?)on chronic sulfasalazine. no prior surgeries or recent flares. 8. hypertension 9. gerd 10. h/o asbestosis 11. recent b12 and fe def. anemia social history: married, lives with wife, no prior /etoh. worked as a salesman. h/o asbestosis exposure when in the service (?shipyards). family history: no alzhemer's or parkinson's physical exam: vitals: t 98.7 bp 116/69 (104-136/49-69) hr 91 (87-101) rr 25 (25-38) 100% 4l general: restless in bed, no spontaneous eye opening, answers questions, follows some commands (aside from eye opening) heent: pupils small but reactive, dry mucous membranes neck: no evidence of jvd lung: rales at bilateral bases cor: irregularly irregular, 3/6 systolic murmur loudest at apex abd: nabs, soft, non-distended, reports some tenderness in ruq ext: warm, no edema, pneumoboots in place neuro: oriented x 2 (hospital, name), follows some commands, somewhat restless pertinent results: head ct (): moderate right subdural hemorrhage with associated subfalcine herniation. . cta (): new chf with enlarging moderate/large bilateral pleural effusions with concomitant atelectasis. no evidence for pulmonary embolus . head ct (): no significant change from prior study with right-sided pleural hematoma and subfalcine herniation again seen. . ekg (): very wavy baseline, largely uninterpretable secondary to motion, afib with hr 100s, no st changes (but diff to interpret) . renal us (): no evidence of hydronephrosis or stones. . echo (): lvef>55%. significant aortic regurgitation is present, but cannot be quantified. the mitral valve leaflets are mildly thickened. at least, moderate (2+) mitral regurgitation is seen. . head ct (): stable appearance of the right-sided subdural hematoma and stable to mildly improved subfalcine herniation . abd us (): no focal or textural hepatic abnormality is identified. patent portal vein with hepatopetal flow. mild splenomegaly. small amount of ascites. . head ct (): stable appearance of a large right subdural hematoma . cxr (): cardiomegaly, bilateral effusions, and borderline vascular congestion with little interval change . head ct evacuation of hematoma stable. . head ct hematoma stable. brief hospital course: 1. altered mental status - he was admitted with subacute course of non-specific mental status changes and was found to have a chronic appearing with superimposed acute features subdural hemorrhage. he was followed by neurosurgery, who deferred evacuation on account of the stability of the sdh as well as his concomitant medical issues (liver failure, renal failure, uti, chf). . his mental status was poor with marked delirium, but remained stable. serial head cts demonstrated stable subdural hemorrhage. pt was taken to the operating room on for a right crani for evacuation of subdural hematoma. pt was extubated and reintubated within 1 hr. pt had aggressive pulm toilet and self extubated overnoc on . drain removed . pt currently doing well extubated. staples to be dc'd . . patient transferred to neurosurgery service on for subdural hematoma evacuation after become medically stable. his inr has been stable under 1.3. his mental status improved over the course of time, as his electrolytes, and coags improved. his initial inr went up as high as 1.8 which stayed around the same level until given factor viia on then stayed around 1.2-1.3 range per recommendation of hematology service. his creatinine improved greatly, his creatinine jumped up to 2.5, but now dropped down to 1.5 renal service has been following along. he is cleared by medicine team to be operated on his subdural hematoma. he had a left lower lobe pneumonia which is treated with levo. he had a hypernatremia na up to 157 on , eventually corrected with fluid. . he underwent right craniotomy on for evacuation of subdural hematoma and placement of subdural jp drain placement under general anesthesia without complications, he was able to extubated in transferred to pacu, however 2 hour later he required re-intubation secondary to hypoventilation. he is neurologically moving all extremities, opens his eyes to voice intermittently, squeezes to command. he placed on a beta-blocker for heart rate control, ecg remained unchanged, underlying rhythm being atrial fibrillation. his postoperative head ct() is revealed residual small amount of hemorrhage mixed with fluid, pneumocephalus and postoperative changes. no further shift of normally midline structures. repeat head ct on remained stable, therefore his right subdural jp removed, patient tolerated procedure well. . patient will need drain stitch and staples removed on . if cant be done at nursing home will need to see dr. . switched from dilantin to keppra. . 2. congestive heart failure - he was worked up for dyspnea and hypoxemia. final etiology was clearly congestive heart failure. he had a repeat echo which demonstrated preserved ef and some mr. was maintained on a regimen of hydral/nitro, beta blocker, and cautious diuresis. he was maintained on oxygen by nasal canula. patient sent out on lasix. . 3. liver failure/coagulopathy - he had a self limited course of liver failure with associated coagulopathy. this was felt to be secondary to dilantin toxicity. dilantin was stopped and his liver enzymes ultimately trended down toward normal. alternative explanation could have been acute hepatic congestion from heart failure. . re: coagulopathy, he was treated with vitamin k, ffp, and also proplex in acute setting. thereafter, his inr trended down and he was given po vitamin k. heme/onc involved in his care; agreed with hepatic synthetic dysfunction as etiology of coagulopathy. . 4. acute on chronic renal failure - likely pre-renal exacerbation of chronic kidney disease. resolving toward baseline. . 5. atrial fibrillation continued rate control with bblocker. held warfarin on account of coagulopathy and sdh. . 6. dm held oral hypoglycemics; kept riss. patient has been having low blood sugars so sliding scale reduced. patient will need frequent blood sugar. medications on admission: levothyroxine 25mcg daily allopurinol 150mg qod toprol xl 25mg daily tylenol 325mg q4-6h prn lasix 40mg daily ferrous gluconate 300mg combivent inh celexa 10mg daily glipizide 2.5mg daily lipitor ? dose discharge medications: 1. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 3. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 4. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. 5. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 6. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 8. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 10. insulin regular human 100 unit/ml solution sig: one (1) unit injection asdir (as directed): see insulin sliding scale. 11. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day): hold for sbp < 100. 12. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 days. 13. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 14. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: for the aged - discharge diagnosis: primary diagnoses: 1. subdural hematoma s/p evacuation 2. congestive heart failure 3. pneumonia 4. urinary tract infection . secondary diagnoses: 1. mitral regurgitation 2. atrial fibrillation 3. diabetes mellitus discharge condition: stable discharge instructions: you are discharged to a rehabilitation facility where you should continue all medications as prescribed. please alert the physicians at the facility or contact your physician if you experience headache, visual changes, shortness of breath, chest pain, palpitations, or other concerns. you should be weighed every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. followup instructions: you will need a follow-up appointment with your primary care physician . in weeks. please call to make that appointment. you will need an appointment with dr. 4 weeks after your surgery with a head ct. please call ( to make that appointment. right craniotmy drain stitch to be dc'd ; craniotomy staples to be dc'd . if pt in house this will be done by neurosurgery team; if in rehab they can be dc'd there, otherwise pt to return to dr. office to be dc'd. md procedure: incision of cerebral meninges enteral infusion of concentrated nutritional substances transfusion of other serum transfusion of coagulation factors diagnoses: pneumonia, organism unspecified mitral valve disorders acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver acquired coagulation factor deficiency unspecified acquired hypothyroidism atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute diastolic heart failure hyperosmolality and/or hypernatremia subdural hemorrhage delirium due to conditions classified elsewhere adult failure to thrive history of fall hydantoin derivatives causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to