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: history of present illness: ms is a 54 year old caucasian woman who presented to emergency department on for presumed subarachnoid hemorrhage. she had been in her usual state of health up until four hours prior to presentation when she was witnessed to have had a sudden onset of nausea, vomiting and disorientation and brief episodes of loss of consciousness. on presentation to the emergency department, she was noted to be pleasant and cooperative in no acute distress. physical examination: physical examination revealed the patient to be alert and oriented times three. her pupils were equal and reactive to light and her eyes showed full extraocular movement. cardiac examination showed regular rate and rhythm without any evidence of murmur, rubs or gallops. pulmonary examination showed lungs to be clear to auscultation bilaterally. abdominal examination was soft and nontender in all four quadrants. cranial nerve examination showed cranial nerves ii through xii to be grossly intact. pupils were equal and reactive to light with 4 to 3 mm constriction. extraocular motion was noted to be full bilaterally. tongue was protruding in central. palate was midline. there was no evidence of pronator drift. upper extremity strength showed bilaterally in her deltoids, biceps and triceps and grips were full. lower extremity strength was in iliopsoas, anterior tibial and gastrocnemius. reflexes were 2+ in the patellar ligaments. computerized tomography scan performed at that time showed a significant amount of free blood in the subarachnoid space but without any evidence of midline shift. at that time the decision was made to admit the patient to the intensive care unit for q. one hour neurological checks. the systolic blood pressure was maintained below 140 via nipride drip. she was started on decadron 2 mg q. 8, amlodipine 60 mg q. 4. admission medications: on admission the patient's medications included estrogen, vitamin c and vitamin e. allergies: on admission allergies were noted to be only darvon. laboratory data: admission laboratory data included a white count of 23.5, hematocrit 36.6 and platelets of 263. chem-7 was sodium 136, potassium 2.7, chloride 98, carbon dioxide 26, bun 17, creatinine .7, glucose 112. coagulation laboratory data were pt of 12.9, ptt 12.3 and inr of 1.1. hospital course: on presentation to the intensive care unit the patient was noted to be alert and oriented times three, sleepy but arousable. extraocular motion was intact and her systolic blood pressure continued to be maintained below 130. late in the afternoon on , decision was made to place an extraventricular drain. this was performed under sterile conditions and inserted to 7 cm. cerebrospinal fluid was immediately obtained and pressures greater than 20 cm h2o was noted. prophylactic antibiotics were started and the patient continued with q one hour neurological checks. on the morning of , the patient's neurological examination was again noted to be unchanged and decision was made to schedule her for operative clipping of aneurysm. this surgery was completed late in the evening on the 24th and an anterior communicating and right mca aneurysm preoperative diagnosis was confirmed. during the procedure, craniotomy was performed for clipping of an anterior communicating and right mca aneurysm. surgery was performed by dr. with assistance by dr. . estimated blood loss under 1 liter. over the postoperative days 1 and 2, the patient's vital signs remained stable with an intracranial pressure of 4 and a cerebral perfusion pressure of 87. neurological examination remained nonfocal. repeat head computerized tomography scan on showed evidence of increasing edema within the right frontal lobe and some falcine herniation to a minor degree which was thought to be mostly related to the surgery. based on the evidence of increasing swelling the decision was made late in the day of to return to the operating room and perform a right frontotemporal parietal craniectomy. bone flap was placed in the subcutaneous fat within the abdomen and a soft skin flap was left over the brain. in the following days, the patient continued to have increased intracranial pressures ranging as high as 32 with cerebral perfusion pressure ranging from 86 to 122. she was maintained on triple-h therapy and frequent interval computerized tomography scans likewise showed evidence of cerebral edema. on , it was noted that there was a decline of the patient's overall neurological examination. while she had continued to move her upper extremities spontaneously she was no longer localizing. there was a slight withdrawal in the left upper extremity but minimal withdrawal in the right upper extremity. on , late in the afternoon due to concerns of possible vasospasm, the patient was taken to the neurointerventional suite and a bilateral aca vasospasm was recognized. intraarterial superselective infusion of papaverine was performed in both a1 segments of the acas with good results. on , examination was mostly unchanged with the patient opening eyes to stimulation, however, mostly obtunded. she continued on triple-h therapy maintaining systolic blood pressure greater than 200. intensive care unit where she was including multiple febrile episodes and appearance of hyponatremia. following several days in the intensive care unit the patient continued to have febrile temperatures and white counts size 20.5, repeated cerebrospinal fluid, blood and sputum cultures revealed no source of this infection. the patient continued to be treated empirically. low sodium was treated with sodium supplementation. on , the patient was consented for a tracheostomy and percutaneous endoscopic gastrostomy tube placement, both of which were performed without complications. over the following week, the patient's neurological examination continued with her unable to follow commands and only vaguely localizing to stimulation. on , the first signs of an improvement in her examination were seen with her beginning to open her eyes to voice and becoming somewhat attentive to the examiner. this progress in the neurological examination was paralleled with success at weaning her off of the ventilator. she continued to make progress in maintaining herself on cpap during the day and returning to the ventilator at night. on , the decision was made to return to the operation and replace her bone flap. this was performed without incident. it was felt that it was not necessary at that time to place any sort of ventriculoperitoneal shunt. interval computerized tomography scans following replacement of the bone flap showed continued decrease in swelling. the patient's neurological examination likewise continued to improve. on , the patient had improved to the point where planning for possible placement in a rehabilitation facility began. at that time, her neurological examination had continued to improve where she was attentive to the examiner, mouthed some words and responded appropriately to family members. upon evaluation for placement in a rehabilitation facility, the patient was being fed through a percutaneous endoscopic gastrostomy tube, had maintained 72 hours off of the ventilator and had shown improving neurological examinations. disposition/medications: on when being evaluated for transfer to a rehabilitation facility the patient's medications included: 1. zantac 20 mg p.o. b.i.d. 2. calcium carbonate 1 gm p.o. q. 6 3. sodium chloride 1 gm p.o. t.i.d., hold for sodium greater than 140 4. lopressor 100 mg p.o. t.i.d., hold for heartrate less than 55 or systolic blood pressure less than 110 5. captopril 12.5 mg p.o. t.i.d. 6. albuterol ipratropium 1 to 2 puffs inhaled q. 6 hours prn congestion 7. insulin sliding scale 8. hydralazine 20 mg p.o. q. 4, hold for systolic blood pressure less than 140, heartrate greater than 100 9. heparin 5000 units subcutaneously q. 12 10. epogen 40,000 units subcutaneously one time a week 11. dilantin suspension 100 mg via tube b.i.d. follow up: the patient's plan is to be placed in a intensive rehabilitation facility for ongoing neurological rehabilitation, as appropriate she will follow up with dr. at . her evd was removed after intracranial pressures while clamped did not exceed 20cm water. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] clipping of aneurysm arteriography of cerebral arteries temporary tracheostomy other cranial osteoplasty other cranial osteoplasty reopening of craniotomy site reopening of craniotomy site diagnoses: subarachnoid hemorrhage 

Answer: The patient is high likely exposed to