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: penicillins / bactrim attending: chief complaint: left sided subdural hematoma major surgical or invasive procedure: left sided craniotomy history of present illness: 73 yo man s/p fall whom has fallen 3-4 times the past couple months. he was sitting on the chair, took a nap then slid from chair and found himself on the floor, hit his head and right shoulder. patient denies any seizure, cp, sob, visual changes, bowel or bladder incontinence. patient suffers from multiple sclerosis and uses walker. past medical history: 1. multiple sclerosis for > 20 years followed by dr. at . 2. cll/nhl 3. hypertension 4. pancytopenia 5. depression 6. chronic le edema 7. chronic gu tract obstruction (bilateral hydronephrosis and bilateral hydroureter to the level of the ureterovesicular junctions) social history: lives alone. he denies smoking, denies alcohol abuse. he uses a walker to ambulate. he is a retired taxi driver. has grown son and daughter. family history: father deceased from a myocardial infarction. mother deceased from disease. physical exam: t:98.4 bp:133/71 hr:80 r:15 o2sats:975ra gen: wd/wn, comfortable, nad. heent: pupils:equal, reactive eoms intact neck: supple, no tenderness on cervical spine. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. 2+ edema on the right lower extremity with ertyhema, warm. 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 somewhat slurred with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2.5 to 2 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 finger rub bilaterally. 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 except right deltoid, right ip/quad 4+/5. right pronator drift. sensation: intact to light touch, proprioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 1 1 1 3 2 left 2 2 2 3 2 toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin pertinent results: 08:31pm type-art po2-74* pco2-36 ph-7.47* total co2-27 base xs-2 08:31pm glucose-131* lactate-1.7 na+-137 k+-4.2 08:31pm o2 sat-95 08:31pm freeca-1.15 03:58pm type-art po2-135* pco2-33* ph-7.42 total co2-22 base xs--1 03:58pm glucose-155* lactate-2.0 k+-3.1* 03:58pm freeca-0.91* 12:10pm freeca-1.12 11:51am glucose-214* urea n-12 creat-1.0 sodium-137 potassium-4.0 chloride-105 total co2-24 anion gap-12 11:51am calcium-7.5* phosphate-3.1 magnesium-1.7 11:51am wbc-4.8 rbc-3.45* hgb-10.8* hct-30.8* mcv-89 mch-31.5 mchc-35.2* rdw-16.1* 11:51am pt-12.5 ptt-22.2 inr(pt)-1.1 . . head ct : left subdural hematoma involving the entire left convexity and left middle cranial fossa, with subfalcine herniation to the right of mm. apparent effacement of the left suprasellar cistern may be due to oblique patient positioning but is concerning for early uncal herniation. . b/l lenis : neg pcxr : clear lungs. no rib fractures. ekg: normal sinus rhythm. occasional pacs. ct c-spine : severe degenerative changes of the cervical spine. loss of the normal cervical lordosis. anterolisthesis of c4 on c5 is likely secondary to degenerative changes . eeg : this is an abnormal portable eeg due to the presence of bursts of sharp slowing and delta frequency slowing over the entire left hemisphere and increased voltage gradient over the left hemisphere throughout the recording. additionally, the background over the right hemisphere is mildly slow and disorganized. the first abnormality suggests subcortical and possible cortical dysfunction diffusely affecting the left hemisphere, predominantly over the left fronto-central region. the second abnormality suggests a widespread mild encephalopathy with subcortical and cortical dysfunction. there were no clear epileptiform discharges recorded. . mri : no acute infarcts. stable small left subdural hematoma and pneumocephalus after recent subdural hematoma evacuation. small vessel ischemic changes. . carotids : no evidence of hemodynamically significant stenosis in the carotid arteries bilaterally. nonvisualization of the left vertebral artery. . kub : 1. marked dilatation of large bowel with the cecum measuring 12 cm. this may represent colonic ileus, although, a low rectal obstruction cannot be excluded. continued interval followup is recommended. . echo : the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. . cta : 1. multiple small subsegmental pulmonary emboli within the right upper and right lower lobes. 2. right lower lobe pulmonary nodules are unchanged from the pet/ct of . . head ct : no change since the prior examination in the size of the small left subdural collection, status post evacuation of a subdural hematoma. no midline shift. no new hemorrhage. . kub : nonspecific bowel gas pattern with nondilated loops of air-filled small and large bowel. . head ct : stable appearance of a small left subdural collection status post evacuation of a subdural hematoma. no midline shift or evidence of new hemorrhage brief hospital course: mr was admitted to the neuroicu for q1 neurochecks, he was prepared for surgery on hd#2. due to his significant pronator drift and cofounding ms which could impaired his exam he was consented for a left sided craniotomy for subdural evacuation. post operatively he was awake, alert and orientated x3 with right sided weakness, his dressing was dry and intact. a head ct postoperatively showed subdural removed with air in the space. on pod#1 he was found to have right sided weakness and a repeat head ct showed some reaccumulation of blood in the subdural space he was transferred to the neurological floor. . on pod#2 he was found to have garbled speech and significant right sided hemi-paresis, he was brought for an emergent head ct which showed stable amount of blood. he was transferred to the neurostep down unit for closer neurological exam. an mri done was of poor quality but did not show stroke. an ekg showed normal sinus rhythm. a chest xray was done and showed right infrahilar mass that on a followup ct was shown to be insignificant stable findings from previous studies. an eeg was done and showed no epileptiform focus. his vital signs remained stable. on pod#3 the neuro exam improved in the morning to a&ox3, but again fluctuated to disoriented and aphasic aphasic during the day. his temperature spiked to 101.7 and he had a fever workup that was negative for a source of infection. he also had two brief episodes of bradycardia and the medicine service was consulted. he had caroted duplex studies that showed no significant stenosis. an echo showed no cardiac abnormalities. a chest ct report came back that suggested a possibility of pe, although motion artifact limited the study. on pod#4 his neuro exam again improved and stayed stable during the day. he was found to have abdominal distension and had a fleets enema which resulted in minimal stool. he was transfered to the regular floor. . on pod#5 his neuro exam and vitals remained stable. kub was ordered to assess bowel obstruction which showed a 12cm dilated cecum and dilated loops of large bowel. general surgery was consulted. a rectal tube was placed resulting in a large bowel movement and a decrease in his abdominal distention. on pod#6 a cta was ordered and he was premedicated with mucomist for renal protection. cta showed multiple subsegmental pulmonary emboli. patient was started on iv heparin with adjusted therepeutic goal ptt 40-60. his neuro exam and vitals remained stable. pod#7 head ct unchanged from prior. pod#8 repeat kub improved and rectal tube was removed. advanced diet as tolerated. started coumadin. pod#9 continued coumadin, inr was still subtherapeutic. patient had one large bowel movement, abdomen no longer distended. pod#10 am inr still subtherapeutic, but early afternoon it was at 3.5. coumadin dose held. patient with intermittent expressive aphasia which resolved spontaneously. repeat head ct was unchaged. pod#11 am inr 3.1, patient discharged to rehab. plan to continued to hold warfarin and follow inr downtrend. likely resume on pm with goal inr 2.0 (lower end of therapuetic range). patient continues to have intermittent expressive aphasia. would benefit from speech therapy as well as aggressive physical/occupational therapy. medications on admission: keppra 500mg am, 1000mg pm baclofen 30mg flomax 0.4 cranberry extract 2 vit c one senna 2 qhs colace 100 ranitidine 150 . discharge medications: 1. baclofen 10 mg tablet sig: three (3) tablet po bid (2 times a day). 2. tamsulosin 0.4 mg capsule, sust. release 24hr sig: two (2) capsule, sust. release 24hr po hs (at bedtime). 3. multivitamin capsule sig: one (1) cap po daily (daily). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours) as needed for gi prophy. 6. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). tablet(s) 7. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 8. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 10. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. tablet(s) 12. warfarin 2 mg tablet sig: one (1) tablet po at bedtime: start . discharge disposition: extended care facility: - discharge diagnosis: - left sided subdural hematoma - multiple small subsegmental pulmonary emboli within the right upper and right lower lobes - colonic ileus discharge condition: neurologically stable discharge instructions: you have been started on a new medication called warfarin. please have your inr check at least twice weekly with goal inr 2.0. please have your doctor adjust the dose accordingly. . please take medications as prescribed. . please keep follow-up appointments. . keep incision dry until staples come out. watch incision for redness, drainage, bleeding, swelling or fever greater than 101.5 followup instructions: follow up in 6 weeks with a head ct and appointment with dr. in clinic. phone: location: procedure: incision of cerebral meninges insertion of rectal tube diagnoses: unspecified essential hypertension cardiac complications, not elsewhere classified other convulsions unspecified transient mental disorder in conditions classified elsewhere other malignant lymphomas, unspecified site, extranodal and solid organ sites other specified cardiac dysrhythmias iatrogenic pulmonary embolism and infarction paralytic ileus multiple sclerosis subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness aphasia chronic lymphoid leukemia, without mention of having achieved remission fall resulting in striking against other object 

Answer: The patient is high likely exposed to