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: no known allergies / adverse drug reactions attending: chief complaint: left cranial defect major surgical or invasive procedure: left cranioplasty left craniotomy evacuation of epidural hematoma history of present illness: this is a 50 year old man with a history of htn, polysubstance abuse (cocaine, heroin, alcohol), hepc presented recently to hospital with headache and ?fall to head. we saw him . at that time gcs on arrival was 11 and patient found to have right sided hemiplegia. nchct done at that time revealed large l basal ganglia bleed with minimal midline shift. pt found to deteriorate from there with subsequent intubation on propofol. we took him to the or for a l hemicraniectomy for decompression. he resides at rehab right now and has much improved since. past medical history: - polysubstance abuse - htn - hep c - hiv, cd4 510 in - ivc filter - ich, s/p hemicraniectomy - laparotomy for acute abdomen during g tube placement - syphilis 20 years ago - latent tuberculosis 10 years ago, treated with inh for one year social history: from omr: he is originally from , he moved to mass in after being inmate x 15 years in . he was living in shelters until his ich and since then has been at . history of substance abuse including heroin, cocaine, opioids, alcohol, and intermittent tobacco smoking. family history: from omr: no history of neoplastic/infectious diseases physical exam: on admission: af vss normocephalic, r indentation from flap removal heent: no lnn pupils: perl neck: supple. lungs: no sob, cta bilaterally. cardiac: rrr abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: cooperates well with exam. orientation: x 3 (aphasic)? cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2-->1 on r and 3-->2 on left. visual fields not assessed v, vi: intact doll's eyes vii: ix, x: palatal elevation symmetrical. motor: dense central r hemiparesis sensation: perceives pain and lt on the r; left nl reflexes: b t br pa ac right 3+ -------------> left 2+ -------------> toes upgoing on right clonus 5 b on r coordination: n/a at discharge: awake, alert, oriented x . speaks in short phases. follows simple commands. pupils asymmetric, l > r, both reactive. right hemiparesis. moves left spontaneously. pertinent results: ct head - status post left cranioplasty with large left extraaxial hematoma with pneumocephalus. this results in partial effacement of the left lateral and third ventricles, and 8 mm rightward shift of normally midline structures. ct head - interval evacuation of left extraaxial hematoma, which is now largely replaced with air and a small amount of residual fluid. persistent mass effect with 8 mm rightward shift of normally midline structures. effacement of the third and left lateral ventricles, without evidence of right lateral ventricle entrapment. ct head: impression: 1. very slight decrease in the amount of postoperative pneumocephalus and mass effect. 2. small amount of stable residual subdural blood products in the surgical bed. 3. no evidence of new hemorrhage. nchct: impression: 1. no change in the appearance of the intracranial postoperative pneumocephalus and small amount of left subdural blood products. stable intracranial mass effect. 2. increase in the amount of fluid in the subgaleal space overlying the left cranioplasty with a decrease in the amount of subcutaneous emphysema. brief hospital course: patient was admitted to neurosurgery on and underwent the above stated procedure. please review dictated operative report for details. patient was extubated without incident and transferred to pacu then floor in stable condition. patient developed increasing subgaleal swelling and increasing headaches. a repeat ct head showed a large left epidural hematoma. he was take emergently back to the or for a craniotomy and evacuation of edh. he tolerated this procedure well. he remained intubated and transferred to sicu. he was extubated without incident on . he was then transferred to the floor in stable condition. ct head done on showed pneumocephalus and 100% oxygen was intiated. he became for confused with a tense craniotomy site in the afternoon. ct head was without much changes, no acute hemorrhage. he was started on both dilantin and levetiracetam. he was more alert and oriented on and he was transfered to the sdu. sqh was started. he was transferred out of the sdu on and was ready for discharge, awaiting guardianship . on he was tolerating his tube feeds at goal. patient was febrile overnight on to 102. an infectious work-up was sent including cbc, urine cultures, blood cultures, and cxr. cbc revealed a wbc of 13.3. blood cultures, urine cultures, and cxr were negative. a medicine consult was obtained. on , his wbc was elevated, cbc with diff was sent. urine culture showed e.coli and he was started on iv ceftriaxone to complete 10-day course (first day , last day ). he was screened for rehab and accepted pending approval of his hcp. on , his hcp was and agreed to his placement. he will be discharged to rehab on . =============================== transition of care: -patient has a chronic microcytic anemia documented throughout hospitalization; hct stable between 24-28. -pt needs to complete 10-day course of ceftriaxone for resistant uti. if cannot receive iv ceftriaxone at rehab, should switch to po cefpodoxime (last day ). medications on admission: 1. amlodipine 10 mg po daily hold for sbp <100 2. baclofen 5 mg po bid hold for change in mental status, sedation 3. bisacodyl 10 mg po daily:prn constipation 4. calcium carbonate 750 mg po tid 5. citalopram 20 mg po daily 6. cyclobenzaprine 5 mg po tid:prn muscle spasm hold for sedation, rr <10, change in mental status 7. docusate sodium 100 mg po bid 8. hydralazine 50 mg po bid hold for sbp <100 9. ipratropium bromide neb 1 neb ih q6h:prn sob, wheeze 10. lisinopril 40 mg po daily hold for sbp <100 11. multivitamins 1 tab po daily 12. omeprazole 20 mg po bid 13. oxycodone (immediate release) 10 mg po q8h:prn pain hold for sedation, rr <10, change in mental status 14. sucralfate 1 gm po qid 15. vitamin d 1000 unit po daily discharge medications: 1. albuterol 0.083% neb soln 1 neb ih q4h:prn wheezing 2. amlodipine 10 mg po daily 3. baclofen 5 mg po q12h 4. bisacodyl 10 mg po daily 5. citalopram 20 mg po daily 6. cyclobenzaprine 5 mg po tid:prn muscle spasm 7. docusate sodium 100 mg po bid 8. levetiracetam 500 mg po bid 9. lisinopril 40 mg po daily 10. metoclopramide 10 mg po tid 11. multivitamins 1 tab po daily 12. phenytoin (suspension) 100 mg po q8h 13. sucralfate 1 gm po qid 14. senna 1 tab po bid 15. hydralazine 50 mg po bid 16. heparin 5000 unit sc tid 17. calcium carbonate 750 mg po tid 18. famotidine 20 mg po bid 19. oxycodone (immediate release) 10 mg po q4h:prn pain 20. vitamin d 1000 unit po daily discharge disposition: extended care facility: - discharge diagnosis: left cranial defect left epidural hematoma cerebral edema mental status change discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: ?????? have a caretaker check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? your wound was closed with staples. you must wait until after they are removed to wash your hair. you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? you have been prescribed keppra (levetiracetam) and dilantin (phenytoin) for anti-seizure medicine, please take it as prescribed and follow up with laboratory blood drawing for phenytoin level in one week. this can be drawn at your extended care facility or your pcp??????s office, but please have the results faxed to . 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, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for removal of your staples and a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. , to be seen in weeks. ??????you will need a ct scan of the brain without contrast. procedure: enteral infusion of concentrated nutritional substances bone graft to skull reopening of craniotomy site other craniotomy diagnoses: urinary tract infection, site not specified unspecified essential hypertension unspecified viral hepatitis c without hepatic coma surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cerebral edema late effects of cerebrovascular disease, hemiplegia affecting unspecified side iron deficiency anemia, unspecified accidents occurring in residential institution asymptomatic human immunodeficiency virus [hiv] infection status gastrostomy status iatrogenic cerebrovascular infarction or hemorrhage other and unspecified escherichia coli [e. coli] nontraumatic extradural hemorrhage other specified acquired deformity of head 

Answer: The patient is high likely exposed to