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: mental slowing and lethargy s/p cranioplasty major surgical or invasive procedure: s/p right subdural collection evacuation history of present illness: 37yf well known to our service recently s/p cranioplasty who presents with mental slowing and lethargy x several days. she is s/p mva resulting in a right subdural hematoma, s/p emergent hemicraniectomy on with partial frontal and temporal lobectomies c/b a right pca infarction likely due to herniation as well as traumatic thrombosis of the left transverse, sigmoid and internal jugular venous systems, ultimately requiring anticoagulation. she has known frontal abulia and executive frontal network dysfunction. she has exhibited no dysarthria or neurologic deficits, but has been reluctant to speak, lethargic, and with her baseline flat affect. past medical history: traumatic brain injury () - r sdh, s/p emergent hemicraniectomy , - s/p r pca infarction likley due to herniation, - h/o traumatic thrombosis of l transverse, sigmoid and ij venous systems (on coumadin) - frontal abulia - hyperthyroidism - alcoholism - cranioplasty social history: lives with sister, brother in law and 2 nephews in . had worked as bartender and presented at the time of her accident with a high blood alcohol level. endorses one drink three times a week. no tobacco or illicit drugs. she has one child, who she hasn't seen in a long time. family history: nc physical exam: on admission: o: t:97.9 bp: 110/74 hr: 110 r: 16 o2sats 97ra gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, flat affect orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent 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, 9 to 7 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 voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally in lower extremities. hypertonicity in lower extremities bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 3 3 3 3 - left 3 3 3 3 - toes upgoing bilaterally coordination: finger-nose-finger with pass pointing bilaterally, normal heel to shin bilaterally pertinent results: 02:40am blood wbc-6.5 rbc-3.20* hgb-9.6* hct-28.6* mcv-89 mch-30.0 mchc-33.5 rdw-13.0 plt ct-460* 02:58am blood wbc-6.2 rbc-3.32* hgb-10.2* hct-30.2* mcv-91 mch-30.7 mchc-33.7 rdw-13.1 plt ct-524* 06:15pm blood wbc-5.6 rbc-3.60* hgb-10.8* hct-31.9* mcv-89 mch-30.1 mchc-33.9 rdw-13.2 plt ct-442* 06:15pm blood neuts-65.8 lymphs-27.1 monos-4.7 eos-1.6 baso-0.8 02:40am blood plt ct-460* 02:58am blood plt ct-524* 02:58am blood pt-13.7* ptt-23.3 inr(pt)-1.2* 06:15pm blood plt ct-442* 06:15pm blood pt-13.4 ptt-24.5 inr(pt)-1.2* 02:40am blood glucose-101 urean-6 creat-0.5 na-141 k-4.1 cl-104 hco3-28 angap-13 02:58am blood glucose-101 urean-6 creat-0.5 na-141 k-3.3 cl-102 hco3-28 angap-14 06:15pm blood alt-11 ast-15 alkphos-83 amylase-47 totbili-0.2 02:40am blood calcium-8.6 phos-3.7 mg-2.7* 02:58am blood calcium-9.4 phos-4.0 mg-1.8 06:15pm blood tsh-0.94 06:15pm blood t4-7.2 06:15pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg ct head : impression: 1. increased size of right-sided extra-axial collection, now with mixed fluid and air, and highly concerning for infection. there is significantly increasing mass effect and subfalcine herniation, as described above. 2. increased extracranial fluid collection, also with foci of air and concerning for infection, perhaps communicating internally. ct head : no significant interval change in large right extra-axial air or fluid collection producing marked mass effect and subfalcine herniation. ct head : there has been interval placement of a drain within the large right extra-axial fluid collection which has decreased in size, now measuring approximately 13 mm in greatest transverse dimension. small area of hyperattenuation is seen superiorly likely representing acute hemorrhage, which is unchanged. there is 11 mm leftward subfalcine herniation and mass effect on the right lateral ventricle, which has decreased compared to the prior study. moderate amount of pneumocephalus is noted. the right occipital hypodensity is unchanged. small hypodensities of the left centrum semiovale and thalamus are again seen. the superficial fluid collection has largely been drained. impression: interval placement of a drain into the right extra-axial fluid collection which is mildly decreased in size with resultant mild decrease in leftward subfalcine herniation and mass effect on the right lateral ventricle. brief hospital course: 37yf recently s/p cranioplasty with increased lethargy x days and ct changes showing extra-axial fluid collection with 1.7cm midline shift. neurologic symptoms include ble hypertonicity with hyperrefelxia throughout; flat affect which is baseline for the patient; and pass pointing on finger to nose bilaterally. unable to access the fluid collection via the old superior burr hole, but we were able to evacuate 7cc from the right, lateral, superficial collection. the procedures were done in sterile fashion. she was admitted to icu, started on ceftriaxone until , resumed home medications, 100% nrb face mask to try to reduce the pneumocephalus she was taken to or for r subdural drain placement, with bulb drain maintained to suction. on she had a ct which showed the drain was in the proper location. her mental status improved and she was transferred to the floor. aspirin was also restarted that day. her drain was removed on . on a bed became available at . the patient's mental status was stable. she was moving all 4 extremities spontaneously, following commands, able to converse but maintained a flat affect, which she has had since her accident. she was taking in food po and was working on mobility and ambulation with pt. she was deemed safe to be discharged to rehab on . medications on admission: 1. levothyroxine 75 mcg tablet sig: one (1) tablet po daily 2. amantadine 100 mg capsule sig: one (1) capsule po bid 3. concerta 18 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po qday (). 4. aspirin 325 mg tablet sig: one (1) tablet po once a day. 5. sertraline 25 mg tablet sig: three (3) tablet po once a day. 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h prn 7. senna 8.6 mg tablet sig: one (1) tablet po bid 8. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po daily 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid 10. ceftriaxone 2 gram recon soln sig: two (2) grams iv intravenous once a day for 10 days: last dose 12/6. 11. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal qday () as needed for nasal allergy. 12. pramipexole 0.125 mg tablet sig: one (1) tablet po tid 13. modafinil 100 mg tablet sig: one (1) tablet po daily 14. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). discharge medications: 1. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 2. amantadine 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. concerta 18 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po qday (). 4. sertraline 50 mg tablet sig: 1.5 tablets po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. pramipexole 0.125 mg tablet sig: one (1) tablet po tid (3 times a day). 7. modafinil 100 mg tablet sig: one (1) tablet po daily (). 8. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 10. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 11. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 14. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 15. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 16. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 17. ceftriaxone-dextrose (iso-osm) 2 gram/50 ml piggyback sig: one (1) intravenous q24h (every 24 hours) for 1 doses: should receive one last dose at midnight. discharge disposition: extended care facility: - discharge diagnosis: cranioplasty/ s/p right subdural collection evacuation discharge condition: neurologically stable discharge instructions: discharge instructions for craniotomy/head injury ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit 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, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please remove all surgical staples on . this can be done in rehability facility or dr office (please call for appointment) please call to schedule an appointment with dr. to be seen in 4 weeks. you will need a cat scan of the brain without contrast please call ( to make a follow-up appointment with dr. from behavioral neurology. procedure: other craniotomy insertion of catheter(s) into cranial cavity or tissue diagnoses: unspecified acquired hypothyroidism seroma complicating a procedure removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other and unspecified alcohol dependence, unspecified late effects of motor vehicle accident late effect of intracranial injury without mention of skull fracture frontal lobe syndrome other specified acquired deformity of head 

Answer: The patient is high likely exposed to