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: headache and neck pain while lifting weights major surgical or invasive procedure: cerebral angiogram history of present illness: 55 year old male was lifting weights when he had a sudden onset of a severe headache and nausea. he went to an osh where ct showed an acute subarachnoid hemorrhage. he was transferred to . the patient's headache was when he arrived but after receiving morphine in the er it is . he had some neck stiffness and pain. past medical history: hypercholesterolemia dm 2 social history: 4 children and is divorced family history: unknown physical exam: t:97 bp:166/86 hr:75 rr:15 o2sats: 98% gen: patient is lethargic but wakes easily when spoken to. heent: pupils: perrl eoms -intact neck: supple, no nuchal rigidity. 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, normal affect. orientation: oriented to person, place, and date. 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, 2 to 1 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. no abnormal movements, tremors. strength full power throughout. no pronator drift. sensation: intact to light touch bilaterally. toes downgoing bilaterally pertinent results: 03:08am blood wbc-21.7* rbc-4.11* hgb-13.5* hct-35.9* mcv-87 mch-33.0* mchc-37.7* rdw-13.1 plt ct-307 03:08am blood plt ct-307 03:08am blood glucose-148* urean-21* creat-1.0 na-136 k-3.8 cl-101 hco3-24 angap-15 03:08am blood calcium-9.3 phos-2.4* mg-2.1 03:08am blood phenyto-10.3 conventional 4 vessel cerebral angiogram - right and left common carotid arteries, right and left internal carotid arteries, right and left external carotid arteries, right and left vertebral arteries, right and left thyrocervical trunks, right costocervical trunk. findings: no evidence of aneurysm, significant stenosis or av malformation. of note, mild plaque near the origin of the right internal carotid artery, but no high grade stenosis. conventional 4 vessel cerebral angiogram - right common carotid artery, right internal carotid artery, right vertebral artery, left common carotid artery, left internal carotid artery, left vertebral artery. findings: evaluation of the above vessels demonstrates no evidence of aneurysm, significant stenosis, or arteriovenous malformation. there is a tiny infundibulum of the left anterior choroidal artery. impression: no evidence of aneurysm or av malformation to explain the patient's subarachnoid hemorrhage. mr w& w/o contrast there is no evidence of abnormal flow voids identified on pre- contrast images. following contrast administration, no abnormal vascular enhancement seen within the spinal canal in the cervical region. multilevel mild degenerative changes are seen extending from c3-4 to c6-7. there is no extrinsic spinal cord compression seen or intrinsic spinal cord signal abnormalities. impression: mild degenerative changes. no evidence of abnormal vascular enhancement to indicate arteriovenous malformation. thoracic spine: findings: no evidence of abnormal flow voids seen in the thoracic region. no abnormal enhancement or vascular enhancement seen on the post-gadolinium images. mild multilevel degenerative changes are seen within the disc. no evidence of acute compression fracture or marrow edema seen. no evidence of intrinsic spinal cord signal abnormalities or extrinsic spinal cord compression. impression: mild degenerative changes. no evidence of abnormal flow voids or vascular enhancement to indicate arteriovenous malformation in the thoracic region. lumbar spine: findings: from l1-2 to l4-5 mild degenerative changes seen. at l5-s1 level, disc degenerative change and a broad-based right-sided protrusion seen in contact with right s1 nerve root without displacement of the nerve root. there is no evidence of abnormal flow voids seen within the thecal sac in the lumbar region. the conus demonstrates normal signal. impression: mild multilevel degenerative changes. small right-sided protrusion at l5-s1 level. no evidence of abnormal flow voids within the thecal sac or along the distal spinal cord to indicate arteriovenous malformation. echocardiogram the left atrium is normal in size. the estimated right atrial pressure is 5-10 mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motionis normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. no valvular pathology or pathologic flow identified. cta head w&w/o c & recons comparison: multiple priors, the most recent a ct head dated . ct head: there has been resolution of previously noted high-density material within the prepontine cistern extending into the interpeduncular fossa. no new intracranial hemorrhage is identified and there is no shift of normally midline structures or evidence of acute major vascular territorial infarction. the ventricles and sulci are normal in caliber and configuration. no fractures are identified. head cta: the circle of and its major branches are patent with no evidence of stenoses. there is no evidence of aneurysm formation or other vascular abnormality. impression: 1. resolution of previously noted subarachnoid hemorrhage. 2. patent circle of without evidence of aneurysm or vasospasm. brief hospital course: mr was admitted to the sicu for close neurological observation, his sbp was kept strictly less than 140, he was started on nimodipine. he had a cerebral angiogram that did not show any evidence of an anuersym or malformation. he was neurologically intact though he preferred to keep his eyes closed and sleep the majority of the time. on hd#5 he developed fevers to 101-101.5 cultures from revealed no growth. every effort to keep him normothermic was made including tylenol and cooling blanket. on he underwent a second cerebral angiogram which showed no aneurysm. the patient had low sodium levels while in the hospital and he was started on a fluid restriction and was given salt tablets. his levels returned to prior to discharge and he no longer required salt tablets. blood cultures from grew coag + staph aureus. on he was found to have a dvt in the right cephalic vein as well as an infection in the left at the site of the a-line, after it was removed. the swab from the a-line site grew out coag + staph aureus as well (mssa). vascular surgery was consulted and recommended no anticoagulation for the dvt. they also recommend starting vanco for the left arm infection. the patient was also switched from dilantin to keppra because he continued to have fevers. he had a transcranial doppler which showed slightly increased velocity, inconclusive vasospasm (doppler measure: bilat mca ave. 100, no ica measurement). the patient's neurologic status improved while he was in the icu and he did not have the periods of confusion that he had when he first was admitted. his fevers came down and he had no evidence of vasospasm, so he was tranferred to the step-down unit on . on he had an mri of the spine which showed no evidence of a vascular abnormality. his cta on showed resolution of sah, patent circle of , no vasospasm. infectious disease service was consulted on to determine when the vancomycin can be stopped and they recommended repeat blood cultures which showed no growth at time of discharge. echocardiogram revealed preserved lvef, no valvular vegetations, and mild symmetric left ventricular hypertrophy. he was changed to nafcillin for mssa bacteremia, discharged with a picc and home intravenous pump to complete a full 10 day course. at time of discharge the patient was neurologically stable. he will follow up with dr. of the id service with follow up lft's while on high dose nafcillin. he will follow up with dr. in four weeks with repeat head ct. medications on admission: tricor 145 mg daily, allopurinol 300 mg daily, simvastatin 80 mg daily, metformin 500 mg daily, centrum silver, fish oil, 81 mg asprin daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on narcotics. disp:*60 capsule(s)* refills:*0* 2. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours) for 5 days. disp:*30 capsule(s)* refills:*0* 3. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 4. allopurinol 100 mg tablet sig: three (3) tablet po daily (daily). 5. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 7. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 8. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for ha. disp:*40 tablet(s)* refills:*0* 9. oxycodone 5 mg tablet sig: 1-2 tablets po every six (6) hours as needed. disp:*40 tablet(s)* refills:*0* 10. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: home therapies discharge diagnosis: subarachnoid hemorrhage discharge condition: neurologically stable discharge instructions: call for fever or any signs of infection - redness, swelling, drainage from wound. call for severe headache or any problems. followup instructions: follow up with dr. and head ct in 4 weeks - call for appt. please have blood work drawn at home next thursday, and have results faxed to dr. (infectious diseases) . you have an appointment to follow up with ,md mph date/time: 11:00am, office phone:. his office is located in the medical office building on the procedure: venous catheterization, not elsewhere classified arteriography of cerebral arteries arteriography of cerebral arteries arterial catheterization diagnoses: hyposmolality and/or hyponatremia subarachnoid hemorrhage bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site infection and inflammatory reaction due to other vascular device, implant, and graft 

Answer: The patient is high likely exposed to