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: unable to elicit from patient due to unresponsiveness. major surgical or invasive procedure: left occipitoparietal craniotomy and evacuation of hematoma (). peg placement (). history of present illness: code stroke called at 4pm for r side weakness . history is per ems, chart and friend/witness/caretaker( , ) . hpi: 78-yo female with no known seizure disorder who presents here after a seizure. she has had a gradual decline over the past month, needing a caretaker to help her get to medical appointments, pay her taxes and take care of finances. she has remained able to feed and dress herself and walk independently, but slowly. she has had visual hallucinations over this time period, speaking to people she had seen on tv. her speech has been normal but rambling and repetitive. . per her friend/caretaker, ms. , the patient had a doctor's appointment the day of admission at 3pm and she contact ms. to remind her to get ready at 11am. her friend came around 2:30pm to take the patient to the appointment (pcp: . , ). the patient had difficulty opening the door but finally was able to do so. her friend found her standing in the , saying that she could not see and wanting to find her glasses. but she did not walk to do so. per the friend, she "looked like she was blind". . she told her to sit down but again the patient did not move. she brought a chair behind her and sat her down in it. she then went to call the doctor's office. while she was speaking to the rn, the patient straightened her right arm, as if she was "reaching for something" and she was leaning to her left. her eyes then rolled back and she had bilateral convulsions and lost consciousness. 911 was called. on ems arrival, they found her unresponsive to voice with right hemiparesis and she was brought here. en route, her right arm/leg weakness resolved, leaving only right facial asymmetry. . on our arrival, the patient was awake and alert. she would occasionally vocalize, for example, saying "wait a minute! wait a minute! what are you doing?" when moved to the ct table. she would not follow commands. at times, she uttered non-sensical speech. ros: on review of systems, the pt's caregiver denied recent fever or chills. no night sweats or recent weight loss or gain. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. denied rash. past medical history: pmh: dementia htn hyperlipidemia hypothyroid, following thyroidectomy for nodule (benign path) arthritis breast cancer () psh: left mastectomy social history: lives by herself in on . widow for ~40years and no children of her own. did raise a daughter. she does not eat properly or cooks. she has meals on wheels and her friends help her. at baseline, she can eat and dress herself, walks slowly. over the last month, she's had a deterioration in caring for herself. also visual hallucinations and short-term memory loss. patient does not use etoh or smoke. , of , , has applied for guardianship. family history: n/a physical exam: pe vs 100.0 (rectal) 180/81 72 12 100% gen awake, nad heent nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck supple, no carotid bruits appreciated. no nuchal rigidity lungs cta bilaterally cv rrr, nl s1s2, systolic ejection murmur abd soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted ext no c/c/e b/l skin no rashes or lesions noted neuro ms awake, alert. does not respond to questions consistently. preference towards left side of space. speech fluent, but often non-sensical with neologisms. normal prosody. unable to follow commands. no apraxia. neglects the right side of space. no dysarthria. cn cn i: not tested cn ii: visual fields were full to confrontation, no extinction. pupils 3->2 b/l. fundi clear cn iii, iv, vi: eomi no nystagmus cn v: intact to lt throughout cn vii: right nlf flattening cn viii: hearing intact to fr b/l cn ix, x: palate rises symmetrically cn : shrug and symmetric cn xii: tongue midline and agile motor normal bulk and tone. moves all limbs purposefully antigravity sensory intact to noxious stimuli reflexes br tri pat ach toes l 2 2 2 1 1 up r 2 2 2 1 1 up coordination unable to assess gait deferred code stroke scale: neurologic (nihss): 19 1a. loc: alert, responsive (0) 1b. loc questions: 2 1c. loc commands: 2 2. best gaze: no gaze palsy (0) 3. visual: 2 4. facial palsy: 1 5a. left arm: 2 5b. right arm: 2 6a. left leg: 2 6b. right leg: 2 7. limb ataxia: x 8. sensory: no sensory loss bilaterally (0) 9. language: 2 10. dysarthria: none (0) 11. extinction/inattention: 2 pertinent results: ct left occipital intraparenchymal hemorrhage is little changed in appearance, currently measuring 4.8 x 2.5 cm in greatest axial dimension. as before, hemorrhage is in contiguity with the left subdural space, and acute left subdural hematoma is again seen, unchanged. local edema and mass effect on the occipital of the left lateral ventricle is similar, and there is mild, 4 mm rightward subfalcine herniation, similar to previous exam. there is no intraventricular blood. basal cisterns are not effaced. periventricular white matter hypodensity, most prominent in the left frontal lobe most likely represents chronic small vessel ischemic disease. ganglia calcifications are unchanged. impression: unchanged appearance of left occipital intraparenchymal hemorrhage, with left subdural hematoma, and local mass effect on the occipital of the left lateral ventricle. unchanged mild rightward subfalcine herniation. eeg this is an abnormal portable eeg due to the slow and disorganized background admixed with bursts of generalized mixed frequency slowing consistent with a mild encephalopathy suggesting dysfunction of bilateral subcortical or deep midline structures. medications, metabolic disturbances, and infection are among the common causes of encephalopathy but there are others. there were no areas of prominent focal slowing although encephalopathic patterns can sometimes obscure focal findings. there were no clearly epileptiform features. path clot : clinical: intraparenchymal bleed, left. gross: the specimen is received fresh labeled with the patient's name ", " with the medical record number and "blood clot". it consists of multiple fragments of blood clot measuring 1.8 x 1.5 x 0.7 cm in aggregate. the specimen is entirely submitted in a-b. ct no significant interval change compared to one day prior. the patient is status post left parietal craniotomy. again seen is a moderate sized left parietooccipital hemorrhage with extensive surrounding edema and additional foci of blood anteriorly. there is a stable amount of pneumocephalus related to the craniotomy. intraventricular extension of blood and blood clots within the lateral ventricles are stable. ventricular size is stable. when accounting for head position and slice selection, there is no appreciable change in mass effect, rightward midline shift of the midline structures and unchanged asymmetry of the perimesencephalic cisterns suggesting early uncal herniation. extra-axial blood in the left frontoparietal subdural location is unchanged and likely related to craniotomy. subgaleal hematoma and soft tissue swelling overlying craniotomy defect are stable. impression: no interval change in the left parietooccipital hematoma with extensive surrounding edema, interventricular extension, and mass effect. ct overall, exam is unchanged compared to the ct head of four days prior. the patient is status post left parietal craniotomy. a moderate-sized left parietal occipital hemorrhage with extensive surrounding vasogenic edema is unchanged. small amount of extra-axial hematoma along the left convexity along with a small amount of pneumocephalus related to recent craniotomy is unchanged. there has been interval evolution of blood clots within the lateral ventricles, which is now layering within the posterior horns. there is mass effect upon the left lateral ventricle and 7-mm shift of normally midline structures towards the right, which is unchanged. asymmetry of the perimesencephalic cisterns is unchanged, suggesting early uncal herniation. no new focus of hemorrhage is seen. subgaleal hematoma and soft tissue swelling overlying craniotomy site are stable. the visualized paranasal sinuses and the mastoid air cells remain well aerated. impression: unchanged exam compared to four days prior with left parietooccipital intraparenchymal hematoma with extensive surrounding vasogenic edema, intraventricular hemorrhage, and rightward shift of normally midline structures. liver/gallbladder ultrasound : the liver is normal in echotexture with no focal lesions identified. there is appropriate forward portal venous flow. the gallbladder wall is thickened to 5 mm, however, nondistended. there is no pericholecystic fluid or evidence of gallstones. the common duct measures 6 mm, within normal limits given patient's age. the limited views of the pancreatic head are unremarkable. the body and tail are obscured by bowel gas. ct neck study is very limited due to patient motion and patient rotation. no definite prevertebral soft tissue abnormality is identified. there is no obvious evidence of fracture or malalignment. multilevel degenerative changes are seen, with most severe at c3-4, c4-5, c5-6, with anterior and posterior osteophytes and schmorl's nodes. however, no significant canal narrowing or neural foraminal stenosis is identified. there is straightening of the normal cervical lordosis. visualized lung apices reveal left apical scarring or atelectasis. impression: limited study as noted above. 1. no evidence of acute injury. 2. multilevel degenerative changes, most severe at c3-4. however, there is no significant central canal stenosis or neural foraminal stenosis. of note, ct is not as sensitive as mr for evaluation of the thecal contents. cxr : in the interim, the left lower lobe opacity has resolved. the lungs are clear. a right picc is again visualized but tip is obscured by cardiomediastinal structures. there is no pleural effusion. the heart size is normal. impression: complete resolution of lower lobe atelectasis. clear lungs. brief hospital course: 78 f h/o mild dementia, htn, admitted with two gtc seizures, r sided visual fieldcut and r sided hemiparesis on . ct brain showed a large left parietal occipital hemorrhage with a subdural hematoma. she was admitted to the floor but neurologically deteriorated slowly (hemiparesis, level of arousal, communication) - and she had an urgent craniotomy with partial evacuation of the hematoma (by then 6 x 3 x 4.5 cm, increased edema, midline shift, breakhrough in ventricles) on /8. she was transferred to the icu for further care. pmh dementia (lives at home with help, ...) htn hyperlipidemia hypothyroid arthritis breast cancer s/p l mastectomy meds on admission hctz, zocor meds on icu transfer metoprolol tartrate 75 mg po/ng metoprolol tartrate 10 mg iv q4h:prn amlodipine 5 mg po daily captopril 25 mg po tid hydrochlorothiazide 25 mg po daily hydralazine 10 mg iv q6h:prn sbp>160 insulin sc sliding scale & fixed dose heparin 5000 unit sc bid famotidine 20 mg po q12h albuterol 0.083% neb soln 1 neb ih q4h:prn levetiracetam 500 mg po bid levothyroxine sodium 88 mcg ng daily bisacodyl 10 mg pr :prn docusate sodium (liquid) 100 mg ng senna 1 tab ng :prn acetaminophen 325-650 mg po/ng q6h:prn lorazepam 0.5-2 mg iv prn seizure>5min or >2/hr icu course: neuro - gradual and limited recovery of consicousness, remained only minimally interactive with grimacing to noxious stimulation, verbalizing only "auw" or "no" (non-appropriate). * developed significant l sided weakness with residual tone, serial cts did not reveal a solid explanation, although a new subcortical stroke was found on /8. critical illness neuro-/myopathy was considered but rejected. * dilantin was tapered off and replaced by keppra. cardiovasc - no echo done. ekg on admission sr, nos, lvh. was on nicardipine drip on and off, started on multiple oral antihypertensives. cvps 6-11. resp - extubated on in pm, slow wean of oxygen - frequent suctioning, had prolonged stridor. level of arousal and hypotonic orofacial musculature raised possibility for tracheostomy, but rejected after 3 more days of observation. last bloodgas prior to extubation(!) 152* 40 7.52* 34* 9. last cxr on /8: streaky density in the right upper lobe consistent with subsegmental atelectasis, but consolidation cannot be excluded. fen - went through siadh, lowest na 126 on , on fluid restriction and salt tabs, d/c'd by 5/3/8. tubefed throughout, now replete w/fiber 3/4 strength at 70 cc/hr. id - received cefazolin 2 grams iv q8 up to 2 days post-surgery. white-count persistently high up to 26.4 on , at that time also getting low dose of dexamethasone (for edema). multiple cultures blood, urine all negative other than ucx gpr ~4000/ml (corynebacterium). one day on cipro for this, then off. white count came down, now back up (see below). c diff negative on . spcx 3+ gnr 2+gpc, sparse oropharyngeal flora but mixed culture (>3 species) with amongst others citrobacter. recommended repeat. spcx poor sample. vre and mrsa pending. endo - has been on riss with fixed dose of 10 nph qam and qpm. levothyroxine suppletion 75 ug/d, last tsh level was 12 (uln 4). fsbg in range of 140's to max 240's, mean <180. heme - hct trending down slowly ( 40.9), now hovering around 25 - 26. 1 unit transfused on /8. ddx anemia of chronic illness, multiple blooddraws, gi leakage (guiac(+)). elevate white count, infectious? see below. ppx/code/dispo - dnr on /8. boots, heparin 5000 sc tid, hob > 30 degree, pt/ot for passive movement. dispo acute rehab eventually. exam on tx to floor vitals 100.2 (ax), hr 87, rr 21, bp 146/42 torticollis to l. cardiac s1s2 pulm cta all fields anteriorly. wet respirations with non-cleared secretions abdomen supple, nt/nd, bs+ skin warm and well perfused, onychomycosis. left arm edemateus. neurological exam on tx to floor alert and says name, dysarthric, wet speech. palalalia and echolalia, but able to greet examiner with long-whined and melodious voice. does not follow commands. gaze deviation to l, does not attend to r. head to l as well (torticollis). limited atttention span, does not fix or follow. perrl, gaze pref as above, facial droop r. flaccid r hemiparesis, does not withdraw to noxious, l hyptonic hemiparesis, no withdraw to pain but per report brings arm out to fence off while sunctioned. legs very weak withdraw bilaterally. brief floor course: neuro - her exam continued to improve. she would continuously alert to voice, but did not blink to threat bilaterally. she answers questions semi-appropirately, with perseveration and at times not at all. her l arm would at times be moving purposefully but she never withdrew to noxious stimulation. when held up, it would fall back to the bed. her r hemibody remained plegic. a movement disorder consult was done to assess for botox for the torticollis, but given the hypertrophy of the scm muscle it was thought to be chronic, and no intervention was made. a neck ct was done to rule out luxation and cricital cervical canal stenosis but it was negative (see results). note that she is still on a small dose of keppra 500 mg and this can probably be discontinued. gi - she had a refractory diarrhea on the floor, and c diff was repeatedly negative. her whitecount was elevated as well, persistently. when she started complaining about r upper quadrant pain (by exam) an u/s was done, revealing a thickened wall of the gallbladder, suggesting acalculous cholecystitis. she was started on a two-week course of ceftriaxone and metronidazole, with good effect. the diarrhea also resolved when the bulk of her g-tube flushes was given per g-tube, not through the j-lumen. cardiovasc - her bloodpressure medications were reduced and some eventually slowly tapered off (metoprolol, amlodipine). on the day of discharge, her lisinopril was held but she had no signs of illness, sepsis, pain. endocrine - small adjustment was made in her levothyroxine (upward by 12.5 mcg). access - she has a picc line for easier access but this remains a potential source of infection. please d/c it asap, i.e. when she no longer needs any blooddraws. at the nurses advice, for now it has been left in place. medications on admission: hydrochlorothiazide zocor discharge medications: 1. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. docusate sodium 50 mg/5 ml liquid sig: two (2) po bid (2 times a day). 4. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed. 5. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) 5000 unit injection (2 times a day). 8. levothyroxine 100 mcg tablet sig: 1.5 tablets po daily (daily). 9. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 10. heparin flush 10 unit/ml kit sig: two (2) ml intravenous once a day: heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. . discharge disposition: extended care facility: of discharge diagnosis: 1 left parietal-occpital intracranial hemorrhage, likely due to amyloid angiopathy. 2 dementia, alzheimer type discharge condition: stable - exam as outlined elsewhere in detail under hospital course' discharge instructions: you have had a left parieto-occipital stroke, and this bloodclot was surgically removed - you have a residual left hemiparesis though. please take all your medications excactly as directed and please attend all your follow-up appointments. please report to the nearest er or call 911 or your pcp immediately when you experience recurrence of weakness, numbness, tingling, problems with speech, vision, language, walking, thinking, headache, or difficulties arousing, or any other signs or symptoms of concern followup instructions: the stroke service of the can be contact at time of discharge to rehab for a follow up appointment . md, procedure: enteral infusion of concentrated nutritional substances other incision of brain percutaneous [endoscopic] gastrojejunostomy diagnoses: pneumonia, organism unspecified anemia, unspecified unspecified essential hypertension unspecified acquired hypothyroidism personal history of malignant neoplasm of breast other convulsions alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance acute cholecystitis other disorders of neurohypophysis cerebral artery occlusion, unspecified with cerebral infarction unspecified intracranial hemorrhage hemiplegia, unspecified, affecting unspecified side amyloidosis, unspecified 

Answer: The patient is high likely exposed to