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: procainamide / morphine attending: chief complaint: s/p fall major surgical or invasive procedure: : emergent left frani for sdh evacuation history of present illness: 82m on coumadin and asa for st 's valve who fell approx 2 am. this am c/o headache, came to ed. reportedly following all commands with some r arm weakness. was intubated due to respiratory decline. past medical history: 1. atrial fibrillation ?????? on coumadin and amiodarone --s/p pacemaker placement ?????? dr. - pacemaker originally placed d/t av block --s/p generator change in --s/p lead revision 2. bicuspid aortic valve disease, s/p replacement - 3. chf - tte : lvef>55%, dilated la, dilated lv, tr ar. mod mr. mod to severe tr. significant pulmonic regurg. severe pa htn. 4. hypothyroidism ?????? secondary to amiodarone 5. pancytopenia - anogenic myeloid metaplasia -- s/p bone marrow bx 6. bph ?????? dr. 7. hiatal hernia w/o gerd 8. s/p cholecystectomy 9. htn 10. hypercholesterolemia 11. vsd 12. s/p coronary cath - showed clean coronaries 13. aberrant l subclavian artery, 50% tracheal compression. 14. traumatic l upper thigh bleed 15. lumbar scoliosis 16. sciatica with posterior disc protrusion 17. crf - baseline cr 2.3-3.0 18. gout 19. vasculitis 20. ex-lap/loa social history: retired, was a property manager previously family: lives with wife in , married 60years travel/exp/pets: no recent travel or exposures. no pets. alc/tob: no etoh in past 14 years, before that, social etoh. no tobacco. family history: father died at 84 from oral cancer brother with skin cancer mother died at 25 for ?pneumonia not significant for dm, htn, or other ca history physical exam: on admission: gen: wd/wn,intubated, sedated in ed heent: pupils: 2 min reactive neck:in hard collar extrem: warm and well-perfused. neuro: mental status: intubated, sedated. no eye opening. when meds lightened, did move all 4 extrem antigravity to stim. pertinent results: labs on admission: 06:39am blood wbc-6.7 rbc-3.13* hgb-10.5* hct-31.3* mcv-100* mch-33.4* mchc-33.4 rdw-15.6* plt ct-172 06:39am blood neuts-73.1* lymphs-20.5 monos-4.9 eos-1.4 baso-0.1 06:39am blood pt-39.7* ptt-38.1* inr(pt)-4.3* 06:39am blood glucose-113* urean-48* creat-2.7* na-142 k-3.4 cl-104 hco3-28 angap-13 06:39am blood ctropnt-0.02* 06:39am blood calcium-10.0 phos-3.3 mg-2.9* labs on discharge: xxxxxxxxxx imaging xxxxxxxxxx head ct()-pre-op: impression: large left subdural hematoma, likely hyperacute on acute, with associated rightward subfalcine herniation and uncal herniation. ct c-spine (): impression: 1. no acute fracture or malalignment identified. 2. multiple degenerative changes. head ct(): post-op there is a new approximately 3 x 3 cm left parieto-occipital intraparenchymal hemorrhage. expected post-surgical changes from left craniotomy with evacuation of subdural hematoma. the degree of midline shift and mass effect is markedly reduced. subfalcine and uncal herniation has resolved. gall bladder us: impression: prominent hepatic venous vasculature suggestive of passive hepatic congestion. brief hospital course: patient is an 82 y/o m with history of atrial fibrillation and on coumadin, amiodarone, s/p pacemaker, diastolic chf, admitted s/p fall with sdh. he was originally admitted to the neurosurgery service and had an evacuation of subdural hemorrhage with a left sided craniotomy for bleed with hernation. his post operative course was complicated by diastolic chg exacerbation and strep pneumonia vap. he remained unresponsive after the second intubation and was made cmo. he was extubated and passed away 2 hours later. . respiratory failure: intially intunated for neurosurgery evacuation , extubated . reintubated after 1 day on bipap for increased work of breathing and airway protection in setting of pulmonary edema and pneumonia. etiology of resp failure is infections and cardiogenic. patient was alkalotic, is overbreathing the , decrease tidal volume. he was treated with ceftriaxone for the strep pneumonia and despite better volume status and treatment of pna, he remained unresponsive on no sedation. he failed several pressure support trials secondary to hyperventilation and low tidal volumes, he likely had neurogenic respiratory failure. subdural hemorrhage: s/p craniotomy and evacuation , done emergently. had unequal pupils and had stat head ct showing no interval change. pupils became equal again after several days. he was started and continued on dilantin prophylaxis. the dose was decreased given low albumin and corrected level higher than measured. despite improving dilantin level and correcting hyponatremia, patient continued to have poor mental status. anemia: unclear etiology. patient was hypercoaguable around the time of fall. not bleeding in brain, may have spontaneous rp bleed. hct went from 23 -> 20 hospital day 6, and responded to 2 units prbcs. patient also has underlying myeloid metaplasia. his hct did not drop after that. /coagulpathy: patient with with valve that needs to be anticoagulated with inr goal . warfarin has been held since admission and pt recieved 3 units ffp on admission. on patient had inr 3.8 and recieved a total of 4 units ffp. for several days, the inr remained >2 despite any anticoagulation. when it fell below 2, coumadin 1mg was started. cardiology had been consulted by neurosurgery service, and the decision was made to start coumadin without bolus when irn <2 given the sdh on admisision. possible etiologies of persistent coagulopathy were vitamin k deficiency vs liver damage vs most likely supratherapeutic phenytoin. when phenytoin values normalized, inr also normalized. altered mental status: patient unresponsive off sedation. etiology is likely multifactorial: subdural, hypernatremia, uremia, and infection. hypernatremia, uremia, infection were all treated and he remained unresponsive. diastolic heart failure: ef >60% (). patient was on lasix drip for a day, on intermittent lasix until euvolemic. transaminitis: unlikely from propofol as trigylcerides are normal. shock liver unlikely, has not been hypotensive. be septic. eventually trended down. ckd: baseline creatinine is 2.3-2.8. trended down and normalized. - renally dose meds hypertension: his blood pressure was eventually controlled on the following regimen. - hydralazine titrated up to 37.5mg tid, isosorbide mononitrate increased from 10 to 20 po bid, metoprolol 25mg . atrial fibrillation: continue amiodarone 200 hypothyroidism: home dose of 75mcg po levothyroxine hyperlipidemia: continue statin hypernatremia: has been trending up, likely contributing to mental status - free water boluses from 200q6 to 300q4. bph: held tamsulosin and finastride, not crushable via peg ** numerous family meeting were held, and given the lack of improvement in his mental status in the setting of the large subdural hematomas, the decision was made to transition the patients care to comform measures. family was brought in from out of town, and the patient was extubated . he passed away a few hours after extubation. medications on admission: allopurinol,amiodarone,aspirin,calcium,fish oil, flomax, folic acid, hydralizine,imdur,levoxyl,lipitor,mvi, proscar,toprol xl, toresemide,coumadin discharge medications: deceased discharge disposition: expired discharge diagnosis: acute lt sdh diastolic heart failure respiratory failure coagulpathy hypertension discharge condition: deceased discharge instructions: deceased followup instructions: deceased md, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more incision of cerebral meninges enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation transfusion of packed cells transfusion of other serum diagnoses: anemia, unspecified congestive heart failure, unspecified toxic encephalopathy unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure aortic valve disorders hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified ventricular septal defect diaphragmatic hernia without mention of obstruction or gangrene heart valve replaced by other means acute respiratory failure pneumonitis due to inhalation of food or vomitus other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants methicillin susceptible pneumonia due to staphylococcus aureus cardiac pacemaker in situ pneumococcal pneumonia [streptococcus pneumoniae pneumonia] hyperosmolality and/or hypernatremia scoliosis [and kyphoscoliosis], idiopathic accidental fall from bed other and unspecified complications of medical care, not elsewhere classified subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness displacement of lumbar intervertebral disc without myelopathy mixed acid-base balance disorder tricuspid valve disorders, specified as nonrheumatic arteritis, unspecified 

Answer: The patient is high likely exposed to