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: history of present illness: this is a 75-year-old female who was transferred from the ; who, by report at that time, had an acute onset of severe headache, nausea, and vomiting followed by mental status changes and to be bradycardic and hypotensive in the field. she was intubated in the field and given atropine. a head ct at the showed a right frontal subarachnoid hemorrhage with midline shift; and, by report, at this time, the patient was moving all extremities in response to painful stimuli. she was then given transfer to the . the patient was bradycardic and hypotensive en route, and upon arrival in the emergency department. her heart rate was 40 on arrival with a blood pressure of 59/24, but she responded to atropine 1 mg times two and dopamine drops at 10 mg/kg per minute. past medical/surgical history: (past medical and surgical history include) 1. mitral valve replacement in with a porcine valve. it is also important to note that the patient had a course of cardiac tamponade at the time of her mitral valve replacement with porcine valve in , and subsequently had a swan-ganz catheter entangled in sutures; all of which was corrected during that hospitalization in . 2. history of hypertension. 3. diabetes mellitus. 4. status post appendectomy. 5. status post cholecystectomy. medications on admission: her medications included cozaar, potassium supplementation, aspirin, isordil, and lasix. physical examination on presentation: on physical examination at the time of admission, the patient's temperature was 95.5, blood pressure of 150/70, heart rate of 107, respiratory rate of 14, and an oxygen saturation of 100%. an intracerebral drain was placed urgently int he emergency room. her icp was 8. on physical examination, in general, she was flaccid, unresponsive to pain. the right pupil was 4 mm and sluggishly reactive. the left pupil was 2 mm and nonreactive. there was no gag reflex. the icp drain was in place having been placed in the emergency room by dr. . heart rate was regular in rate and rhythm. the lungs were clear to auscultation. the abdomen was soft. extremities were cool with a palpable radial and dorsalis pedis pulses bilaterally, and she did not withdraw to pain at that time. pertinent laboratory data on presentation: laboratories at the time of admission revealed a white blood cell count of 7, hematocrit of 31.2, platelets of 219. a chem-7 revealed sodium of 133, potassium of 5, chloride of 101, bicarbonate of 22, blood urea nitrogen of 16, creatinine of 0.8, and glucose of 140. pt, ptt, and inr were within normal limits. radiology/imaging: a head ct done urgently showed progressive bleeding with herniation. hospital course: the patient was admitted with the intracerebral ventricular drain at 10 cm elevation above the tragus for gravity drainage. she was begun on nipride for blood pressure over 140 p.r.n. and given dopamine drops for blood pressure support when blood pressure would fall below 100. she was intubated on ventilatory support and was given mannitol. at that time, a discussion ensued with the family, and the family elected (due to the gravity of the situation) to have the patient be designated as do not resuscitate on the morning following the admission. therefore, initially, the patient was made do not resuscitate. however, due to some minimal withdrawal of the extremities to painful stimuli, a second family meeting occurred, at which time the family elected to change the code status to full code and proceed with aggressive therapy. the patient was then taken to the neuroangiography suite where she underwent an angiogram with coil embolization of her aneurysm by dr. on . the patient tolerated the procedure well and returned to the intensive care unit in stable condition; but, again, with no response to pain at that time. at 9:45 a.m. on , the patient's condition including the elevated intracranial pressures, was discussed with dr. , who made arrangements for the patient to be taking to the operating room for decompressive evacuation of a right frontal hematoma. dr. spoke with the family members who agreed and consented to the procedure. lasix and mannitol were ordered, and the ventricular drain was lowered to 5 cm above the tragus, and the patient was taken urgently to the operating room on the morning of ; where, under general endotracheal anesthetic, the patient underwent a right frontal craniotomy and decompressive evacuation of a large right frontal hematoma. the patient tolerated the procedure well and was returned to the intensive care unit in stable condition. later on that afternoon, the patient showed some response to painful stimuli with withdrawal of the right upper extremity and bilateral lower extremities more briskly than preoperatively, but she still showed posturing of the left upper extremity to painful stimuli. there was occasional spontaneous movement of the bilateral left extremity and occasional seemingly purposeful movement of the right arm and hand with the patient picking at sheaths, etcetera. she did not follow commands or open eyes. the intracranial pressures were running 12 to 14, blood pressures of 120/66 with nipride. however, over the next several hours to days, the patient's neurologic status deteriorated again, and she essentially remained nearly unresponsive throughout the remainder of the hospitalization. on , after lengthy supportive care, there was a family meeting, at which time the gravity of the situation was discussed with the family, and the decision was made to change the patient's status to comfort measures only. this was done late on , and on , at approximately 3:50 p.m., the patient was noted to be in asystole with no pulse, no respirations, and no response to voice or noxious stimuli. the pupils were dilated and nonreactive, and the patient was areflexic; and, therefore, pronounced deceased at 3:57 p.m. condition at discharge: deceased. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain incision of cerebral meninges insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization other endovascular procedures on other vessels other endovascular procedures on other vessels diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation subarachnoid hemorrhage other specified cardiac dysrhythmias cardiac arrest heart valve replaced by transplant 

Answer: The patient is high likely exposed to