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: no known allergies / adverse drug reactions attending: chief complaint: right sided weakness and dysarthria major surgical or invasive procedure: none history of present illness: 81 m with unknown pmh was transfered from osh for evaluation. he was found in the car seat this pm outside an electronic store. police and emts were called and he was found to have "weakness on the right side" and garbled speech. he was taken to osh where he was found to be hypothermic (95) and drowsy. he was intubated for airway protection later in the am around (5) after giving dilantin 1 gm, etomidate 20, veceuronium 10, fentanyl 100. initially his bp was 133/84 when he presented at 1 pm which later peaked to 231/84 at 3 pm and was given labetelol iv for bp control which was 194/79 around 5 pm before transfer. at osh, inr 1.1, cbc showed 6.2/13.7-42/ plt of 117. ekg showed nsr and rbbb , no st/t change. ct head showed 3 by 3 cm left bg bleed with ivh, 3rd and 4th ventricle with midline shift of 3 mm. he was transfered to ed. next, neurology and neurosurgery were called. past medical history: inclusion body myositis diagnosed 10 yrs ago htn social history: lives alone. non smoker, very rare alcohol use. no drugs family history: none physical exam: admission exam: vitals: hr:90 bp:183/100 o(2)sat:100 normal general: elderly, intubated, not following commands heent: nc/at neck: no mass. bruit. chest: posterior and anterior exam clear to auscultation bilaterally cardiac: rrr no murmurs to auscultation abdomen: +bs, soft, non-tender, non-distended, ecchymosis extremities: warm, no edema neurological intubated, eyes open intermittently, not following any commands pupils 2 bl symmetric, very minimally reactive has left gaze preference, doesnt look towards right face looks symmetric but exam difficult owing to intubated state doesnt move any limb spontaneously minimal posturing to painful stimuli on left ue, no response to painful stimuli on other limbs dtrs; 1 plus and symmetric bl plantars up discharge exam lungs rhonchorous upper more than lower lobes bilaterally. neuro exam: aox1-2. language intact. 4/5 strength in the upper arms and forearms, only 3/5 strength in wrist flexion, wrist extension, finger flexion, and finger extension bilaterally, lower extremities antigravity strength secondary to inclusion body myositits. pertinent results: admission labs: 03:46am blood wbc-7.0 rbc-3.73* hgb-12.8* hct-37.4* mcv-100* mch-34.3* mchc-34.2 rdw-15.1 plt ct-109* 03:00am blood pt-13.0 ptt-26.0 inr(pt)-1.1 06:15pm blood fibrino-400 03:46am blood glucose-122* urean-31* creat-0.8 na-144 k-3.6 cl-112* hco3-24 angap-12 12:45pm blood ck(cpk)-266 06:15pm blood lipase-45 05:15pm blood ck-mb-11* mb indx-1.4 ctropnt-0.08* 03:46am blood calcium-8.3* phos-2.5* mg-2.2 03:00am blood %hba1c-5.6 eag-114 03:00am blood triglyc-131 hdl-36 chol/hd-3.7 ldlcalc-72 06:15pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg discharge labs: 06:10am blood wbc-7.0 rbc-3.22* hgb-10.6* hct-32.4* mcv-101* mch-32.8* mchc-32.5 rdw-15.1 plt ct-109* 06:10am blood glucose-135* urean-38* creat-1.1 na-152* k-3.2* cl-119* hco3-24 angap-12 nchct : (prelim) 1. no evidence of new bleed. unchanged size of hematoma in the left basal ganglia. 2. resolution of blood in the right lateral ventricle, fourth ventricle and third ventricle. 3. slight increase in extent of subarachnoid hemorrhage likely secondary to redistribution from the original bleed. there is no evidence of new hemorrhage. nchct : impression: 1. overall stable appearance of left basal ganglia intraparenchymal hemorrhage with surrounding edema, but no significant midline shift. no herniation or definite evidence of hydrocephalus. 2. intraventricular hemorrhage involving nearly all the left lateral ventricle with extension in the right lateral ventricle and third and fourth ventricles; slight increase in third, fourth, and left occipital intraventricular hemorrhage, most likely reflects redistribution. 3. opacification of the left frontal sinus and ethmoid mucosal thickening may represent sinusitis. cxr : impression: 1. left costophrenic angle not fully included on the image. 2. endotracheal and nasogastric tubes in appropriate position. 3. low lung volumes with possible left base retrocardiac atelectasis. cxr increased patchy bibasilar density suspicious for pneumonia cxr there has been no significant change since the prior chest x-ray. increased retrocardiac density is again noted and atelectasis is also seen at the right base. underlying pneumonia, particularly at the left may be present. brief hospital course: # intracerebral hemorrhage: pt was admitted with a left basal ganglia bleed with significant intraventricular extension. neurosurgery was consulted, but they felt there was no neurosurgical intervention needed, including an evd. he was initially intubated and monitored in the icu where his sbp was kept < 160. he was extubated and transferred to the stroke floor. his neurological exam on discharge was notable for inattention, fluent language, but with some element of anomia with circumlocution. he continues to have contracted and weak distal extremities b/l (likely realted to his ), but no clear asymmetry in the ue proximally. in the le, the right ip and ham are somewhat weaker (~) than the left, and he has poor effort/rom with ankle dorsiflexion b/l. there was felt to be an element of overlying encephalopathy from medications/sedatives/intubation/icu delirium, that gradually was improving during course. a repeat head ct showed no evidence of hydrocephalus, which was a concern given the amount of intraventricular blood. his mental status did take a mild turn toward decline when he was diagnosed with pna, but this is expected to resolve with continued antibiotics. the patient's prognosis remains guarded, as his ich score was 2 or 3. his family was informed of his risk for developing complications and not fully recovering to baseline within the next 30 days. all anticoagulants were held except subcutaneous heparin ppx. htn: patient has baseline severe hypertension, and was on many home meds to control this. hctz/triamterene was stopped, lisinopril was increased, and clonidine was added. metoprolol, nifedipine were continued. # inclusion body myositis: patient has atrophy and weakness at baseline due to . he was walking with walker and mostly independent prior to ich. ck and troponin was elevated on admission, and this was likely due to his myositis in setting of paralytics used for intubation, rather than cardiac source. both ck and trop trended down to normal range. # pna: patient developed fever on . cxr showed bilateral lower lobe l>r and retrocardiac opacities c/w atelectasis plus pna. he was treated with vanco/zosyn for hospital-acquired pna. he remained afebrile, wbc trended down, and he was stable on room air. # electrolytes: prior to day of discharge, sodium began to trend up. creatinine also began to rise, which was most c/w free water deficit and dehydration. patient was given lr to replete k and bicarb, and increased his free water intake. lytes should be followed and repleted prn, along with lr maintanence fluid and encouraging free water intake. medications on admission: lisinopril 10 mg daily metoprolol xl 50 mg daily nifedipine 30 daily triamterene-hctz 37.5-25 daily (2 times a day). 6. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 7. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 8. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 9. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for sob. 11. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob wheezing. 12. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 13. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 14. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: 4.5 g intravenous q8h (every 8 hours) for 7 days. 15. vancomycin in d5w 1 gram/200 ml piggyback sig: one (1) g intravenous q 12h (every 12 hours) for 7 days. discharge disposition: extended care facility: hospital at discharge diagnosis: basal ganglia hemorrhage hypertension hospital acquired pneumonia discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. neuro exam: aox1-2. language intact. upper extremities full strength, lower extremities antigravity secondary to inclusion body myositits. discharge instructions: you were admitted with a bleed in your brain, likely related to high blood pressure. please continue to monitor your blood pressure regularly. please return to the er if you appreciate any new focal weakness, sensory changes, facial droop, trouble with language, headache, or anything else that concerns you seriously. you were also treated for pneumonia with antibiotics. you will complete your course of antibiotics at rehab. followup instructions: provider: , md phone: date/time: 1:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: pneumonia, organism unspecified unspecified essential hypertension unspecified glaucoma intracerebral hemorrhage pulmonary collapse dehydration encephalopathy, unspecified inclusion body myositis 

Answer: The patient is high likely exposed to