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: found down major surgical or invasive procedure: none history of present illness: the patient is a 67 year old left handed man with a history of hypertension who presents after being found down in his apartment with blood pressure 170/104 and a right frontal-parietal iph with bilateral subarachnoid extension. he is accompanied today by his brother and his sister . the patient is unable to give a history due to aphasia. his brother, , reports that he was called today because the patient did not show up at work. apparently early this morning he was seen walking his dog, but may have been imbalanced. at approximately 11 am, his neighbor heard him trying to call out, moaning, and making noises from his apartment, so ems was called. he was found on the floor, awake and able to nod yes/no to questions but unable to stand. he was brought to an osh. the patient was initially seen at where bp 164/116->170/104->174/100, hr 97, rr 20, sao2 100% on 4l nc, fsbg 90. exam showed left sided facial weakness, garbled speech, moving right side only, looks towards the right side, not able to answer questions, able to attempt to follow commands such as smiling. a hard collar was applied due to a question of neck injury due to bruising. head ct showed a right parietal iph with bilateral acute subarachnoid blood. ct c-spine showed mild degenerative changes, no evidence of acute cervical spine fracture or traumatic cervical malalignment. cxr showed cardiomegaly. labs showed wbc 10.9, hct 48.8, plt 208, ck 138, na 141, k 3.9, cl 3.9, cl 101, co2 24, glucose 83, bun 23, cr 1.3, ca .1, tbili 1.1, ast 24, alt 19, inr 1.1, alk phos 72, tropt 0.02. he was given labetalol 10 mg iv, decadron 10 mg iv, dilantin 1 gram iv, and zofran 4 mg iv. he was transferred to for further evaluation. neurosurgery was consulted at and recommended sbp parameters <130, so he was started on nicardipine gtt. cta head showed no aneurysm or major vascular malformation. neurology was consulted for further evaluation. past medical history: hypertension raynaud's syndrome hearing impaired cataracts social history: he lives with his dog. he works 3 days/week at a funeral home in . he previously smoked cigarettes but has since quit. he drinks 3-4 shots of alcohol/day x10-20 years. his family does not think he uses illicit drugs. family history: his father and mother had hypertension. there is no family history of stroke or iph. physical exam: vs: temp 97.1, bp 135/75, hr 84, rr 16, sao2 95% on 2l genl: awake, alert neck: hard c-collar in place heent: sclerae anicteric, no conjunctival injection, oropharynx clear cv: regular rate, nl s1, s2, no murmurs, rubs, or gallops chest: cta bilaterally anteriorly and laterally, no wheezes, rhonchi, rales abd: +bs, soft, ntnd abdomen ext: bruise on right hand and scratch on left shoulder neurologic examination: mental status: awake and alert, intermittently agitated trying to sit up in bed. oriented to his first name only, not able to name the place or date. says yes/no but not always appropriately, nonfluent aphasia, frustrated that cannot get out the words he wants to say. dysarthric. unable to name any stroke scale objects, but is able to point to the feather and chair on the stroke scale card (but unable to point to the other objects correctly). cranial nerves: pupils equally round and reactive to light, 5 to 4 mm bilaterally. decreased blink to threat on the left. right gaze preference, but is able to get past midline to the left when tracking a dollar . appears to have difficulty with upgaze on the right. flat left nlf, and although he cannot follow the command to keep his eyelids closed against resistance, he does appear to have his left eye opened wider than the right. does not follow command to protrude tongue. motor: slightly decreased tone in his left arm, increased tone in his bilateral legs. no observed myoclonus, but + postural tremor in the right arm. full strength in the right arm and leg (muscle groups he cooperated with testing include deltoid, triceps, biceps, we, ff, ip, quadriceps, pf, and all were 5). he does not withdraw his left arm to noxious stimulus, and triple flexes his left leg to noxious. sensation: he groans to nailbed pressure and pinch on his left arm and leg. reflexes: 2+ and symmetric in biceps, brachioradialis, triceps. 3+ and symmetric in knees. 0 and symmetric in ankles. toes upgoing bilaterally. coordination: deferred gait: deferred pertinent results: 05:35am blood wbc-7.9 rbc-4.45* hgb-14.3 hct-41.3 mcv-93 mch-32.2* mchc-34.7 rdw-13.2 plt ct-257 05:35am blood glucose-106* urean-35* creat-0.7 na-145 k-3.8 cl-108 hco3-25 angap-16 05:50am blood calcium-9.1 phos-4.2 mg-2.3 02:33am blood %hba1c-5.4 eag-108 02:33am blood triglyc-45 hdl-109 chol/hd-2.1 ldlcalc-108 ecg: normal sinus rhythm. complete left bundle-branch block. compared to tracing #1 no diagnostic interval change. cta head: 1. large right frontal lobar hematoma with accompanying subarachnoid hemorrhage without midline shift or herniation. in this age group, consider amyloid angiopathy. underlying mass or vascular malformation cannot be excluded. 2. patent cerebral vessels without evidence of aneurysm greater than 3 mm or dissection. 3. age-related involution, small vessel ischemic disease, and bilateral basal ganglia lacunes. video swallowgram: minimal penetration with thin liquids. delayed swallow. brief hospital course: the patient is a 67 year old left handed man with a history of hypertension who presents after being found down in his apartment with blood pressure 170/104 and a right frontal-parietal iph with bilateral subarachnoid extension. his exam is significant for nonfluent aphasia, dysarthria, decreased blink to threat on the left, right gaze preference but able to look to the left, flat left nlf but also upper face weakness on the left, does not withdraw his left arm to noxious, triple flexes his left leg to noxious, upgoing toes bilaterally. he has a right fronto-parietal iph with likely subarachnoid extension. given the patient's left handedness, it is likely that his language centers are on the right or at least bilateral given that he does have some speech production (his name). the etiology is likely hypertensive given his history and elevated blood pressure upon admission to the osh. cta head does not show an underlying vascular malformation. hospital course: neurology patient was admitted to the neuro icu, exam remained stable. follow up ct on was stable. with story of being found on the ground an aphasia a c spine ct was done which was negative for any fracture. c-collar was cleared on . his lipid panel showed elevated ldl hence he was started on simvastatin 20mg once daily. additionally, patient underwent prolonged etoh withdrawal during this admission requiring valium and ativan prn. at the time of discharge, he was no longer having any withdrawal sypmtoms and not requiring any benzodiazepines. cardiology: initially required nicardipine gtt but was able to be switched to labetalol and he is discharged on 300mg twice daily. he can be titrated upwards and/or 2nd added if needed. gastrointestinal / nutrition: initially poor swallowing status but videoswallowing exam on that he was swallowing with minimal penetration hence he was started on ground solids, thin liquids and crushed meds. disposition: he was evaluated per physical and occupational therapists and he is recommended for acute rehab. he is discharged to rehab and will be following up with dr. (neurology attending who oversaw his care during this admission) as outpatient. medications on admission: unclear discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 7. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 8. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane tid (3 times a day). 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for gi ppx. 10. labetalol 300 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for htn. discharge disposition: extended care facility: rehab unit at - discharge diagnosis: primary diagnosis: (432.9) hemorrhagic stroke, etiology uncertain, but likely related to chronic hypertension and possibly alcoholic vasculitis as well secondary diagnoses: -chronic alchohol dependence -uncontrolled chronic hypertension -hypercholesterolemia discharge condition: aphasic, speaks gibberish. does not follow commands. left hemiparesis. localizes noxious stimuli. discharge instructions: you were admitted to after you had bleeding in your brain, likely due to high blood pressure. you were treated for alcohol withdrawal for several days with benzodiazepines (ativan and valium.) you no longer require medication for alcohol withdrawal. it is very important that you do not drink alcohol. with rehab, we hope that your weakness and speech will improve with time. followup instructions: (1) mri appointment -- need to call (#1) to arrange (mri ordered in omr). this mri needs to be performed prior to your appt with dr. . (2) with dr. in neurology-vascular (stroke) clinic ( of clinical center @/ aves.): tuesday, at 2:30pm md, procedure: enteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension subarachnoid hemorrhage unspecified hearing loss aphasia raynaud's syndrome unspecified intracranial hemorrhage other and unspecified alcohol dependence, continuous hemiplegia, unspecified, affecting unspecified side alcohol withdrawal delirium arteritis, unspecified 

Answer: The patient is high likely exposed to