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: penicillins attending: chief complaint: found unresponsive major surgical or invasive procedure: none history of present illness: 79 yo woman with pmh htn (dx'ed earlier this year), hypothyroid, arthritis s/p knee arthroscopy who had been in usoh until yesterday (had then c/o leg pain), and had gone to bed at her usual time around 10:30pm last night. she was found unresponsive, face-down on the floor between 6am and 6:30am by her family, making grunting/gasping sounds, and not moving the left arm. she was not speaking, nor did she appear to understand what was going on around her. ems was called, and they intubated her in the ambulance. she was taken to -, where she was found to be in rapid afib with rate 130s; given levaquin+flagyl for "respiratory distress" (assume pna); head ct was read as normal, and ct c-spine was normal (no fracture), thus collar taken off. she had wbc ct5.6, hct 42.4, plt 192, inr 1.0, ptt 20.1, ph 7.41, pco2 37 and po2 353 on 100%fio2. she was noted not to be moving the rue or following commands off sedation; she was transferred to for further w/u. family denies other recent illnesses or c/o. past medical history: htn (dx'ed earlier this year) hypothyroid arthritis s/p knee arthroscopy s/p cataract surgery macular degeneration social history: lives alone in ; no tob, no etoh - walks, but some limited mobility because of arthritis family history: no strokes or sz in family physical exam: t 101.6 hr 110-130 bp 177/66 rr 20s on vent, 94-98% on 70%fio2 general: intubated; turned off propofol 5-10 min prior to exam heent: moist mucus membranes, et tube in place neck: some rigidity, no bruits heart: irreg, irreg, tachy lungs: rhonchorous anteriorly/laterally abdomen: soft, nontender +bs extremities: warm, well-perfused skin: raised red convergent plaques over r torso in a horizontal linear distribution mental status: unresponsive to verbal; grimace and spont mvmt of 3 limbs to sternal rub, min. eye opening. cranial nerves: could not visualize fundi due to small pupil size; both pupils react 2->1mm, equal. +corneals, +ocr, +gag; eyes midline, no spontaneous mvmt to r vs l. did not blink to threat on either side. no obvious facial asymmetry, but et tube in place. sensorimotor: grimace to sternal rub, with some eye-opening; brisk w/d rue, rle, w/d lle not as vigorous as contralateral side; flaccid lue that did not w/d. reflexes: the tendon reflexes are present and symmetric. the plantar reflexes are flexor on the right, extensor on the left. coordination: could not be assessed pertinent results: admission labs: 09:50am pt-12.5 ptt-23.6 inr(pt)-1.1 09:50am plt count-223 09:50am neuts-86.4* lymphs-8.8* monos-3.5 eos-0.7 basos-0.7 09:50am wbc-10.6 rbc-4.40 hgb-13.6 hct-40.5 mcv-92 mch-30.8 mchc-33.5 rdw-13.1 09:50am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:50am t4-5.5 09:50am tsh-3.5 09:50am calcium-8.9 phosphate-2.2* magnesium-2.3 09:50am ck-mb-15* mb indx-3.7 09:50am ctropnt-0.04* 09:50am lipase-28 09:50am alt(sgpt)-18 ast(sgot)-28 ck(cpk)-408* alk phos-90 amylase-58 tot bili-0.8 09:50am glucose-194* urea n-18 creat-0.8 sodium-144 potassium-4.2 chloride-107 total co2-24 anion gap-17 11:17am lactate-3.2* 11:17am type-art po2-98 pco2-51* ph-7.35 total co2-29 base xs-0 12:00pm urine rbc-0-2 wbc- bacteria-many yeast-none epi-0-2 12:00pm urine blood-mod nitrite-pos protein-tr glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:00pm urine color-yellow appear-hazy sp -1.029 12:00pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 03:59pm cerebrospinal fluid (csf) wbc-0 rbc-1* polys-0 lymphs-87 monos-13 03:59pm cerebrospinal fluid (csf) protein-33 glucose-104 06:30pm ck-mb-32* mb indx-2.8 ctropnt-<0.01 06:30pm ck(cpk)-1131* . admission ct head: subtle hypodensity, loss of grey/white distinction, and slight effacement of cortical sulci of the right frontal and temporal lobes consistent with acute right mca territory infarction . ct head : findings: since the prior study, there has been extensive multiloculated hemorrhage into the pre-existent near-complete right middle cerebral artery infarction. there is markedly increased mass effect, with severe effacement of the right lateral ventricle and approximately 15 mm leftward shift of the septum pellucidum. there is also a small area of infarction within the right occipital lobe, which presumably represents entrapment of the right posterior cerebral artery as it crosses the region of the tentorial incisura. in that light, there is marked right-sided uncal and hippocampal herniation with moderate obstructive dilatation of the right temporal tip. while the posterior fossa images are degraded by motion artifacts, no overt tonsillar herniation is seen. the surrounding osseous and soft tissue structures display no new abnormalities. . conclusion: interval marked hemorrhage into the right middle cerebral artery infarct. extensive uncal, hippocampal and subfalcine herniation. brief hospital course: pt. was admitted to the neuro icu and maintained on the ventilator overnight. she was noted to be in atrial fibrillation, however a decision was made to hold off on anti-coagulation until the size of her infarct could be determined to avoid hemorrhagic conversion. she was covered with vancomycin, ceftriaxone, acyclovir to cover for meningitis until lp results returned (see above), and then these were d/ced. the next morning she was noted to have a dilated r pupil, so stat head ct was performed, and showed hemorrhage into the area of infarction and brainstem herniation. the team met with the family to discuss goals of care, and the family elected to pursue comfort care. therefore pt. was extubated and antibiotics d/ced. the pt. expired several minutes after the vent was stopped with family at the bedside. family declined autopsy. medications on admission: atenolol 25 levoxyl 25 discharge medications: none discharge disposition: expired discharge diagnosis: l mca infarction with hemorrhagic conversion atrial fibrillation discharge condition: expired discharge instructions: none followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung arterial catheterization diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation osteoarthrosis, unspecified whether generalized or localized, site unspecified encounter for palliative care cerebral artery occlusion, unspecified with cerebral infarction 

Answer: The patient is high likely exposed to