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: patient recorded as having no known allergies to drugs attending: chief complaint: aphasia major surgical or invasive procedure: none history of present illness: is a 50 year old rh woman assessed in the past for atrial flutter at the clinic in in by dr. . a holter study in 03 / 03 showed three recordings with runs of atrial fibrillation. after that evaluation, she did not return to this clinic and remained most of the time symptoms-free. however, a year ago she started with episodes of palpitations accompanied occasionally by chest pressure. it is centrothoracic, non-radiated, not associated to n-v, lightheadedness or any other symptoms. initially she associated it with exercise,though eventually it happened at rest. the pressure would last for 15 minutes sometimes, whereas the palpitations would occasionally last for 2 hours. she had never had any focal weakness, numbness, diplopia, dysarthria, dysphagia or any other neurological symptoms. she denies talking any pills to lose weight, or drugs, or thyroid hormone. she has no asthenia/ anorexia. there was no special diets, or evidence of chf by history. finally, she is not pregnant. there is no weight loss, no diarrhea or aother hyperthyroidism data. she does not abuse alcohol. today she started feeling clumsy at 11:00 am. she could not properly close the zip in a coat. then she tried to talk to her husband and found she could not produce words. she could understand him, but not convey words. the episode lasted for 5 minutes. she relates no weakness or numbness. no other accompanying symptoms. at 11:30 am she felt unable to speak again. this time for a few seconds. she canot actually clarify if the event was real or she was anxious. they decided to visit the ed. once there, she had another event at 2:00 pm. she was running hr 130 af and received lopressor 5 mg iv. then she received a ct head scan: normal. subsequently received asa 325 and heparin drip (bolus of 3500 units) and was sent to ed. she has an appointment with dr. (cardiology) in 2 weeks. past medical history: atrial flutter diagnosed three years ago with runs of atrial fibrillation. social history: social history - she is a mother of three kids, works in a dermatologist office. she does not smoke and consumes 2 glasses of wine per night. denies drugs family history: family history: grandmother with mi and stroke at age 63. physical exam: physical examination: vs:99.1f, 122/ 64, 70-90 bpm, rr12, 100% in ra. gen: lying in bed, nad. heent: nc/at, moist oral mucosa. neck: supple, no carotid or vertebral bruit. no meningysmus. no goiter or nodules at palpation, no bruits. back: no point tenderness or erythema cv: tachycardic, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: soft, nontender, non-distended. no masses or megalies. percussion within normal limits. +bs. ext: no edema, no dvt data. pulses ++ and symmetric. neurologic examination: ms: general: alert, awake, normal affect orientation: oriented to person, place, date, situation attention: months of the year backwards +. follows simple/complex commands. speech/language: fluent w/o paraphasic errors; comprehension, repetition, naming for high and low frequency objects: intact. normal prosody. intact, but clumsy and insecure. memory: registers and recalls when given choices at 5 min praxis/ agnosia: able to brush teeth. no field cuts. cn: i: not tested ii,iii: vff to confrontation, perrl 4mm to 3mm, fundi normal (sharp disc margins). iii,iv,vi: eomi, no ptosis. no nystagmus v: sensation intact v1-v3 to lt vii: no facial asymmetry. viii: hears finger rub bilaterally ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue protrudes midline, no dysarthria motor: normal bulk; no tremor, asterixis or myoclonus. no pronator drift. right upper limb: delt;c5 bic:c6 tri:c7 we:c6 fe:c7 left 5 5 5 5 4 right 4 5 5 5 4 ip:l2 quad:l3 hamst:l4-s1 dorsiflex:l4 :l5 left 5 5 5 5 5 right 5 5 5 5 5 deep tendon reflexes: no clonus. bicip:c5 tric:c7 brachial:c6 patellar:l4 toes: right 2 2 2 2 downgoing left 2 2 2 2 downgoing sensation: intact to light touch, vibration, proprioception, and temperature. coordination: *finger-nose-finger normal, rapid arm movements normal. fine finger tapping: normal. gait/romberg: normal pertinent results: 05:20am blood wbc-3.7* rbc-3.82* hgb-12.5 hct-35.4* mcv-93 mch-32.8* mchc-35.3* rdw-12.4 plt ct-295 05:20am blood wbc-4.4 rbc-4.09* hgb-13.2 hct-37.8 mcv-92 mch-32.2* mchc-34.8 rdw-12.6 plt ct-322 07:55am blood wbc-3.9* rbc-4.03* hgb-13.1 hct-37.7 mcv-94 mch-32.5* mchc-34.7 rdw-12.5 plt ct-315 07:50am blood wbc-4.9 rbc-4.44 hgb-14.8 hct-42.2 mcv-95 mch-33.4* mchc-35.0 rdw-12.4 plt ct-266 07:25am blood wbc-4.7 rbc-4.35 hgb-14.3 hct-40.3 mcv-93 mch-32.8* mchc-35.4* rdw-12.6 plt ct-249 07:58am blood wbc-5.4 rbc-4.34 hgb-14.2 hct-40.8 mcv-94 mch-32.7* mchc-34.7 rdw-12.2 plt ct-239 02:12am blood wbc-6.7 rbc-3.99* hgb-13.1 hct-36.6 mcv-92 mch-32.9* mchc-35.9* rdw-12.8 plt ct-190 02:12am blood wbc-7.5 rbc-3.71* hgb-12.5 hct-35.2* mcv-95 mch-33.7* mchc-35.5* rdw-12.2 plt ct-180 05:30am blood wbc-5.1 rbc-3.72* hgb-12.6 hct-35.0* mcv-94 mch-33.9* mchc-36.0* rdw-12.3 plt ct-182 07:45am blood wbc-5.5 rbc-4.55 hgb-14.7 hct-42.7 mcv-94 mch-32.4* mchc-34.5 rdw-12.3 plt ct-244 07:20am blood wbc-6.6 rbc-4.10* hgb-13.6 hct-38.6 mcv-94 mch-33.3* mchc-35.3* rdw-13.0 plt ct-236 05:20am blood pt-12.8 ptt-31.5 inr(pt)-1.1 05:20am blood pt-12.6 ptt-26.4 inr(pt)-1.1 07:55am blood pt-12.2 ptt-24.3 inr(pt)-1.0 07:58am blood pt-12.3 ptt-24.7 inr(pt)-1.0 02:12am blood pt-12.6 ptt-26.2 inr(pt)-1.1 07:20am blood pt-13.1 ptt-68.3* inr(pt)-1.1 02:12am blood esr-2 05:20am blood glucose-96 urean-7 creat-0.8 na-141 k-3.9 cl-107 hco3-27 angap-11 05:20am blood glucose-102 urean-9 creat-0.8 na-140 k-4.1 cl-104 hco3-26 angap-14 07:55am blood glucose-96 urean-11 creat-0.8 na-139 k-4.1 cl-101 hco3-28 angap-14 10:10am blood glucose-104 urean-8 creat-0.8 na-138 k-4.3 cl-103 hco3-25 angap-14 07:25am blood glucose-121* urean-8 creat-0.8 na-141 k-3.9 cl-104 hco3-28 angap-13 02:12am blood glucose-104 urean-4* creat-0.8 na-138 k-4.0 cl-103 hco3-25 angap-14 02:54pm blood glucose-101 urean-5* creat-0.8 na-135 k-4.1 cl-104 hco3-24 angap-11 02:12am blood glucose-162* urean-6 creat-0.9 na-135 k-3.8 cl-101 hco3-25 angap-13 05:30am blood glucose-92 urean-11 creat-0.9 na-136 k-3.7 cl-103 hco3-22 angap-15 07:45am blood glucose-89 urean-8 creat-0.9 na-135 k-3.8 cl-101 hco3-25 angap-13 07:20am blood glucose-92 urean-9 creat-0.9 na-138 k-4.0 cl-102 hco3-24 angap-16 05:30am blood alt-18 ast-27 alkphos-54 totbili-0.4 07:20am blood ck(cpk)-71 07:20am blood ck-mb-notdone ctropnt-<0.01 05:20am blood calcium-9.2 phos-4.2 mg-2.0 05:20am blood calcium-9.3 phos-4.2 mg-2.1 07:55am blood calcium-9.2 phos-4.8* mg-2.1 10:10am blood calcium-9.4 phos-4.3 mg-1.9 07:25am blood calcium-9.3 phos-4.3 mg-1.9 07:58am blood calcium-9.1 phos-3.5 mg-1.7 02:12am blood calcium-9.1 phos-2.9 mg-2.1 02:54pm blood calcium-8.8 phos-3.5 mg-1.7 02:54pm blood calcium-8.8 phos-3.5 mg-1.7 02:12am blood calcium-8.8 phos-3.4 mg-1.7 05:30am blood totprot-6.6 albumin-3.9 globuln-2.7 cholest-177 05:30am blood calcium-9.0 phos-4.4 mg-1.9 07:45am blood calcium-9.4 phos-3.7 mg-1.9 07:20am blood calcium-9.6 phos-3.0 mg-1.9 05:30am blood %hba1c-5.6 05:30am blood triglyc-72 hdl-91 chol/hd-1.9 ldlcalc-72 02:12am blood tsh-2.8 07:20am blood tsh-2.7 02:12am blood crp-2.5 05:50am blood phenyto-11.7 02:12am blood phenyto-5.1* brief hospital course: critical care unit course: transferred to tsicu on 12/ 01 overnight given agitation in the context of possible seizures. started on pht and keppra. eeg 12/ 02: normal. she was started on pht and keppra given right gaze deviation. currently on keppra (increased dose from 750 to 1000 today), and pht (decreased from 150 tid to 100 tid with the goal of dcing it while tappering gently). mri with gadolinium 12/ 02: no masses underlying the bleed. ct cns w/o contrast 12/ 02: new right fronto-parietal stroke. have resumed asa on (low dose). on zocor 20 qhs. on hep sc for dvt ppx started on 12/ 03 this 50 yo woman was transferred to on , and was found by mri brain on to have a left parietal bleed that was thought to be the result of a hemorrhagic conversion of an ischemic stroke secondary to her af (she had not been on coumadin) in the context of having received a bolus of heparin at an osh. mri brain showed no underlying masses or other source for the bleed. she was transferred to the icu when the day after her initial admission she became confused, incontinent, and somnolent consistent with having had a seizure. she was loaded with dilantin and also started on keppra. as her keppra was titrated up, her dilantin was slowly titrated off. her eeg showed slowing without evidence of epileptiform discharges. her nchct at that time showed no evidence of a tumor underlying the left parietal bleed. however overnight as her mental status did not clear, she received another nhcht which showed evidence of a new acute infarct on the right, leaving her with left sided weakness. in the context of her bleed, she was continued on asa 81 mg daily, but her anticoagulation was held with the plan to restart it in weeks after the date of the initial bleed. she was eventually transferred back to the floor where her main issue remained her af. she at times had a ventricular rate that was hard to control. cardiology was consulted and she was ultimately managed with metoprolol and amiodarone, which was to be loaded at 200 mg tid for 7 days (ending ) and then maintained on 200 mg qday thereafter. her tte showed no thrombus, atheroma, or pfo. her mental status improved, and she passed her speech/swallow evaluation. on discharge, plan was to reinitiate anticoagultion on . her residual neurological deficts included a mixed aphasia, more productive than receptive, and left sided weakness in the 3-4 range. medications on admission: medications: minocin 100 qd mva vit d and calcium carbonate (unknown dose): 2qwk omega 3 oil. discharge medications: 1. acetaminophen 325 mg tablet : two (2) tablet po q6h (every 6 hours) as needed for fever. 2. simvastatin 10 mg tablet : two (2) tablet po hs (at bedtime). 3. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 4. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 5. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. heparin (porcine) 5,000 unit/ml solution : 5000 (5000) units injection tid (3 times a day): discontinue once coumadin started. 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 8. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 9. levetiracetam 500 mg tablet : two (2) tablet po bid (2 times a day). 10. quetiapine 25 mg tablet : one (1) tablet po bid (2 times a day) as needed for agitation. 11. amiodarone 200 mg tablet : one (1) tablet po tid (3 times a day) for 7 days: switch frequency to 200 mg qday on . . 12. lorazepam 2 mg/ml syringe : 0.5-2 mg injection q4h (every 4 hours) as needed for generalized seizure > 5minutes or more than two seizures in 30 minutes. 13. coumadin 5 mg tablet : one (1) tablet po at bedtime: begin . discharge disposition: extended care facility: - discharge diagnosis: bilateral strokes discharge condition: stable. persistent mixed apahasia and left weakness. discharge instructions: you have had 2 strokes, one on the left that also ended up bleeding, and a second on the right. we feel that these were probably the result of clots that were formed in your heart as a result of your arrhythmia. you have been started on the medicine amiodarone for control of your atrial fibrillation, the dose for which currently is 200 mg three times per day, but this should change to 200 mg once a day starting . you should restart your anticoagulation with coumadin on . followup instructions: provider: , md phone: date/time: 3:00 with pcp: , . . call for appt. procedure: enteral infusion of concentrated nutritional substances diagnoses: atrial fibrillation other convulsions atrial flutter cerebral artery occlusion, unspecified with cerebral infarction 

Answer: The patient is high likely exposed to