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: service: history of present illness: the patient is a 57 -year-old male with episodes of left arm tingling and dizziness times four months. he denies chest pain or pressure. past medical history: he has a past medical history of post a cyst excision in . allergies: no known drug allergies. physical examination: he is a pleasant man, awake, alert, and oriented times three, with no lymphadenopathy, no thyromegaly. chest was clear to auscultation. cardiac: nontender, nondistended, no hepatomegaly, no splenomegaly. extremities: no edema. his motor strength is in all muscle groups. hospital course: he is being admitted for treatment of the left internal carotid artery aneurysm with status post a clipping of the aneurysm. postoperatively the patient was monitored in the surgical intensive care unit. he was afebrile, his blood pressure was 140-160/60-70s. he was awake, alert. he had difficulty with expressive aphasia and slurring. he did give appropriate one word answers and occasionally had word finding difficulties. his pupils were 2.0 mm down to 1.5 mm and brisk bilaterally. his extraocular movements were full. he had a mild facial droop on the right side and showed evidence of right upper weakness. he was 4- in the deltoid, biceps and triceps, with 3-4 in the wrist extension and finger flexion. otherwise he was in all muscle groups. sensation was intact to light touch. he was started on high rate of fluids and was noted to improve neurologically with better strength on his right side. the patient had a ct scan on the day of surgery at 04:00 pm in the afternoon, showed no evidence of intraparenchymal hemorrhage, subarachnoid hemorrhage, or clot, or significant edema or midline shift. final from the head ct scan was showed questionable left anterior choroidal artery territory infarct. on , the patient's weakness moved down to his right lower extremity and continued to have right upper extremity weakness and a more pronounced right facial droop with more pronounced slurring of his speech. the patient had an arteriogram on that showed no evidence of vasospasm and with aneurysm well-clipped and patent anterior choroidal artery. the patient was maintained with a high rate of iv fluids, to keep blood pressure 150-160. the patient continued to tolerate po and will need follow-up swallow study in one week if he continues to have no evidence of aspiration signs and symptoms or sooner if signs and symptoms of aspiration develop. discharge medications: percocet one to two tabs po q four hours prn, zantac 150 mg po bid, dilantin 100 mg po tid, heparin 5,000 units subcutaneous . disposition: the patient was seen by physical therapy and occupational therapy and found to require acute rehabilitation. the patient was discharged to rehabilitation in stable condition. discharge condition: his vital signs were stable, he was afebrile, and continued with a right hemiparesis with 0-1 strength in the deltoid with 4- strength in the biceps and triceps in the right upper extremity, and probably 1-2 strength in the right lower extremity with movement on the bed, unable to lift it up off the bed. follow-up: the patient will be followed up with dr. in two to three weeks time. , m.d. dictated by: medquist36 procedure: clipping of aneurysm diagnoses: esophageal reflux unspecified essential hypertension cerebral aneurysm, nonruptured iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to