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: latex / penicillins attending: chief complaint: stroke code major surgical or invasive procedure: intravenous and intra-arterial tpa history of present illness: the pt is a 75 yo rh woman with a pmh of htn, hld, and ckd not on hd. she was biba after falling at home around 7:50 pm. she recalls falling and then believes her difficulty with speech started few minutes later. she is not aware of her l hemiplegia. per ems her bp was 202/104 and her bs was 123. her rhythm strip showed sr with a rate in the 70's. she was noted to have a dense l hemiplegia and l facial droop. she was also reported to be unable to communicate initially but then was dysarthric. ros: denies ha, cp, weakness, sob past medical history: mh: htn hld history rf history ra status post l4 5 disc hernia repair status post excision pituitary adenomoa status post appy, ccy, tah ovarian cyst status post exploratory lap --adhesion s/p appendectomy s/p cholecystectomy s/p hysterectomy s/p c-section x3 s/p ovarian cyst removal s/p exploratory laparotomy for adhesions s/p rhinoplasty s/p liposuction s/p excision of pituitary macroadenoma s/p explor lap--adhesions s/p excision pituitary marcoadenoma s/p l4 5 disc s/p appy, ccy, tah spastic colon s/p removal 3 benign polyps cataract surgery-bilateral recent social history: -married -former tobacco family history: -sister and mother died of colon ca physical exam: vitals: t: af p: 72 r: 16 bp:170/82 sao2: 98% 2l nc nih ss: 16 1a. level of consciousness: 0 1b. loc questions: 0 1c. loc commands: 0 2. best gaze: 1 3. visual: 1 4. facial palsy: 1 5a. motor arm, left: 4 5b. motor arm, right: 0 6a. motor leg, left: 4 6b. motor leg, right: 0 7. limb ataxia: 0 8. sensory: 2 9. best language: 0 10. dysarthria: 1 11. extinction and inattention: 2 general: awake, cooperative, nad. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no pedal edema skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. attentive, language is fluent with intact repetition and comprehension. normal prosody. there were no paraphasic errors. pt. was able to name both high and low frequency objects. able to read without difficulty but only reads the r half of the page. speech was dysarthric. able to follow both midline and appendicular commands on the r only. there was l neglect and agnosia to hemiplegia. cn i: not tested ii,iii: pt does not cooperate with formal vf testing, but does not blink to threat on the l. pupils 2.5mm->1.5 bilaterally, discs show some av nicking but fundi normal iii,iv,v: r gaze deviation but able to cross the midline, does not abduct fully to the l. no nystagmus v: no sensation to pin on l in v1-v3 vii: l facial droop w/o, symm forehead wrinkling viii: hears to voice bilaterally ix,x: palate elevates but limited view : 4 bilaterally xii: tongue protrudes midline motor: normal bulk and tone; no asterixis or myoclonus. no pronator drift on the r delt tri we fe grip io c5 c6 c7 c6 c7 c8/t1 t1 l 0------------------ r 5 5 5 5 5 5 5 ip quad hamst df pf l2 l3 l4-s1 l4 l5 s1/s2 l 0------------------ r 5 5 5 5 5 5 reflex: no clonus tri bra pat an plantar c5 c7 c6 l4 s1 cst l 0 0 0 0 0 extensor r tr 1 tr 1 0 flexor -sensory: no deficits to light touch, pinprick on the r. no sensation to any modality on the l in face, arm or leg; + extinction on the l -coordination: no dysmetria on fnf or hks on the r. -gait: na pertinent results: 10:00pm comments-green top 10:00pm hgb-11.8* calchct-35 09:50pm ctropnt-<0.01 09:50pm wbc-6.7 rbc-3.43* hgb-11.2* hct-31.6* mcv-92 mch-32.5* mchc-35.3* rdw-17.1* 09:50pm neuts-48.5* lymphs-41.5 monos-5.7 eos-3.8 basos-0.5 09:50pm plt count-278 09:05pm pt-12.2 ptt-24.6 inr(pt)-1.0 08:45pm glucose-105 urea n-33* creat-1.5* sodium-135 potassium-4.4 chloride-99 total co2-26 anion gap-14 08:45pm estgfr-using this 08:45pm alt(sgpt)-19 ast(sgot)-30 ld(ldh)-213 ck(cpk)-195* alk phos-90 tot bili-0.2 08:45pm ck-mb-5 08:45pm asa-neg ethanol-neg acetmnphn-12.6 bnzodzpn-neg barbitrt-neg tricyclic-neg 08:45pm wbc-8.0 rbc-3.34* hgb-10.9* hct-30.6* mcv-92 mch-32.5* mchc-35.5* rdw-17.4* 08:45pm plt count-335 08:45pm sed rate-20 brief hospital course: the pt is a 75 year-old rh woman with a pmh of htn, hld and ckd who presented to the ed after a fall with abrupt onset l hemiplegia, dysarthria and profound neglect. she has a r mca m2 cut off by cta with a significant mtt, consistent with a large penumbra. iv tpa was given in icu with nonsignificant improvement. ia tpa and merci were administered with considerable improvement in symptoms (improved strengh in left side and dysarthria). patient developed a hematoma on l femoral site, the enlarged for the first few days. the pseudo-aneurysm was followed-up closely with us and by the vascular team. patient received 1 u rbc transfusion. h/h stabilized and no further intervention was deemed necessary. patient was found to have afib, with a few episodes of rapid afib controlled with diltiazen and metoprolol. anti-coagulation with coumadin was initiated. medications on admission: metoprolol sr 25 mg 24 hr tab oral 1 tablet sustained release 24 hr(s) once daily simvastatin 40 mg tab oral 1 tablet(s) once daily terbinafine 250 mg tab oral 1 tablet(s) once daily zolpidem 10 mg tab oral 1 tablet(s) once daily, at bedtime hydrocodone-acetaminophen 5 mg-500 mg tab oral 1 tablet(s) every 6 hours seroquel 100 mg tab oral tablet(s) once daily, at bedtime alprazolam 1 mg tab oral 1 tablet(s) once daily hyzaar 100 mg-25 mg tab oral 1 tablet(s) once daily boniva 150 mg tab oral 1 tablet(s) once daily one daily multivitamin tab oral 1 tablet(s) once daily vitamin d 1,000 unit cap oral unknown # of dose(s) unknown folic acid 800 mcg tab oral unknown # of dose(s) unknown vitamin c 500 mg sr cap oral unknown # of dose(s) unknown discharge medications: 1. outpatient lab work please check inr m, w and f. please, fax it over to 2. warfarin 3 mg tablet sig: one (1) tablet po at bedtime. disp:*60 tablet(s)* refills:*2* 3. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed: if pain. disp:*30 tablet(s)* refills:*0* 6. epoetin alfa 10,000 unit/ml solution sig: one (1) injection qmowefr (monday -wednesday-friday). 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 9. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: right middle cerebral artery stroke discharge condition: good discharge instructions: you were admitted with trouble speaking and weakness on the left side of your body. you were found to have a stroke in the territory of the right middle cerebral artery. you were given medications intravenously and intra-arterially to unblock the artery in the icu. your symptoms improved significantly after that. you developed a hematoma on the right femoral area which was followed-up closely with ultrasonography and vascular experts. you needed to receive 1 unit of blood transfusion because your hematocrit was low. the neurology and cardiology team opted for initiation of anti-coagulation with coumadin because you have atrial fibrilation which increase the risk for embolus that would cause strokes. you will need to check your inr level very frequently by vns which will be faxed over to your pcp, . . if you notice any change in your hematoma, call your doctor immediately. followup instructions: neurology: , md phone: date/time: 3:30 pcp on at 11:30 am () procedure: venous catheterization, not elsewhere classified injection or infusion of thrombolytic agent arteriography of cerebral arteries procedure on single vessel endovascular removal of obstruction from head and neck vessel(s) diagnoses: anemia in chronic kidney disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation hematoma complicating a procedure chronic kidney disease, unspecified other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure late effects of cerebrovascular disease, other speech and language deficits cerebral embolism with cerebral infarction late effects of cerebrovascular disease, hemiplegia affecting nondominant side body mass index 27.0-27.9, adult 

Answer: The patient is high likely exposed to