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, transfer from osh with concern for right mca infarct major surgical or invasive procedure: endotracheal intubation bronchoscopy history of present illness: 88 year old right handed woman with a large posterior scalp mass but no other significant medical history who was brought to an osh after having been found down and head ct was concerning for a right parietal infarct. per patient, several nights ago she slid out of her bed and has been unable to move. she didn't initially note weakness or difficulty with speech although her mental status limits the history she provides. she reports she was able to call her neighbors to do her shopping, and they apparently found her down and called ems and brought her to an osh this evening. at the osh, bp 177/81, she was lethargic, dry appearing, and mucuous plugs were suctioned. she was noted to be in afib with rvr. ct head revealed small wedge shaped srea of low density in the right parietal lobe, atrophy, small vessel disease, and a posterior scalp mass. she was given 5mg lopressor x 2, ctx x 1, zithromax x 1, 3l ns. lfts increased, troponin 0.15, ck 611. cxray showed left sided opacification. ct neck done without obvious fracture and pelvic films also negative. transferred to for further managment. in the ed, she is sfebrile, requiring 3l o2. labs, cta head and neck requested, remains in afib and cardiology consulted with initiation of a heparin gtt. also given lopressor 5 mg x 1. troponin trended downwards. given vancomycin and admitted to icu for further care. past medical history: large posterior scalp massl patient says surgery postponed because pcp recently retired per patient scalp sugery in the , broken ankle in anemia social history: lives alone, retired english school teacher, nonsmoker, denies alcohol, has a cousin in , uses a cane family history: unknown physical exam: t-97.9 bp-124/85 hr- 128rr- 20 o2sat 100%3l gen: lying in bed, noisy breathing heent: large poterior scalp mass, moist oral mucosa neck: supple cv: tachy lung: clear to auscultation bilaterally abd: +bs soft, nontender skin: erythematous areas over le ext: no edema neurologic examination: mental status: general: alert, awake, normal affect orientation: oriented to person, , but says incorrect day -asks if it is tues, wed, thursday?. executivefunction: *follows simple axial and appendicular commands: closes and opens his eyes, shows tongue. releases a grip at command. speech/language: dysarthria pronounced, repetition intact praxis/ agnosia: able to demonstrate how to brush teeth and comb hair no field cuts: to red pin in different quadrants. able to tell how many people there are in the room . calculations: incorrect: says 7 quarters in 2.75 cranial nerves: ii: pupils equally round and reactive to light, 4 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v1-3: sensation intact v1-v3. vii: left facial droop viii: hearing intact to finger rub bilaterally. ix & x: palate elevation symmetric. uvula is midline. : sternocleidomastoid and trapezius full strength bilaterally. xii: good bulk. no fasciculations. tongue midline, movements intact. motor: normal bulk bilaterally. delt; c5 bic:c6 tri:c7 wr ext:c6 fing ext:c7 left 1 0 1 0 0 right 5 5 5 5 5 . ip: quad: hamst: dorsiflex: :pl.flex left 4+ 5 5 5 5 5 right 4+ 5 5 5 5 5 . deep tendon reflexes: . biceps: tric: brachial: patellar: achilles toes: right 1 1 1 1 1 mute left 1 1 1 1 1 up . sensation: intact to light touch, vibration coordination: finger-nose-finger normal on right only gait: untested romberg: untested on discharge t 96.6 p 90s-110s bp 142/56 rr 21 spo2 98% (40% facemask) heent: large posterior scalp : eyes open lynig in bed w/ tachypnea pulm: crackles b/l at bases cv: irregular, ns1s2 abd: soft, nt ext: no edema neuro: ms: alert w/ eyes open - unresponsive to sternal rub, not following simple commands cn: ii - xii intact, pupils react, eomi motor: r side withdraws to noxious stim; l side minimal movement pertinent results: wbcs 17.5 cxr () one view. comparison with the previous study done . there is motion artifact. retrocardiac consolidation appears stable. there is streaky density in the lower right lung likely representing subsegmental atelectasis and evidence of a small right effusion as before. the heart and mediastinal structures are unchanged in appearance. a feeding tube and picc line remain in place. eeg () this is an abnormal routine eeg due to slowing and disorganization of the low voltage background, indicative of a moderate to severe encephalopathy. toxic, metabolic and infectious disturbances are common causes. no evidence of epileptiform discharges, electrographic seizures or nonconvulsive status epilepticus was seen during this recording. there were no prominent focal abnormalities, but encephalopathies may obscure focal findings. ct (head) 1. acute infarction, predominantly in the right mca territory, but also involving left corona radiata, redemonstrated. no evidence of extension, new infarction, or hemorrhagic conversion. 2. large posterior scalp soft tissue mass redemonstrated, again possibly representing extensive venolymphatic malformation or hemangioma, or other non-aggressive process, with other differential diagnostic considerations as outlined in the report of very recent mri. tte the left atrium is moderately dilated. no thrombus/mass is seen in the body of the left atrium. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild to moderate global left ventricular hypokinesis (lvef = 40%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size is normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mass or vegetation is seen on the mitral valve. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is a very small pericardial effusion. there are no echocardiographic signs of tamponade. brief hospital course: stroke patient was admitted after being found down. she was found to have a right parietal infarct. her exam worsened during the hospitalization and she required intubation for pulmonary distress. stroke was thought secondary to cardioembolic source and patient was found to be intermittently in atrial fibrillation. vessel imaging and cardiac echo revealed no dissections and no vegetations. she was on heparin therapy and bridged to coumadin while she had a ngt in place. she pulled out the tube on and decision was made not to replace it. pneumonia patient was in respiratory distress and required intubation. she had two bronchoscopies which did not reveal any culture positive organisms. she was extubated after discussions with her hcp, but continued to be in respiratory distress requiring 40% facemask with sats in the 80s-90s. decision on to make cmo after discussion with her hcp. comfort measures discussion was had with her hcp , ) and decision was made to withdraw care and make cmo after she pulled out her ngt, and failed to improve clinically. she was transferred to hospice care. medications on admission: none discharge medications: 1. acetaminophen 650 mg/20.3 ml solution sig: one (1) po q6h (every 6 hours) as needed for pain. 2. scopolamine base 1.5 mg patch 72 hr sig: one (1) patch 72 hr transdermal once (once) for 1 doses. 3. morphine concentrate 20 mg/ml solution sig: 0.25 - 1.0 ml po q2h (every 2 hours) as needed for discomfort. 4. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for agitation. discharge disposition: extended care facility: home - discharge diagnosis: left parietal stroke pneumonia discharge condition: mental status: confused - always. level of consciousness: lethargic and minimally responsive activity status: bedbound. discharge instructions: patient was admitted to the hospital after being found down. initially the patient was in respiratory distress and intubated in the icu. bronchoscopy was negative for infection, and endotracheal tube was taken out after discussion with health care proxy. after being minimally responsive for one week outside of the icu, thre decision was made to make comfort measures only. - administer sl morphine for distress - administer sl ativan for agitation - scopolamine patch for secretions followup instructions: patient made cmo md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnoses: hyperpotassemia toxic encephalopathy unspecified essential hypertension candidiasis of other urogenital sites atrial fibrillation acute respiratory failure alkalosis encounter for palliative care cerebral embolism with cerebral infarction dysarthria do not resuscitate status pressure ulcer, heel accidental fall from bed rhabdomyolysis hemiplegia, unspecified, affecting unspecified side other nonspecific abnormal serum enzyme levels other staphylococcus pneumonia pressure ulcer, stage i nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] facial weakness other fluid overload abrasion or friction burn of hip, thigh, leg, and ankle, without mention of infection disorders of soft tissue, unspecified abrasion or friction burn of foot and toe(s), without mention of infection 

Answer: The patient is high likely exposed to