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: slurred speech and l sided weakness major surgical or invasive procedure: cerebral angiogram and intra-arterial tpa/merci history of present illness: ms. is a 87 yo w with h/o af who presents with slurred speech and l sided weakness on rounds this morning. the patient was admitted for dyspnea presumably due to pneumonia. she was hydrated and then developed increased respiratory distress early this morning. cxr showed chf, and she responded to lasix. she was last seen at 4am, when rn gave her meds, which she took without difficulty. at 8am, intern rounding noticed severely slurred speech and not moving l side, so called code stroke. upon arrival, patient had eyes closed but was arousable and interactive. she had l hemiparesis and facial droop, and dysarthria. eyes were deviated to the right. there was no convulsive activity noted by rn or at time of exam. no incontinence. head ct showed hyperdense r mca, and cta showed cut off around r m2 segment. ct perfusion showed increased mtt and also decreased blood volume in the inferior greater than superior r mca territory. patient was then taken for intervention. on cerebral angiogram, r mca appeared to have opened sponataneously. of note, she had been switched from coumadin to dabigatran last month. she took this new med for a couple of weeks then had massive epistaxis and presented to the ed. for unclear reasons, dabigatran was stopped at the time of her ed visit (5 days prior to stroke) and coumadin was not restarted either. past medical history: 1) atrial fibrillation (on coumadin for appr. 10 yrs, stopped 1 week ago) 2) mitral regurgitation with normal ejection fraction 3) gout 4) ventral hernia s/p repair () with subsequent exploration of wound and vacuum-assisted closure device placement for cellulitis () 5) hx of diverticulosis s/p low anterior resection with omental flap on 6) prior venous ulcers s/p stripping of bilateral long saphenous venous system and split-thickness skin grafting to ulcers () social history: lives in in an apartment by herself, uses a walker or cane to perform her adls. has two daughters, one living in the area, and two grandchildren. she denies any tobacco or etoh use. family history: uncles with diabetes mellitus, father's family with stomach cancer. physical exam: admssion exam: eyes closed, open on command. perrl 4 to 2mm. eyes deviated to the right, moves to midline but not cross midline on dolls eyes. no nystagmus. follows midline and r side commands. oriented to self, age. speech severely dysarthric. naming intact, repetition intact, comprehension intact. l facial droop. tongue midline. l side 0/5, withdraws purposefully to pain. r side antigravity. discharge exam: awake, alert and interactive. naming, repetition and comprehension intact. l neglect. l dense hemiparesis, hypereflexia and upgoing toe. pertinent results: admission labs: wbc-15.1* rbc-4.07* hgb-12.2 hct-36.7 mcv-90 mch-30.1 mchc-33.3 rdw-14.7 plt ct-236 neuts-92.9* lymphs-3.4* monos-2.7 eos-0.2 baso-0.9 pt-13.9* inr(pt)-1.2* glucose-132* urean-26* creat-1.4* na-137 k-4.1 cl-101 hco3-30 angap-10 imaging: head ct/cta/ctp: occluded right middle cerebral artery m1 segment. large area of likely acute ischemia within the right middle cerebral artery territory, with limited ischemic penumbra. noncontrast head ct (24 hr) evolving superior division right middle cerebral artery territory infarct, without hemorrhagic transformation at this time. echocardiogram the left atrium is mildly dilated. no thrombus/mass is seen in the body of the left atrium. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. the right ventricular cavity is mildly dilated with normal free wall contractility. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no mass or vegetation is seen on the mitral valve. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate to severe tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: 87 yo w with h/o af not currently anticoagulated p/w dyspnea then had acute r mca stroke. stroke: patient was found to have dysarthria and l sided weakness the morning following admission. code stroke was immediately called. neurologic examination c/w gaze deviation to the right, with l hemiparesis (face/arm/leg) and dysarthria, otherwise language intact. stat ct head showed r mca infarct, with perfusion scans already indicating increased mtt and reduced blood volume. cta showed cut-off at m2 segment there is some calcification in the carotids but no occulsive disease, and the most likely etiology remains cardioembolism from atrial fibrillation in setting of stopped anticoagulation. inr was subtherapeutic. she was outside the window for iv t- time of onset could not be reliably established, but was still a good candidate for intervention given the lack of changes on noncontrast ct and the proposed mechanism. she was taken to angio, where cerebral angiogram of r carotid showed r mca was already partially open, the clot had partially resolved spontaneously but flow was not normal. ia tpa was given, with some increased perfusion but incomplete recanulation of r mca. later in icu, pt was able to wiggle l toe. patient was admitted to the neuro icu. she ruled out for mi. she was monitored for 24 hours with stable neuro exams and stable noncontrast head ct. she was transferred to floor. she was restarted on coumadin with aspirin bridge given concern for hemorrhage risk. she did not recover significant movement of her left side. inr at discharge was 2.2, and asa should be continued for 1 additional day then stopped. pt/ot recommended acute rehab. speech/swallow recommended nectar thick/purees, she was intermittently able to take thin liquids but did cough/sputter at times. she should be re-evaluated at rehab facility for this. htn: home antihypertensives were held and bp remained normotensive. she can follow up about restarting these meds at her stroke follow up appt. pna: patient had pna on admission and received levaquin. she was stable on nasal canula and nebulizers. she will complete a 10 day course of levaquin on . please repeat cxr in 2 weeks. chf: patient had chf on cxr on admission, and received intermittent lasix. she was also restarted on home dose lasix daily. code: patient was full code, confirmed with daughter. dispo: rehab medications on admission: - bactrim ds 1 tab for 10 days (started ) - valsartan 150 mg daily - centrum silver tablet daily - cartia xt 120 mg 24 hrs daily - calcium 500 mg tab daily - allopurinol 100 mg daily - furosemide 40 mg daily - hydrocortisone 2.5 rectal cream - levothyroxine 25 mcg daily discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. hydrocortisone 2.5 % cream sig: one (1) appl rectal daily (daily). 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob. 8. ipratropium bromide 0.02 % solution sig: one (1) neb neb inhalation q6h (every 6 hours) as needed for sob. 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily) for 1 days. 10. synthroid 25 mcg tablet sig: one (1) tablet po once a day. 11. warfarin 5 mg tablet sig: one (1) tablet po daily (daily). 12. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 13. acetaminophen 650 mg/20.3 ml solution sig: one (1) po q6h (every 6 hours) as needed for pain. 14. levofloxacin in d5w 750 mg/150 ml piggyback sig: one (1) intravenous q48h (every 48 hours) for 4 days. 15. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 16. humalog 100 unit/ml solution sig: per sliding scale subcutaneous qachs. 17. allopurinol 100 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: hospital - discharge diagnosis: cerebral embolism with infarction discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were initially admitted to with pneumonia, but subsequently had a stroke in the setting of the discontinuation of your coumadin, and hence, your coumadin was restarted. followup instructions: provider: , md phone: date/time: 2:30 provider: . & phone: date/time: 1:30 provider: , md phone: date/time: 11:00 md, procedure: parenteral infusion of concentrated nutritional substances arteriography of cerebral arteries diagnoses: pneumonia, organism unspecified acidosis mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified acquired hypothyroidism gout, unspecified atrial fibrillation acute on chronic diastolic heart failure cellulitis and abscess of leg, except foot long-term (current) use of anticoagulants late effects of cerebrovascular disease, hemiplegia affecting unspecified side other constipation cerebral embolism with cerebral infarction venous (peripheral) insufficiency, unspecified ulcer of lower limb, unspecified 

Answer: The patient is high likely exposed to