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: coumadin attending: chief complaint: seizure, hypotension and tachycardia major surgical or invasive procedure: none history of present illness: 73 yo cantonese speaking male with a history of l mca stroke in , with recurrent seizure disorder, who presented to the ed after a prolonged seizure witnessed at home. per family, he was found unresponsive, with increased stiffness, and eyes deviated upwards on the morning of admission. two hours prior to seizure he was observed by his wife, and was thought to be in his usual state of health. ems administered valium 5mg iv x1, and seizure abated. . at baseline he is aphasic but able to ambulate with a cane and leg brace. . in the ed, initial vs were: t98.8 p80 bp193/112 r21 o2 sat 100% on nrb. patient was given metoprolol 5mg iv x1 for htn. he was thought to have intermittent increased tone on l without returning to baseline mental status hence underwent emergent eeg monitoring while in ed which did not show seizure activity. . while in the ed, tmax was 100.8. he became diaphoretic hence underwent lp. thereafter he was given vancomyin 1g and ceftriaxone 2g. he also became acutely tachypneic. abg was 7.39/30/116. he was subsequently intubated. . patient was also noted to have poor circulation and hyperemic rle. vascular surgery was consulted who recommended a heparin gtt and leni to evaluate for dvt. he was admitted to neuro icu. . overnight, changes of rle seemed to self-resolve. heparin was never started. leni was negative. in the morning, patient was found to be tachycardic to 140s, and hypotensive to 80s/50s. he was given an amiodarone bolus and started on an amiodarone gtt. patient was also given a 500cc bolus of iv fluids. given concerns for pe, a heparin gtt was started. on micu evaluation the hr was in 120s, bps 110/80s. he was transferred to the micu for medical evaluation of hypotension and tachycardia. past medical history: 1. hx of afib 2. hx of stroke - large l mca stroke in thought to be cardioembolic in origin. 3. hypercholesterolemia 4. seizures social history: married. lives with wife. 4 children. emigrated from >30 years ago. heavy smoker ~1ppd for many years per family. no alcohol or drug use. family history: not obtained physical exam: patient expired; without heart rate, without breath sounds, without spontaneous movement and without corneal reflexes. pertinent results: mr: 1. 4 mm of right to left midline shift and mass effect on the right lateral ventricle. 2. acute infarct involving the entire right mca territory with near complete occlusion of the right internal carotid and complete occlusion of the right mca. small amount of hemorrhage noted in the right temporal region. 3. encephalomalacia within the left mca territory consistent with known prior infarct. small amount of associated hemorrhagic products located within the left temporal and left cerebellar hemisphere. 4. mild narrowing of the left posterior cerebral artery without focal stenosis, thrombosis or aneurysm formation. brief hospital course: 73 yo m with a history of afib, l mca stroke, recurrent seizures who initially presented after witnessed seizure, now transferred to the micu with tachycardia and hypotension and found to have full right mca territory stroke with only viable cortex supplied by anterior cerebral and posterior cerebral on right. no meaningful recovery expected and family is in agreement with plans to transition to cmo. he is presently dnr/do not re-intubate. . # right mca stroke/ams/seizure. likely etiology of patient??????s seizure presentation and altered mental status likely secondary to very large cortical infarction now with greater loss of cortical function. patient was made cmo shortly after mr findings after discussion with the family. he was comfortable on morphine drip and scopolamine patch. seizure prophylaxis was continued with tegretol. . # autonomic lability. autoregulation was the likely etiology of the patient's labile bp. this was managed supportively with fluid boluses and metoprolol prn. . # a fib. this was managed with rate control. patient remained off anticoagulation secondary to hemorrhage. . # acute renal failure. stable and improved throughout hospitalization. . medications on admission: 1. metoprolol 32ml 2. tegretol 200mg 3. plavix 75mg daily 4. pravastatin 20mg discharge medications: none - patient expired; discharge disposition: expired discharge diagnosis: patient expired; primary diagnosis: - s/p right mca stroke secondary diagnosis: - a. fib - s/p left mca stroke in - hypercholesterolemia - seizure disorder discharge condition: patient expired; discharge instructions: patient expired; followup instructions: patient expired; procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube diagnoses: pure hypercholesterolemia acute kidney failure, unspecified atrial fibrillation acute respiratory failure other late effects of cerebrovascular disease cerebral edema late effects of cerebrovascular disease, hemiplegia affecting unspecified side encephalopathy, unspecified cerebral artery occlusion, unspecified with cerebral infarction late effects of cerebrovascular disease, aphasia epilepsy, unspecified, with intractable epilepsy benign essential hypertension unspecified disorder of autonomic nervous system 

Answer: The patient is high likely exposed to