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: penicillins attending: chief complaint: r sided weakness major surgical or invasive procedure: iv tpa history of present illness: the pt is a 72 year-old right-handed (real name is , dob ) man with a pmh of htn, hyperlipidemia, cad (mi at age 48) and prior tia's who was biba after being found with a r facial droop and weakness. this history is obtained from his wife. the patient was in his usoh yesterday evening and was last known well at 10pm when he went to bed. his wife awoke at 5:45 am and heard him in the bathroom. he stayed there longer than was normal for him so she went to check on him. there she found him leaning on the side of the commode, unable to speak and she called 911. on arrival in the ed at 6:45, he is aphasic, only able to say no with significant dysarthria. he has a dense hemiplegia on the right. ros: ua past medical history: - 70 % stenosis of l ica per report - htn - cad s/p mi (age 38 and 46) - prior tia's - turp - hyperlipidemia social history: -lives with long-term girlfriend , former tobacco -pcp, . , but also follows up at the va - last seen dr. 5 months ago. - no issues with basic adls at baseline - ambulates without a walker at baseline - full code family history: nc physical exam: bp: 140-150/70-80; hr: 70s; rr: 14; sao2: 96%ra gen: alert elder man. nad. sclerae anicteric. mmm. no meningismus. no carotid bruits auscultated. lungs clear bilaterally. heart regular in rate. abd soft, nontender, nondistended. bowel sounds heard throughout. neuro: >>ms??????alert. nearly mute, uttering unintelligible, dysarthric sounds; rarely answers "no" appropriately. opens eyes/closes hand/mimics two fingers/points to ceiling to command. cannot name, read, repeat. >>cn??????fundi w/ sharp discs. perrl. no threat blink on right. left gaze deviation but able to get right of midline voluntarily. eomi w/ oculocephalics. right facial plegia. palate elevates midline. scms intact. tongue protrudes midline. >>motor??????r ue 0/5 w/ extensor posturing to nox stim. increased tone. l ue . r le w/ spont movement prox/distally but increased tone. l le . >>sensory??????decreased response to nox stim on right. visual and spatial neglect on right. >>dtrs??????l/r: bic , br , tri ; pat 23/3, ach 0/0. right plantar extensor. >>coord/gait??????no dysmetria on left arm. 1a loc =0 1b orientation =2 1c commands =0 2 gaze =1 3 visual fields =1 4 facial paresis =3 5a motor function r ue =4 5b motor function l ue=0 6a motor function r le=2 6b motor function l le=0 7 limb ataxia =0 8 sensory perception =0 9 language =3 10 dysarthria =2 11 extinction/inattention =1 total = 19 pertinent results: 06:35am blood wbc-7.2 rbc-4.40* hgb-13.3* hct-37.1* mcv-84 mch-30.2 mchc-35.9* rdw-13.1 plt ct-246 01:50pm blood glucose-109* urean-22* creat-1.2 na-141 k-4.2 cl-103 hco3-28 angap-14 01:50pm blood alt-26 ast-27 ld(ldh)-210 ck(cpk)-461* alkphos-51 totbili-0.6 01:50pm blood ck-mb-7 ctropnt-<0.01 08:40pm blood ctropnt-<0.01 01:50pm blood albumin-4.3 calcium-9.3 phos-3.5 mg-2.1 cholest-135 01:50pm blood %hba1c-5.6 01:50pm blood triglyc-103 hdl-45 chol/hd-3.0 ldlcalc-69 01:50pm blood tsh-1.5 06:35am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: patient is a 72 year old rhm with a h/o htn, hyperlipidemia, cad and known possibly basilar stenosis presents with new onset right sided weakness and speech difficulty. apparently woke up as usual at 5:30 am and walked to bathroom. his girlfriend called out to him when he did not emerge after several minutes. he was found leaning on the side of commode, unable to speak and not moving his r side. he was brought to hospital via ambulance. his head ct/cta does not show any early signs of infarction. the ctp is degraded by motion but the cta shows a possible cut-off in the sup division of l-mca. assessed to have acute left hemispheric infarction in the mca distribution, likely embolic. although the precise time of onset was unclear, tpa was considered given the severity of his deficits and lack of any ischmic changes on his head ct. after discussing with girlfriend and daughter, he was started on iv tpa. he was admitted to neuro icu and remained stable without complications. ct of head was repeated the next morning showing l temporal lobe infarct but no hemorrhagic transformation. clinically, he regained most of strength back on his r side but remained aphasic (simple yes and no's only) with r facial droop but intact comprehension. on hd #2, he was re-evaluated for swallow including video swallow test which he failed hence dobhoff was placed. carotid us was also performed given poor cta which showed < 40% stenosis bilaterally. his tee did not reveal any evidence of cardiac thrombus. video oropharyngeal swallowing study showed deep laryngeal penetration with liquids and intermittent aspiration of nectar-thick liquids secondary to swallow delay. after a few days of ng tube, a peg tube was placed on . patient should continue taking aspirin. on neurological exam his speech improved slowly (now being able to speak a few words); no motor deficit. medications on admission: asa 81 hctz 25 simvastatin 40 lisinopril 30 discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 2. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily): per ng tube. 4. senna 8.6 mg tablet sig: one (1) tablet po daily (daily): per ng tube. 5. lisinopril 10 mg tablet sig: two (2) tablet po daily (daily): per ng tube. 6. aspirin 325 mg tablet sig: one (1) tablet po once a day: per ng tube. 7. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day: per ng tube. 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). discharge disposition: extended care facility: - discharge diagnosis: l mca stroke discharge condition: good discharge instructions: you were admitted with weakness on the r side and with difficulty speaking. you were found to have a stroke on the lefft side of your brain. you were given in the hospital a medication called tpa to help unblocking the obstruction in the btrain vessel you had. you had no complication of that. you also were not being able to swallow appropriatelly. you had a nasogastric tube for a few days and a peg was placed on to help you with nutrition and medications while you recover. followup instructions: neurology: , md phone: date/time: 3:00 procedure: diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent percutaneous [endoscopic] gastrostomy [peg] prophylactic administration of vaccine against other diseases prophylactic vaccination against influenza diagnoses: coronary atherosclerosis of native coronary artery occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction other and unspecified hyperlipidemia old myocardial infarction personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits cerebral embolism with cerebral infarction aphasia occlusion and stenosis of carotid artery with cerebral infarction facial weakness need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza dysphagia, pharyngeal phase 

Answer: The patient is high likely exposed to