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: patient recorded as having no known allergies to drugs attending: chief complaint: code stroke major surgical or invasive procedure: intubation, bronchoscopy history of present illness: mr. f is a 57 year old right handed male with pvd, cad, afib presenting with dizziness, nausea and dysarthria. he awoke feeling well. he developed symptoms around 1pm of dizziness following taking insulin. he went to sleep and awoke ~5pm, evaluated at osh where noncontrast head ct revealed ? basilar opacity. he was medflighted to for evaluation. code stroke called upon arrival. nihss 6 for r facial droop, r pronator drift, dysarthria. ct/cta/ctp revealed extensive r vert occlusion and ? basilar thrombus. at present the patient denies headaches. reports feeling "well." he is aware of slurred speech. no sensory loss. ros, no recent, f/c, ns, cp, sob, no abdominal pain. past medical history: past medical history: (incomplete) pvd- right foot ischemia s/p digits amp in cad s/p cabg afib dm 2 htn social history: not married. moved here from three days ago. staying with his sister in-law. denies smoking. family history: prominent for dm2 physical exam: vitals: t 98, bp 162/80, hr 72, r 18, 100% 2l gen: well appearing, cooperative, nad heent: slight r exopthalmos, no scleral icterus, op clear, mmm neck: no carotid or vertebral bruits. cv- irregularly irregular, 2/6 sem at rusb pulm- cta b abd- obese, soft, nt, nd, bs+ extrem- r toe amputation, distal pulses 1+ bilat. neurologic exam: (with spanish interpretor) ms- alert, oriented to person, place time, attentive to examination. speech is severely dysarthric. naming of high and low frequency objects is intact. no visual neglect of nihss picture. cn- l pupil 6mm and unreactive to direct light, constricts to 5mm via consensual response. r pupil 6mm reacts to 4mm directly. no evidence for field cut. end-gaze nystagmus bilat, ? worse with left gaze. there is appearance of baseline ocular misalignment. right umn facial droop. weakness of r eye closure. sensation symmetric bilat. tongue protrudes in an irregular fashion. able to move bilaterally. some debate about tongue being at midline. scm and trap. full. motor- r pronator drift, holds arms and legs antigravity x 10 seconds intially, upon re-examination, right arm was barely antigravity. sensory- no loss of lt, pp. plantar response, mute bilaterally. gait- unable to test. pertinent results: 06:00pm glucose-210* urea n-34* creat-1.3* sodium-139 potassium-4.7 chloride-104 total co2-24 anion gap-16 06:00pm wbc-11.6* rbc-4.90 hgb-12.4* hct-38.2* mcv-78* mch-25.3* mchc-32.4 rdw-19.7* 06:00pm neuts-86.8* lymphs-10.0* monos-1.6* eos-1.2 basos-0.5 06:00pm pt-16.4* ptt-26.0 inr(pt)-1.5* 06:00pm ctropnt-<0.01 11:25pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 11:25pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 02:52am blood triglyc-59 hdl-39 chol/hd-5.4 ldlcalc-160* 01:16pm blood lactate-2.6* ct head: findings concerning for basilar artery thrombosis and acute infarction of the right cerebellum. ct a/perfusion: decreased blood flow and volume, increased mtt in cerebellar hemispheres and vermis in matched distribution compatible with infarction with no penumbra identified. thrombus in the basilar artery with possible extension to the left vertebral artery. right vertebral not visualized with extensive clot throughout entire course. echo: biventricular cavity dilation with severe global biventricular hypokinesis c/w diffuse process (toxin, metabolic, multivessel cad, etc.) moderate pulmonary artery systolic hypertension. no definite cardiac ource of embolism identified. increased pcwp. moderate mitral egurgitation. ef 25%. : significant worsening of mass effect associated with evolving right cerebellar infarction, causing effacement of the fourth ventricle and perimesencephalic cisterns, interval dilatation of the third and lateral ventricles, consistent with acute obstruction. the dense appearance of the basilar artery is less obvious on the present study. brief hospital course: admission impression: 57year old male with severe pvd, cad, now presenting with dizziness, nausea and dysarthria found to have vertebrobasilar occlusion. his examination is notable for r gaze preference, low vision in l eye, r pronator drift, dysmetria r > l. etiology of embolus is likely cardioembolic with subtherapeutic inr. pt is not a candidate for iv or ia tpa or merci retrieval given presentation outside window for intervention, extent of thrombus in the vessel presents risks of hemorrhage that outweigh potential benefits. icu course: neuro: was admitted to neuro icu and started on heparin 13units/kg, with goal ptt 50-70. he had increased right sided weakness but has some movement, was alert, oriented, dysarthric, and following commands. in the late afternoon he had an abrupt decompensation with decreased alterness, decreased movement of the left side a more right sided weakness, along with agonal breathing pattern. cxr and abg were ok at that time. he was intubated and taken for stat head ct which found significant swelling of the right cerebellar stroke with compression of the brainstem and development of hydrocephalus. he was immediately started on hyperventillation and mannitol but did not clinically improve. heparin drip was stopped and he started a baby the following day. neurosurgery was also emergently consulted and did not feel he was a surgical candidate. overnight his pupils became unresponsive and he lost his right corneal reflex. overnight there were extensive conversations with the family reguarding the severity of the situation. they decided to leave him full code while family was traveling to see him. he was determined braindead on . cv: pt was in a. fib with rvr requiring diltiazem drip on . he had heart failure with ef 25%. resp: he was intubated for agonal breathing on . fen/gi: he remained npo after failing swallow eval endo: he was treated with insulin sliding scale and home po dm agents were held. renal: slight bump in cr to 1.4 initially but then up to 2.4 in the setting of herniation. id: developed fever on up to 103. medications on admission: aldactone 25mg daily coreg 25mg coumadin 5mg daily lasix 40mg vasotec 20mg amaryl 4mg lantus 6units daily lipitor 10mg daily avelox ?? 400mg daily x 2 weeks ? pletal gabapentin 300mg discharge medications: none discharge disposition: expired discharge diagnosis: stroke, posterior fossa herniation discharge condition: expired discharge instructions: none followup instructions: none md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus insertion of (naso-)intestinal tube diagnoses: pneumonia, organism unspecified hyperpotassemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status acute respiratory failure long-term (current) use of insulin atherosclerosis of native arteries of the extremities, unspecified cerebral artery occlusion, unspecified with cerebral infarction other toe(s) amputation status hemiplegia, unspecified, affecting unspecified side chronic total occlusion of artery of the extremities dysphagia, unspecified 

Answer: The patient is high likely exposed to