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: left sided weakness major surgical or invasive procedure: none history of present illness: 40 yo man with iddm, htn, "heart murmur," hypercholesterolemia, current tobacco use, who was transferred from an osh for evaluation of stroke. he was in his usual state of health until last night when he went to a party, and became violently ill afterwards with multiple episodes of nausea/emesis throughout the night. no one else at the party got ill. this am he was in the kitchen, spoke with his wife, was perfectly fine (10:30am), then wife went to take a shower and at 10:40 am she heard a "thud." she found him sitting on the floor, listing to his left, diaphoretic, seeming sleepy (although still talking and answering questions appropriately, even squeezing both hands). wife gave him some oj as she thought he may have been hypoglycemic, but this had no effect so she called ems. fs by ems was 115. he was also given thiamine and dextrose 25. taken to hospital where he was found to have left sided plegia and right gaze preference (no clearly documented exam in notes available for review) and difficulty breathing, thus he was intubated. head ct was done and showed "no bleed and no acute infarct" and so he was transferred to for further management. he arrived at at approximately 3pm and was seen by neurolgy almost immediately. call-in from dr. is clocked in at 13:17. after propofol was off for about 20 min, he was moving right side vigorously, no spontaneous movement on the left. not opening eyes but did shake head to pain, and did squeeze right hand to command. no withdrawl or movement to pain in any extremity. reflexes were 2+ rue, and nil everywhere else. toes upgoing bilaterally. (see exam below). he was taken for emergent mri which showed right mca infarction with abrupt cut off of right mca on mra. bp was running 103-109, thus central line was placed by ed staff and neosynephrine was to be started. patient has been in nsr since admission. patient is currently awaiting a bed in icu. trauma sicu team aware of patients arrival. neurosurgery aware. past medical history: 1. iddm since age 14, c/b retinopathy 2. htn 3. high cholesterol 4. "heart murmur", echo showed no asd, essentially normal except for some basal septum hypertrophy. stress test in normal. social history: married, 2 kids, works as a chef, currently smokes tobacco and has since age 13, now at 1/2 ppd. rare etoh. no drugs. family history: not obtained, but mom and dad are alive and present at bedside, kids healthy physical exam: vitals: 98.9, hr 50-60, bp 103-109/60's, rr 14, 100% on vent, fs 115 by ems and i believe 150's here. gen: heent: nc/at, anicteric sclera, mmm neck: supple chest: cta bilat cv: rrr without mur (i did not appreciate a murmur) abd: soft, nt/nd, +bs, no hsm extrem: no edema neuro: mental status: not opening eyes to pain but does move around and shake head to pain. cranial nerves: pupil exam: 2->1mm bilaterally eom exam: no gaze preference, + dolls corneal reflex: + bilaterally facial symmetry: appears to have left nasolabial fold flattening but hard to tell with endotracheal tube in place with tape. motor: spontaneously moves right arm and leg vigorously sensory: no response to pain in all 4 extremities (?) reflexes: 2+ right tri//br, otherwise none in rll and entire left side. toes upgoing bilaterally. tone is more flacid on the left compared to right. pertinent results: ekg: nsr, nl axis/intervals/rwp, no signs of ischemia nchct from osh: right sided sulci effacement, subtle, no mca sign, no bleed. mri: + diffusion abnormality in the right mca territory with abrupt cutoff of right mca on mra. mild flair in same territory. 03:00pm wbc-12.4* rbc-4.64 hgb-14.6 hct-41.6 mcv-90 mch-31.4 mchc-35.0 rdw-12.6 03:00pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:00pm glucose-184* urea n-16 creat-0.8 sodium-138 potassium-4.4 chloride-105 total co2-27 anion gap-10 brief hospital course: the patient was admitted and managed for his large right mca stroke. he was placed in the icu and put on neosynephrine to keep his blood pressure elevated and to optimize cerebral perfusion for the first 48 hours of admission. he underwent a tte and tee which did not show any evidence of clot or thrombus in the heart. he was started on aggrenox and atorvastatin for stroke prophylaxis. our diabetes staff consulted on the patient and recommended a regimen of glargine and humalog (sliding scale) to manage his blood sugars. our speech and swallow staff evaluated the patient and recommended a modified diet. lastly, our pt/ot staff evaluated the patient and recommended acute stroke rehab. he is now being discharged in stable condition and with a complete plegia of the left arm and 3/5 strength in the left leg. medications on admission: insulin welbutrin lipitor lisinopril discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 3. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. 4. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 5. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 6. dipyridamole-aspirin 200-25 mg capsule, multiphasic release sig: one (1) cap po bid (2 times a day). 7. famotidine in normal saline 20 mg/50 ml piggyback sig: twenty (20) mg intravenous q12h (every 12 hours). discharge disposition: extended care facility: - discharge diagnosis: 1. right mca stroke 2. insulin-dependent diabetes discharge condition: stable, still with left arm plegia discharge instructions: please take medications as described. please return to nearest er if symptoms return. followup instructions: provider: , ( ) internal medicine where: internal medicine date/time: 10:30 please follow-up with dr. in neurology in 4 months, call to schedule a convenient time. test for consideration post-discharge: factor v leiden md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnostic ultrasound of heart diagnoses: pure hypercholesterolemia tobacco use disorder unspecified essential hypertension cerebral artery occlusion, unspecified with cerebral infarction background diabetic retinopathy diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled hemiplegia, unspecified, affecting nondominant side 

Answer: The patient is high likely exposed to