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: history of the present illness: is a 30-year-old with no significant past medical history who presented with acute left hemiparesis. he was apparently in his usual state of good health, upon waking this morning at about 6 o'clock. he went to work, where he similarly felt dizzy, nonvertiginous, and then blacked out with loss of consciousness for at least several seconds, although he is not sure. he awoke lying in a puddle with an occipital headache. but, he then proceeded to go to work as planned for a meeting which began about 7 o'clock. during a break, he went to the rest room and recalls feeling light headed and in a "cold sweat." he then blacked out again. he recalls awakening and being found by his boss in the rest room stall. per the paramedic note, the patient was apparently found in the rest room stall at approximately 9 a.m. oriented to person only with left sided decreased movement. the ekg at that time showed normal sinus rhythm. the glucose was 89. vital signs in the field were 80, pulse 108/70 blood pressure and 18 respiratory rate. per the emt note there was a white powdery substance found near the patient in the rest room. the patient was transported to the emergency department and arrived there by 10 a.m. vital signs in the emergency department revealed the blood pressure 132/60, pulse 70. the stroke scale was 16 upon arrival. mri was attempted, but was unable to be performed due to his level of agitation. the ct was done instead, which showed a decreased density in the right posterior mca distribution. following the ct he had increased level of agitation, waxing and alertness and periods of somnolence with low arousability. he was intubated. he was not on any medications at the time. allergies: the patient has no known drug allergies. past medical history: history is only significant for kidney stones in the past. family history: history was not significant for any coagulopathy, stroke, or mi in other family members. social history: he works as a sales representative. he smokes approximately ?????? pack per day for ten years. he drinks four to five drinks per day. he has used drugs in the past, most notably cocaine, but he says that his last cocaine use was six months ago. he denied amphetamine use or any iv drugs. physical examination: on physical examination, vital signs were as noted above. he was awake and confused with no spontaneous movements of the left arm or leg. head and neck examination revealed no trauma. there were no carotid bruits. chest was clear. heart examination revealed regular rate and rhythm without murmur. abdomen was benign. extremities were warm, well perfused without edema. neurological examination revealed that the patient was arousable and responsive. he was oriented to person, place, and date, although he was unsure whether it was the 27th or the 28th and year. he followed commands well. speech had mild slurring. he had normal naming of five frequency objects. he was able to repeat, read, and write. cranial nerve examination revealed pupils equal and reactive to light. he had extraocular intact movements, but with a right gaze preference. he had left homonymous hemianopsia and a facial droop in the lower 2/3rds of the left face. he had decreased sensation to cold and light touch on the left side. he is able to stick his tongue out with mild deviation to the left. motor examination revealed normal bulk with decreased tone on the left upper and lower extremity. strength was basically 0 in the arm and leg. there was a slight inward turning and elbow flexion with pain of the upper extremity. there was a slight inward rotation of the left lower extremity with painful stimulus to the lower extremity. he was on the right. sensory examination revealed decreased light touch, cold, and pinprick sensation on the left. he had response to pain as described previously. laboratory data: laboratory evaluation was undertaken. the cbc was normal except for a white count of 13.8. coagulations were normal. serum toxicology screen was negative. the ua was negative. chem 7 was normal. the ct findings were as described previously. hospital course: the patient was admitted to the icu. he was monitored there overnight. when his level of agitation decreased, mri was performed which showed large diffusion weighted imaging defect in the distribution of the right mca. the mra revealed open vessels. there was also, on susceptibility sequence, a small amount of hemorrhagic conversion in the area of the previously mentioned stroke. further workup was initiated, including hypercoagulable state workup, the majority of which is pending at the time of discharge, but included antithrombin iii, factor v lipin, homocystine, anticardiolipin antibody, antiphospholipid antibody and protein c&s. he received a tte, which was normal. he then had a followup tte, which demonstrated a small pfo. there was no evidence of mural thrombus or other cardiac defect. he was kept on telemetry and no further events were noted throughout his entire hospital stay. he was transferred to the floor the day after admission. as mentioned earlier, he had no further events. carotid ultrasound was done, which was normal. lower extremity dopplers were done, which were normal. examination continued to improve throughout the hospital stay. by hospital day #3, he had full strength in the left lower extremity. he continued to gain strength in the arm and his facial droop also improved. at discharge, he still had a facial droop, although it was better. he had full strength in the arm, except for the wrist extensors, which were 4-; finger extensors, which were 4; finger flexors, which were 4; finger abductors, which were 4-. he was started on aspirin for treatment. to the aspirin was added plavix prior to discharge. discharge plan: the patient was to be discharged to a ....................level of care at the preference of his family to undergo further rehabilitation for his deficits. followup was to be obtained with the stroke clinic, and the patient would followup in the next one to two months. the primary care physician was notified of his discharge and the pending hypercoagulable state workup. the issue of pfo closure was to be re-evaluated with the patient as an outpatient, specifically whether or not to pursue surgical versus continued medical management of the pfo. discharge medications: 1. aspirin 325 mg p.o. q.day. 2. plavix 75 mg p.o.q.day. discharge diagnoses: 1. acute ischemic stroke. 2. patient foramen ovale (pfo). , m.d. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnostic ultrasound of heart other esophagoscopy insertion of endotracheal tube diagnoses: ostium secundum type atrial septal defect cerebral artery occlusion, unspecified with cerebral infarction alcohol abuse, continuous 

Answer: The patient is high likely exposed to