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: service: neurology history of present illness: the patient is a 74 year old right handed man with a history of hypertension, who presented to the emergency room with acute right sided weakness. the patient was in his usual state of health, when witnessed by his family at 1:00 p.m. on , when emergency room, where his vital signs were stable. he denied complaints on arrival. he denied chest pain and palpitations. according to his daughter, he has some chronic shortness of breath. past medical history: 1. well controlled hypertension. 2. benign prostatic hypertrophy. 3. osteoarthritis. 4. low b12. medications on admission: coreg 6.25 mg p.o.b.i.d., diovan 160/12.5 mg p.o.q.d., tylenol #3 p.r.n., b12 i.m.q. month, unclear if patient started this yet, celebrex p.r.n. social history: the patient is a russian immigrant, he is english speaking. he is a retired artist. he drinks alcohol rarely and does not smoke. allergies: the patient has no known drug allergies. physical examination: on physical examination on admission, the patient had a blood pressure of 160/100, respiratory rate 14, pulse 60 and oxygen saturation 98% on three liters nasal cannula. neck: no carotid bruits. cardiovascular: distant heart sounds, no murmur. abdomen: soft, nontender. lungs: clear to auscultation bilaterally. neurologic examination: alert and oriented, speech nonfluent with paraphrasic errors, russian accent but speaking in english, following commands, repetition mildly impaired, severe anomia perseverated with the word "yes", no neglect; cranial nerves, pupils 3 mm and reactive to light, optic disks sharp, extraocular movements intact, no nystagmus, inconsistent but decreased response to finger movements in right hemivisual field, right lower facial droop, tongue midline, palate symmetrically elevated; motor, dense right flaccid hemiparesis, moderate flexion in arm and leg, lifting self off the bed to painful stimuli; reflexes +2 and symmetric; upgoing toe on right; gait not assessed. laboratory data: a stat magnetic resonance imaging scan showed a left thalamic hemorrhage with encroachment into the ventricle, no intraventricular hemorrhage; there was a small enhancement with gadolinium which may just have been a penetrating vessel. admission hematocrit was 38, mcv 90, potassium 3.3 and ck 88. hospital course: the patient was admitted to the neurologic intensive care unit with an anterior aphasia, right dense hemiparesis and questionable right visual field loss secondary to a left thalamic hemorrhage. the etiology was assumed, upon admission, to be most likely secondary to hypertension. he was admitted for frequent neurological checks, to keep his systolic blood pressure between 120 and 160. in the intensive care unit, the patient was observed for high blood pressure, to keep his blood pressure between 120 and 160. he was kept on intravenous lopressor and his blood pressure was deemed to be in good control. on , the second day of admission, the patient's neurological examination was deemed to be slightly worse, with worsening aphasia and not following commands. he had slightly fewer movements on the right than the previous day. this was assumed to be due to more edema around the hemorrhage. as this was likely, we did not re-scan him. we also put him on mechanical venodynes for deep vein thrombosis prophylaxis. on , at 4:39 p.m., a ct scan was done to evaluate decreased mental status to evaluate for re-bleed. the impression was a stable left thalamic hemorrhage with minimal surrounding edema. there was no change compared with the magnetic resonance imaging scan from the previous day. there was mild periventricular white matter hypodensity, which may be chronic ischemic gliotic change. a ct scan done on , the third day of admission, was done to evaluate questionable worsening of decreasing mental status, as the patient's neurological on was showing a fluctuating response. he was unable to follow commands. he was opening his mouth when asked to and stuck out his tongue when he was asked in russian. he was not fluent, he was not repeating words. he did not seem to be comprehending anything. he had generalized right arm like weakness continuing from the previous examination. good tone was on the left. the ct scan on showed no change compared with the ct scan done on . there was a small area of low attenuation surrounding the hemorrhage, which represented edema with a minimal midline shift. however, this shift was stable in appearance and had not changed compared with the study of the previous day. a swallowing study showed that the patient was not swallowing on , and a nasogastric tube was placed. also on , the patient was spiking a fever to 101.4, for which a chest x-ray was obtained. this chest x-ray showed right lower lobe consolidation, suggestive of pneumonia. repeat films showed no evidence of pleural effusion and confirmed right lower lobe pneumonia with a view of the right hemithorax. on , the patient was started on intravenous metronidazole 500 mg every eight hours and intravenous levofloxacin 500 mg daily because of the fever and right lower lobe pneumonia seen on chest x-ray. the patient continued to spike fevers throughout the weekend, although laboratory values of hi white blood cell count were seen to be low. the initial white blood cell count on was 14.9; on , white blood cell count was 8.5; on , the white blood cell count was 9.5. a repeat chest x-ray on showed bibasilar alveolar opacities, improved on the right and worsened on the left, which likely represented a new aspiration pneumonia. the patient was getting repeated nasogastric tubes because he continually removed them. he was evaluated for a gastrostomy tube placement but, because of his fevers, he was not able to get the placement on . on , his white blood cell count was 9.5. antibiotics of levaquin and flagyl were continued. the patient's blood pressure was shown to be under good control. blood cultures had been sent on and 8, , which did not grow out anything. on , the patient was no longer febrile and he received placement of a gastrojejunostomy tube under radiologic evaluation. on , the preceding day, a portable chest x-ray showed significant improvement of bibasilar pneumonia. infectious disease had been consulted through the week of and they were following the patient's antibiotic treatment and his fever spikes. they did not recommend any change in his levofloxacin and flagyl antibiotic regimen. on , tube feeds were started with neutra-phos for a low phosphorous count. the patient's intravenous blood pressure medications were changed to lopressor 25 mg per gastrostomy tube twice a day. his blood pressure had been well controlled. the patient had been afebrile for over 24 hours on the current intravenous levofloxacin and flagyl regimen. on neurological examination, the patient was still nonfluent in his language, not able to repeat words. he had a plegic right upper extremity and right lower extremity and he was able to freely move his left upper and lower extremities. this examination is significantly changed from the admission examination, however, is consistent with the neurological examination of . the patient is being changed to oral antibiotics and is to be discharged to rehabilitation today. discharge medications: lopressor 25 mg per g-tube b.i.d. levofloxacin 500 mg per g-tube q.d. times six more doses, for a total of 14 days therapy. flagyl 500 mg per g-tube q.d. times six more doses, for a total of 14 days therapy. , m.d. dictated by: medquist36 d: 11:29 t: 09:44 job#: procedure: enteral infusion of concentrated nutritional substances percutaneous (endoscopic) jejunostomy [pej] diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified unspecified essential hypertension intracerebral hemorrhage pneumonitis due to inhalation of food or vomitus osteoarthrosis, unspecified whether generalized or localized, site unspecified aphasia other specified hemiplegia and hemiparesis affecting dominant side 

Answer: The patient is high likely exposed to