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: cc: major surgical or invasive procedure: cerebral angiogram; ia thrombolysis history of present illness: the pt is a 71 year-old right-handed woman with a pmh of afib who was admitted on after a fall from tripping. she sustained a small r sah, frontal contusion and question of skull fx. her inr was reversed and she has had her coumadin held since admission. this morning she was seen at 9:00 am by the nsurg pa and was fluent and had full strength in all extremities. then at 9:30 the rn saw her and she was also intact, however at a few minutes before 10am she fell to the ground and the rn noted that she was awake but not speaking or following commands. her r arm was also weak and it is not know if her leg was as well, but she had a r facial droop. a code stroke was called. her fs at the time was 125. past medical history: pmhx:htn, afib, on comandin and hypercholesterolemia social history: social hx: from , in us for the pasr 32 years, widow, lives with daughter, administrative family history: family hx: htn; parents died of heart attack physical exam: ...on arrival physical exam: o: t: bp:138 /49 hr: 47 r 15 100o2sats gen: wd/wn, comfortable, nad. heent: laceration on back of head. pupils: equal and reactive eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin nih ss: 20 1a. level of consciousness: 2 1b. loc questions: 2 1c. loc commands: 2 2. best gaze: 1 3. visual: 1 4. facial palsy: 2 5a. motor arm, left: 0 5b. motor arm, right: 3 6a. motor leg, left: 0 6b. motor leg, right: 3 7. limb ataxia: ua 8. sensory: 0 9. best language: 3 10. dysarthria: un 11. extinction and inattention: 1 general: awake, nad. neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: ronchi bilaterally cardiac: nl. s1s2 abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no edema neurologic: -mental status: awake, does not vocalize or follow commands cn i: not tested ii,iii,iv,v: does not blink to threat on the r, can cross the midline but gaze is deviated to the l. pupils 3->2mm bilaterally v: pain to nox stim symmetric vii: r facial droop viii: ua ix,x: gag deferred : turns head from side to side xii: does not follow commands motor: normal bulk, increased tone in le bilaterally (?paratonia); does not cooperate with formal strength testing but the l arm and leg are antigravity. the r arm is a 3- when raised off the bed, but the bicep is a 4, the r leg tone; no asterixis or myoclonus. no pronator drift. reflex: no clonus tri bra pat an plantar c5 c7 c6 l4 s1 cst l 2 2 2 2 2 flexor r 2+-------- up -sensory: grimace to nox stim in all extremities -coordination: does not cooperate with formal testing but does grasp blanket with r hand w/o difficulty -gait: deferred given code stroke pertinent results: 01:16pm glucose-112* urea n-19 creat-0.8 sodium-141 potassium-3.8 chloride-106 total co2-28 anion gap-11 01:16pm estgfr-using this 01:16pm calcium-8.7 phosphate-3.0 magnesium-2.0 01:16pm wbc-10.2 rbc-3.98* hgb-12.5 hct-36.0 mcv-90 mch-31.5 mchc-34.8 rdw-13.0 01:16pm neuts-82.9* lymphs-13.9* monos-2.2 eos-0.9 basos-0.1 01:16pm plt count-223 01:16pm pt-23.8* ptt-27.8 inr(pt)-2.3* brief hospital course: pt was admitted through the emergency department on for traumatic right anterior temporal sah and small right temporal contusion after mechanical fall with loc. she was admitted to the step down unit. her inr was elevated to coumadin dosing, this was reversed with vit k and ffp. she sustained an occipital laceration on the right side and this was closed with three skin staples in the ed. she had a cta of the brain on 12.7 / major cow contributaries were patent. she was seen by plastic surgery for maxillary sinus fracture which was deemed non surgical and not requiring any follow up. she was placed on clind x 1 week for this as recommended. on the am of at 10 am pt was noted to have slid out of chair and was noted to be non verbal. exam demonstrated right hemiparesis and that she was not verbal with a right facial. code stroke was called. stat ct cta were done. no extension of traumatic bleed was noted. no obvious infarct on that ct. formal angio was done stat. occlusion of the superior division of the left mca was noted. this was probably due to a cardioembolic event (patient was not receiving anti-coagulation due to recent traumatic right sah and cerebral contusion). family was updated. her nihss was 16, she received ia tpa and penumbra procedures. nihss post procedures was 13. imaging post-procedures evidenced left mca superior m2 segment occlusion. pt was transferred to stroke neurology service. she remained stable in the sicu. there is no signs of further bleed or mass effect in her ct cns scan on 12/ 10/ 08. she was transferred to the step down unit on . neurological exam was stable with right hemiparesis and productive aphasia. patient developed a uti for which she has been receiving vancomycin. her blood cultures and chest x-ray have been negative although patient continued to spike fever. she was re-started on coumadin on with inr goal . medications on admission: medications prior to admission: coumadin 3mg; simvastatin; atenolol; verapamil; arapro discharge medications: 1. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). 6. irbesartan 150 mg tablet sig: one (1) tablet po qday (). 7. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime) for 3 days. 9. hydralazine 20 mg/ml solution sig: one (1) injection q6h (every 6 hours). 10. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours) for 7 days. 11. verapamil 40 mg tablet sig: two (2) tablet po q8h (every 8 hours). 12. metoprolol tartrate 5 mg/5 ml solution sig: one (1) intravenous q4h (every 4 hours) as needed for hr > 100. discharge disposition: extended care facility: medical center - discharge diagnosis: ant. temporal lobe hemorrhage. afib dyslipidemia left mca infarct discharge condition: stable; with right hemiplegia and productive aphasia discharge instructions: you were admitted on after having falling on the stairs and hitting your head; you had hemorrahge in your brain. you were on coumadin for atrial fibrillation and had your inr reversed. two days later you developed acute onset of right sided weakness and difficulty to speak; you had an ischemic stroke for which you received intra-arterial thrombolysis. for the past day you have been re-started on coumadin for a fib and to prevent embolic strokes. you also developed uti for which you are receiving antibiotics. followup instructions: neurology: , md, phd: date/time: 2:30 procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent arteriography of cerebral arteries closure of skin and subcutaneous tissue of other sites transfusion of other serum endovascular removal of obstruction from head and neck vessel(s) diagnoses: pure hypercholesterolemia urinary tract infection, site not specified atrial fibrillation open wound of scalp, without mention of complication accidental fall on or from other stairs or steps long-term (current) use of anticoagulants cerebral embolism with cerebral infarction aphasia hemiplegia, unspecified, affecting unspecified side closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to