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: right hemiparesis, neglect, aphasia major surgical or invasive procedure: peg tube placement history of present illness: 81yo man with pmh significant for mi, prostate cancer, transferred from an osh after presentation with right hemiparesis, neglect, and aphasia, and treatment with tpa. per previous reports, he was in his usoh until the day of admission, when he acutely slumped over to the right and stopped speaking. he was taken to an osh, where he had l gaze preference, global aphasia, and right hemiplegia, and a head ct showed a hyperdense l mca. he was given iv tpa and transferred to the icu. past medical history: prostate ca s/p mi with medical management asthma/copd lower back problems social history: lives in with his wife, uses some assistance to walk. no tobacco or alcohol use. family history: not elicited physical exam: p/e on admission afebrile (temp not taken yet) 95 175-187/83 28 95% gen elderly man lying in bed cv rrr pulm ctab abd soft nt/nd ext no edema neuro ms awake, eyes open. turns his head to the left when his son called out "dad!" does not do so to my voice on the right. reaches to left to grab a hat with his left hand. does not follow commands. no verbal output. cn optic discs clear. blinks to threat on the right, not the left. pupils 3->2 b/l. gaze conjugate in primary position and looking to the left (does not look to the right). unable to doll's eye. r facial droop includes upper face as well as lower face. motor decreased tone in r arm, increased in r leg. normal on left. allows r arm to fall onto his chest; when his left arm is lifted, he moves it back to his side. unable to cooperate with exam. withdraws l leg to noxious stimuli purposefully; does not do so with right. sensory: withdraws l arm/leg to noxious stimuli. none on right. coordination: unable to assess gait: unable to assess reflexes: unable to obtain on left due to inability to get the patient to relax his arm. 2+ on the right. toes down b/l. pertinent results: admission labs: wbc-13.9* rbc-4.87 hgb-15.1 hct-42.3 mcv-87 mch-31.1 mchc-35.8* rdw-13.4 plt ct-246 neuts-92.5* bands-0 lymphs-5.5* monos-1.5* eos-0.3 baso-0.1 pt-11.5 ptt-22.6 inr(pt)-1.0 glucose-129* urean-14 creat-0.8 na-137 k-4.2 cl-103 hco3-22 calcium-9.4 phos-3.1 mg-2.0 alt-13 ast-17 ck(cpk)-77 alkphos-69 totbili-0.7 albumin-4.3 cardiac enzymes (r/o)- negative x 3, on tele lipids ldl 154 hba1c 5.4 imaging: - mri/a - acute left middle cerebral artery infarct with possible thrombus within the left middle cerebral artery. no evidence of hemorrhage. mra w/ l m1 occlusion. - tte - "extensive regional lv systolic dysfunction c/w cad" brief hospital course: 81yo man with cad, prostate cancer, presented with right hemiparesis, gaze deviation, and aphasia, and transferred here after ct with l mca sign and treatment with iv tpa. exam notable for right sided weakness, left gaze preference, and global aphasia, mri confirms acute l mca infarct with occlusion at l m1. while in the icu, he was monitored frequently. an mri/a was perfromed showing an acute l mca infarct with occlusion at m1. a tte showed lv systolic dysfunction. labs were drawn. he failed a swallow evaluation and had an ngt placed, which he removed. he was then transferred to the floor. he was stable s/p tpa and remained minimally interactive, though not following commands. stroke workup included mri/a, showing acute left middle cerebral artery infarct with possible thrombus within the left middle cerebral artery, mra w/ l m1 occlusion, tte with "extensive regional lv systolic dysfunction c/w cad", negative cardiac enzymes, lipid panel that was elevated with resulting initiation of a statin once taking po, and a normal hba1c. he was started on a daily asa, and aggrenox was started after g-tube was placed. it was felt that his stroke was cardioembolic secondary to significant wall motion abnormalities. we did not start anticoagulation given the large size of his infarct. coumadin will be discussed at first clinic visit.. incidentally, he was noted to have a pna, likely aspiration secondary to the stroke. he was started on levofloxacin on , and to complete a 10 day course. he failed multiple swallow evaluations and had placement of an ngt. he pulled this and it was replaced. after he pulled it again, it was unable to be replaced. he went for peg by interventional radiology but this was unsuccessful as his colon was anterior to his stomach. surgery was called for g tube placement, and recommended gi placement with endoscopy. peg was placed by egd without complications, and was confirmed in place the following morning. test bolus of tf was given and tube feeds were started. medications on admission: asa 81mg daily mucinase 600mg theophylline er 200mg flovent 2puffs duoneb qid ambien 10mg qhs vicodin 5/500 1-2tabs q4h prn colace 100mg flomax 0.4mg every other day discharge medications: 1. insulin regular human 100 unit/ml solution sig: per riss injection asdir (as directed). disp:*1 1* refills:*2* 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. disp:*1 1* refills:*0* 4. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). disp:*1 1* refills:*2* 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). disp:*60 tablet(s)* refills:*2* 6. aspirin 300 mg suppository sig: one (1) suppository rectal daily (daily). disp:*30 suppository(s)* refills:*2* 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). disp:*90 1* refills:*2* 8. pneumococcal 23-valps vaccine 25 mcg/0.5 ml injectable sig: one (1) ml injection once (once) for 1 doses. disp:*1 1* refills:*0* 9. pantoprazole 40 mg iv q24h 10. chlorpromazine 12.5 mg iv q4h:prn hiccups discharge disposition: extended care facility: of - , nh discharge diagnosis: right mca infarct discharge condition: good. making progress but still with deficits of aphasia, left sided neglect and paresis. discharge instructions: return to or contact ems if any acute changes in mental status or new deficits. please follow up with appointments as listed below. followup instructions: follow up with , md: phone: date/time: 3:00 . md, procedure: diagnostic ultrasound of heart percutaneous [endoscopic] gastrostomy [peg] diagnoses: coronary atherosclerosis of native coronary artery personal history of malignant neoplasm of prostate pneumonitis due to inhalation of food or vomitus chronic obstructive asthma, unspecified cerebral thrombosis with cerebral infarction 

Answer: The patient is high likely exposed to