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: past medical history: 1. right parietal cortical stroke. 2. right-sided weakness secondary to stroke. the patient walks with a walker at baseline. 3. chronic lower back pain. 4. hypertension. 5. depression. 6. migraine headaches. 7. seizure disorder. 8. hypercholesterolemia. 9. history of falls. medications on admission: 1. valproic acid 500 mg q.d. 2. neurontin 300 mg t.i.d. 3. coumadin 5 mg on monday, wednesday, and friday, 2.5 mg q.d. on the other days. 4. zoloft 50 mg q.d. 5. aspirin 325 mg q.d. 6. lipitor 10 mg q.d. allergies: the patient has no known drug allergies. social history: he use to smoke cigars, occasionally drinks alcohol. he is married. he lives with his wife and his daughter. primary care medical doctor: dr. located at in , . physical examination on admission: vital signs on admission to the intensive care unit: temperature 103, blood pressure 112/72, heart rate 105, respiratory rate 21, 02 saturation 100% on assist control ventilation. general: he was intubated and sedated. chest: bilateral rales. cardiac: regular rate and rhythm with holosystolic murmur at the apex at the right upper sternal border. abdomen: soft, nontender, nondistended. extremities: right thigh hematoma. on arrival to the medicine floor on , temperature 98.6, pulse 76, blood pressure 106/62, 02 saturation 96% on 2 liters. chest: minimal crackles at the bases, otherwise clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, normal s1, s2, with a systolic murmur. abdomen: soft, nontender, nondistended. extremities: right upper thigh had an ecchymosis that was tender to palpation. of note, on , the borders of the ecchymosis had regressed and the patient was also reporting less pain in the area. the area was also noted to be less tense on . laboratory values: hematocrit 33.7 on , 25.7 on , 22.1 on , 21.2 on , 32.2 (stable) status post transfusion with 3 units of packed red blood cells, rbcs transfused on , hematocrit 32.2 on . inr 3.6 on , 2.1 on , 2.3 on , 1.2 on . on , wbc 11.7 (peak 18.7 on ), hematocrit 32.2, platelets 322,000. reticulocyte percentage 5.2% on . the urinalysis was negative for infection on . chem-7 on revealed a sodium of 141, k 3.5, cl 98, c02 23, bun 22, creatinine 0.8, glucose 122. on , sodium 141, k 3.7, cl 106, c02 26, bun 20, creatinine 0.6, glucose 126. on ck 226, ldh 264, total bilirubin 1.5. troponin 0.7 on , peak was 1.3 on . on , haptoglobin 226, hdl 45, ldl 63, triglycerides 161. iga level 195 (normal). ekg on : sinus rhythm at 100 beats per minute, axis normal. there is evidence of left ventricular hypertrophy. there are st depressions in leads v4, v5, and v6. of note, these st depressions normalized on . imaging data: 1. plain film of right femur and hip on : there is no evidence of fracture. there is a small suprapatellar effusion. 2. ct of the head on : there is an old infarction in the right parietal lobe. there was bilateral low attenuation of the periventricular white matter. there was no evidence of acute hemorrhage or mass affect. 3. cervical spine plain film : carotid calcifications are present. no cervical spine fracture is seen. 4. hip x-ray on : possible left sacral strut fractures. no abnormalities seen on the ankle film. 5. ultrasound of right thigh hematoma on : there is a small right thigh fluid collection consistent with a small hematoma. 6. chest x-ray on : status post intubation, interstitial pulmonary edema which is new compared with . 7. cardiac echocardiogram on : ejection fraction is 70-80%, tr gradient 47 mmhg. there was moderate symmetric left ventricular hypertrophy. the lv systolic function is hyperdynamic. these findings are consistent with hypertrophic obstructive cardiomyopathy. there was 2+ mitral regurgitation. there was moderate left ventricular outflow tract obstruction at rest. impression/plan: the patient is a 74-year-old gentleman with a history of mechanical falls who comes in with right thigh pain status post mechanical fall and was found to have a hematoma. he received fresh frozen plasma on and subsequently developed respiratory distress during the third unit of ffp transfusion. 1. respiratory distress: this was felt secondary to transfusion-related acute lung injury. he was intubated on and extubated easily on . he was given two days of steroids, solu-medrol 100 mg q.i.d. he was evaluated by the transfusion medicine attending who felt that his clinical picture and findings were consistent with transfusion-related acute lung injury. he made notes that this event does not place patients at increased risk in the future of recurrence of this event. the patient did well from a respiratory standpoint status post extubation. 2. anemia: the patient's baseline hematocrit appears to be 30-32. the drop in his hematocrit to a nadir of 21-22 on to was felt secondary to his bleed into his thigh hematoma. he was transfused with 3 units of packed red blood cells on . he tolerated this transfusion well without any difficulty. 3. elevated troponins: the patient does not have a known history of coronary artery disease. he had a cardiac echocardiogram done on which showed evidence of hypertrophic obstructive cardiomyopathy as stated in the echocardiogram reports in this discharge summary. ekg of showed depressions in v4 through v6. he had a peak troponin of 1.3 when cardiac enzymes were cycled. this picture was consistent with demand ischemia, likely felt secondary to his anemia. this was another indication for his transfusion of 3 units of packed red blood cells on . 4. right thigh pain/inability to walk: the patient's inability to walk was felt secondary to musculoskeletal and soft tissue discomfort status post his fall. he was given percocet p.r.n. as needed with relief of symptoms. he also was found to have a left sacral strut fracture on his plain film. he was evaluated by the orthopedic surgery service and they felt that no operative intervention was indicated. 5. history of strokes: the patient was maintained on coumadin for stroke prophylaxis as well as aspirin. given his history of mechanical falls as well as his drop in hematocrit with this admission, we held the coumadin while he was in-house. we plan on holding the coumadin indefinitely until he is seen by his outpatient neurologist, dr. , who can decide at that time whether the benefits of coumadin anticoagulation for stroke prophylaxis may outweigh the risks. in general, the patient did well status post his extubation and after his blood transfusion he is ready to go to rehabilitation on . discharge diagnosis: 1. transfusion-related acute lung injury. 2. right thigh hematoma. 3. sacral fracture. 4. hypertrophic obstructive cardiomyopathy. 5. anemia requiring transfusion complicated by evidence of cardiac ischemia on ekg prior to transfusion. disposition: the patient is discharged to rehabilitation. discharge medications: 1. valproic acid 500 mg q.d. 2. neurontin 300 mg t.i.d. 3. zoloft 50 mg q.d. 4. aspirin 325 mg q.d. 5. heparin 5,000 units subcutaneously b.i.d. (discontinue when the patient is mobile). 6. percocet (5/325) one to two tablets p.o. q. 4-6 hours p.r.n. pain. 7. ambien 10 mg q.h.s. p.r.n. insomnia. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnostic ultrasound of peripheral vascular system continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnostic ultrasound of peripheral vascular system diagnoses: mitral valve disorders acute posthemorrhagic anemia other convulsions acute respiratory failure contusion of thigh closed fracture of sacrum and coccyx without mention of spinal cord injury acute edema of lung, unspecified 

Answer: The patient is high likely exposed to