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-sided weakness. major surgical or invasive procedure: intubation. history of present illness: mr. is a 59 yo right handed man with schizophrenia who presents for right sided weakness. the patient was a very poor historian and so history was mostly provided by his nurse from his nursing home via phone. apparently the patent was last seen well at approximately 5pm. at 5:15, he was found on the floor in his room, leaning against the bathroom door. the patinet states he fell because the floor was slippery. per his nurse, he reported hitting his head on the door but there was no outward sign of injury. vital signs were taken and the patinet was noted to be hypertensive and repeat testing continued to show climbing bps up to 170s/110. it was noticed that he could not lift up his his right arm but could still squeeze his right hand (though weaker than the left). the patinet was able to get up an ambulate to a wheel chair, however he was very unsteady and stumbling, requiring assistance. ems was called and he was brought to immediately. the patient and his nurse any recent illnesses. currently, the patient denies pain. he feels as though his "nerves are dead" in his right arm, but denies any sensory loss. on neurologic review of systems, the patient headache, loss of vision, blurred vision, diplopia or dysarthria. per his facility, his speech is always somewhat disarthric and content rambling, but he seemed a but more difficult to understant. he dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. focal weakness other than in the arm. no parasthesiae. no bowel or bladder incontinence or retention. on general review of systems, the patient recent fever or chills. no night sweats or recent weight loss or gain. cough, shortness of breath. chest pain or tightness, palpitations. nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. past medical history: - sleep apnea (bipap at least 12 hours overnight on at 8pm off at 8am setting at inspiratory 15, expiratory 10) - seizures (per pt only 1 seizure many years ago. per nurse, no seizures since his admission to his current facility in ) - hypertension - hyperlipidemia - dmii - paranoid schizophrenia social history: history of paranoid schizophrenia; currently living in a behavioral lock-down unit at rehab and nursing center. baseline he is reportedly often confused; a+o x 2, has hallucinations/confabulations about things that happens. independent of all adls. parents are desceased and his next of is (cousin) . he also as a legal guardian (sic) . pt denies history of tobacco use or current smoking. no alcohol or history of drug use. family history: unknown physical exam: bp 215/110, hr 90 general: awake, nad. head and neck: no cranial abnormalities, no scleral icterus noted, mm dry, poor dentition. no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs clear to auscultation anteriorly cardiac: regular rate and rhythm, normal s1/s2. no murmurs, rubs, or gallops appreciated. abdomen: soft, non-tender, normoactive bowel sounds, no masses or organomegaly noted. extremities: 2+ radial, dp pulses bilaterally. skin: rash (?psoriasis vs. fungal)erythematous scales on left face. neurologic: -mental status: alert, oriented x 2. gives age as 49 multiple times, though correct birthday (he is 59). unable to clearly relay history- does not offer much information and only responds to direct questioning rather than openended questions. inattentive. lannguage is fluent with intact repetition and comprehension. diminished prosody. pt. was able to name both high and low frequency objects. able to read. speech was dysarthric and difficult to understand at most at least 30%. registered and recalled at 5 minutes. -cranial nerves: i: olfaction not tested. ii: perrl 4 to 2mm and brisk. visual fields full to finger counting bilaterally in all fields. funduscopic exam limited by poor fixation. iii, iv, vi: right exotropia. eomi without nystagmus. normal saccades. v: facial sensation intact to light touch. vii: no facial droop, facial musculature symmetric. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and sternocleidomastoid bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, diffusely increased tone throughout with spasticity of the lower extremities l>r. no pronator drift on right, unable to raise right arm. no adventitious movements, such as tremors, noted. no asterixis. delt bic tri wre ffl fe io ip quad ham ta edb l 5 5 5 5 5 5 4+ 5 5 5 5 5 5 5 r 0 2 3 4+ 5 5 4+ 5 5 5 5 5 5 5 patients right foot is everted. i could not get reliable testing of the hip adductors or leg inverters to determine if this part of additional leg weakness as the other major muscles appeared full. -sensory: no deficits to light touch, pinprick, cold sensation, vibratory sense, proprioception. no extinction to double simultaneous stimuli. -deep tendon reflexes: tri pat ach l 1 1 1 1 0 r 1 1 1 1 0 plantar response was flexor on left, mute on right. -coordination: no intention tremor, dysmetria on fnf on right. -gait: deferred. pertinent results: 05:23am blood wbc-8.4 rbc-4.94 hgb-13.6* hct-41.3 mcv-84 mch-27.6 mchc-33.0 rdw-14.3 plt ct-174 05:23am blood neuts-86.8* lymphs-7.4* monos-4.3 eos-0.7 baso-0.7 05:23am blood pt-11.6 ptt-22.4 inr(pt)-1.0 08:31am blood esr-2 05:23am blood glucose-131* urean-17 creat-0.8 na-134 k-4.0 cl-97 hco3-30 angap-11 05:23am blood alt-34 ast-21 ld(ldh)-188 alkphos-69 totbili-0.3 05:23am blood lipase-37 08:31am blood ck-mb-7 ctropnt-less than 05:23am blood albumin-3.7 calcium-8.9 phos-3.9# mg-2.1 08:54pm blood %hba1c-5.7 eag-117 01:15am blood triglyc-110 hdl-77 chol/hd-2.6 ldlcalc-105 05:23am blood tsh-3.9 05:23am blood t4-5.3 free t4-0.86* 05:23am blood cea-<1.0 psa-1.2 08:31am blood -negative 08:31am blood crp-69.3* 11:29pm blood carbamz-7.7 05:38am blood lactate-1.1 ct chest/abd/pelvis (i+): 1. no ct evidence of malignancy in the chest, abdomen, or pelvis. 2. scattered ground-glass and tree-in- opacities in the right lower lobe, nonspecific, may reflect aspiration or other infectious/inflammatory process. 3. diverticulosis, no evidence of diverticulitis. 4. right renal cyst, with smaller hypodensity at the lower pole of the right kidney, too small to characterize. 5. coronary artery calcification. 6. small hiatal hernia. mr 1. the previously noted right temporal abnormality demonstrates enhancement adjacent to it in the extra-axial space with opacification of mastoid air cells. this indicates intracranial extension of infection from right mastoid region with vasogenic edema. a linear filling defect in the adjacent likely venous structure is concerning for thrombophlebitis. the transverse sinus is patent. 2. linear enhancement right occipitasl lobe can be an additional area of extra-axial enhancement/cerebritis. 3. acute left parietal infarct is again identified. ekg sinus rhythm. normal tracing. compared to tracing #1 no change. rate pr qrs qt/qtc p qrs t 98 136 100 336/402 56 47 36 cardiac echo conclusions the left atrium is elongated. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. the estimated right atrial pressure is 0-5 mmhg. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: normal biventricular systolic function. no pfo identified. brief hospital course: stroke small territory stroke of unclear etiology in arm territory of pre- and post-central gyrus on right, affecting left arm. patient was given tpa on presentation and stayed in the icu briefly. function near baseline on discharge with some residual weakeness of the deltoid and biceps on the left. an incidental lesion of unclear type was noted at the left temporoparietal junction. incidental fingins on mri increased contrast enhancement at dural and into overlying parenchyma directly adjacent to enhancing mastoid air cells. no active mastoid disease per ent, but infectious diseases were concerned for infectious etiology despite unremarkable csf - they felt it could be an encapsulated abscess. however, id thought that an encapsulated abscess would be unusual in an asymptomatic patient. id recommend 4 weeks of vancomycin/ceftriaxone/flagyl with close follow-up. neurosurgery will biopsy if worsened or not changed by antibiotic therapy. he has follow-up appointments with neurosurgery and id, as well as with neurology given stroke. he will undergo repeat mri in one week. tumor work-up did not reveal primary in torso ct and psa, cea were negative. no abnormal cells in csf and csf flow-cytometry was negative. hypertension started amlodipine, continued captopril and decreased metoprolol given asystolic, likely vagal event. antihtn medications initially held given stroke, then restarted as pressures trended upward. this will need outpatient checks and titration. we would advise against dramatic increase of beta-blocker. amlodipine could be increased further if necessary. sinus tachycardia and asystolic event sinus tachycardia was likely rebound after holding beta-blocker after bradycardic then asystole for 30s. this was likely vagal in the setting of sleep apnea and nausea. spontaneous restoration of cicrculation wihout sequelae. psychotic illness and mental status prior diagnosis. in icu, antipsychotics were held. his mental status was excellent without delusions, paramoia, abormal behaviour. thus did not restart. would recommend prn seroquel if any needed. attempted to contact outpatient psychiatrist, but no recent contact. please have patient follow-up with his psychiatrist if this is indicated. malrotation intestinal malrotation noted on abdominal ct, but no prior obstructions or surgery. was constipated while here, but this resolved. no action needed at this time. medications on admission: metoprolol 100mg mylanta 20mg q4 prn acetominophen 325 q6 hours prn glucogon 1mg for bs <70 robitussin sr for cough prn doculax prn haldol 10mg , 5mg prn as needed for agitation potassium 20mg daily tegretol 200mg hytrin 1mg qhs simvastatin 20mg qhs captopril 50mg tid metformin 500mg daily glyburide 2.5mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever, pain. 2. glucagon emergency 1 mg kit sig: one (1) injection every 15 minutes as needed for bs < 70. 3. fingersticks tues a.m. and thursday p.m. 4. carbamazepine 200 mg tablet sig: one (1) tablet po bid (2 times a day). 5. simvastatin 80 mg tablet sig: one (1) tablet po once a day. 6. terazosin 1 mg capsule sig: one (1) capsule po hs (at bedtime). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. captopril 50 mg tablet sig: one (1) tablet po three times a day. 9. metformin 500 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 10. glyburide 2.5 mg tablet sig: one (1) tablet po once a day as needed for dm. 11. bipap 15/10 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 14. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 15. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 16. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 17. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 18. vancomycin 1000 mg iv q 12h - four weeks from 19. ceftriaxone 2 gm iv q12h - four weeks from 20. metronidazole (flagyl) 500 mg iv q8h - four weeks from discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: primary stroke - ischemic. secondary hypertension hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you came to the hospital with left arm weakness. this was found to be the consequence of a small stroke. we have adjusted your medications to reduce the chance of this happening. please take your medications as listed below. on imaging of your brain, we also saw another region of abnormality. this will need to followed by repeat imaging in two weeks. please also see dr. in clinic for follow-up of your stroke. while you were in the hospital, your antipsychotic medications were tapered. you have been doing well with this change. followup instructions: please follow-up in our neurology clinic: provider: , md phone: date/time: 3:30 please follow-up with neurosurgery: provider: , md phone: date/time: 11:00 please follow-up with infectious diseases: provider: , md phone: date/time: 10:00 procedure: spinal tap incision of lung injection or infusion of thrombolytic agent diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia cardiac arrest cerebral edema epilepsy, unspecified, without mention of intractable epilepsy dysarthria cerebral artery occlusion, unspecified with cerebral infarction unspecified causes of encephalitis, myelitis, and encephalomyelitis apnea paranoid type schizophrenia, unspecified unspecified mastoiditis 

Answer: The patient is high likely exposed to