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: history of present illness: this is an 80 year old the evening of , when the patient had acute onset of right sided weakness during a card game. he slumped over in his chair at the table and had no loss of consciousness, but was not able to speak afterwards. paramedics were called and the patient was brought to emergency department where on head ct showed no hypodensity and no evidence of any hemorrhage. the patient at that point was noted to have a nih stroke scale of 19. he was considered to be a tpa candidate and had no contraindications. the patient received tpa approximately one hour and forty minutes after onset of symptoms and was afterwards monitored in the unit. the patient's post tpa course was significant for agitation with the patient receiving 19 mg of lopressor and 10 mg of ativan in the emergency department for blood pressure and agitation control. the patient was monitored in the neurosurgical intensive care unit for post tpa monitoring for any evidence of hemorrhage. the patient's agitation continued with some alteration in mental status. an electroencephalogram was performed which showed diffuse swelling though no epileptiform activity. the patient had carotid ultrasounds performed which were normal. a transthoracic echocardiogram showed an ejection fraction of 30 to 40% and no evidence of any cardiac etiology of his stroke. magnetic resonance scan was performed which showed an area of restricted diffusion in the left basal ganglia and insular cortex, otherwise no structural abnormality. the patient's mra showed normal circle of as well as otherwise normal vessels. the patient was transferred to the floor and continued to improve with regards to his examination. speech and swallow was consulted which recommended a regular diet for the patient as well as further speech therapy secondary to mild dysarthria. physical examination at discharge - on general examination, the patient's lungs are clear to auscultation bilaterally. cardiac examination reveals a regular rate and rhythm with no murmur. the abdomen is soft, nontender, nondistended. extremities are warm and well perfused. on neurological examination, the patient is awake and alert, in no acute distress. the patient is oriented to person, date and hospital. speech is fluent with normal naming and normal repetition. attention is good with days of the week backwards. on cranial nerve examination, the patient's pupils are equally round and reactive to light. extraocular movements are intact with no nystagmus present. fundi appear normal. facial movements are symmetric. tongue and palate are midline with full range of movement. there is normal sternocleidomastoid and trapezius strength. on motor examination, the patient has full strength on the left side and mild 4+ out of 5 weakness on the right in an upper motor neuron distribution. the patient's reflexes are symmetric and 1+ bilaterally. sensation is intact bilaterally to light touch and pin prick. the patient has mildly slow rapid alternating movements and finger-nose-finger though steady and accurate. the patient's gait is significant for mild unsteadiness. the patient's evaluation by physical therapy and occupational therapy recommends rehabilitation secondary to gait. anticipated discharge is on , to rehabilitation at . condition on discharge: good. the patient is to receive occupational therapy and physical therapy and speech and language therapy at rehabilitation. medications on discharge: 1. synthroid 137 mcg p.o. q.d. 2. fluoxetine 20 mg p.o. q.d. 3. zantac 150 mg p.o. b.i.d. 4. oxycontin 20 mg p.o. t.i.d. 5. lopressor 12.5 mg p.o. b.i.d. 6. percocet one tablet p.o. q6hours p.r.n. back pain. 7. senokot one to two tablets p.o. p.r.n. constipation. 8. milk of magnesia 30 ccs p.o. q.d. p.r.n. constipation. 9. albuterol mdi two puffs q4hours p.r.n. wheezing. 10. aspirin 325 mg p.o. q.d. follow-up: the patient will follow-up in neurology with the stroke team in approximately one month. in the meantime, he will be kept on aspirin as adequate anticoagulation following his stroke and will receive appropriate physical therapy and occupational therapy as well as speech therapy at rehabilitation. the patient will continue on his outside regimen of percocet and oxycontin for pain control of spinal stenosis. , m.d. dictated by: medquist36 d: 18:01 t: 18:40 job#: procedure: injection or infusion of thrombolytic agent diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension percutaneous transluminal coronary angioplasty status old myocardial infarction cerebral artery occlusion, unspecified with cerebral infarction 

Answer: The patient is high likely exposed to