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: sulfonamides attending: chief complaint: confusion, aphasia, right facial droop major surgical or invasive procedure: ct/cta head and neck iv-tpa history of present illness: ms. is a year old woman with a history of afib (not on coumadin), prior strokes (, ) details of which are unknown, htn and recent right arm fracture and osteotomy who developed "confusion", decreased verbal output and right facial droop this am at her nh. she was well this am until she went to the bathroom at the nh just before 8:00am. at that time, she was noted to have decreased verbal output (which is unusual for her) completely non-verbal with a right facial droop. ems was called and she arrived in the er at 9:50am. she was initially evaluated by the stroke fellow who found her to be awake, non- verbal, following simple commands, with right facial droop and right hemiparesis. her initial nihss was 12. she had a ct scan at which showed no evidence of hemorrhage or infarction. cta showed no large branch occlusions in the intracranil circulation. she was given iv t-pa at 11:00 am, 3 hours after symptom onset. past medical history: paf not on anticoagulation tachy-brady syndrome htn dyslipidemia h/o cva (', ') urinary incontinence diastolic chf (ef >60% 9/04) social history: lives alone in own sr. apartment. does own housework, but decreased function lately. has vna home care. never married. no hcp. family history: non-contributory physical exam: admission exam: t 98.0 bp 134/71 hr 120irreg rr20 o2 sat 90% gen: resting on ed stretcher, appears somewhat agitated neck: supple, no carotid bruit cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: +left basilar crackles, decreased bs at right base abd: +bs soft, nontender ext: + 1 pedal edema neurologic examination: mental status: awake and alert, unable to state name, follows simple, one step midline and appendicular commands. practically non-verbal, though tries to initiate speech; occasionally able to say yes or no. unable to repeat single words or name any items. does not appear to understand complex commands or questions. cranial nerves: pupils equally round and reactive to light, 3 to 2mm bilaterally. visual fields appear full to threat (could not comply with confrontation testing). extraocular movements intact bilaterally without nystagmus. sensation to noxious appears intact v1-v3. right facial droop. tongue deviated to right (? due to facial). tongue midline without fasciculations, intact movements motor: normal bulk bilaterally. tone slightly increased in right le. no adventitious movements. unable to comply with formal motor testing, but could hold left arm and leg antigravity and right leg antigravity for >10 seconds. moved right ue on the bed (at least ). sensation: withdraws to pinch in all 4 extremities. reflexes: b t br pa ach right 2 2 * 2 2 left 2 2 2 2 2 rflxs slightly more brisk on the right toes were downgoing bilaterally coordination: unable to assess (pt doesn't appear to understand task) pertinent results: mra brain w/o contrast 11:12 am findings: abnormal diffusion is noted in the posterior left frontal lobe in the precentral gyrus region, consistent with acute stroke. subacute/chronic infarct is noted in the right cerebellar region as evidenced by abnormal signal on t2 and flair images with shine through artifact on diffusion-weighted images. patchy areas of hyperintensity are noted in the periventricular deep white matter consistent with a small vessel disease. a punctate area of susceptibility abnormality is noted in the right cerebellum, may represent tiny calcification versus tiny punctate hemorrhage. impression: 1) acute infarct is noted in the left posterior frontal lobe. 2) subacute/chronic infarct noted in the right cerebellum. cta head w&w/o c & recons 10:30 am comparison: . findings: there is no intracranial hemorrhage, shift of normally midline structures, or hydrocephalus. the ventricles and sulci remain enlarged, consistent with atrophy. there is low attenuation of the periventricular white matter consistent with chronic microvascular infarction. the -white matter differentiation remains intact. there is no evidence of a new major vascular territorial infarct. the osseous structures are normal. there are several right maxillary sinus mucosal retention cysts versus polyps. impression: no intracranial hemorrhage or change in the appearance of the brain. please note that an mri with diffusion-weighted imaging is more sensitive for detection of an acute infarct. 10:15am glucose-119* urea n-26* creat-1.0 sodium-140 potassium-3.6 chloride-95* total co2-33* anion gap-16 10:15am ck(cpk)-19* 10:15am ck-mb-2 ctropnt-<0.01 10:15am cholest-222* 10:15am %hba1c-6.2* -done -done 10:15am triglycer-138 hdl chol-63 chol/hdl-3.5 ldl(calc)-131* 10:15am wbc-10.7 rbc-4.58 hgb-13.4 hct-39.5 mcv-86 mch-29.1 mchc-33.9 rdw-14.4 10:15am plt count-219 10:15am pt-12.9 ptt-25.7 inr(pt)-1.1 brief hospital course: after iv-tpa administration pt was observied in the neurological icu x48 hours during which time there was limited improvement in her presenting symptoms. she was transferred to the general inpatient stroke service where bedside swallowing evaluation proved her incompetent to handle po but unfortunately would not allow for ng-tube placement. in addition, prior to discharge she was evaluated by speech pathology. after some discussion with the family and medical care team, the decision was made to transfer to an extened care facility for further care. medications on admission: lasix 60mg qd plavix 75 qd diltiazem 180mg qd colace 100mg toprol 100mg qd lisinopril 2.5mg qd zaroxolyn 2.5mg qd 30min prior to lasix discharge medications: lasix 60mg qd plavix 75 qd diltiazem 180mg qd colace 100mg toprol 100mg qd lisinopril 2.5mg qd zaroxolyn 2.5mg qd 30min prior to lasix discharge disposition: extended care discharge diagnosis: left mca infarct pulmonary effusion discharge condition: guarded discharge instructions: take all medications as prescribed. follow-up with all appoinments as directed. followup instructions: follow-up with your primary care physician on discharge. procedure: injection or infusion of thrombolytic agent diagnoses: unspecified pleural effusion unspecified essential hypertension atrial fibrillation acute respiratory failure pneumonitis due to inhalation of food or vomitus cerebral embolism with cerebral infarction acute diastolic heart failure late effects of cerebrovascular disease, aphasia 

Answer: The patient is high likely exposed to