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: acute change in mental status and reported right sided facial droop major surgical or invasive procedure: none history of present illness: on , she was at her nursing home, , when she was noted to be drowsy by nursing staff. she was taking a shower around 9:20-9:40am when her aide noticed that the patient became progressively weak. she "slumped over" and was helped back to bed. she was reportedly falling to the right and had a right facial droop. she was minimally verbal and generally weak. ems was called and found the patient with right facial droop, slurred speech, and weak right hand. she arrived in the er on at 10:20am. her vitals at that time were: bp142/114, hr 64 rr12 o2sat 99%. she was emergently intubated, paralyzed and sedated for ariway protection. on intial evaluation by stroke fellow, she was unresponsive, not moving extremities and had nih stroke scale of 23. her initial head ct showed possible early infart signs in the left insular cortex, but no hemorrhage. she was given labetalol 15mg ivp x2 for bp control. iv t-pa was administered at 11:30am with 4.5mg iv bolus and 40.5mg over one hour. she also rec'd one unit of prbcs in the er for a hct of 27.8. past medical history: 1. htn 2. history of colon polyp 3. chronic renal insufficiency 4. hypothyroidism social history: lives in a nh. she is married-her husband is in the rehab facility at after being treated for pna. she has one son who lives in . at baseline, is alert and mobile, but confused physical exam: t: 98.6 bp:178/72 hr: 55 vent ac 550x12, not overbreathing, with fi02 50%, sp02 100%. gen: wd/wn, intubated, comfortable on vent, nad. heent: dried blood around nares, in oral cavity. anicteric. mm dry. +ett. neck: supple. no masses or lad. no jvd. no thyromegaly. no carotid bruits. lungs: coarse breath sounds anterolaterally. no r/r/w. cardiac: rrr. s1/s2. no m/r/g. abd: soft, nt, nd, +nabs. no rebound or guarding. no hsm. extrem: warm and well-perfused. no c/c/e. neuro: mental status: grimaces to noxious stimuli. not following commands. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2 to 1 mm bilaterally. no blink to threat. iii, iv, vi: oculocephalic reflex intact. v, vii: bilateral corneal reflexes intact. viii: unable to assess. ix, x: gag reflex intact. : unable to assess. xii: unable to assess with presence of ett. motor: postures rue to noxious stimuli. withdraws rle, left side to noxious stimuli. sensation: postures rue to noxious stimuli. withdraws rle, left side to noxious stimuli. reflexes: present and symmetric. grasp reflex absent. toes downgoing bilaterally. coordination: unable to assess. gait: unable to assess pertinent results: 05:05am blood wbc-6.7 rbc-4.87 hgb-12.8 hct-39.7 mcv-82 mch-26.2* mchc-32.2 rdw-17.5* plt ct-126* 10:50am blood wbc-6.2 rbc-3.68* hgb-8.5*# hct-27.8*# mcv-76*# mch-23.0*# mchc-30.4*# rdw-14.7 plt ct-193 05:05am blood plt ct-126* 10:50am blood pt-13.2 ptt-23.6 inr(pt)-1.1 10:50am blood plt ct-193 05:05am blood glucose-83 urean-35* creat-1.5* na-142 k-3.9 cl-109* hco3-23 angap-14 10:50am blood glucose-124* urean-39* creat-1.4* na-149* k-4.1 cl-112* hco3-26 angap-15 10:50am blood ck-mb-notdone ctropnt-0.54* 10:43pm blood ck-mb-notdone ctropnt-0.46* 03:40am blood ck-mb-notdone ctropnt-0.51* 05:05am blood calcium-8.0* phos-2.7 mg-1.9 03:40am blood calcium-8.5 phos-3.9 mg-1.6 cholest-125 04:45am blood caltibc-283 ferritn-74 trf-218 03:40am blood %hba1c-6.2* 03:40am blood triglyc-77 hdl-42 chol/hd-3.0 ldlcalc-68 brief hospital course: 1. neuro- after iv t-pa was given, the patient was noted to be moving her extremities left greater than right. an mri was done (although no diffusion imaging could be obtained due to problem with mri machine) which did not show evidence of new stroke, but did reveal periventricular t2 hyperintensities c/w chronic small vessel disease. an old, right cerebellar infarct was also seen. multiple areas of susceptibility were seen bilaterally in the basal ganglia and thalami. a repeat ct scan was done on which was negative for acute infarct or bleed. anti-platelets were held due to fluctuations in hct. an eeg showed slow background and occasional generalized theta and delta slowing c/w drowsiness or mild encephalopathy. she had carotid us which showed mild, <40% bilateral proximal ica stenosis. during her course, her mental status improved. neuro exam has shown decreased attention, dysarthria and mild right facial droop. she was started on aspirin, lipitor and acei for secondary stroke prevention. 2. pulm: initially intubated and sedated, but extubated without complications. cxr has shown mild chf and lll atelectasis vs infiltrate. she was treated with levofloxacin for pna. rpt cxr showed bilateral pleural effusions and mild chf. her respiratory status improved after lasix. she was started on atrovent and albuterol nebs with resolution of wheezing and sob. 3. cv: her inital ekg showed non-specific anterolateral st changes. cardiac enzymes were positive with peak troponin of 0.54. echo showed ef 35%, mildly dilated la, mild left ventricular hypo (inferior wall), mild-moderate ar, mr htn. cardiology consult saw her and felt that the elevated troponin and decreased ef were likley indicative of cad. they recommended medical management with beta blocker and anti-platelet (asa). if patient becomes symptomatic, they suggest evaluation with persantine stress test. her lipid profile showed hdl 42, ldl 68, and tg 77. she was started on a statin and acei. she should have an outpatient persantine stress test if she develops cardiac symptoms. 4. gi: initially fed with ngt. now able to tolerate oral feeding per swallow eval today. continue gi ppx. stool guiac has been negative. 5. renal/lytes: elevated bun/cre-do not know baseline cre. now also with hypernatremia-started on free water hydration today. started on acei-need to follow up lytes and bun/cre as an outpatient. 6. id: pt had postitive ua on admission and was started on levofloxacin. also has lll infiltrate on cxr. will cont abx for 7 day course. she has been afebrile and her 7. heme: on admission, hct was 27.8. she rec'd 2 u prbcs in the unit with poor hct response. yesterday, rec'd an additional 2 u prbcs, hct rose to 40. she was started on asa 325mg as her hct was stable post transfusion. she should have follow up iron studies and b12 level as an outpatient. 8. endocrine: her hba1c was mildly elevated. she should adhere to a diabetic diet. synthroid was continued at pre-admission dose 9. rehab: pt/ot evaluated the patient and she will be discharged for continued pt. medications on admission: 1. atenolol 50 mg po qd 2. synthroid 75 mcg po qd 3. vitamin b12 sc qmonth discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain, fever. 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 6. levothyroxine sodium 88 mcg tablet sig: one (1) tablet po daily (daily). 7. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 8. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. trazodone hcl 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 10. aspirin, buffered 325 mg tablet sig: one (1) tablet po daily (daily). 11. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 12. levofloxacin 250 mg tablet sig: one (1) tablet po once a day for 2 days. 13. atrovent 0.02 % solution sig: one (1) inhalation every six (6) hours. 14. albuterol sulfate 5 mg/ml nebu soln sig: one (1) inhalation every 4-6 hours as needed for shortness of breath or wheezing. discharge disposition: extended care facility: - discharge diagnosis: 1. acute stroke: s/p iv t-pa 2. non st elevation mi 3. chronic renal insufficiency 4. anemia-s/p 4u prbc transfusion 5. pnuemonia discharge condition: improved-mild right facial weakness and right ue weakness. discharge instructions: please continue to take your medications as prescribed. if you develop chest pain, sob, new weakness, numbness, dizziness, difficulty with speech or swallowing, please return to the er for evaluation. followup instructions: 1. dr. : friday at 11:15am. please have dr. check your bun/cre and potassium as you have just been started on lisinopril. you should also have a pa and lateral cxr to follow up on lll pneumonia and bilateral pleural effusions. please have your liver function tests checked in one month as you have been started on lipitor. 2. dr. : at 1:00pm clinic bldg . md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube injection or infusion of thrombolytic agent transfusion of packed cells diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism gout, unspecified acute, but ill-defined, cerebrovascular disease unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to