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: codeine / ether / fish product derivatives attending: chief complaint: change in mental status, nausea major surgical or invasive procedure: none history of present illness: patient is an 84 year old female with past medical history of hypertension, abdominal aortic aneurysm who presented on as a transfer from hospital for evaluation of right cerebellar hemorrhage. patient lives at an facilty. when she failed to show up at scheduled breakfasst meal on day of admission, aides went to check on her in her room. found lying on bed in room. they noted her to be difficult to arouse. ems was called at 12:27 and she was transferred to hospital. on arrival there, initial bp 191/133. heart rate into 150s. exam there notes her to be arousable to voice and pupil asymmetry with l>r. noncontrast head ct showed right cerebellar hemorrhage. she was started on a nipride drip for blood pressure control. cardizem given for rapid heart rate. transferred here. on arrival here, initial temp 98.3, hr 120s atrial fibrillation, bp 122/95. in ed, given dose of bactrim ds for possible urinary tract infection. on review of systems, she denies headaches, visual changes, word finding difficulties, focal weakness, paresthesias, chest pain, shortness of breath, palpitations. she has had intermittent nausea and emesis. she reports feeling generally weak. past medical history: 1. hypertension 2. diverticulitis 3. abdominal aortic aneurysm 4. glaucoma 5. osteoarthritis social history: widowed. she has 8 children. lives in an facility. denies tobacco, drug or alcohol use. her daughter is her hcp . family history: no history of stroke or seizure. physical exam: tc: 98.3 bp:137/77 (116-143/44-91) hr: 92 (87-150) rr: 20 o2sat.: 98-100%/ra gen: wd/wn, comfortable appearing female, lying on left side in gurney , nad. heent: nc/at. anicteric. mmm. neck: supple. no masses or lad. no jvd. no thyromegaly. no carotid bruits. lungs: cta bilaterally. 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: awake and alert, cooperative with exam, normal affect. oriented to person, ", the hospital", and "wednesday, -00-2". able to recite forwards and backwards. speech fluent with good comprehension and repetition. naming intact. moderate dysarthria. no paraphasic errors. no apraxia, no neglect. cranial nerves: i: not tested ii: pupils asymmetric l>r, react briskly. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally with right beating nystagmus, worse on right lateral gaze. saccadic pursuits. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift. sensation: intact to light touch. reflexes: b t br pa ac right 2 2 2 1 1 left 1 1 1 1 1 grasp reflex absent. toes downgoing bilaterally. coordination: dysmetria and ataxia on finger-nose-finger and heel-to-shin right>left. pertinent results: 05:40am blood wbc-9.3 rbc-3.91* hgb-10.1* hct-31.6* mcv-81* mch-25.9* mchc-32.1 rdw-16.3* plt ct-193 09:41pm blood neuts-77.1* lymphs-16.0* monos-6.5 eos-0.3 baso-0.1 05:40am blood plt ct-193 04:55am blood pt-13.5 ptt-34.3 inr(pt)-1.2 05:40am blood glucose-111* urean-18 creat-1.0 na-138 k-3.9 cl-105 hco3-25 angap-12 03:32am blood fibrino-203 05:40am blood alt-10 ast-7 alkphos-58 totbili-0.9 07:25pm blood ck-mb-notdone ctropnt-0.12* 02:00am blood ctropnt-0.07* 06:42am blood ck-mb-notdone ctropnt-0.07* 03:45am blood ck-mb-notdone ctropnt-<0.01 05:40am blood albumin-3.4 calcium-9.1 phos-3.1 mg-1.8 03:45am blood %hba1c-6.2* 03:45am blood triglyc-135 hdl-48 chol/hd-4.2 ldlcalc-128 03:45am blood tsh-2.1 03:45am blood free t4-1.0 brief hospital course: she was found to have a right cerebellar hemorrhage on ct scan. she was also found to be in atrial fibrillation (new onset). she was initially admitted to the neuro-icu for further management. on she was transferred to the neurology floor. 1. neuro: the patient was admitted to the neuro-icu. neurosurgery was also consulted and followed the patient during her hospitalization-they felt that surgical management was not indicated. the most likely etiology of her hemorrhage is htn. she was started on mannitol 25g iv q6hours which was tapered, then d/c'd on . to keep her sbp<140, she was started on labetolol drip. she was switched to metoprolol and her blood pressure remained controlled. all anti-platelet agents were held initially-she will re-start asa 81mg on (2 weeks post hemorrhage). she will need to start coumadin in the future for stroke prevention (since she has afib). coumadin should be started in one month. please discontinue aspirin once coumadin is initiated. her neurologic exam has remained stable, although her ataxia has improved to some degree. she will need follow up imaging (mri/mra) in one month to evaluate parenchyma and intracranial circulation. she should also follow up in stroke clinic with dr. after the mri is done. 2. cv: she was found to be in rapid afib (new onset). she was started on a labetalol drip and converted to metoprolol with adequate rate control. anti-coagulation was contra-indicated in the acute setting of ich and coumadin was therefore not started (this should be started in one month as noted above). she had mild troponinin elevation 0.11 which trended down over her course. echo showed moderately dilated left and right atria, mild symmetric left ventricular hypertrophy, moderate global left ventricular hypokinesis with preservation of basal wall motion. overall left ventricular systolic function is moderately depressed (ef 30-39%), moderate as, mild to moderate (+) mitral regurgitation. she was started on acei. cardiology was consulted and recommended increasing metoprolol as tolerated to reach goal hr of 60bpm, starting amiodarone 400mg tid for 2 weeks, then decreasing dose to 400mg daily for two weeks, then decreasing the dose again to 200mg daily. because the patient was intermittently in nsr, we did not pursue tee and cardioversion. cardiology also recommended outpatient stress test to evaluate for cad. she should have her tfts and lfts checked as an outpatient since she will be on amio. 4. endo: free t4 and tsh were normal. her hba1c was mildly elevated. she should follow a diabetic diet and have her fingersticks monitored daily while in rehab. please re-check her hba1c as an outpatient. 7. id: she was found to have and elevated wbc and left shift. urine culture grew pan sensitive e.coli. she is s/p 7 day course of levofloxacin. 8. ophthal: glaucoma meds were continued. 9. rehab: pt was followed by pt and will require continued physical therapy. medications on admission: 1. zestril 40 mg po qd 2. norvasc 5 mg po qd 3. celebredx 200 mg po bid 4. ecasa 325 mg po qd 5. xalatan eye drops ou qhs 6. alphagan eye drops ou 7. trusopt eye drops ou 8. paxil 12.5 mg po qd discharge medications: 1. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). disp:*1 * refills:*2* 2. brimonidine tartrate 0.2 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*1 * refills:*2* 3. dorzolamide hcl 2 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*1 * refills:*2* 4. lisinopril 5 mg tablet sig: 0.5 tablet po qd (). disp:*15 tablet(s)* refills:*2* 5. erythromycin 5 mg/g ointment sig: one (1) ophthalmic qid (4 times a day). disp:*1 * refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed. disp:*250 ml(s)* refills:*0* 10. atorvastatin calcium 20 mg tablet sig: one (1) tablet po qd (). disp:*30 tablet(s)* refills:*2* 11. amiodarone hcl 400 mg tablet sig: one (1) tablet po three times a day for 13 days. disp:*39 tablet(s)* refills:*0* 12. amiodarone hcl 400 mg tablet sig: one (1) tablet po once a day for 14 days: start monday, . disp:*14 tablet(s)* refills:*0* 13. amiodarone hcl 200 mg tablet sig: one (1) tablet po once a day: start . disp:*30 tablet(s)* refills:*2* 14. to start : asa 81mg po qd discharge disposition: extended care discharge diagnosis: right cerebellar hemorrhage discharge condition: improved: exam sig for mild dysarthria, nystagmus on right lateral gaze, ataxia on finger to nose and heel to shin bilaterally (right>>left)at time of discharge discharge instructions: you will be discharged to rehabilitation hospital for continued physical therapy. please continue to take your medications as directed. in one month, you need to have an mri/mra of the brain performed at . please call radiology to schedule the mri. in one month, you should start taking coumadin for stroke prevention. this medication is a blood thinner and requires frequent monitoring by your primary care physician. return to the emergency room for evaluation if you experience change in your mental status such as excessive lethargy or confusion, dizziness, weakness, numbness, or difficulty speaking. followup instructions: 1. please call to schedule an appointment for mri and mra in one month. 2. please call dr. office to make an appointment after discharge from rehab hospital. (you should have the mri prior to your appointment with dr. 3. please schedule an appointment with your primary care doctor after discharge from rehab. your doctor will need to start you on coumadin and monitor your inr. you should also have your thyroid funcion tests and liver function tests re-checked in 2 weeks. md, procedure: insertion of endotracheal tube arterial catheterization arteriography of pulmonary arteries transfusion of packed cells right heart cardiac catheterization incision of vessel, other thoracic vessels diagnoses: pneumonia, organism unspecified anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation intracerebral hemorrhage rheumatic heart failure (congestive) cardiogenic shock mitral valve insufficiency and aortic valve stenosis other constipation abdominal aneurysm without mention of rupture other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to