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: no known allergies / adverse drug reactions attending: chief complaint: hemorrhagic conversion of ischemic stroke major surgical or invasive procedure: -endotracheal intubation -hypothermia protocol history of present illness: mr. is an 86 yo. w/pmh of paroxysmal afib on warfarin, sinus node dysfunction s/p pacemaker, well-controlled dm 2, dyslipidemia, htn, laryngeal ca, presenting as transfer from icu after developing a likely hemorrhagic conversion of an ischemic cva. . pt initially developed a headache on sunday night . monday morning around 6 am, woke up confused, had difficulty putting his breakfast together (oatmeal); when he looked at the clock, he had trouble determining what time it was and apparently saw letters instead of numbers. activated his personal emergency response system, and was taken to hospital by ambulance. vomited in ed 2 or 3 times and complained of severe right periorbital headache. around 9am monday, had negative head ct, found to be cognitively intact w/some subjective "confusion", w/ very little weakness of left side, no facial droop, able to stand. neuro consult describes normal mental status except not opening eyes, hesitant but fluent speech, delay in following left-sided commands, dense l hemianopia, extinguishes to dss on left face, l ue slight upward drift, good strength, no response to pinprick of left leg with marked extinction to dss and impaired position sense. labs showed subtherapeutic digoxin level and subtherapeutic inr at 1.3. got one dose of methylprednisolone for possibility of temporal arteritis. around 6 pm, complained of headache, nausea, abdominal pain, and did not eat. he was very anxious. because he was not eating, was given enoxaparin 70 mg instead of warfarin. received lorazepam and morphine around midnight. this morning, around 5 am assessed by cardiologist, was found to have 4/5 strength on left. at noon, repeat head ct showed right occipito-parietal conversion, 5x5 cm bleed, w/intraventricular extension, 8 mm midline shift. pt was given protamine 50 mg iv and 2 units ffp. decision was made to transfer pt to icu. exam before transfer was gcs 13, awake, lethargic, following commands. . on transfer flight, pt complained of ha and received fentanyl 25 mcg. subsequently became unresponsive but only transiently. got unknown dose of vit k during flight. ems neuro exam described as not opening eyes but following commands, oriented to self only. eom full except no downgaze, moves left side purposefully with full strength, right arm strength with weak squeeze, right leg wiggles toes only. . unable to obtain ros. past medical history: -paroxysmal afib on warfarin, sinus node dysfunction s/p pacemaker -well-controlled dm 2 -dyslipidemia -htn laryngeal ca -pacemaker placement -left ear surgery -appendectomy as child social history: lives by himself. occasional etoh. quit smoking 40 years ago. family history: 2 sisters died at yo. several siblings with dementia. 3 children alive and well. physical exam: physical exam day after admission : (intubated, off propofol for 20 minutes) ms: drowsy, does not open eyes to noxious, follows simple commands cn: eyes deviate to the right, but are able to move to midline pupils are reactive sluggishly bilaterally, left lower facial droop, + cough motor: dense left hemiplegia, right arm and leg , sensory: left arm extensor posturing to noxious, left leg withdraws to noxious right arm and leg withdraw to noxious reflex: right toe upgoing, left toe upgoing . physical exam on discharge: vitals: t 99.4, rr 18 (not monitoring other vitals, pt neuro exam: does not open eyes to sternal rub. does not follow commands. left pupil 2->1mm, r pupil pinpoint. no corneal reflex on left. left facial droop. cough present. minimally withdraws lue to noxious stimuli. triple flexes lle to noxious stimuli. withdraws slightly more briskly to noxious stimuli in rue and rle. pertinent results: labs on admission: 07:26pm wbc-16.5* rbc-3.73* hgb-11.7* hct-34.4* mcv-92 mch-31.3 mchc-34.0 rdw-13.2 07:26pm neuts-91.2* lymphs-3.0* monos-4.6 eos-1.1 basos-0.1 07:26pm pt-20.1* ptt-37.0* inr(pt)-1.9* 07:26pm fibrinoge-334 07:26pm ck-mb-3 ctropnt-<0.01 07:26pm glucose-188* urea n-20 creat-1.2 sodium-134 potassium-4.7 chloride-100 total co2-24 anion gap-15 imaging: head ct w/o contrast extensive hemorrhagic conversion of relatively acute right mca territorial infarct, with surrounding edema, sulcal and ventricular effacement, and stable degree of subfalcine herniation. head ct w/o contrast stable eeg this telemetry captured no pushbutton activations. it showed a slow and encephalopathic background throughout the recording. there were also very frequent blunted sharp waves, but there were no repetitive spikes or sharp waves, and there were no clearly epileptiform spike or sharp and slow wave complexes. there were no electrographic seizures. head ct w/o contrast : stable appearance of right mca territory infarct with hemorrhagic conversion with slightly increased mass effect with effacement of the right lateral ventricle and increased size of the left lateral ventricle. brief hospital course: mr. is an 86 yo rhm with history of paroxysmal afib on warfarin, sinus node dysfunction s/p pacemaker, well-controlled dm 2, dyslipidemia, htn, laryngeal ca, who was transferred from osh icu after developing a hemorrhagic conversion of an ischemic infarct, with large fronto-temporal-parietal hemorrhage on head ct causing significant midline shift. #neuro: on admission, inr was 1.9 and was reversed with 10mg vitamin k, 2 units of ffp, 6 units of platelets and profilin 9. was also treated with mannitol. patient was intubated overnight on admission given extensive hemorrhagic conversion/midline shift and concern for his ability to protect his airway. he was started on keppra for seizure prophylaxis, coumadin was held. on exam , no eye opening to sternal rub, not following commands, perrl (1.5-->1), + corneals, mild l facial droop, + cough, mild w/d of lue to noxious stimuli; triple flexion to noxious stimuli in lle. withdraws more briskly to noxious stimuli in rle, rue. likelihood of meaningful recovery was quite low given high ich score. neurosurgery did not feel he was an appropriate candidate for intervention. attempted to decrease cerebral edema with hypertonic saline. however, no clinical change so proceeded with cooling which was started at 11pm. eeg with no epileptiform activity. d/c'ed keppra on . patient was cooled x48 hours, return to normal temp on at 11pm. d/c'ed eeg. neuro exam was largely unchanged. unfortunately, could not obtain mri as patient has a pacemaker. given poor prognosis, had family meeting on . discussed that prognosis is poor and pt will quite surely no return to baseline. family felt that he would not have wanted to be in this state as he is at baseline very functional and active. changed code status from full to dnr. on , had another meeting and family decided to make transition cmo care. patient's non-essential medications were all discontinued, and he was prescribed medications for comfort (morphine, ativan, tylenol, zofran, bisacodyl). he is being discharged to a skilled nursing facility for comfort-focused care. . # cardio: hx of paroxysmal afib and sinus node dysfunction. ruled out mi. monitored on telemetry. . #id: had an mssa pneumonia (per sputum culture)which was treated with antibiotics that were discontinued once goals of care shifted to cmo as above. medications on admission: asa 325 mg daily digoxin 0.125 mg daily meformin 500 mg metoprolol 50 mg simvastatin 20 mg daily warfarin 5 mg on saturday and 2.5 mg rest of week. discharge medications: 1. acetaminophen 650 mg pr q6h:prn pain/fever rx *acetaminophen 650 mg 1 suppository(s) rectally every six (6) hours disp #*120 tablet refills:*2 2. lorazepam 0.5-2 mg iv q4h:prn agitation titrate to rass rx *lorazepam 2 mg/ml give 0.5-2mg iv every four (4) hours disp #*60 vial refills:*2 3. morphine sulfate 1-4 mg iv q15min:prn pain or respiratory distress please titrate to respiratory distress and pain scale as per guideline. rx *morphine 2 mg/ml give 1 to 2 mg ( - 2 syringes) q2 hrs (for pain or air hunger) disp #*60 syringe refills:*0 4. ondansetron 4-8 mg iv q6h:prn nausea/vomiting rx *ondansetron hcl 2 mg/ml give 4-8mg iv every six (6) hours disp #*60 vial refills:*2 5. bisacodyl 10 mg pr hs rx *bisacodyl 10 mg 1 suppository(s) rectally at bedtime disp #*30 tablet refills:*2 (note: morphine was written as standing per request of ) discharge disposition: extended care facility: discharge diagnosis: ischemic stroke with hemorrhagic conversion involving frontal, temporal, parietal lobe with midline shift discharge condition: mental status: confused - always. level of consciousness: lethargic and not arousable. activity status: bedbound. discharge instructions: dear mr. , you were admitted to the hospital with a large stroke which bled into your brain. the brain was quite large and caused high pressure in your brain, causing you to be unresponsive. we treated you with cooling with hopes you would improve, but you did not. after discussion with your family and explained that you would not return to anywhere close to your prior functional level and would require 24 hour high intensity care. they did not feel you would want this kind of life so we transitioned to comfort-focused care. . we made the following changes to your medications: 1. stopped your aspirin, digoxin, metformin, metoprolol, simvastatin and warfarin 2. started ondansetron (zofran) 4-8mg iv every 6 hours as needed for nausea 3. started lorazepam (ativan) 0.5-2mg iv every 4 hours as needed for agitation 4. started morphine sulfate 1-4mg iv every 15 minutes as needed for pain or respiratory distress 5. started acetaminophen (tylenol) 650mg per rectum every 6 hours as needed for pain or fever 6. started bisacodyl per rectum at night to treat constipation followup instructions: none procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation intracerebral hemorrhage other and unspecified hyperlipidemia acute respiratory failure cerebral edema long-term (current) use of anticoagulants cardiac pacemaker in situ cerebral artery occlusion, unspecified with cerebral infarction hemiplegia, unspecified, affecting unspecified side personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to