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: aphasia and right sided weakness major surgical or invasive procedure: endotracheal intubation history of present illness: eu critical (last name is ) is a yo woman with pmhx of dementia, htn and ckd who presented as a code stroke for decreased speech and r-sided neglect. per patient's nursing home ( ), she was last seen completely well 3 days ago. for the last 2 days she has been c/o malaise and fatigue but was otherwise herself. it was found that she had elevated bp's into the 190's during that time point and her sx were attributed to her htn. then at 9am on she was brought her breakfast by an aide. normally ms. can feed herself, but she was complaining that she "couldn't see" her breakfast. she also answered "yes" and "ok" to some other questions but was overall less talkative than usual. then at 11am she was checked on again and was noted to be not speaking at all and possibly not looking at anything on the right side. an ambulance was called and she was brought to the ed where a code stroke was called. given her ckd, she was unable to get a cta, but her nchct showed no signs of early stroke and no hemorrhage. therefore, even though it was somewhat unclear the exact time of onset, she was given tpa as her head ct and her medical conditions showed no contraindication. her son was called to discuss tpa with prior to admisinstration of the medication. her neurological improved as she became mroe conversant and her r leg bexame less weak. she also was able to track a small amount past midline. however at around 2:40pm she was seen to become unresponsive by the ed staff and was intubateed. she was loaded with 1 gram of phenytoin and a stat nchct was obtained to look for hemorrhage, which was negative, and patient was admitted to the icu. the patient is unable to complete ros as she was not responding to commands or most questions. past medical history: pmh: - dementia (per nh and her np's report pt's baseline is that she can carry on a normal superficial conversation, but as soon as you start asking where she is and the year etc she will not know. also, she uses a wheelchair at baseline, but is able to stand on both feet and pivot into the wheelchair and is able to move herself around in bed. she feeds herself and is able to say when she has to use the restroom, but isn't always able to get there and is therefore incontinent of urine and stool) - depression (possibly ith psychotic features vs body dementia as per nursing home, ) - insomnia - glaucoma - h/o a positive ppd test - ckd stage 3 - htn social history: no smoking as per the nursing home, has a son who is her health care proxy who lives in nj. family history: unknown physical exam: physical exam: vitals: t:97.2 p:78 r: 16 bp: 195/98 sao2: 97% on ra general: awake, somewhat cooperative, nad. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: nih stroke scale score was :14 1a. level of consciousness: 1 1b. loc question: 2 1c. loc commands: 2 2. best gaze: 1 3. visual fields: 1 4. facial palsy: 1 5a. motor arm, left: 0 5b. motor arm, right: 0 6a. motor leg, left: 1 6b. motor leg, right: 2 7. limb ataxia: 0 8. sensory: 0 9. language: 1 10. dysarthria: 0 11. extinction and neglect: 2 -mental status: is able to say that she is in a hospital when given choices. reports her age as "75", then answers "75" repeatedly for many subsequent questions. she can follow some commands when they are mimed to her. she does respon at one point "not too good" when asked how she is. patient was able to name chair on the nihss card, but said "dunno" or stayed silent to the others. -cranial nerves: i: olfaction not tested. ii: perrl 2 to 1mm and brisk. vf show decreased blink to threat in the r eye. funduscopic exam revealed no papilledema, exudates, or hemorrhages. iii, iv, vi: eomi without nystagmus but patient unable to cross the midline to the r. v: facial sensation intact to light touch. vii: mild r facial droop, facial musculature otherwise symmetric. viii: hearing intact to snapping bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, tone throughout. no pronator drift bilaterally. no adventitious movements, such as tremor, noted. no asterixis noted. patient unable to cooperate with formal strength testing, but on our exam, she was able to list both arms off the bed and keep them there. however, she was only able to lift her left leg off the bed for about 5 seconds, and then slowly dropped to the ground. on the rle, the patient was unable to lift the leg off the bed except to noxious stim and then the response was minimal also. -sensory: she can feel noxious throuhgout but is unable to currently cooperate with more formal testing. -dtrs: tri pat ach l 1 1 1 1 0 r 1 1 1 1 0 plantar response was mute bilaterally. -coordination: patient unable to cooperate -gait: deferred =================================== discharge exam vitals not checked as patient is comfort measures only, respiratory rate ~20. appears comfortable, snoring lightly. no apneic episodes. somewhat arousable to voice and light touch. no spontaneous movement observed. noxious stimuli not applied. pertinent results: admission labs: 12:00pm blood wbc-5.8 rbc-3.90* hgb-10.9* hct-34.8* mcv-89 mch-27.9 mchc-31.3 rdw-13.3 plt ct-180 12:00pm blood pt-11.8 ptt-28.4 inr(pt)-1.1 12:15pm blood creat-2.1* 03:31am blood glucose-117* urean-22* creat-1.6* na-136 k-4.3 cl-105 hco3-22 angap-13 03:31am blood alt-8 ast-20 ld(ldh)-206 ck(cpk)-110 alkphos-78 totbili-0.3 03:31am blood albumin-3.8 calcium-9.3 phos-3.1 mg-0.9* relevant labs: 03:31am blood cholest-255* triglyc-182* hdl-43 chol/hd-5.9 ldlcalc-176* 03:31am blood %hba1c-5.5 eag-111 03:31am blood tsh-0.78 cardiac enzyme: 12:00pm blood ck-mb-2 ctropnt-0.05* 03:31am blood ck-mb-3 ctropnt-0.03* phenytoin: 03:31am blood phenyto-7.2* 04:22am blood phenyto-12.1 microbiology: mrsa screen negative neurology - eeg: : this is an abnormal continuous icu monitoring study because of a single electrographic seizure arising from the left central occipital region as described above, lasting about 2 minutes. there is also discontinuous background with subtle attenuation of faster activity over the right hemisphere, suggestive of severe encephalopathy with focal cortical dysfunction over the right hemisphere. there are brief runs of sharply contoured theta rhythm over the left central region. there is no previous study to compare. imaging: ct head: 1. no intracranial hemorrhage. 2. extensive age-related involution and small vessel ischemic disease. 3. 1.7 x 1.5 x 1.4 cm pituitary mass with bony sellar expansion which could be further characterized by mri if not previously known. tte: the left atrium and right atrium are normal in cavity size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). a mid-cavitary gradient is identified. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is a small somewhat mobile echodensity on the anterior mitral leaflet, likely representing a focal area of calcification. a vegetation, papillary fibroelastoma or other pathology cannot be excluded, but is less likely. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: normal global and regional biventricular systolic function. mobile focal mitral calcification as described above. moderate resting mid-cavitary lv gradient. ct head: 1. 5 cm x 5 cm right parietal lobe hemorrhage with extension into the left lateral ventricle occipital , with a corresponding 5mm midline shift to the left. 2. hypodensity around the hemorrhage extending to the overlying cortex which may represent edema or evolving infarction. mri/mra of head: impression: large right cerebral hematoma is identified with mass effect on the right lateral ventricle. multiple areas of chronic microhemorrhages are seen. small vessel disease noted. prominence of the left lateral ventricle may indicate early hydrocephalus. followup ct recommended as clinically appropriate. impression: 12 x 10 mm fusiform left cavernous carotid aneurysm. dolichoectasia of the arteries of anterior and posterior circulation seen. no vascular occlusion. brief hospital course: ms. is a yo woman with poor baseline functional status (wheelchair bound), pmh of dementia, htn and ckd who initially presented from her nursing home with right sided weakness and neglect. she was given tpa in ed with some improvement. however, patient became unresponsive and intubated, treated for presumed seizure with dilantin and admitted to the icu. her repeat head ct in icu showed a large right parietal iph with midline shift. after discussion with family members, decision was made to to make patient comfort measures only and she was extubated and transferred to the floor. unnecessary labs, fingersticks, vitals and medications were discontinued. she was started on prn morphine for pain and dyspnea. she was continued on iv dilantin while in house, but as it cannot be continued on discharge, will transition to scheduled ativan to assist with possible seizures. patient is being discharged to for further end of life care. medications on admission: celexa 30mg qd - hctz 25mg qd - lisinopril 10mg qd - mvi qd - vit b12 100mcg qd - vitamin d 800 iu qd - tylenol 1,000mg - omeprazole 20mg - artificial tears - calcium carbonate 500mg tid - trazodone 50mg qhs - travatan 0.001% eye drops, 1 drop to both eyes qhs - tylenol prn pain/fever - bisacodyl supp. 10mg qd prn constipation - calcium carbonate 1,000mg prn gerd - robitussin 20ml tid prn cough - milk of magnesia 30ml qd prn constipation - fleets enema prn constipation - duoneb prn wheeze discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis: intraparenchymal hemorrhage, stroke secondary diagnosis: dementia, chronic kidney disease, hypertension discharge condition: mental status: confused - always. level of consciousness: lethargic, sometimes arousable. activity status: bedbound. discharge instructions: mrs had right sided weakness and was found to have a stroke. she was given blood thinning medication called tpa for the stroke. she became less responsive and was intubated and admitted to the icu. in the icu, repeat head ct showed that she had right intraparenchymal hemorrhage. after a family meeting, it was decided to focus on patient's comfort and she was extubated. followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube injection or infusion of thrombolytic agent video and radio-telemetered electroencephalographic monitoring diagnoses: hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other convulsions unspecified glaucoma depressive disorder, not elsewhere classified intracerebral hemorrhage chronic kidney disease, stage iii (moderate) acute respiratory failure cerebral artery occlusion, unspecified with cerebral infarction aphasia hemiplegia, unspecified, affecting unspecified side insomnia, unspecified iatrogenic cerebrovascular infarction or hemorrhage fibrinolysis-affecting drugs causing adverse effects in therapeutic use facial weakness wheelchair dependence neurologic neglect syndrome dementia, unspecified, without behavioral disturbance glaucoma stage, unspecified 

Answer: The patient is high likely exposed to