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: penicillins attending: chief complaint: found "down" with a left hemiparesis major surgical or invasive procedure: * intubated at osh history of present illness: per admitting resident: 62 year old man with unkown pmh last seen well 1 week ago; found down today on his apartment; left lateral recumbent; with an ulcer on left leg; found on ct head to have r mca territory stroke with hemorrhagic transformation. he was taken to osh where bp 194/119; hr 120 rr 24 sat 98%; he was intubated; received vecuronium; he received labetolol 20mg iv and he was loaded with phosphenytoin 1g and transferred here. bp 117/61 hr 75 rr 16 sat 100%, intubated; ct head and unchanged and cta neck shows obstruction r ica. on further discussion with family patient has history of large ?brainstem stroke at 37 leaving him with severe ataxia and needing a wheelchair to ambulate. he also has htn, hld. he lives alone and has a housekeeper see him once a week. past medical history: - htn - stroke at age 37 brainstem, residual of severe ataxia, cerebllar speech, needs wheelchair for ambulation - hld - ? asthma social history: - lives alone, has housekeepr once a week. - able to cook and do most of his adls, uses a wheelchair at baseline. - has wife and child but they have been separated for many years. . habits . - tobacco: remote use, 10-20yrs x 1 ppd, but quit after 37, - etoh: none since stroke at 37 either - recreational drugs: none family history: - positive for cad, stroke in various family members physical exam: on admission: exam: t-97.6 bp-117/61 hr-75 rr-16 100o2sat gen: lying in bed,intubated neck: on collar cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema; ulcer on left leg neurologic examination: mental status: intubated; on sedation; non-responsive cranial nerves: pupils equally round and reactive to light, 3 to 2 mm bilaterally. corneal present. l facial weakness; tongue midline motor: no spontaneous movement. retracts r arm and leg to noxious stimuli but not the left. increased tonus on left leg. sensation: retracts r arm and leg to noxious stimuli but not the left reflexes: b t br pa pl right 1 1 1 1 0 left 2 2 2 2 0 upgoing toes bl coordination: unable to examine gait: unable to examine pertinent results: admission labs: . wbc-22.0* rbc-5.29 hgb-15.3 hct-46.9 mcv-89 plt ct-338 neuts-92* bands-2 lymphs-3* monos-3 eos-0 baso-0 atyps-0 metas-0 myelos-0 blood pt-14.2* ptt-23.9 inr(pt)-1.2* glucose-141* urean-47* creat-0.8 na-148* k-3.6 cl-109* hco3-28 angap-15 alt-51* ast-76* ld(ldh)-389* ck(cpk)-1645* alkphos-70 totbili-1.7* ck-mb-10 mb indx-0.8 ctropnt-<0.01 calcium-8.5 phos-4.0 mg-2.7* . urine rbc-10* wbc-9* bacteri-few yeast-none epi-0 . discharge labs: . imaging: . ct/a head and neck(): impression: 1. large right mca distribution infarct involving just over 50% of the territory with associated deep hemorrhagic conversion and moderate local mass effect without herniation. 2. critical stenosis at the origin of the right internal carotid artery with no evidence of flow above the skull base, with no flow within the right m1 segment. this may all be secondary to soft plaque at the ica origin with embolization though dissection cannot be excluded. 3. marked segmental narrowing and/or occlusion of the vertebral arteries bilaterally, left greater than right, with what may represent old post-embolic encephalomalacia within the pons. 4. moderate brainstem and cerebellar atrophy out of proportion to the supratentorial volume loss. . ct head without contrast (): impression: 1. unchanged size and appearance of large right mca territory infarct with stable edema and internal hemorrhage. no new focus of hemorrhage or additional infarction is present. 2. disproportionate cerebellar atrophy; clinical correlation is recommended . ct head without contrast (): impression: 1. expected evolution of large right middle cerebral artery territorial infarction as above. the region cytotoxic edema has increased over the past 48 hours, but there is signficant shift of midline structures or herniation. 2. hemorrhagic transformation involving small regions of the infarcted corona radiata and deep matter structures, stable, with no new focus of hemorrhage. 3. global cerebellar atrophy. . ct c-spine (): impression: 1. no acute fracture or malalignment. 2. degenerative change as above, most significant at c5 through c7. . cxr (): 1. et tube in appropriate position. 2. ng tube with last side hole at the ge junction. recommend repositioning. 3. no focal consolidation within limits described above. . brief hospital course: mr. is a 62 year old man with a past medical history including previous posterior circulation stroke (age 37) with residual ataxia requiring a wheelchair for mobility, hypertension, and hyperlipidemia who was "found down" by his house keeper on (last seen normal ). he was transported to an outside institution where he was intubated. as his blood pressure was 194/119, he received labetolol and was loaded with phosphenytonin 1g. a head ct head showed a right superior mca territory stroke with hemorrhagic transformation. the patient was transferred to for further evaluation and care. he was admitted to the stroke service from to . . neuro upon his arrival to the , the patient had a cta in the emergency room which showed a r ica occlusion. the patient was not a candidate for any intervention.he was noted by the next day to be alert and awake and able to follow commands on his right side. a head ct was repeated to evaluate for evolution of the infarct which did reveal hemorrhagic transformation. he was eventually restarted on aspirin 325 mg daily. . no anti-epileptic drugs were restarted as there did not seem to be a clear nidus of seizure. . id at the time of admission, the patient was found to have a large pressure ulcer on his left hip. the surgery team was contact to debride the wound. as there was cellulitis surrounding the wound, treatment with clindamycin was initiated. . in the course of the admission, a stool culture was discovered to be positive for c. difficile colitis (). accordingly, a course of flagyl was initiated. blood, urine, and mrsa cultures were found to be negative. . given the patient's current condition and extremely poor prognosis, a family meeting was held. it was decided that continuing aggressive care would not be consistent with the patient's wishes and therefore he was transitioned to comfort-measures only. he will be transferred to hospice care for further care. . medications on admission: propranolol 60mg artane 4mg discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain/fever. 2. lorazepam 1 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for agitation. 3. morphine concentrate 20 mg/ml solution sig: 0.25-0.5 ml po q1h (every hour) as needed for pain or air hunger. 4. scopolamine base 1.5 mg patch 72 hr sig: one (1) patch 72 hr transdermal daily (daily) as needed for secretions. discharge disposition: extended care facility: hospice of the discharge diagnosis: r mca stroke discharge condition: awake, occasionally follows basic commands. hypophonic voice. 0/5 strength in lue, lle. discharge instructions: you were admitted after being found down. you were found to have a large stroke on the right side of your brain. after discussion with your family, you were transitioned to comfort care as it was thought this would be consistent with your wishes. followup instructions: please follow up as needed with your primary care physician md, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension cellulitis and abscess of leg, except foot pressure ulcer, other site intestinal infection due to clostridium difficile cerebral edema cerebral artery occlusion, unspecified with cerebral infarction hemiplegia, unspecified, affecting unspecified side pressure ulcer, unspecified stage occlusion and stenosis of carotid artery with cerebral infarction pressure ulcer, hip 

Answer: The patient is high likely exposed to