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: service: history of present illness: the patient is an 89-year-old woman with a history of hypertension, anemia, and possible atrial fibrillation. she lives alone and had last been seen three days prior to admission. on the day of admission she was found unresponsive on her floor and was subsequently department. past medical history: 1. diaphragmatic hernia. 2. chronic lower back pain. 3. osteoporosis. 4. osteoarthritis. 5. hypertension. 6. hypertrophic cardiomyopathy with an ejection fraction of 60% in . 7. ppd positive with a negative chest x-ray. 8. chronic anemia. 9. chronic medications on admission: salsalate 750 mg p.o. b.i.d., fosinopril 20 mg p.o. b.i.d., atenolol, aspirin 81 mg p.o. q.d. allergies: no known drug allergies. social history: the patient lives alone. further information regarding the social history was not available at the time of admission. physical examination: vital signs: initial exam revealed a temperature of 99.9??????, heart rate 102, blood pressure 219/133 with transient fluctuations to as low as 140/90, respirations 23. general: the patient was ill appearing. heent: dry mucous membranes. lungs: clear to auscultation anteriorly. there was a prominent systolic murmur at the right upper sternal border. abdomen: soft. extremities: no clubbing, cyanosis or edema. there was no evidence of trauma. neurological: exam revealed that the patient would transiently open her eyes in response to calling her name loudly. she would not follow commands and would occasionally attempt to speak with mumbling. she did not track and would not blink to threat. pupils were reactive from 3-2 mm. her left eye was mid position with the right eye with lateral deviation at rest. ocr was intact. there was right facial droop with flaccid right upper extremity tone and power. there was minimal withdraw to bed pressure in all extremities. her right lower extremity was externally rotated. there was no spontaneous limb movement. reflexes were absent in the right arm with trace reflexes in the left arm. reflexes could not be elicited for the patellar or gastrocnemius. her plantar response was extensor bilaterally. laboratory data: initial laboratory findings included a white count of 10.6; sodium 150, total cpk of 2742. head ct revealed low attenuation in the posterior limb of the left internal capsule. there was calcification in the globus pallidi. the patient was admitted to the intensive care unit for further treatment of her cerebral ischemic infarction and hypernatremia. hospital course: the patient underwent an mri/mra of the brain that revealed subacute infarcts of the left anterior middle cerebral artery territory involving the inferior aspect of the posterior limb of the internal capsule, as well as the medial aspect of the left hippocampus. her mra demonstrated decreased flow of the left internal carotid artery suggestive of significant proximal stenosis. the distal left vertebral artery was poorly visualized. the basilar artery was small but widely patent. these findings were consistent with a left mca ischemic infarction. the patient had an episode of hypotension that required pressor support. on the night of admission, the patient had runs of atrial fibrillation. she had been started on heparin soon after admission. the patient was transferred to the floor on her second hospital day. on her third hospital day, she had an episode of hypotension with a decrease in her hematocrit, and was subsequently determined to have a left inguinal bleed. she was transferred back to the intensive care unit for further management. heparin was discontinued, and the patient was started on aspirin. in the future she will likely require anticoagulation for her paroxysmal atrial fibrillation. during her second intensive care unit stay, she developed an e. coli urinary tract infection and was treated with bactrim. subsequent physical exams revealed evidence of a strong left gaze preference, right hemifield cut and flaccid right arm and face. she also has evidence of a global aphasia. she was subsequently weaned off pressor support. through her hospital stay, her elevated cpks returned towards baseline. the patient underwent peg tube placement on . on , the patient was noted to have decreased movement of her left lower extremity, and given her level of decreased mental status and limited communication ability, a repeat mri was obtained. this showed new regions of subacute infarct in the left basal ganglia with areas of restricted fusion. there was also further evolution of the left internal capsular infarct, and mra demonstrated evidence of 70-80% stenosis involving the left internal carotid artery. the mra was degraded by motion artifact however. there was also the possibility of moderate basilar disease. towards the end of her hospital stay, she had episodes of supraventricular tachycardia, and cardiology had recommended increasing her lopressor to 25 mg p.o. b.i.d. after placement of her peg, tube feeds were started with promote and fiber at 20 cc/hr and increased gradually to a goal of 65 cc/hr. the patient will be discharged to rehabilitation. discharge diagnosis: 1. left basal ganglion and posterior internal capsular infarction, likely of embolic etiology. 2. moderate left internal carotid stenosis. 3. paroxysmal atrial fibrillation. 4. recent urinary tract infections. 5. status post left inguinal bleed requiring transfusions and pressor support. 6. hypertension. 7. hypertrophic cardiomyopathy. discharge medications: zantac 150 mg per peg b.i.d., lopressor 25 mg per peg b.i.d., hold for systolic blood pressure less than 110 or pulse less than 60, plavix 75 mg per peg q.d., heparin 5000 u subcue b.i.d., aspirin 325 mg p.o. q.d. issues pending on discharge: the patient will need to be restarted on an anticoagulation for paroxysmal atrial fibrillation at some point in the future. she should have a repeat urinalysis obtained approximately one week after discharge to reevaluate adequate clearance of her urinary tract infection. discharge diet: the patient is on promote with fiber at a goal of 65 cc/hr. condition on discharge: fair. activity: as defined by physical therapy. follow-up: the patient should follow-up with the clinic at in weeks. disposition: the patient is discharged to rehabilitation. code status: full code. family members to contact in case of an emergency include a cousin whose name is in white plains, , . , m.d. dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances percutaneous (endoscopic) jejunostomy [pej] diagnoses: urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation unspecified fall hyperosmolality and/or hypernatremia occlusion and stenosis of carotid artery with cerebral infarction contusion of abdominal wall 

Answer: The patient is high likely exposed to