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: code stroke major surgical or invasive procedure: tpa administration history of present illness: the pt is a 65 year-old r-handed man with pmhx of dm2, htn and hl who presents with the sudden onset of decreased speech output, r-facial droop and r-sided weakness. per report, at 5:55pm on the evening of he was talking to his wife, when he suddently stopped talking, and his r face drooped and his r-side became weak to where he had to sit down. his wife called 911 and he was brought to the ed. at code stroke was called on his arrival at 6:30pm and a nchct showed no bleed. his cta and ctp showed a l aca stroke. his nihss was 11, for r-facial droop, r arm and r leg weakness, sensory loss on the r and dysarthria and he was given tpa at 7:12pm after his family was consented by dr. (who speaks fluent spanish, which was needed as the family only speaks spanish). his r arm weakness improved somewhat distally after the tpa, but still was weak proximally. he was sent to the icu for further monitoring. on neuro ros, the pt reports r-sided weakness and difficulty speaking as above, but denies headache, loss of vision, blurred vision, diplopia, dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. denies focal numbness, parasthesiae. no bowel or bladder incontinence or retention. on general review of systems, the pt denies recent fever or chills. no night sweats or recent weight loss or gain. denies cough, shortness of breath. denies chest pain or tightness, palpitations. denies nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denies arthralgias or myalgias. denies rash. past medical history: dm2 - htn - hl - depression social history: used to smoke, quit in , no etoh or illicits. family history: no cad or strokes physical exam: physical exam: vitals: t: 98.2 p: 78 r: 16 bp: 172/84 sao2: 97% on ra general: awake, cooperative, intermittently tearful. 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 : 11 1a. level of consciousness: 0 1b. loc question: 0 1c. loc commands: 0 2. best gaze: 0 3. visual fields: 0 4. facial palsy: 2 5a. motor arm, left: 0 5b. motor arm, right: 3 6a. motor leg, left: 0 6b. motor leg, right: 4 7. limb ataxia: 0 8. sensory: 1 9. language: 0 10. dysarthria: 1 11. extinction and neglect: 0 -mental status: alert, oriented x 3. he had word phrases of verbal output, so difficult to test fluency. speech is dysarthric. able to follow midline and appendicular commands. no evidence of apraxia or neglect. can name accurately and can read accurately. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm and brisk. vff to confrontation. funduscopic exam revealed no papilledema, exudates, or hemorrhages. iii, iv, vi: eomi without nystagmus. normal saccades. v: facial sensation intact to light touch. vii: r facial droop viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, tone throughout. pt unable to lift r arm off bed initially on exam, so unable to test pronator drift. no drift on l. the following strength exam is for the initial pre-tpa exam. post tpa his distal rue strength and somewhat his proximal sterngth improved. no adventitious movements, such as tremor, noted. no asterixis noted. delt bic tri wre ffl fe io ip quad ham ta edb l 5 5 5 5 5 5 5 5 5 5 5 5 5 5 r 0 0 0 1 2 1 1 0 0 0 0 0 0 0 -sensory: decreased light touch and pinprick on the rue and rle. unable to test dss given above sensory deficits. -dtrs: tri pat ach l 2 2 2 2 1 r 2 2 2 2 1 plantar response was flexor on the l and mute on the right. -coordination: no intention tremor, no dysdiadochokinesia noted on l, unable to test on r because of decreased strength. similary no dysmeteria on l, but unable to test on r. -gait: deferred as cannot move right leg at all. discharge exam: afebrile, avss. improving right upper extremity strength especially distally. still plegic in right leg as above. pertinent results: 01:55am blood wbc-11.8* rbc-5.35 hgb-14.2 hct-43.3 mcv-81* mch-26.5* mchc-32.8 rdw-14.3 plt ct-247 06:30pm blood wbc-9.2 rbc-5.44 hgb-14.3 hct-43.8 mcv-81* mch-26.3* mchc-32.7 rdw-14.3 plt ct-232 01:55am blood pt-10.6 ptt-34.7 inr(pt)-1.0 06:30pm blood pt-10.2 ptt-35.0 inr(pt)-0.9 01:55am blood glucose-177* urean-18 creat-0.9 na-139 k-4.3 cl-103 hco3-26 angap-14 06:42pm blood creat-1.4* 01:55am blood alt-33 ast-25 ld(ldh)-171 ck(cpk)-58 alkphos-102 01:55am blood calcium-9.3 phos-3.2 mg-1.8 cholest-119 01:55am blood %hba1c-8.4* eag-194* 01:55am blood triglyc-92 hdl-33 chol/hd-3.6 ldlcalc-68 06:40pm blood glucose-144* na-142 k-4.8 cl-99 calhco3-26 brief hospital course: 68 yo rh hispanic man (rh) with hx of dm and hyperlipidemia, who presented bibems after his wife noted decreased speech output and right sided weakness. detailed history is limited due to language barrier, but pt's wife is clear that the symptom onset was rapid. patient arrived in the ed, initial bp 175/115. nihss initial 11 as detailed above. on ct no hemorrhage or other major lesion identified. family informed about the clinical diagnosis of ischemic stroke tpa 8.2mg was administered at 19:12 followed by continuous infusion of the rest of the dose. on 15 min re-examination, stroke scale improved by 2 pts (less pronounced facial weakness and r arm weakness. r leg remains flaccidly plegic). the patient was transferred to icu and he was monitored per tpa protocol. during icu stay his bp was running between 155-188, his exam did not change in compare to the presenting time. after transfer to the floor, mr. speech improved and he passed a swallowing study. his blood pressure was in goal range. clopidogrel was started and aspirin discontinued. fluoxetine was also started. lisinopril and statin were continued. medications on admission: - metformin 1,000mg - glimeperide 1mg qd - lisinopril 5mg qd - lotrisone 1-0.05% cream prn - crestor 20mg qd - hydrocortisone 2.5% cream prn - econazole intrate 1% tp qd - asa 81mg qd discharge medications: 1. metformin (glucophage) 1000 mg po bid 2. amaryl *nf* (glimepiride) 1 mg oral daily 3. clopidogrel 75 mg po daily 4. fluoxetine 10 mg po daily 5. lisinopril 5 mg po daily 6. rosuvastatin calcium 20 mg po daily discharge disposition: extended care facility: - discharge diagnosis: primary: left aca stroke s/p tpa secondary: hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: bedbound. discharge instructions: dear mr. , you were hospitalized due to symptoms of right-sided weakness resulting from an acute ischemic stroke, a condition where a blood vessel providing oxygen and nutrients to the brain is blocked by a clot. the brain is the part of your body that controls and directs all the other parts of your body, so damage to the brain from being deprived of its blood supply can result in a variety of symptoms. stroke can have many different causes, so we assessed you for medical conditions that might raise your risk of having stroke. in order to prevent future strokes, we plan to modify those risk factors. we are changing your medications as follows: 1. start clopidogrel (plavix), a medication that prevents platelets from clotting 2. stop aspirin 3. start fluoxetine, which can help with mood and other symptoms please take your other medications as prescribed. please followup with neurology and your primary care physician as listed below. if you experience any of the "danger signs" below, please seek medical attention. it was a pleasure providing you with care during this hospitalization. followup instructions: provider: , md phone: date/time: 1:30 md procedure: injection or infusion of thrombolytic agent diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use other and unspecified hyperlipidemia cerebral embolism with cerebral infarction dysarthria facial weakness flaccid hemiplegia and hemiparesis affecting dominant side 

Answer: The patient is high likely exposed to