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: codeine / versed / colchicine / lipitor attending: chief complaint: left sided weakness major surgical or invasive procedure: none history of present illness: ms. is a lovely 91-year old woman with a history of paroxysmal atrial fibrillation off coumadin secondary to remote gi bleeds who presents with acute onset of left sided weakness and slurred speech. patient was with her nephew card. at 630 she tried to put her glasses on with her right hand but kept missing her head. she then began drooling out of her left mouth and speech was slurred. her nephew, who is an ophthlamologist and her health care proxy called 911, and he tried to test her strength. he asked her to squeeze his hands, and her left side was clearly weaker. at one point after the onset of the weakness he also saw some rhythmic jerking of her left hand which self-resolved. by the time she was brought via ems to , she was no longer speaking, somnolent, and not responding to most questions, though she was seen to raise her right arm once in response to command. a code stroke was called at . . of note, ed course was also notable for elevated k at 6. changes for which she was given calcium, insulin, glucose with improvement to 5.6 but subsequent relative hypoglycemia at 60 for which she was given amp d50. past medical history: # hypertension # atrial fibrillation, diagnosed c/b r arm thrombus # s/p cva to l insula w/ very mild right facial asymmetry and some attentional/memory problems # mild cognitive impairment/occasional sundown syndrome # colonic gi bleed x 4 (, , , ) - coumadin stopped # diastolic and systolic heart failure # moderate mitral regurgitation # moderate aortic regurgitation # diverticulosis # gout # amiodarone-induced hypothyroidism, # h/o e.coli & vre uti, # right cataract surgery, # dyspepsia # s/p r breast excision () atypical ductal hyperplasia # s/p open appendectomy in # compression fracture of thoracic vertebrae in # surgical repair of broken right hip in # small aneurysm of aortic arch noted on echocardiogram social history: patient lives alone in since the death of her husband 9 year ago. she has no children, but has a very supportive nephew and who visit her frequently and help her with her medications and appointments. she is retired, but previously worked as a "stitcher" for many years. tobacco: never. etoh: drank wine with dinner, quit after her stroke in . illicits: never. contact : hcp/nephew: , md . family history: no hx of colon cancer of gi bleeds. females have a history of mitral valve prolapse. mother died of chf/diabetes. father died of mi. physical exam: 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: irregularly irregular, no m/r/g noted abdomen: soft, nt/nd, no masses or organomegaly noted. extr: wwp skin: no rashes or lesions noted. neurologic: fluent speech. a&o x3. able to digit span forward to 5 and backwards to 3. unable to copy a cube or make a clock correctly. no neglect. cn: perrrl, eomi, face symmetric. tongue midline, scm's full. motor: strength was 4+/5 and symmetric in upper and lower extremities. cordination: fnf no ataxia gait: with , stable. wide based. pertinent results: mri head: impression: 1. no acute ischemia. 2. age-appropriate atrophy, and chronic small vessel ischemic changes. 3. there is no occlusion or flow-limiting stenosis of the arterial system of the head and neck. brief hospital course: ms. is a 91-year old woman with a history of paroxysmal atrial fibrillation off coumadin secondary to remote gi bleeds who presents with acute onset of left sided weakness and slurred speech with some evidence of left hand shaking but only after onset of deficits. initial exam showed marked somnolence, mutism, left facial droop, decreased movement of left relative to right with relative preservation in sensory modality, and visual field cut on left. her nihss was 28. her head ct showed no acute bleed or well-developed infarct. given the acute onset of left-sided weakness preceding any shaking as well as the history of atrial fibrillation off of coumadin, stroke was deemed more likely than seizure, though seizure was considered as a differential diagnosis. a 1 mg ativan dose was given as trial to stop seizure without effect. further was not given due to concern of somnolence affecting respiration. given the elevated nihss and absence of absolute contraindications, though multiple relative contraindications were noted, discussion was had with her nephew/hcp whether to give tpa. after extensive discussion with regarding the potential risks and benefits of tpa in this case with particular consideration to history of gi bleeds, old age, possibility, and possibility of a seizure contributing to weakness/somnolence, and her desire not to live if she were to have any additional deficits, the decision was made to proceed with tpa. tpa bolus was given at 831, about 120 minutes after symptom onset. within 20 minutes of dose being given clear improvement was seen. by 30 minutes post-tpa patient was still somnolent but arousable to voice or gentle tactile stimulation, eyes closed at rest. she could state her name, where she lives, identify her nephew. extraocular movements were full, tongue midline. facial weakness was mostly resolved. she could elevate both arms to 45 degrees for at least 10 sec though persisted with grip weakness on the left relative to right. she could elevated both lower extremities for 5-7 seconds. she had withdrawal responses to noxious stimulation bilaterally. she denied any headache. plan was made for repeat ct en route to neuro-icu with subsequent to neuro-icu. an mri/a did not demonstrate any acute ischemia, occlusion, or flow limiting stenosis. she was initially sent to the icu for observation then to the med floor where she had a stable course. she was discharged to home given baseline exam. she was given a prednisone taper for acute gout flare. she was ckd so colchicine was not given. her antiplatlet asa was not changed after the event. it was postulated that the event was not vascular in nature but secondary to a seizure. medications on : levothyroxine 100 mcg daily lasix 20 mg m/w/f prilosec m/w/f lisinopril 20 mg daily 2 senna qhs prn metoprolol xr 50 mg daily fosamax 70 mg qweek aspirin 325 mg daily tylenol 500 mg daily tums 2 tab daily vitamin d 1000 iu daily vitamin b12 mcg daily colace 100 mg daily 500 mg cranberry extract discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: 2.5 tablets po daily (daily). 3. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for constipation. 4. cyanocobalamin (vitamin b-12) 100 mcg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po daily (daily). 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 8. prednisone 10 mg tablet sig: see titration schedule tablet po once a day for 10 doses: take 30mg take 20mg take 10mg then stop. disp:*6 tablet(s)* refills:*0* 9. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for aggitation. 10. lisinopril 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: seizure with post-ictal paralysis discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid ( or cane). discharge instructions: you were admitted as a code stroke and were a t-pa candidate. you received this medications and you were observed in the icu. you had an mri that had no evidence of stroke. you had a high potassium and your lisinopril was cut to 10 mg daily because of this. there were no other changes to your medications. on the day prior to your discharge you were started on a prednisone taper for a gout flare affecting your feet. weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: neurology dr . date/time monday at 3pm. please call one week prior to your appointment to ensure time and date. md procedure: injection or infusion of thrombolytic agent diagnoses: hyperpotassemia anemia, unspecified congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other convulsions chronic kidney disease, unspecified aphasia delirium due to conditions classified elsewhere acute gouty arthropathy cardiac rhythm regulators causing adverse effects in therapeutic use hemiplegia, unspecified, affecting nondominant side chronic combined systolic and diastolic heart failure other iatrogenic hypothyroidism 

Answer: The patient is high likely exposed to