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: patient recorded as having no known allergies to drugs attending: chief complaint: fatigue major surgical or invasive procedure: cardiac catheterization left femoro-popliteal catheterization history of present illness: briefly, patient is a 62m h/o dm2, no known cad who presented with ekg changes in pcp office and /o fatigue and sent to ed. patient was in his usoh until one week prior to admission when he started feeling fatigued and light headed and presented to his pcp. was found to have elevated blood sugar on labs and ecg which showed st elevations v3-6. the pt denies any cp or sob. he denies polyuria, polydipsia. no f/c/n/v. he was referred to ed for further management. in ed, he was found to have sugar 657, trop 0.96, ck 59. he was given ivf, insulin 10 iv, 10 sc, asa, plavix 600. he was taken to the cath lab and the lad was stented. on echo he was found to have severe biventricular regional systolic dysfunction c/w cad and lv/rv infarction and mural left ventricular apical thrombus. after coming from the cath he started complaining about pain in left lower extremity. dp and pt non-dopplerable. was taken to cath and found to have left popliteal artery embolus. removal of the embolus was unsuccessful, hence vascular surgery was called. vascular surgery recommended to take the pt to the or. pt declined surgery and was brought back to ccu. the lle pain improved and pt pulse was dopplerable. pt was supposed to get d/c next day. next day in am , he developed ams and weakness on the left side. neuro was called. the ct brain w/ and w/o contrast showed right frontal intraparenchymal hemorrhage. pt was transferred to neuro icu. over the last few days, his ms improved and the strength in his left upper and lower extremity improved. today he was transferred to ccu to have a better control of the heart rate and subsequent rehab. past medical history: dm2 social history: not married, smokes 4 cigs/day. works at palladium security family history: mother alive at 98. father died of unknown causes in his 40s. physical exam: vs: temp: 99.4 bp: 120/73 hr: 60 rr: 17 o2sat: 100 ra general: pleasant, comfortable, nad heent: perlla, eomi, lungs: cta b/l with good air movement throughout heart: rr, s1 and s2 wnl, no murmurs, +s3 abdomen: nd, +b/s, soft, nt, no masses or hepatosplenomegaly extremities: trace ankle edema pertinent results: 06:37pm glucose-265* urea n-33* creat-1.2 sodium-136 potassium-4.2 chloride-98 total co2-25 anion gap-17 06:37pm ck(cpk)-42 02:35pm glucose-657* urea n-36* creat-1.4* sodium-129* potassium-5.2* chloride-89* total co2-23 anion gap-22* 02:35pm ck(cpk)-59 02:35pm ctropnt-0.96* 02:35pm ck-mb-notdone 02:35pm calcium-10.1 phosphate-5.0* magnesium-2.1 02:35pm wbc-12.6* rbc-4.90 hgb-15.3 hct-43.5 mcv-89 mch-31.3 mchc-35.3*# rdw-14.0 02:35pm neuts-79.2* lymphs-16.5* monos-3.9 eos-0.2 basos-0.2 02:35pm plt count-355 02:35pm pt-12.5 ptt-23.9 inr(pt)-1.1 01:56am blood wbc-10.9 rbc-4.90 hgb-15.0 hct-44.3 mcv-90 mch-30.5 mchc-33.8 rdw-14.3 plt ct-317 01:56am blood plt ct-317 01:56am blood glucose-154* urean-20 creat-0.8 na-139 k-3.7 cl-103 hco3-23 angap-17 01:56am blood alt-32 ast-22 ld(ldh)-343* ck(cpk)-29* alkphos-143* totbili-0.5 01:56am blood ck-mb-notdone ctropnt-1.06* 01:56am blood calcium-8.2* phos-3.1 mg-2.2 01:56am blood phenyto-5.1* echo (): severe biventricular regional systolic dysfunction c/w cad and lv/rv infarction. mural left ventricular apical thrombus. dilated ascending aorta. mild mitral regurgitation. cath (): one vessel coronary artery disease. mild systolic ventricular dysfunction. successful pci of the lad with cyher drug eluting stents (see ptca comments for details). cath ():unsuccessful attempt in crossing the acutely occluded lsfa ct head w/ and w/o contrast(): : right frontal intraparenchymal hemorrhage. probable 5 mm aneurysm of anterior communicating artery. prior infarcts, right cerebellar hemisphere and right centrum semiovale. mr head : findings: upon reviewing the prior study, a large, somewhat patchy area of restricted diffusion was seen within the right posterior cerebral artery territory. while the prior and present flair images are degraded considerably by patient motion, both examinations also showed elevated t2 signal in portions of this infarct, suggesting that the infarct was already subacute in age on the first scan. the large right frontal hemorrhage is again seen. a small amount of blood appears to be sedimenting in both occipital horns. no other definite new abnormalities are appreciated. conclusion: evolution of extensive right posterior cerebral artery territory infarct. redemonstration of large right frontal hemorrhage with a small intraventricular component. addendum: the study was continued with gadolinium-enhanced images in all three planes. there does not appear to be any overt enhancement associated with the large right frontal hemorrhage, allowing for considerable image degradation due to patient motion. some of the areas of the right posterior cerebral artery infarct do enhance, a finding consistent with the subacute nature of this abnormality. the most prominent areas of enhancement in the infarct relates to gyri along the undersurface of the right temporal lobe as well as the right occipital lobe. the gyral enhancement, once again, is consistent with the subacute age of this infarct. brief hospital course: a/p: 62m h/o dm2 now with new diagnosis of chf, ef 25% and lv aneurysm with clot in setting of likely recent infarct. stented lad . after coming from the cath he started complaining about pain in left lower extremity. dp and pt non-dopplerable. he was taken to cath and found to have left popliteal artery embolus. removal of the embolus was unsuccessful, hence vascular surgery was called. vascular surgery recommended to take the pt to the or. pt declined surgery and was brought back to ccu. the lle pain improved and pt pulse was dopplerable. pt was supposed to get discharged the next day, however the next day in the morning he developed altered mental status and weakness on the left side. neuro was called. the ct brain w/ and w/o contrast showed right frontal intraparenchymal hemorrhage. pt was transferred to neuro icu. over the last few days, his mental status improved and the strength in his left upper and lower extremity improved. he was subsequently transferred back to the ccu to have a better control of the heart rate and subsequent rehab. problem by problem as follows: ## cardiac: - ischemia: st elevations on admission, likely secondary to lv apical aneurysm, elevated trop and negative ck. had lad stented with 3 dess. started on asa 325 mg po qd, clopidogrel 75 mg po qd, atorvastatin 80 mg po qd, metoprolol long-acting 200 mg po bid. no further chest pain. - pump: new diagnosis of chf, ef 25% with apical aneurysm and mural thrombus. started standing furosemide 20 mg po qd, lisinopril 10 mg po qd and metoprolol long-acting 200 mg po bid - rhythm: paroxysmal atrial fibrillation with very difficult to control rate. started on amiodarone 200 mg po qd, metoprolol long-acting 200 mg po bid and diltiazem 90 mg po qid. warfarin withheld pending results of f/u head ct to make sure ich is stable/resolving and mri. on the day of discharge, repeat mri with natural subacute evolution of hemorrhagic stroke. after lengthy discussions between cardiology and neurology, it was felt advisable to proceed with anticoagulation (see below). ## ich: as above, status post right frontal ich while on anticoagulation, also in setting of a-fib. presented with left sided hemiparesis, symptoms now improving. now waxing and mental status and physical exam. head ct 9 days after event showed no change from prior ct. mri of brain showed natural evolution of the hemorrhagic stroke, without any new bleed. after lengthy discussions between neurology and cardiology it was felt advisable to proceed with anticoagulation at this point. the longer anticoagulation is withheld the less of a risk of rebleeding, however the risk of further thromboembolism from his a-fib/ventricular thrombus persists. therefore, at this point in time, the risk of further hemorrhage is thought less than the risk of further thromboembolism, and he will be started on coumadin 2 mg po qhs tonight. he will need close inr monitoring, every other day at least, until inr is at goal of .5, and thereafter monitoring can be decreased, though his therapeutic range should be strictly adhered to. . ## fever, leukocytosis: pan-cultured. u/a not concerning for uti. concern was most likely for aspiration pna; cxr showed no infiltrates, only atelectasis and bilateral pleural effusions. ct chest showed rll abscess vs. necrotizing pneumonia vs. atelectasis. effusion tapped and consistent with transudate. a repeat ct scan after tapping the right hemithorax revealed resolution of the concern for abscess. he had been started on vancomycin and zosyn, which were discontinued. he remained afebrile for 24 hours prior to transfer to rehab. most likely etiology of fevers was atelectasis. c diff was negative x 1. ## dm2: poorly controlled on admit, glucose 657 on admission. hba1c was 15.1. consulted. they recommended nph , uptitrate with sliding scale. will be sent to rehab on nph 15 qam, 15 qpm, with regular insulin sliding scale (see attached sheet). ## hyponatrimia - differential included siadh given recent ich vs dehydration with diarrhea and lasix. serum osm 276, una 46 (>20) supportive of siadh. he was placed on fluid restriction of 1000 ml daily, which should be continued. he should have his na repeated every other day with inr checks for the time being to assure it is heading in the right direction. if not, should increase free fluid restriction and start salt tablets. ## fen: regular; cardiac/heart healthy. consistency: soft; thin liquids. supplement: boost breakfast, lunch, dinner. please give liquids by straw. single sips of liquid only. give pills whole with purees. ## code status: full medications on admission: none discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. diltiazem hcl 90 mg tablet sig: one (1) tablet po qid (4 times a day). 7. metoprolol succinate 100 mg tablet sustained release 24hr sig: two (2) tablet sustained release 24hr po bid (2 times a day). 8. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 10. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 11. coumadin 2 mg tablet sig: one (1) tablet po at bedtime: for goal inr 2-2.5. 12. insulin nph human recomb subcutaneous 13. insulin regular human subcutaneous discharge disposition: extended care facility: - discharge diagnosis: myocardial infarction hemorrhagic stroke (thromboembolic) atrial fibrillation syndrome of inappropriate anti-diuretic hormone (hyponatremia) popliteal artery embolism type 2 diabetes mellitus discharge condition: stable. right sided hemiparesis, with waxing and wanning mental status. discharge instructions: it is imperative that you continue to take your plavix every day. please do not miss a dose without talking to a physician . if you experience chest pain, shortness of breath or fevers, please return to the emergency room. you should restrict your fluid intake to less than 1 l of per day. you should follow a cardiac healthy, diabetic healthy diet. when you finish rehabilitation, you should have your diabetes evaluated and your glucose control medications adjusted. followup instructions: we have scheduled a follow-up appointment with drs. and on at 1 p.m. the appointment is on the of the care center at . they will contact you if a sooner appointment becomes available. you will need to follow up with a neurologist within the next month. the phone number for scheduling this appointment is . please call to make this appointment as soon as possible. he can be scheduled to see any neurologist, however was seen by dr. while in the hospital. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries thoracentesis aortography insertion of drug-eluting coronary artery stent(s) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel insertion of three vascular stents diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder unspecified pleural effusion unspecified essential hypertension atrial fibrillation intracerebral hemorrhage pulmonary collapse peripheral vascular complications, not elsewhere classified long-term (current) use of insulin late effects of cerebrovascular disease, hemiplegia affecting unspecified side cerebral embolism with cerebral infarction acute systolic heart failure other disorders of neurohypophysis arterial embolism and thrombosis of lower extremity diabetes with ketoacidosis, type ii or unspecified type, not stated as uncontrolled iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to