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: history of present illness: the patient is a 50 year old right-handed armenian man with a history of a left middle cerebral artery stroke in as well as a history of one prior seizure in while taking aricept and wellbutrin. the patient has no history of seizures prior to his stroke. his prior seizure occurred in the shower. his family heard him cry out and fall and when they opened the door he was awake but slightly confused. he, at that time, had an electroencephalogram which showed no evidence of epileptiform activity. it did show some left temporal slowing with drowsiness. he was not started on any antiepileptic medication at that time. he has been in his usual state of health recently. he denies any fevers, chills, abdominal pain, nausea, vomiting, new weakness. he has a mild residual right hemiparesis, his arm more than leg at baseline. he was recently increased several days prior to presentation on a dose of reminyl which was tripled. however, otherwise he has had no new medications. on the day of admission, his mother-in-law found him sitting on the couch, slumped to one side, unresponsive possibly, shaking all four extremities. there was no report of any focal activity. the patient reportedly stopped shaking in two to three minutes. the family called 911. the patient was still somewhat unresponsive. he began to vomit enroute to the emergency room and was intubated. at emergency room he had a head computerized tomography scan which just showed evidence of an old left frontotemporal infarct with encephalomalacia but no evidence of acute infarct. he was loaded with dilantin in the emergency room and transferred to the intensive care unit for ventilator management. past medical history: 1. left middle cerebral artery stroke in ; 2. one prior seizure in ; 3. hemorrhoids; 4. depression; 5. hepatitis a. medications on admission: 1. aspirin 325 mg p.o. q. day; celexa; 2. celexa 20 mg p.o. q. day; 3. buspirone 10 mg p.o. b.i.d.; 4. reminyl 8 mg p.o. q. am, 4 mg p.o. q. pm. allergies: no known drug allergies. social history: the patient is from originally. he has lived in the united states for 11 years. he apparently used to know english, however, after his stroke he forgot english and now only speaks russian. he used to work as a gymnastics coach as well as used to drive a cab. he is no longer working after his stroke. he lives with his wife who speaks english well. he has one son, age 23 and one daughter age 16. used to be a heavy smoker and quit for one and half years after his stroke, however, he recently restarted. his mother-in-law still lives with the family. he only drinks alcohol at special occasions. family history: there is no history of seizures or stroke. his father died at age 84 from coronary artery disease. his mother died from stomach cancer. physical examination: at time of the transfer to the floor, his temperature was 98.8, blood pressure was 100/55, pulse 91. he was breathing at 23, sating 100% on blow-by oxygen. he was extubated, awake but sleepy with an nasogastric tube in place, normocephalic, atraumatic with dry mucous membranes. lungs were slightly coarse at the bases. cardiac examination was regular rate and rhythm with no murmurs, rubs or gallops appreciated. abdomen was soft, nontender, nondistended with positive bowel sounds. extremities revealed no edema. mental status examination: he would speak only in russian through a translator. he was able to state his age, state that he was in the hospital. he would follow commands somewhat although he was somewhat uncooperative and had some poor understanding of what was asked of him. his wife reported that his speech was not dysarthric in russian. cranial nerve examination revealed pupils were 4 mm to 2 mm, round and reactive to light. extraocular movements were full. he initially very poorly cooperative to visual field testing but blinks to threat on both eyes. he initially would not smile but had no obvious facial asymmetry. on motor examination, left arm and leg had full strength. he cooperated poorly initially with examination on the right side, but on re-examination was found to have 4+/5 right finger extensors and right triceps. his right lower extremity was full strength. sensation was intact to light touch throughout. coordination initially was uncooperative but later finger-nose-finger testing revealed no evidence of dysmetria. reflexes were 3+ in the right upper extremity and 2+ in the left upper extremity, he had 3+ reflexes at both patella bilaterally and his plantar response was flexor bilaterally. laboratory data: at the time of admission his white count was 17.9, hematocrit of 37.5, platelets 201, inr 1.0, sodium 140, potassium 4.1, bun 10, creatinine 1.0. his creatinine kinase was 62, troponin less than 0.3. he had a urinalysis which showed no evidence of infection. hospital course: the patient is a 50 year old right-handed armenian male with a history of a prior left middle cerebral artery infarct as well as a history of one prior seizure in . he was admitted with a recurrent seizure in the setting of recently increased reminyl dose. the patient likely aspirated during his initial vomiting in the ambulance. he was extubated successfully but continued to have low grade fevers and a mild cough. he had blood cultures unremarkable. his chest x-ray showed evidence of bibasilar atelectasis versus infiltrates. he was started on antibiotics and defervesced. he was also continued on dilantin. his mental status improved significantly over the first several days. he also had an magnetic resonance imaging scan of the head which showed no evidence of acute infarct and evidence of an old left middle cerebral artery infarct. the patient began to eat and had no other complications and is to be discharged to home. he was instructed on not driving for six months, no standing in high places, no swimming alone, no bathing and he will follow up with dr. on . discharge diagnosis: 1. old left middle cerebral artery infarct 2. seizure disorder 3. depression discharge status: stable. discharge disposition: to home. discharge medications: 1. aspirin 325 mg p.o. q. day 2. celexa 20 mg p.o. q. day 3. dilantin 330 mg p.o. q.h.s. 4. amoxacillin 500 mg p.o. t.i.d. for 60 days and then discontinue , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: other convulsions pneumonitis due to inhalation of food or vomitus other late effects of cerebrovascular disease 

Answer: The patient is high likely exposed to