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: unresponsiveness - code stroke major surgical or invasive procedure: endotracheal intubation history of present illness: patient is a 89 yo rhw with hx of htn here after being found down per family. she spoke with family around 11:45am this morning and told her daughter and granddaughter that she feels slower this morning as if "in slow motion" but no further elaboration. then the granddaughter arrived to pick her up at 1:30 and found her sitting in her chair with the walker in front of her, slumped over to the right with possible r facial droop. her l eye was opened but not focusing on her granddaughter and she was nonverbal and unresponsive to verbal or tactile stimuli hence 911 was called. per granddaughter, she did not notice any mess in the room to signify struggle and unclear if she was incontinent or not. there is no report per ems of incontinence either. of note, she was having a lot of mucus from her nose and she appeared to be breathing noisily. ros completely negative. upon arrival, patient was not following any commands and given low gcs score, she was intubated prior to going to ct scanner where she only had ct head without contrast given her cr of 1.9. per family, patient is completely independent in her adls including iadls of driving and paying bills. she does walk with cane or walker for increased stability but no hx of falls. there is no hx of seizures. past medical history: 1. htn 2. s/p hip replacement in 3. s/p spinal stenosis surgery - spacer in lumbar region in . social history: lives alone - independent in all iadls including driving and paying bills but walks with walker/cane. worked at filene's basement in downtown crossing until the store closed. no smoking, etoh or illicit drug use. hcp is daughter - code status is dnr but was okay to intubate family history: sister died of mi. physical exam: per admitting resident- t 97 bp 84 hr 122/64 rr 13 o2sat 92% on vent gen: sedated and intubated - some blood in the ett. neck: no carotid or vertebral bruit cv: rrr, no murmurs/gallops/rubs lung: clear anteriorly abd: +bs, soft, nontender ext: no edema neurologic examination: mental status: sedated and intubated - spontaneous opening of l eye and purposeful, anti-gravity movement of rue. does not follow commands. cranial nerves: pupils are symmetric around 3mm but only r pupil reactive - l pupil not reactive. blinks to visual threat bilaterally - need to pry open r eye but face does appear symmetric otherwise. motor: spontaneous and purposeful movement of rue only - keeps lue flexed and no withdrawal even to noxious stim. does withdraw to nox stim in both feet but not anti-gravity. increased tone overall pertinent results: 04:33am blood wbc-9.5 rbc-3.91* hgb-11.4* hct-34.4* mcv-88 mch-29.2 mchc-33.1 rdw-13.2 plt ct-243 02:00am blood wbc-11.9* rbc-3.93* hgb-11.5* hct-34.5* mcv-88 mch-29.4 mchc-33.5 rdw-13.1 plt ct-253 04:12am blood wbc-15.7* rbc-4.26 hgb-12.9 hct-37.6 mcv-88 mch-30.4 mchc-34.4 rdw-13.1 plt ct-253 08:02pm blood wbc-15.6* rbc-4.43 hgb-13.2 hct-38.9 mcv-88 mch-29.8 mchc-34.0 rdw-12.9 plt ct-357 01:55pm blood wbc-15.8* rbc-5.02 hgb-14.5 hct-44.3 mcv-88 mch-28.9 mchc-32.7 rdw-12.8 plt ct-378 04:33am blood neuts-71.1* lymphs-18.4 monos-5.9 eos-4.2* baso-0.3 03:50pm blood ptt-34.4 04:33am blood pt-12.9 ptt-60.6* inr(pt)-1.1 03:18pm blood pt-12.1 ptt-45.9* inr(pt)-1.0 02:00am blood pt-12.8 ptt-59.8* inr(pt)-1.1 08:02pm blood plt ct-357 08:02pm blood pt-12.0 ptt-19.3* inr(pt)-1.0 02:00am blood glucose-166* urean-34* creat-1.3* na-140 k-2.9* cl-110* hco3-21* angap-12 04:12am blood glucose-124* urean-41* creat-1.6* na-132* k-3.6 cl-105 hco3-20* angap-11 08:02pm blood glucose-129* urean-40* creat-1.7* na-134 k-2.9* cl-99 hco3-23 angap-15 01:55pm blood glucose-198* urean-42* creat-1.9* na-140 k-3.2* cl-96 hco3-25 angap-22* 03:50pm blood alt-15 ast-22 alkphos-48 totbili-0.6 04:12am blood ck(cpk)-374* 08:02pm blood ck(cpk)-270* 01:55pm blood alt-11 ast-20 ck(cpk)-147* alkphos-62 totbili-0.9 04:12am blood ck-mb-7 ctropnt-<0.01 08:02pm blood ck-mb-6 ctropnt-0.01 01:55pm blood ck-mb-4 ctropnt-0.01 04:33am blood calcium-8.0* phos-2.9 mg-1.8 02:00am blood calcium-8.0* phos-3.1 mg-2.0 04:12am blood calcium-7.9* phos-3.0 mg-2.2 cholest-141 08:02pm blood calcium-8.3* phos-3.5 mg-2.1 01:55pm blood calcium-9.2 phos-4.8* mg-2.3 04:12am blood %hba1c-6.7* 04:12am blood triglyc-935* hdl-36 chol/hd-3.9 ldlmeas-72 01:55pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 09:10am blood type-art po2-64* pco2-36 ph-7.41 caltco2-24 base xs-0 06:35am blood type-art po2-198* pco2-30* ph-7.45 caltco2-21 base xs--1 03:40pm blood type-art tidal v-420 peep-5 fio2-100 po2-512* pco2-34* ph-7.45 caltco2-24 base xs-0 aado2-167 req o2-37 -assist/con intubat-intubated 02:40pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-neg bilirub-neg urobiln-1 ph-5.0 leuks-neg 02:40pm urine rbc-0-2 wbc-0-2 bacteri-few yeast-none epi-<1 microbiology blood culture - p urine culture - no growth. ct head impression: 1. no acute intracranial hemorrhage. 2. chronic small vessel ischemic change. 3. focus of hypodensity in the right frontal lobe, which may be chronic, but mri is more sensitive for acute ischemia. mri/a brain/neck impression: 1. likely acute/subacute infarcts in the bifrontal parasagittal location, a few areas possibly extending to the posterior parietal lobes. these are in the distribution of the anterior cerebral arteries. the right anterior cerebral artery is not clearly visualized on the present study and can be better assessed with cta. 2. nonvisualization of the distal right vertebral artery, with increased signal on the flair sequence and lack of flow void appearance, can relate to thrombosis/occlusion. the above-mentioned vascular abnormalities can be better evaluated with ct angiogram of the head and neck, given the significant motion artifacts on the present study of mr. 3. atherosclerotic disease involving the middle cerebral artery on the right side, m1 and m2 segments. these again can be better assessed with ct angiogram. chest xray nasogastric tube has been advanced since prior radiograph, with tip now within the gastric fundus. endotracheal tube is in satisfactory position just below the level of the clavicles. no pneumothorax is seen. no significant focal lung consolidation is seen. the cardiomediastinal silhouette is stable. eeg - impression: this is an abnormal routine eeg in the waking and drowsy states due to excessive beta activity and occasional bursts of generalized delta frequency slowing. excessive beta activity may be secondary to medications. occasional bursts of generalized delta frequency slowing are possibly due to drowsiness or iatrogenic encephalopathy. there were no epileptiform features noted and there were no focal or lateralized abnormalities. 2 d echo tte the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened (?#). the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. no cardiac source of embolus identified (cannot definitively exclude). brief hospital course: ms. was admitted to neuro icu for evaluation and treatment of stroke. neuro- given concern for basilar artery involvement she undwerwent ct scan followed by stat mri/a of head and neck which showed bilateral aca terriotory infarcts. both aca were seem to originate from single ica and it was thought to be embolic in nature, given bilateral distribution. as she was out of window and there was no evidence of definitive clot, iv tpa or intervention were not considered appropriate. she was closely monitered for progression or development of new signs and was noted to ahve bilatral leg weaknesss left more than right in umn pattern which showed some improvememt over course of her hospital stay. eeg was obtained to exclude seizure which showed excessive beta activity and occasional bursts of generalized delta frequency slowing. excessive beta activity may be secondary to medications. occasional bursts of generalized delta frequency slowing are possibly due to drowsiness or iatrogenic encephalopathy. there were no epileptiform features noted and there were no focal or lateralized abnormalities. this was felt to be consistent with her medications while intubated. pulm she was intubated and weaned as tolerated. she was extubated on and transfred out of icu for further care. endo tight glycemic control was obtained with insulin sliding scale and euthermia with tyelenol cardiovascular: -blood pressure was allowed to autoregulate with sbp up to 190 and keep hob < 30 degrees to incraese cerebral perfusion, she was started on po metoprolol after she was able to tolerate po feeds. tte was done which did not show evidence of thrombus. -her triglycerides were 935 which was repeated and was 127 -her lisinopril was held on admission, she was started on 5 mg po daily which should be titrated at discharge issues pending at discharge 1. blood cultures pending drawn on 2. titration of blood pressure regime ( lisinopril and metoprolol) medications on admission: 1. metoprolol 25mg 2. lisinopril 10mg daily 3. asa (dose unknown) discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 2. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 3. famotidine 20 mg tablet sig: one (1) tablet po once a day. 4. simvastatin 40 mg tablet sig: 0.5 tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po once a day: please titrate as per blood pressure measurements. discharge disposition: extended care facility: - discharge diagnosis: bilateral aca territory infarcts discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:out of bed with assistance to chair or wheelchair discharge instructions: you were admitted for evaluation of stroke. you had ct scan and mri of your brain which showed acute/subacute infarcts in the bifrontal parasagittal location. please take your medicnes as advised. please call 911 or your doctor if you develop any concerning symptoms. followup instructions: please follow up with scheduled appointments : provider , md, phd: date/time: 3:00 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: unspecified essential hypertension acute kidney failure, unspecified hyposmolality and/or hyponatremia cerebral embolism with cerebral infarction cerebral atherosclerosis hip joint replacement 

Answer: The patient is high likely exposed to