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: this is a 56 year old portugese-speaking only man with no significant past medical history who was presented as a transfer from with acute onset of right hemiparesis and aphasia. history is obtained from a portugese translator on the telephone from speaking with his wife and who were at the bedside with us outside the magnetic resonance imaging scan. he came home from church around 10:30 pm this evening. he was noted at some point between 10:30 pm and 11 pm while getting ready for bed to have some strange gurgling sounds. his wife then noted that he was sitting down on the bed and he had a right-sided weakness and was unable to speak. the wife also noted that he was shaking but it was difficult for her to clarify it further. it does not seem that he is rhythmically shaking his arms and legs but history is somewhat limited. he was taken to an outside hospital where he was noted to be lifted out of the car in order to get into the emergency department, with dense hemiparesis on the right, nonperipheral movements, nonverbal, minimal response to pain on the right hand and unable to follow commands. the emergency department called the stroke team in who then transferred him to for further evaluation. on arrival he was sent urgently to magnetic resonance imaging scan and on the way he had total parenteral alimentation brought to the bedside and monitored with history taken by family and with help of that translator on the phone. his wife states that he had not had any similar episodes in the past and has generally been in good health, no recent illness, fever, chills, nausea, vomiting, chest pain, shortness of breath or other complaints. past medical history: none. medications on admission: none. allergies: no known drug allergies. social history: he works in landscaping at . he stopped one month ago after season changed. he has been married to his wife for 16 years. he has no children. he drank alcohol years ago before the present marriage. there was no history of tobacco or drug use. he is involved in church. family history: father died from myocardial infarction in his 60s, mother discontinued from bronchitis at an early age. physical examination: afebrile, blood pressure 110s to 130s/70s, pulserate 80s, respiratory rate 18. general, he is a well nourished man. lungs, clear to auscultation bilaterally. heart, regular rate and rhythm. abdomen, soft, nontender. nih stroke scale on presentation was 23 to 24 for, one for consciousness, two for month and year and two for eye/grip, one to two for gaze, two for face, eight for motor, one for limited ataxia, one to two for sensory, three for best language and two for attention. on the neurologic examination the patient was intermittently awake, opens eyes to stimulation, the patient does not follow commands in english, spanish or with an interpreter on the phone or with the family. his language is mostly involved with being mute and grunting times one. there is questionable apraxia/neglect. on the cranial nerve examination his eyes are deviated to the left and will just go to the midline but not past. he does not blink to threat on the right. his funduscopic examination could not be done due to lack of cooperation. pupils are equally round and reactive to light, 3 to 2 mm bilaterally. there is a right facial droop, upper motor neuron. on motor examination he has normal bulk and tone bilaterally. he had minimal movement of the right leg greater than arm. at first there was some grasping of the right arm but not on command. he does not protect his face when lifted above his head. there is spontaneous movement in the left arm and leg. on sensory examination he was intact to deep pain on the left with minimal movement of the right leg to pain although he did grimace. reflexes, decreased throughout and symmetric 1 to 2 out of 4. scalp reflex is absent. his toes were downgoing bilaterally. coordination and gait examination could not be assessed. laboratory data: laboratory data upon admission revealed white count 8.8, hematocrit 44.8, platelets 219, inr 1.1, ptt 21.5, pt 12.8, sodium 137, potassium 3.7, chloride 102, bicarbonate 26, bun 23, creatinine 1, glucose 202. computerized tomography scan of the brain showed flat loss of foci on the left in the mca distribution with calcified basal ganglia bilaterally. magnetic resonance imaging scan/ magnetic resonance angiography showed a left mca infarction with a left m1 occlusion. hospital course: 1. neurology - stroke, given the patient's initial presentation of a large left mca infarct, he was given total parenteral alimentation without resolution of his symptoms. despite total parenteral alimentation, the patient continued to have a right-sided flaccid paralysis and global aphasia. he initially was put on an aspirin and statin for stroke prevention. however, hypercoagulable workup showed an abnormally elevated fibrinogen at 540 and factor viii at 182. therefore he was put on heparin and coumadin in light of the fact that he also had a right to left shunt pfo upon a transesophageal echocardiogram. the rest of his hypercoagulability was normal with the following results, antithrombin 3 at 137, protein-c at 139 and protein-s at 77, anticardiolipin igg was 6 and igm was 3.8 which were normal values. prothrombin mutation and factor v leidin are still pending upon discharge. a hemoglobin a1c was checked to see if he had any evidence of diabetes and it was only slightly elevated at 6.6, so it was decided that he should follow up with a primary care physician on this number. his lipid panel showed normal values of cholesterol at 175, triglyceride 171, hdl at 41, ldl at 100. he is still given a low dose statin for stroke prevention. his homocysteine level was normal at 9.6. he was ruled out for myocardial infarction. as noted above, his transesophageal echocardiogram did showed a preserved ejection fraction greater than 60% and no clots, but did show a right to left shunt in the form of pfo. carotid ultrasounds were then showing no carotid stenosis. an ultrasound of his legs was done looking for a deep vein thrombosis given his pfo but it showed no evidence of deep vein thrombosis. given his stroke, he was unable to initially swallow and had to have an nasogastric tube placed. however, later on he was able to take pureed nectar-thick foods and liquids so the nasogastric tube was taken out. 2. infectious disease - the patient had a urinary tract infection with escherichia coli. he was given three days of levofloxacin. repeat urinalysis did show clonus of the escherichia coli. discharge diagnosis: 1. left mca infarction secondary to a left m1 occlusion 2. abnormal hypercoagulable workup 3. urinary tract infection discharge medications: 1. warfarin 5 mg p.o. q.h.s. 2. atorvastatin 10 mg p.o. q.d. 3. tylenol 325 mg p.o. q. 4-6 hours prn follow up: 1. the patient is to follow up with dr. in the clinic on , at 10:40 am. 2. the patient is to follow up with dr. one month after discharge from the rehabilitation center. discharge condition: stable. discharge status: to rehabilitation center. , m.d. dictated by: medquist36 procedure: diagnostic ultrasound of heart interruption of the vena cava enteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent transfusion of other serum transfusion of coagulation factors diagnoses: urinary tract infection, site not specified hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) ostium secundum type atrial septal defect other and unspecified coagulation defects cerebral artery occlusion, unspecified with cerebral infarction other specified reasons for unavailability of medical facilities 

Answer: The patient is high likely exposed to