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: found down major surgical or invasive procedure: none history of present illness: ms. is an 89 yo woman, normally independent, who was found down by a friend the morning of . she was found responsive, but non-verbal and unable to move her right side. per her son, she was found lying in bed, shaking (there was an apparent loss of consciousness). she was brought to an outside hospital where a l frontal iph with mm shift and a questionable l occipital bleed were seen. she was given 10mg iv labetalol and transferred to for further evaluation and treatment. since admission, she has been hemodynamically stable. she underwent an mri and repeat ct this am. per her nurse, she had not had any witnessed movement of her right side. she was able to state her name today but has not had spontaneous speech. past medical history: 1. hypertension 2. hyperlipidemia 3. anxiety 4. hard of hearing (wears hearing aids) social history: widowed, lives alone in . family history: father deceased in 50s from cad. 2 children deceased from lymphoma and brain tumor. physical exam: t= 97.5 bp= 107-139/45-62 hr= 72-95 rr= o2= 100% on ra physical exam general: nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. mmm. op clear. neck supple. no nuchal rigidity. cardiac: regular rhythm, normal rate. normal s1, s2. 3/6 sem best at apex but referred throughout. lungs: ctab, good air movement bilaterally anteriorly. abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: 1+ edema of the right foot, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neurologic: -mental status: alert, responds to verbal stimuli. answers some but not all questions: are you ? "yes" are you home? no response, facial gestures are you in a hospital? "yes" are you a man? "yes" am i a boy? "no" unable to name low frequency objects such as pen or key. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm and brisk bilaterally. unable to have patient fixate for funduscopic exam. iii, iv, vi: eomi without nystagmus. normal saccades. v: pt unable to report sensation. vii: no facial droop, facial musculature symmetric. viii: unable to assess, no hearing aids in place. ix, x: palate elevates symmetrically. : unable to assess xii: tongue protrudes in midline. -motor: normal bulk, diminished tone on right. moves left arm without difficulty. no tremors. moves left arm to command, touches nose with left hand, does not move right arm or leg to command. sticks out tongue. -sensory: grimaces to pain on right, withdraws on left. -dtrs: tri pat ach l 2 2 2 0 0 r 2 2 2 0 0 plantar response was extensor on right, down on left. -gait: deferred. pertinent results: 04:09am blood wbc-8.6 rbc-3.95* hgb-11.3* hct-35.0* mcv-89 mch-28.5 mchc-32.1 rdw-15.0 plt ct-172 02:59am blood neuts-84.7* lymphs-9.6* monos-5.5 eos-0.1 baso-0.2 04:09am blood plt ct-172 06:50am blood pt-12.2 ptt-28.9 inr(pt)-1.0 04:09am blood glucose-144* urean-27* creat-0.7 na-142 k-3.6 cl-107 hco3-22 angap-17 04:09am blood calcium-8.8 phos-3.9 mg-2.3 cholest-198 04:09am blood %hba1c-6.3* 04:09am blood triglyc-118 hdl-55 chol/hd-3.6 ldlcalc-119 02:59am blood crp-22.4* radiology report ct head w/o contrast study date of 2:53 pm reason for exam: intracranial bleed. comparison: ct from outside hospital from . technique: multidetector ct images of the head were obtained without administration of iv contrast. findings: again seen there is intraparenchymal hemorrhage within the parasaggital aspect of the left frontal lobe, in the distribution of the left anterior cerebral artery, with no change in size. there is surrounding hypodensity extending to cortex, compatible with cytotoxic edema. there is a small area of hypodensity within the left occipital lobe, likely encephalomalacia secondary to an old infarct, unchanged since prior exam. extensive areas of white matter hypodensity, in the subcortical and periventricular regions of both cerebral hemispheres, likely represent severe chronic microvascular ischemic changes. again seen there is minimal rightward shift of midline structures by approximately 2 mm. there is no depressed skull fracture. the visualized paranasal sinuses demonstrate air- fluid level within the left sphenoid sinus. the visualized mastoid air cells are grossly clear. the visualized orbits are grossly unremarkable. incidental note of a cavum septum pellucidum is noted. impression: left frontal intraparenchymal hemorrhage with adjacent cytotoxic edema, not changed since the prior outside ct exam. findings are likely secondary to a hemorrhagic infarct in the left anterior cerebral artery distribution. mri of the brain is recommended for further evaluation, and to exclude an underlying mass. brief hospital course: ms. is an 89 yo woman, normally independent, who was found down by a friend the morning of . 1. stroke/iph. the patient was initially seen by neurosurgery for evaluation of iph. this was found to be stable, and non-surgical. she was evaluated by the neurology service, and it was suspected that she had an aca infarction, with hemorrhagic conversion. she had a cta of the head which showed no sign of vascular occlusion, and carotid dopplars, which showed <40% stenosis. she had a tte which showed mild hocm, but no evidence of thrombus or pfo. her hemorrhage was evaluated with serial cts, and found to be stable, and she was started on a full dose of aspirin. repeat ct on the day of discharge revealed stable and expected evolution of the hemorrhage without evidence for extension following initiation of aspirin. she had an a1c of 6.3%, total cholesterol of 198, with an ldl of 119. exam on discharge was notable for abulia. pt was mute without any verbal utterances. she was able to mimmick simple commands such as lifting her left arms. her right arm and leg are plegic. her left arm is full strength. she is able to dorsiflex her left ankle with 4/5 strength, but unable to hold her left leg antigravity. she grimaces to pain throughout. 2. code status: dnr/dni, confirmed with patient's children, and . medications on admission: 1. lorazepam 0.5mg 2. zocor 20mg po daily 3. verapamil 240mg qd 4. trazadone 50mg po qhs 6. asa 81mg daily discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. verapamil 40 mg tablet sig: two (2) tablet po q8h (every 8 hours). 5. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q24h (every 24 hours). 6. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). 7. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days: for positive ua in setting of foley catheter. discharge disposition: extended care facility: nursing facility discharge diagnosis: left frontal aca stroke with hemorrhagic conversion. hypertension hyperlipidemia discharge condition: non-fluent aphasia. will nod and shake head in response to questions. holds left arm antigravity. right arm is plegic. dorsiflexes left foot. unable to hold left leg antigravity. right leg is plegic. discharge instructions: you were admitted because of right sided weakness and inability to speak. you were found to have a left frontal stroke. you were started on a full dose of aspirin to help prevent further strokes. you had an ultrasound of the vessels in your neck, which showed no sign of stenosis. you had an echocardiogram of your heart which showed normal ejection fraction and an indication to continue to control your blood pressure. your cholesterol is well controlled, and you should continue on simvastatin. if you notice worsening weakness, difficulty speaking, headache, or any other new or concerning symptoms, please go to the nearest ed for further evaluation. followup instructions: follow-up with dr. in the stroke neurology division at . date/time: 1:30 phone: md, procedure: venous catheterization, not elsewhere classified diagnoses: urinary tract infection, site not specified unspecified essential hypertension intracerebral hemorrhage other and unspecified hyperlipidemia aphasia hemiplegia, unspecified, affecting unspecified side other specified forms of hearing loss 

Answer: The patient is high likely exposed to