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: penicillins / sulfa (sulfonamides) attending: chief complaint: lethargy, decreased right sided movement major surgical or invasive procedure: none history of present illness: 81yo woman with pmh significant for recent r mca and bilateral aca strokes, atrial fibrillation, and other vascular risk factors, presents from rehab with one week of lethargy, absence of speech, and right hemiparesis. she is known to the neurology service, where she was admitted with these infarcts. she initially presented with left hemiparesis and was found to have r mca infarct, which was treated with iv tpa. she did well initially with improvement in her left sided movement, and was noted in angio to have had revascularization of the mca without ia tpa or merci retrieval. the next day she was noted to be moving the left side better than the right, specifically in the leg. repeat scan showedd bilateral aca infarcts, with both acas deriving from the right circulation. she was abulic, nonverval, with rle plegia and decreased spontaneous movement throughout. she was discharged to rehab on . at rehab, she was seen by neurology and was started on coumadin on . per her daughter, her examination began to improve, to the point on that she was able to answer questions about her family (where her sister-in-law lived, for example) and make a family joke. that night she became very tired, and lethargy continued into monday. she no longer spoke and stopped moving the right side. this continued throughout the course of the week, attributed to waxing/ post-infarct, until she appeared dehydrated and was brought in to for further evaluation. of note, inrs were 8.6 on .5 on , and 2.3 on . past medical history: -afib dx 1 month ago-declined coumadin because of frequent blood draws -htn (not well controlled per daughter) -cabg stent x5 (20 y ago) -cad patient had 3 stents placed. one stent was placed in and another stent was placed in -breast mass diagnosed in - breast cancer was resected (lumpectomy) with negative, clear margins no chemo or radiation -bilateral cea social history: married, has 2 daughters, one of whom died in her 50s of an aneurysm bleed daughter ms. , (c), (h), (w) family history: had daughter who died of brain aneurysm physical exam: pe: vs: t 98, bp 164/48 on arrival, to 84/48 at time of exam on propofol, hr 67, rr 14, sao2 100%/vent genl: intubated, sedated, taken off just briefly before examination heent: ncat, mmm, ett in place cv: unable to appreciate over vented bs chest: vented bs, sound clear to auscultation abd: soft, ntnd, peg in place ext: warm and dry neurologic examination: ms: moves to noxious, no eye opening, does not follow commands cn: pupils small and irregular, asymmetric, but reactive b/l, unable to appreciate ocr, corneals r>l, no response to nasal tickle, +cough motor: extends bue to noxious, triple flexes ble to noxious, tone decreased throughout sensory: responds to noxious throughout dtrs: 2+ in rue, 2 in lue, unable to elicit in ble, toes upgoing bilaterally pertinent results: 128 93 23 -----------< 114 5.0 25 0.8 estgfr: 69 / >75 (click for details) ck: 101 mb: 5 trop-t: 0.03 ca: 9.5 mg: 2.1 p: 3.6 9.6 > 35.4 < 503 n:74.0 l:17.3 m:6.6 e:1.8 bas:0.2 pt: 24.1 ptt: 24.3 inr: 2.3 imaging: hct: "large intraparenchymal hemorrhage consistent with hemorrhagic transformation in the known area of left anterior cerebral artery infarct with intraventricular extension, and surrounding edema causing rightward subfalcine herniation." ich appears to be 6cm x 6cm x 3cm, with 9mm mls brief hospital course: 81yo woman with pmh significant for recent r mca and bilateral aca strokes (both her acas oriinate from r ica), in the context of recent dx of atrial fibrillation not on coumadin, and other vascular risk factors, presents from rehab with one week of lethargy. she was found to have large hemorrhagic transformation into her l frontal infarct, likely in the setting of supratherapeutic inr. her ich scale is at least 3, likely 4, for volume, age, and poor gcs score. she was initially admitted to the neuro icu, intubated, and given prophylene to reverse her inr, as well as started on mannitol. after discussion with the family and in light of her extremely poor prognosis, they decided to make her cmo status. she was started on a scopolamine patch, morphine gtt and prn ativan. she had a very irregular breathing pattern with occasional apneic episodes during the ensuing few days while on the but seemed comfortable. she died around noontime on . medications on admission: meds: amantadine 50mg daily asa 81mg daily cholestyramine famotidine 20mg daily mgoxide 400mg daily metoprolol 50mg q8hrs miconazole topical mvi 5ml daily simvastatin 80mg daily coumadin 3mg qhs prns: tylenol 650mg q6h bisacodyl 10mg daily colace 100mg sorbitol 30ml daily all: pcn, sulfa discharge medications: patient died discharge disposition: expired discharge diagnosis: hemorrhagic conversion of l frontal infarct discharge condition: patient was made cmo and died on /8 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances diagnoses: abnormal coagulation profile coronary atherosclerosis of native coronary artery atrial fibrillation aortocoronary bypass status personal history of malignant neoplasm of breast percutaneous transluminal coronary angioplasty status acute respiratory failure late effects of cerebrovascular disease, hemiplegia affecting unspecified side other postprocedural status anticoagulants causing adverse effects in therapeutic use unspecified late effects of cerebrovascular disease unspecified intracranial hemorrhage gastrostomy status other ill-defined conditions 

Answer: The patient is high likely exposed to