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 forty-year-old woman with a history of asthma, significant smoking history and depo-provera use for birth control who was well until 7:30 p.m. when her boyfriend noted that she got up to walk and fell down. she could not talk or follow commands and could not move. ems was called and she was brought to for evaluation. while in the emergency room, the patient was within a three hour time limit for tpa administration and received tpa in the emergency room. review of systems: review of systems at the time revealed that the patient did not have any fevers, chills, nausea, vomiting, headache, visual changes, chest pain, shortness of breath, palpitations, abdominal pain or gu complaints. imaging studies: mr diffusion imaging showed slowing over the left mca. mr angiography showed occlusion of the left proximal mca with t2 scans showing no evidence of bleeding. at 9 p.m. that evening, the patient was given 6.5 mg bolus of tpa, followed by 58.9 mg over an hour's time. she was sent to the neuro sicu with systolic blood pressures of 160 to 180 using peripheral dopamine as needed. a follow-up head ct scan was then performed showing hyperdensity within the left middle cerebral artery and hypoattenuation within the left basal ganglia and cerebral cortex with edema, thus confirming the left mca distribution infarction. physical examination: physical examination on admission showed blood pressure of 134/175, heart rate of 84, temperature of 97.7 f. neck examination showed no carotid bruits. mucous membranes were moist with normocephalic and atraumatic head. cardiovascular examination shoed a regular rhythm. pulmonary examination revealed lungs that were clear to auscultation bilaterally. the patient's abdomen was soft, nontender and nondistended. on neurologic examination, limitation initially presents that she was non-verbal, she followed midline commands and simple appendicular commands on the left. cranial nerve examination, the patient has decrease response in the right field. funduscopic examination was normal. pupils reacted normally to light. extraocular movements were full. facial movements, there was a dense right facial paresis at the forehead. palate elevation is symmetric. tongue protrudes midline. on motor examination, bulk was normal. tone is flaccid on the right, showing a severe right hemiparesis in the arm and leg with 1/5 strength in the flexors of the arm and leg. reflexes were present and symmetric with plantar extensor reflexes on the right side. on sensory examination, the patient had localized pain including the right side. laboratory studies/x-rays: the patient's laboratory studies were extensively monitored during this admission, especially during her stay in the intensive care unit. a hypercoagulable work up was sent including a normal factor vii, normal antithrombin iii, slightly high protein c at 147 with factor v leiden pending at the time of discharge. this will be followed in the clinic with dr. . the patient also had an elevated cholesterol of 230 for which a lipid lowering medication was started during this admission. prothrombin mutation was also pending at the time of discharge. protein s was perceived as normal. cardiolipin antibody was normal, as was antifossa lipid antibody. subsequent imaging over the admission showed an evolving hemorrhagic transformation in the area of the left mca infarction, as per ct scans performed in the two to three days prior to discharge. the patient's most recent ct scan obtained on , showed increased density in the left middle cerebral artery with persistent foci of increased density in the left middle cerebral infarction indicative of petechial hemorrhage in the infarction. an abdominal ct scan performed on , showed a right iliac deep venous thrombosis with no evidence of infarction of the liver, spleen or kidney that is clinically questioned. otherwise, chemistries and complete blood counts were monitored closely during this admission with no clinically significant abnormalities. hospital course: the patient was intensely monitored in the intensive care unit and repeat imaging showed petechial hemorrhages in the area of the left middle cerebral artery distribution but no uncontrolled hemorrhage. it was thought that the patient's stroke was due to embolic phenomena that resulted from hypercoagulable state from a genetic abnormality exacerbated by oral contraceptive use as an outpatient which when combined with the patient's heavy smoking put her at risk for cerebrovascular accident. when the patient was deemed stable with no advancing hemorrhage, the patient was transferred to the general medical floor on the neurology service for further work up. as noted above, an abdominal ct scan revealed right dvt in the iliac vein, which required the placement of a dvt filter in the inferior vena cava by interventional radiology. the type of filter that was placed can be removed at any time if and when the decision is made to anticoagulate the patient for stroke prevention. the patient's neurologic examination throughout her admission improved with her aphasia improving from a dense mixed aphasia to a transcortical mixed aphasia at the time of discharge. the patient's power in the right upper and lower extremities also improved with time and physical therapy intervention, increasing to a in the upper extremity and a 4-/5 in the lower extremity at the time of discharge. the patient was placed on plavix and subcutaneous heparin for cva and dvt prophylaxis during this admission. great care was taken to prevent any extension of the hemorrhage and the decision was made not to anticoagulate the patient with either coumadin or lovenox at the time of discharge. however, repeat head ct scan will be needed and has been scheduled for four to five days after discharge to evaluate the size of hemorrhagic transformation and after evaluation, anticoagulation will likely be started and as indicated in this young female with large middle cerebral artery stroke. the stroke work up including carotid ultrasounds, which showed no stenosis of either carotid artery and a transesophageal echocardiogram performed on , which showed no echocardiographic evidence of cardiac source of embolus. this study included a bubble study search for patent foramen ovale. therefore, it was thought that the patient's source for embolus was hypercoagulable state due to genetic defect, most likely to be factor v leiden as per the prevalence in the general population, although prothrombin mutation can not be ruled out as these laboratory results are not available at this time. after coordinating follow-up care with interventional radiology, which will contact the patient to remove new dvt filter, the patient was sent to acute rehabilitation facility where she could regain her strength and resume her abilities to carry out her activities of daily living. the patient will have close follow-up after discharge as a repeat ct scan will be scheduled on , at 9:15 a.m. the results of this ct scan will be followed up by dr. of the stroke department, at which time, a decision regarding anticoagulation will be communicated to the rehabilitation facility. the patient's primary care physician, . will also be informed about this decision. interventional radiology department will also contact the patient regarding the date on which they can retrieve the deep venous thrombosis filter placed in her inferior vena cava as the retrieval equipment is not available at this time and they can not set a specific date. discharge condition: stable. discharge status: to facility. discharge diagnosis: left ischemic mca stroke. discharge medications: atorvastatin 10 mg po every day, plavix 75 mg po every day, pepcid 20 mg po twice a day, subcutaneous heparin 5,000 units im injections every twelve hours, albuterol 1 to 2 puffs inhaled every four hours prn and tylenol 325 mg po every four to six hours prn for pain. the patient will also require pneumatic boots during her stay at while she is on bedrest, although she will be out of bed with assistance during her rehabilitation stay. the patient was informed to return for head ct scan on wednesday, , at 9 a.m. at the rad building on the for a repeat head ct scan. this was included in the discharge paper work and the rehabilitation facility was also notified in their discharge paper work. an appointment with dr. will be made after the results of the ct scan on , by her office, phone number is . the patient should also follow-up with her primary care physician, . as scheduled. as mentioned above, dr. will be informed on the decision on anticoagulation and any further follow-ups such as inr that may be required. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart interruption of the vena cava injection or infusion of thrombolytic agent diagnoses: tobacco use disorder asthma, unspecified type, unspecified cerebral embolism with cerebral infarction 

Answer: The patient is high likely exposed to