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: past medical history: 1. hypertension. 2. diabetes mellitus. 3. atrial fibrillation on coumadin until recently prior to admission secondary to falls. 4. unclear history of prior stroke approximately one year ago. 5. glaucoma. medications: unknown on admission. social history: the patient is russian speaking and lives with her son. physical examination: examination on admission revealed the following: the patient was found to be in atrial fibrillation with a rate of 80 to 90. blood pressure was 190/100. she is afebrile. there was no bruit. cardiac examination revealed s1 and s2 irregular, no carotid bruits. she was intubated and sedated. she was not following commands. eyes were mid position and primary gaze. left pupil 4-mm and reactive. right pupil 2-mm and reactive. doll's eye were intact. there was mildly flattened left nasolabial fold. on motor examination there was increased tone of the left leg, markedly decreased movements of the left arm and leg compared to the right, feeble and there were stereotype withdrawal to pain of the left upper extremity with better withdrawal at the left leg. she was moving the right arm and right leg spontaneously. refluxes were sluggish in general. the left toe was upgoing. on sensory examination she grimaced to pain bilaterally. on the nih stroke scale she scored a 12. laboratory data: laboratory values on admission showed a white count of 7.2, hemoglobin 13.1, hematocrit 39.9, platelet count 318,000, electrolytes unremarkable, bun and creatinine 18/1.0. coagulations were 12.0, inr 1.0, ptt 25.4. the ct scan was done and is as above. hospital course: the patient was administered iv tpa on admission. the patient was admitted to the neurological icu for observation. the neurological examination did not significantly change after the administration of tpa. followup head ct on showed new area of intraparenchymal hemorrhage within the right frontal lobe as well as findings consistent with the developing right mca infarct. there was no evidence of hydrocephalus or shift. examination remained clinically unchanged. she remained intubated and largely unresponsive while off sedation. she had a followup mri/mra on , which showed multiple infarcts in the territory of the right eca and the right mca with an area of hemorrhage in the right frontal lobe, which was stable in appearance when compared to the ct on . there was a new small focus of hemorrhage seen, as well in the right basal ganglia. proximal right mca was visualized on the mra, however, a decreased number of sylvian branches of the right mca was seen. there was also lacunar infarcts seen in the pons and cerebellum and an older infarct on the left posterior temporal lobe. the patient developed a fever, and she was found to have a uti. she was started on a course of cipro for the uti. she continued to remain intubated with her examination significantly changed. she was minimal responsive with a dense left hemiplegia of the arm and leg. the patient was begun on ritalin for an attempt to increase her level of arousal. there was no significant improvement on the ritalin and she had episodes of increased rate of her atrial fibrillation and the ritalin was discontinued. in discussion with the family, it was decided to place a peg tube and tracheostomy. this was done on . neurological examination on discharge revealed the following: the patient is afebrile, heart rate 79 to 104 in atrial fibrillation. blood pressure was 113 to 137/59 to 78, breathing on tracheostomy collar rate of 18 to 22. the cv is s1 and s2 irregular. lungs were clear to auscultation bilaterally. s1 is soft and nontender. neurological examination revealed that the patient is awake with eyes open. pupils: right pupil is 2-mm and reactive; left pupil 3-mm and sluggishly reactive. there is a left facial droop. there are spontaneous movements of the right arm and leg with spontaneous movements of left arm and left leg. she had withdrawal to noxious stimuli on the right arm and leg. there is flexion withdrawal of the left leg to noxious stimuli and no withdrawal of the left arm. reflexes are brisk on the left knee and symmetrical on the arms bilaterally. toes are 'upgoing bilaterally. laboratory data: laboratory values were within normal limits. white count was 11.8. other than white count of 11.8 and platelet count of 626,000. medications on discharge: 1. promote with fiber. 2. tube feeds at 55 cc an hour via peg tube. 3. regular insulin sliding scale. 4. zantac 150 mg via peg b.i.d. 5. heparin 5000 units subcutaneously b.i.d. 6. lopressor 12.5 mg q.6h via peg, hold for systolic blood pressure under 140. 7. diltiazem 60 mg via peg b.i.d. 8. colace 100 mg via peg b.i.d. discharge diagnosis: status post right ica and right mca occlusion with right mca infarct, likely embolic in nature, status post tpa with small basal ganglia and right frontal hemorrhagic conversion with dense left hemiplegia of the arm and leg. status post tracheostomy, status post peg tube placement. discharge plan: the patient is discharged to rehabilitation. plan is to maintain blood pressure for systolic blood pressure of 140 to 160. she has not been placed on anticoagulation at this time. she should followup in the stroke clinic in approximately six to eight weeks. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy diagnoses: urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation long-term (current) use of anticoagulants cerebral embolism with cerebral infarction hemiplegia, unspecified, affecting unspecified side occlusion and stenosis of carotid artery with cerebral infarction 

Answer: The patient is high likely exposed to