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: type a aortic dissection major surgical or invasive procedure: - emergent repair of aortic dissection history of present illness: 77 year old female found to have a type a aortic dissection at , her pain started the night prior to admission and was localized to her chest with radiation to her back. a ct scan at revealed a type a dissection and she was transported to the for emergent surgical management. past medical history: htn aortic aneurysm dm cri social history: lives with husband family history: n/c physical exam: 110 186/110 157cm 120lbs gen: wdwn in nad skin: warm, dry, no clubbing or cyanosis. heent: perrl, anicteric sclera, op benign neck: supple, no jvd, from. lungs: cta bilaterally heart: st, no m/r/g abd: soft, nd/nt/nabs ext:warm, 1+ dp/pt pulses, no bruits, no varicosities. neuro: no focal deficits. pertinent results: 02:19am blood wbc-12.6* rbc-3.20* hgb-9.5* hct-29.9* mcv-94 mch-29.7 mchc-31.8 rdw-16.2* plt ct-518* 03:28am blood wbc-14.6* rbc-3.31* hgb-10.0* hct-31.0* mcv-94 mch-30.3 mchc-32.4 rdw-16.1* plt ct-531* 03:06am blood wbc-13.3* rbc-3.16* hgb-9.4* hct-29.3* mcv-93 mch-29.7 mchc-32.0 rdw-16.1* plt ct-472* 12:51am blood wbc-14.0* rbc-3.31* hgb-9.9* hct-30.8* mcv-93 mch-30.0 mchc-32.2 rdw-15.7* plt ct-461* 12:51am blood pt-12.9 ptt-39.9* inr(pt)-1.1 02:19am blood glucose-145* urean-36* creat-1.1 na-147* cl-116* hco3-25 04:00pm blood k-3.8 03:28am blood glucose-107* urean-36* creat-1.2* na-148* k-3.6 cl-113* hco3-24 angap-15 03:06am blood glucose-193* urean-38* creat-1.1 na-145 k-3.6 cl-113* hco3-27 angap-9 12:51am blood glucose-147* urean-43* creat-1.3* na-144 k-4.0 cl-113* hco3-24 angap-11 01:42am blood glucose-111* urean-46* creat-1.3* na-146* k-4.4 cl-113* hco3-27 angap-10 02:06am blood glucose-147* urean-50* creat-1.5* na-145 k-3.8 cl-109* hco3-27 angap-13 01:51am blood alt-5 ast-34 ld(ldh)-230 alkphos-115 amylase-132* totbili-0.6 02:19am blood phenyto-9.3* 03:28am blood phenyto-7.9* 03:06am blood phenyto-8.9* 12:51am blood phenyto-11.7 01:42am blood phenyto-15.1 04:38pm blood phenyto-16.6 echo pre-cpb:1. no atrial septal defect is seen by 2d or color doppler. 2. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the aortic root is mildly dilated at the sinus level. there are simple atheroma in the aortic root. the ascending aorta is markedly dilated there are simple atheroma in the ascending aorta. there is a dissection flap that originates around the right coronary and extends into the arch. the aortic arch is moderately dilated. there are complex (>4mm) atheroma in the aortic arch. there is intramural thrombus present in the descending aorta. there is spontaneous echo contrast in the descending thoracic aorta. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. the mitral valve leaflets are not well seen. mitral regurgitation is present but cannot be quantified. 7. there is a moderate sized pericardial effusion. dr. was notified in person of the results. post-cpb: on infusions of nitroglycerine. well-seated synthetic graft in the aortic position from the sinotubular junction. no apparent leak. there is residual intramural thromus at the level of right coronary cusp. coronary flow is visible in both the rca and lmca. the descending aorta is unchanged post decannulation. there is a small right pleural effusion. the pericardial effusion is small.. , f 77 radiology report ct head w/o contrast study date of 10:07 am , r. csurg csru sched ct head w/o contrast clip # reason: ischemic event/bleed medical condition: 77 year old woman s/p emergent aaa reason for this examination: ischemic event/bleed contraindications for iv contrast: none. provisional findings impression: rsrc mon 2:08 pm evolution of multiple subacute infarctions throughout right frontal, parietal, temporal, bilateral occipital, and cerebellar lobes. no hemorrhage, mass effect, or midline shift. final report history: 77-year-old female with emergent aaa repair several days prior. please evaluate for ischemic event or hemorrhage. comparison: cta head four days prior. technique: contiguous axial imaging was performed from the cranial vertex to the foramen magnum without iv contrast. head ct without iv contrast: multifocal cortical and subcortical hypodensities involving the frontal, parietal, and occipital lobes as well as the cerebellum bilaterally are more well defined, indicative of evolving ischemic infarction. there is no hemorrhage, edema, mass effect, or shift of normally midline structures. the visualized paranasal sinuses are unremarkable. the mastoid air cells are clear. mild periventricular hypodensity is indicative of chronic small vessel ischemic disease. impression: multiple bilateral hypodensities consistent with evolving subacute infarction. the study and the report were reviewed by the staff radiologist. dr. dr. . approved: mon 4:31 pm imaging lab radiology report chest (portable ap) study date of 1:47 pm , r. csurg csru sched chest (portable ap) clip # reason: ptx medical condition: 77 year old woman s/p trach/bronch reason for this examination: ptx final report indication: 77-year-old female status post trach and bronchoscopy. comparison: .. frontal chest radiograph: over the interval, the patient has undergone tracheostomy which is appropriately positioned. a right internal jugular central venous line has been removed and there is no pneumothorax. the left- sided picc line tip resides within the proximal svc. the dobbhoff tube has been removed. there is a persistent left retrocardiac opacity and small left- sided pleural effusion. there is a small right-sided pleural effusion as well. radiology report portable abdomen study date of 1:47 pm , r. csurg csru sched portable abdomen clip # reason: free air medical condition: 77 year old woman s/p peg reason for this examination: free air provisional findings impression: cxwc tue 1:15 pm new peg tube overlies the left mid abdomen. no evidence of free intraperitoneal air. stool and gas to the rectum. final report indication: 77-year-old woman status post peg, evaluate for free air. comparison: . single supine view of the abdomen at 2:00 p.m.: there has been interval placement of a peg tube, overlying the left mid abdomen. there is no gross evidence of free intraperitoneal air. stool and gas present in the colon, extending from the cecum to the rectum. other findings are unchanged. skin staples overlie the mid upper abdomen. phleboliths are present in the pelvis. degenerative changes are present at the hips bilaterally and the lower lumbar spine, where there is mild convex leftward scoliosis. impression: no gross evidence of intraperitoneal air. brief hospital course: mrs. was admitted to the on for emergent surgical management of her type a dissection. she was taken to the operating room where she underwent replacement of her ascending aorta and hemiarch using a 38mm gelweave graft. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. she received multiple blood products. her sedation was weaned to off but she remained unresponsive to pain without pupillary reflex, head ct showed subacute infarction involving the cerebellum, frontal, parietal, and occipital lobes bilaterally as well as chronic infarction in the right temporal lobe. she began having seizures and was loaded with and started on dilantin. she was followed closely by neurology. dobhoff tube was placed and she was started on tube feeds. she remained unresponsive. repeat head ct showed multiple bilateral hypodensities consistent with evolving subacute infarction. she was started on cipro and zosyn for gram negative bacteria in sputum and uti. general surgery consulted to plan for trach/peg placement. her neuro exam improved very slightly and she opened her eyes to noxious stim. repeat eeg showed mild to moderate encephalopathy but no evidence of seizures. neurological prognosis remained poor. tracheostomy and peg tube were placed on . dilantin level should be maintained at 15-20. tube feeds were restarted, and she tolerated 8 hours of trach collar. picc line became totally occluded seconadry to iv dilantin and her dilantin was changed to po. bue u/s for edema showed right axillary dvt but none on left. picc line was changed to a single lumen. she was raedy for discharge to rehab on . medications on admission: prednisone 2mg qd vytorin 10/10 qd hctz 25mg qd metformin 500mg qd detrol 4mg qd timolol eye drops labetolol 100mg qd nifedipine 90mg qd discharge medications: 1. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). 7. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 8. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 9. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic (2 times a day). 10. hydralazine 10 mg iv q6h:prn sbp > 160 11. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 13. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 14. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 15. phenytoin 125 mg/5 ml suspension sig: two y (250) mg po bid (2 times a day). 16. ranitidine hcl 15 mg/ml syrup sig: one y (150) mg po daily (daily). 17. furosemide 10 mg/ml solution sig: twenty (20) mg injection (2 times a day). 18. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po bid (2 times a day): while on lasix . discharge disposition: extended care facility: - discharge diagnosis: aortic dissection s/p repair intra-op cva right axillary dvt htn cva cri dm aortic aneurysm discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. after discharge from rehab. procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy resection of vessel with replacement, thoracic vessels closed [endoscopic] biopsy of bronchus injection or infusion of nesiritide diagnoses: pneumonia, organism unspecified tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified other convulsions chronic kidney disease, unspecified thoracic aneurysm, ruptured cerebral embolism with cerebral infarction encephalopathy, unspecified dissection of aorta, thoracic hemopericardium iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to