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: no known allergies / adverse drug reactions attending: chief complaint: chest pain and cough major surgical or invasive procedure: 1. bronchoscopy 2. replacement of ascending aorta and aortic arch with a 28-mm medusa graft with implantation of the innominate artery and the left common carotid artery with selective antegrade right cerebral perfusion. history of present illness: 70 m who was treated for cough several weeks. he has been complaining of chest pain. pain is localized (and is focal) on the ant left chest and has been constant over 1-2 weeks. cough, deep breathing, activity do not affect pain. cough is productive of white phlegm. no fevers/chills, no back pain, no abd pain, no headaches. ct chest done at : done to r/o pe; aorta contains some contrast but not the usual dose. there is about 5x5 (at most) cm aneurysm at the transverse arch located either just proximal to the innominate or between innominate and l carotid artery. there are some inflammatory changes but no dissection or active extravasation of contrast. (?inflammatory aneurysm) past medical history: htn (per pt, his baseline bp usually around 160's) anxiety s/p cholecystectomy s/p repair of hiatal hernia via l thoracotomy s/p ?defibrillator (no cardiac arrest per pt) past cardiac procedures: defibrillator social history: smoked in past but quit (other physician was told ). quit alcohol in . no drug use. retured currently, used to work in kitchen at hospital. also was part time in military. lives in with his wife. reports that before numerous illnesses in last year used to go to gym 7 days/week alternating cardiovascular and lifting workouts. reports that he loves to hike and be active outdoors. recently his wife was also ill and he spent a substantial amount of time earlier this year taking care of her. family history: non-contributory physical exam: pulse: 70 resp: 20 o2 sat: 99% b/p right: left: 164/74 general: awake alert oriented; not in pain skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr no murmur abdomen: soft non-distended non-tender + bowel sounds extremities: warm , well-perfused no edema no varicosities neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: 04:23am blood wbc-6.7 rbc-3.87* hgb-10.5* hct-33.3* mcv-86 mch-27.1 mchc-31.5 rdw-15.4 plt ct-240 06:07am blood wbc-7.7 rbc-4.00* hgb-11.1* hct-34.4* mcv-86 mch-27.8 mchc-32.4 rdw-15.4 plt ct-240 04:23am blood pt-25.5* inr(pt)-2.4* 06:07am blood pt-15.6* inr(pt)-1.5* 05:15am blood pt-13.1* ptt-30.4 inr(pt)-1.2* 04:23am blood glucose-100 urean-33* creat-1.2 na-150* k-3.9 cl-110* hco3-34* angap-10 06:07am blood glucose-128* urean-31* creat-1.2 na-149* k-3.5 cl-108 hco3-33* angap-12 05:15am blood glucose-108* urean-28* creat-0.9 na-147* k-3.9 cl-105 hco3-34* angap-12 tee: pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is mild to moderate regional left ventricular systolic dysfunction with basal inferoseptal dyskinesis, mid inferoseptal akinesis, and basal to mid inferior and inferolateral hypokinesis. overall left ventricular systolic function is moderately depressed (lvef= 35-40 %). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the aortic arch. there is a 4.7 x 3.0 cm hypoechoic mass adjacent to the posterior aspect of the aortic arch which likely represents pseudoaneurysm. the mass is in continuity with the aortic arch via a neck measuring 2.3 x 1.0 cm. there is systolic flow into the mass by color flow doppler. no dissection or thrombus is seen. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. trivial mitral regurgitation is seen. there is a small pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is a paced. the patient is on an epinephrine infusion. left ventricular function is mildly reduced from pre-bypass exam (ef 30-35%). right ventricular function is unchanged. aortic regurgitation is unchanged. mitral regurgitation is unchanged. the aortic arch pseudoaneurysm is no longer present. no ascending aortic dissection is seen post-decannulation. pa&lat impression: ap chest compared to : moderate right pleural effusion is smaller, previous borderline interstitial edema has resolved. there is no longer any pneumothorax. small left pleural effusion is probably decreased as well. postoperative enlargement of the cardiac portion of the mediastinal silhouette is stable. the mediastinal vascular component has decreased. a left pic line can be traced as far as the region of the superior cavoatrial junction, although the tip is indistinct. transvenous pacer defibrillator lead ends in the right ventricle, proximal electrode spans the superior vena cava and upper right atrium. 05:46am blood wbc-8.7 rbc-3.88* hgb-10.7* hct-33.8* mcv-87 mch-27.6 mchc-31.7 rdw-15.8* plt ct-235 05:46am blood pt-22.3* inr(pt)-2.1* 05:46am blood glucose-87 urean-32* creat-1.3* na-149* k-3.9 cl-109* hco3-32 angap-12 brief hospital course: 70 year old gentleman with past medical history pertinent for hypertension and vtach episode status post defibrilator placement in who complains of 6 weeks of a persistent cough and intermittent left-sided chest pain, found in workup to have superior aortic arch aneurysm on chest ct and transfered to for ct surgery evaluation. a rheumatology consult was obtained to evaluate for large vessel vasculitis causing aortic aneurysm. no definitive diagnosis of aortitis was found on work-up. prednisone treatment was deferred initially given healing concerns following surgery. his aicd/pacemaker was interogated by the electrophysiology service. on , mr. was taken to the operating room where he underwent bronchoscopy followed by replacement of ascending aorta and aortic arch with a 28-mm medusa graft with implantation of the innominate artery and the left common carotid artery with selective antegrade right cerebral perfusion. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. he was initially hypotensive requiring multiple pressors that were slowly weaned off over the next few days. aortic tissue cultures returned positive fo salmonella aortitis. the infectious disease service was consulted for assistance and recommended ceftriaxone for treatment of mycotic aneurysm. he developed post-op atrial fibrillation which was treated with amiodarone, presently remains in rate controlled a-fib. on he was successfully extubated. he was noted to have an absent gag reflex and a bedside swallowing exam showed him aspirate thin liquids and thus the recommendation was made to thicken his liquids. the otolaryngology service was consulted who noted a paralyzed vocal chord which may require surgical treatment in the future if aspiration persists. the following reccomedations have been made by both ent and speah and swallow: -po diet: regular solids, nectar thick liquids -po meds whole with puree or nectar as tolerated -tid oral care -maximize reflux meds, as per ent recs -ent f/u on outpt basis with pre/post videoswallow studies if vocal fold injection or other treatments are being considered. -continue diet per s+s w/ low threshold to reevaluate if any concerning sx for aspiration - maximize anti-reflux regimen to limit vocal fold inflammation - humidified air if oxygen in required - f/u w/ dr. for further management of vocal fold immobility () on , mr. was transferred to the step down unit for further recovery. he continued to work with the physical therapy service for strength and mobility. the electrophysiology service saw no need for device change at this time and deferred a device change to be performed a (where aicd was placed) when needed. free water boluses were started for hypernatremia which has since improved. he will need to have his metabolic labs followed closely while at rehab. coumadin was started for persistent atrial fibrillation it was held on for rising inr, low dose restarted and will need to be monitored closely. he remains hypertensive and medications have been adjusted to keep bp <140. mr. continued to make steady progress and was discharged to rehabilitation on pod# 10, he will follow-up with dr. , his cardiologist, his primary care physician and the otolaryngology service as an outpatient. medications on admission: seroquel 100 mg tab oral 1 tablet(s) once daily, at bedtime librium 50 mg 1 once daily in am simvastatin 40 mg tab oral 1 tablet(s) once daily, at bedtime triamterene-hydrochlorothiazide -- unknown strength 1 qd paxil 20 mg tab oral 1 tablet(s) twice daily ezetimibe 10 mg tab oral 1 tablet(s) once daily at night atenolol 50 mg tab oral 1 tablet(s) once daily in am albuterol sulfate -- unknown strength 2 syrup(s) every 4-hrs primidone 100 mg po bid and 150mg qhs discharge medications: 1. quetiapine 100 mg tablet sig: one (1) tablet po hs (at bedtime). 2. chlordiazepoxide hcl 25 mg capsule sig: two (2) capsule po qam (once a day (in the morning)). 3. paroxetine hcl 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. ezetimibe 10 mg tablet sig: one (1) tablet po once a day. 5. primidone 50 mg tablet sig: three (3) tablet po hs (at bedtime). 6. primidone 50 mg tablet sig: two (2) tablet po bid (2 times a day). 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheezing or sob. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. ceftriaxone in dextrose,iso-os 2 gram/50 ml piggyback sig: one (1) intravenous q24h (every 24 hours): ctx for a total of 6 weeks /. 11. simvastatin 10 mg tablet sig: one (1) tablet po once a day: increase to 40mg daily once amiodarone dc'd. 12. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 13. warfarin 1 mg tablet sig: as directed tablet po daily (daily). 14. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): for one week then decrease to 200mg daily until seen by cardiologist/pcp. 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 16. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 17. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po daily (daily). 18. lisinopril 10 mg tablet sig: four (4) tablet po daily (daily). 19. metoprolol tartrate 50 mg tablet sig: 2.5 tablets po tid (3 times a day). 20. norvasc 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: discharge diagnosis: primary: aortic aneurysm secondary: htn anxiety s/p cholecystectomy s/p repair of hiatal hernia via l thoracotomy s/p ?defibrillator (no cardiac arrest per pt) discharge condition: alert and oriented x3 nonfocal ambulating with assistane incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage trace-1+ lower extremity edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. on at 1:15pm cards: dr. in 2 weeks (office will call patient with appt) please call ent dr. for f/u appt to evaluated vocal cord please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication atrial filbrillation goal inr 2.0-2.5 first draw coumadin follow up to be arranged upon discharge with pcp from rehab. please check basic metabolic profile daily for 3-4 days procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances resection of vessel with replacement, thoracic vessels other repair of vessel central venous catheter placement with guidance central venous catheter placement with guidance diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified anemia of other chronic disease coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use other and unspecified hyperlipidemia anxiety state, unspecified thoracic aneurysm, ruptured iatrogenic pneumothorax surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation automatic implantable cardiac defibrillator in situ hyperosmolality and/or hypernatremia accidents occurring in residential institution unilateral paralysis of vocal cords or larynx, partial other diseases of trachea and bronchus acute respiratory failure following trauma and surgery other fluid overload abnormal involuntary movements other specified salmonella infections 

Answer: The patient is high likely exposed to