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: lt groin pain major surgical or invasive procedure: : operations performed: excision of left limb of aortofemoral bypass graft, and vein patch angioplasty of left superficial femoral artery at distal anastomosis with distal right greater saphenous vein. : procedure: debridement and delayed primary closure of left flank and left groin incision. history of present illness: 81m who presents w left groin pain for approx 24 hours. he is s/p aorto bifem in . in i and d of his left groin for infection and he underwent exploration of the left groin, detachment of left the limb from the common femoral artery, vein patch angioplasty of common femoral artery, excision of left limb, and reconstruction with interposition new graft segment for proximal left aortobifemoral graft to superficial femoral artery with rifampin impregnated 8 mm dacron graft. he had a duplex at local hospital showing fluid around left limb of abf graft approx 1 month ago. now w the new left groin pain there is concern that the graft could be infected. he denies fevers/chills, rash, sob, cp, abd pain, changes in bowel habits, n/v, or other complaints. past medical history: pmh: hypercholesterolemia, pvd, hypothydroidism, bph . psh: appendectomy and hernia repair, aorto bifem (), - i and d of his left groin for infection w exploration of the left groin, detachment of left the limb from the common femoral artery, vein patch angioplasty of common femoral artery, excision of left limb, and reconstruction with interposition new graft segment for proximal left aortobifemoral graft to superficial femoral artery with rifampin impregnated 8 mm dacron graft social history: smokes 10 cigs/day for decades. social drinker. lives with wife at home family history: n/c physical exam: physical exam: vs: t 97.0, hr 75, bp 139/57, rr 19, 95%3l nc general: pleasant elderly man, nad heent: perrl, eoemi, sclerae anicteric op: mmm, no ulcers/lesions/thrush neck: supple, no lad, no thyromegaly cardiovascular: rrr, normal s1, s2, no m/g/r respiratory: cta bilat w/o wheezes/rhonchi/rales abdomen: surrounding area clean, dry, nonerythematous, minimally tender, not swollen musculoskeletal: moving all extremities ext: warm and well perfused, no edema. l thigh wound closed, nonerythematous, slightlytender lymph: no cervical, axillary, inguinal lymphadenopathy skin: no rashes, no jaundice neurological: aaox3 psychiatric: non-anxious, normal affect pertinent results: 06:00am blood wbc-8.8 rbc-3.22* hgb-10.0* hct-29.6* mcv-92 mch-31.1 mchc-33.9 rdw-14.5 plt ct-270 06:00am blood plt ct-270 06:00am blood glucose-108* urean-26* creat-1.6* na-139 k-3.8 cl-110* hco3-21* angap-12 06:00am blood calcium-8.0* phos-2.9 mg-2.3 06:00am blood vanco-19.9 09:30am urine color-straw appear-clear sp -1.018 urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 11:45 am swab peri graft h iliac. gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. wound culture (final ): no growth. anaerobic culture (preliminary): no growth. 9:30 am urine site: clean catch urine culture (final ): <10,000 organisms/ml. 2:17 pm mrsa screen site: naris (nare) mrsa screen (final ): no mrsa isolated. 12:10 pm foreign body left femoral graft. wound culture (final ): no growth. findings: new right picc terminates within the mid to lower superior vena cava. cardiomediastinal contours are within normal limits. left retrocardiac opacity probably reflects atelectasis, but developing pneumonia should also be considered in the appropriate clinical setting. the study and the report were reviewed by the staff radiologist. us: ultrasonography of the left upper extremity is negative for dvt but the entire cephalic vein is occluded around the picc site echo: conclusions the left atrium and right atrium are normal in cavity size. a patent foramen ovale is present. left ventricular wall thicknesses and cavity size are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (mobile) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. there are complex (>4mm) atheroma in the abdominal aorta. the aortic valve leaflets (3) are mildly thickened. the study is inadequate to exclude significant aortic valve stenosis. moderate to severe (3+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild mitral regurgitation is seen. brief hospital course: on admission: pt did have elevated creatinine. he was hydrated before cta. was given po mucomyst and iv bicarb. also gentle hydration. on dc creatinine is stable. i cta impression: 1. large 7.7 x 5.8 x 27.1-cm fluid collection surrounding the left aortofemoral graft with inferior components of higher attenuation that is most compatible with hematoma. in addition, on post-contrast images, some evidence of active extravasation. overall, these findings have characteristics compatible with pseudoaneurysm. superinfection cannot be excluded. recommend clinical correlation. 2. 17 x 10-mm hypoattenuating lesion within the uncinate process of the pancreas incompletely characterized, could either represent pancreatic cystic neoplasm or side branch ipmn, with interval growth since . recommend mrcp on non- urgent basis for further evaluation. mr. , was then admitted on with infected aortobifemoral artery bypass graft. he agreed to have an elective surgery. pre-operatively, he was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preperations were made. broad spectrum antibiotics given. id consult obtained. pt to have 6 weeks ov vancomycin, po cipro, po flagyl. he does have follow-up in clinic. he will probably need long term po suppression therapy. it was decided that she would undergo a: o7/24. perations performed: excision of left limb of aortofemoral bypass graft, and vein patch angioplasty of left superficial femoral artery at distal anastomosis with distal right greater saphenous vein. he was prepped, and brought down to the operating room for surgery. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. he was then transferred to the cvicu for further recovery. while in the cvicu he recieved monitered care. he had a vac placd. jp bulbs to suction. extubated pod # 2. pt did have post op anemia secondary to blood loss. transfused 2 units prbc. on dc hct is stable. he was transfered to the vicu for further care. he was delined. his diet was advanced. a pt consult was obtained. picc line placed. wound vac taken down, it was then decided to primary close the wound. pt pre-op'd. he was prepped, and brought down to the operating room for surgery. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. : procedure: debridement and delayed primary closure of left flank and left groin incision. he tolerated the proceure well without complications. he was then transfered to the pacu for further care. once recovered from anesthesia. he was transfered to the vicu. for further care. in the vicu, it was noticed that he had swelling in his lue. an us revealed cephalic vein thrombois. his picc was dc'd. another picc was placed in his rue. a cxr revealed tip in the svc. once stabl from the vicu setting, he was transfered to the floor. on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve her strength and mobility. he continues to make steady progress without any incidents. he was discharged to a rehabilitation facility in stable condition. he has an appointmentwith id in 5 weeks and vascular in 2 weeks medications on admission: synthroid 0.15mg/daily flomax 0.4mg/daily simvastatin 20mg qd, fludrocortisone0.1mg/daily discharge medications: 1. picc line 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. 2. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 24h (every 24 hours) for 5 weeks: follow trough and creatinine. 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 weeks. 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 5. levothyroxine 75 mcg tablet sig: two (2) tablet po daily (daily). 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 7. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 8. percocet 5-325 mg tablet sig: 1-2 tablets po four times a day: prn. 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): dc when ambulatory. 10. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). 11. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 5 weeks. 12. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush. 13. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 14. outpatient lab work please draw weekly lft, cbc with diff, vanco trough, bun and creatinine. fax the results to . dr office. discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: infected aortobifemoral artery bypass graft hypercholesterolemia, pvd, hypothydroidism, bph discharge condition: stable discharge instructions: division of vascular and endovascular surgery lower extremity surgery discharge instructions what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over incision, rinse and pat dry ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 4:10. this is in the building. . provider: , md phone: date/time: 11:30. this is in the building. . basement procedure: venous catheterization, not elsewhere classified other revision of vascular procedure diagnostic ultrasound of heart excisional debridement of wound, infection, or burn repair of blood vessel with tissue patch graft diagnoses: pure hypercholesterolemia tobacco use disorder acute posthemorrhagic anemia acute kidney failure, unspecified unspecified acquired hypothyroidism hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) peripheral vascular complications, not elsewhere classified 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 infection and inflammatory reaction due to other vascular device, implant, and graft atherosclerosis of native arteries of the extremities, unspecified aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to