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: codeine / talwin / nafcillin attending: chief complaint: hypotension major surgical or invasive procedure: angiogram history of present illness: 58 yo f s/p taaa stent for type b dissection in . she had a long post op course and underwent tracheostomy for respiratory failure. is on 4 weeks course of vanco and aztreonam for staph in blood and proteus in urine. she was dc'd to rehab on and had an asystolic arrest there. she was transferred to good hospital, she has been off the vent and doind well but had a hct drop of 6 points (31-25) and underwent ct scan which showed question of endoleak and was transferred for further eval. past medical history: cushings syndrome, avr/ascending aorta , pulmonary avm repair , copd, gerd, h/o splenic lac c/b cardiac arrest and anoxic brain injury, bilat adrenalectomy social history: unknown. family history: nc physical exam: hr 76 rr 21 bp 108/94 lungs ctab heart rrr abdomen benign no cce a&o, mae to command left radial pulse absent pertinent results: 05:22am blood wbc-9.3 rbc-3.38* hgb-10.1* hct-30.9* mcv-91 mch-30.0 mchc-32.8 rdw-16.9* plt ct-788* 05:22am blood plt ct-788* 05:22am blood pt-14.4* ptt-51.4* inr(pt)-1.3* 05:22am blood glucose-122* urean-10 creat-0.7 na-140 k-3.6 cl-104 hco3-27 angap-13 cta chest w&w/o c&recons, non-coronary 1:55 am cta chest w&w/o c&recons, non-; cta abd w&w/o c & recons reason: s/p thorocoabd stent, r/o endo leak field of view: 39 contrast: optiray medical condition: 58 year old woman endovascular stent reason for this examination: s/p thorocoabd stent, r/o endo leak contraindications for iv contrast: none. study: ct of the chest, abdomen and pelvis. indication: 58-year-old female status post thoracoabdominal aortic stent. assess for a leak. comparisons: . technique: non-contrast mdct axial images of the chest, abdomen, and pelvis were acquired. following the administration of 60 ml of optiray intravenous contrast, mdct axial images were acquired from the thoracic inlet to the pubic symphysis. coronal and sagittal reconstructed images were then obtained. ct of the chest without and with iv contrast: the patient is status post endotracheal intubation. the patient is status post endovascular stenting of the thoracic aorta beginning at the level of the aortic arch and extending inferiorly to the level of t12 approximately. a focal area of contrast extravasation is noted anteriorly along the graft at the junction of the two overlapping grafts and measures 3.1 x 0.8 cm (series 401b:image 39). comparison to the previous ct examination demonstrates increased of the size in this focal leak. once again, surrounding hematoma is noted concentrically around the graft and not appreciably changed in size compared to the previous evaluation. there is moderate-to-severe cardiomegaly. no pericardial effusion is present. the pulmonary artery is enlarged, measuring 3.5 cm. there is bibasilar dependent atelectasis. the lungs are otherwise grossly clear. the patient is status post median sternotomy. few mediastinal lymph nodes are noted, none of which meet criteria for pathology by ct. ct of the abdomen with iv contrast: once again, note is made of multiple hyperattenuating nodules throughout the liver. several low-attenuation foci are consistent in appearance with simple cysts. the liver is grossly unchanged compared to the previous evaluation. a moderate-sized left pleural effusion is noted. the kidneys, adrenal glands, spleen, pancreas, gallbladder and abdominal portions of the large and small bowel appear grossly unremarkable and unchanged compared to the previous examination. there is no free fluid within the abdomen. ct of the pelvis with iv contrast: a foley balloon is present within the collapsed bladder. the rectum, sigmoid colon, uterus and adnexa appear unremarkable. there are no pathologically enlarged inguinal or pelvic lymph nodes. no free fluid is present within the pelvis. osseous structures: there is severe s-shaped scoliosis of the thoracolumbar spine. t12 and l2 compression fractures are unchanged. impression: 1. findings consistent with an endoleak at the level of the graft- to-graft anastomosis in the mid thoracic cavity anteriorly. this focal area of contrast extravasation has increased compared to the ct of . relatively stable appearance of peri-aortic hematoma. 2. left moderate subpulmonic effusion. these findings were discussed over the telephone with by dr brief hospital course: she was seen by vascular surgery and underwent repeat ct scan which showed findings consistent with endoleak at the lower pole of the graft to graft anastomosis with increased area of extravasation as compared to previous ct. she was hypertensive and her medications were adjusted. a dobhoff tube was placed and tubefeedings were restarted. she received a nutrition consult for increased risk of malnutrition. she awaited normalization of inr prior to undergoing angiogram on which showed no endoleak. she was transferred to the floor on . coumadin and heparin were restarted for mechanical avr. she underwent speech and swallow evaluation and aspirated. thoracic surgery was consulted for peg tube which was placed on . her coumadin and tube feeds was restarted. she was ready for discharge to rehab on heparin on . medications on admission: combivent, aztreonam, vanco, solucortef, zypreza, lopressor, nedium, heparin gtt discharge medications: 1. heparin (porcine) in d5w 100 unit/ml parenteral solution : 1350 (1350) units/hr intravenous asdir (as directed): until inr is therapeutic. 2. ipratropium-albuterol 18-103 mcg/actuation aerosol : six (6) puff inhalation q4h (every 4 hours). 3. nystatin 100,000 unit/g cream : one (1) appl topical (2 times a day). 4. prednisone 5 mg tablet : one (1) tablet po daily (daily). 5. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 6. docusate sodium 50 mg/5 ml liquid : two (2) po bid (2 times a day). 7. aspirin 325 mg tablet : one (1) tablet po daily (daily). 8. olanzapine 5 mg tablet : one (1) tablet po bid (2 times a day). 9. atorvastatin 10 mg tablet : one (1) tablet po daily (daily). 10. lisinopril 10 mg tablet : one (1) tablet po daily (daily). 11. metoprolol tartrate 50 mg tablet : one (1) tablet po tid (3 times a day). 12. aztreonam 1 gram recon soln : one (1) recon soln injection q8h (every 8 hours) for 1 weeks: to finish 4 week course. 13. vancomycin in dextrose 1 gram/200 ml piggyback : one (1) g intravenous q 24h (every 24 hours) for 1 weeks: to finish 4 week course. 14. warfarin 2 mg tablet : three (3) tablet po at bedtime: adjust dosing for goal inr between 2.0 - 3.0. discharge disposition: extended care facility: sinae discharge diagnosis: type ii endoleak - s/p thoracoabdominal stent graft for ruptured thoracic aneurysm/dissection , coiling of l subclavian , s/p tracheal stent ; chronic respiratory failure - s/p trach , s/p peg , severe malnutrition - started on tube feeds, aspiration, s/p avr(mech), copd, gerd, h/o splenic lac c/b cardiac arrest and anoxic brain injury, , s/p asystolic arrest , +mrsa bacteremia and proteus urinary tract infection - being treated with vanco and aztreonam discharge condition: stable. discharge instructions: 1)continue iv heparin until inr above 2.0. monitor pt/inr closely and adjust warfarin for goal inr between 2.5 - 3.0. please arrange outpatient warfarin followup with dr. prior to discharge from rehab. 2)tracheostomy #7 portex - continue trach mask with pmv as tolerated 3)aspiration precautions - continue npo and tube feedings as directed - please reconsult speech and swallow when indicated 4)continue antibiotics as directed 5)routine picc care 6)pulmonary toilet followup instructions: provider: md 1pm - phone provider: , md phone: date/time: 11:30 provider: , md phone: date/time: 1:00 provider: scan(cta with mms)phone: date/time: 11:45 procedure: enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] aortography diagnoses: esophageal reflux chronic airway obstruction, not elsewhere classified heart valve replaced by other means hypotension, unspecified anoxic brain damage 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 long-term (current) use of anticoagulants precipitous drop in hematocrit foreign body accidentally entering other orifice tracheostomy status cushing's syndrome other mechanical complication of cardiac device, implant, and graft foreign body in trachea other dysphagia 

Answer: The patient is high likely exposed to