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: optiray 300 / iodine attending: chief complaint: thoracic aortic anuerysm major surgical or invasive procedure: stent graft repair of the descending thoracic aortic aneurysm with 2 tag endoprostheses: the first one is reference number , lot or batch code number . the second one is catalog number , lot or batch code number . left carotid subclavian bypass graft with 8-mm -tex graft. history of present illness: this 77-year-old gentleman is undergoing endovascular repair of a descending thoracic aortic aneurysm. it will be necessary to cover the left subclavian artery with a device in order to obtain adequate proximal seal and he has previously had an infrarenal aortic aneurysm repair and a lowered thoracoabdominal aneurysm repair. he is undergoing carotid subclavian bypass to decrease the chances of paraplegia with the other procedure. past medical history: cad, htn, mi, bladder ca, gerd psh: s/p ccy, cataract, cabg, aaa repair ', prostatectomy, hernia social history: pos hx smoking / quit pos alcohol 2 per day family history: non contributary physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness ext: rle - palp fem, , pt, dp lle - palp fem, , pt, dp pertinent results: wet read audit # 1 pxdb sun 9:05 pm new lll opacity, could be a combination of effusion, atelectasis and pneumonia. clear right lung. stable post surgical changes, intervale extubation and removal of the ng tube 06:05am blood wbc-7.4 rbc-3.15* hgb-9.2* hct-27.7* mcv-88 mch-29.3 mchc-33.4 rdw-14.4 plt ct-181 04:00am blood pt-12.7 ptt-34.4 inr(pt)-1.1 06:05am blood glucose-98 urean-25* creat-1.7* na-141 k-4.6 cl-109* hco3-24 angap-13 06:05am blood calcium-8.3* phos-2.1* mg-2.0 06:17pm urine color-straw appear-clear sp -1.007 urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-8.0 leuks-neg urine rbc-0-2 wbc- bacteri-few yeast-none epi-0-2 transe-0-2 brief hospital course: mr. , was admitted on with taa. he agreed to have an elective surgery. pre-operatively, she/he was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preperations were made. this is joint operation with dr for cardiac surgery. it was decided that she would undergo a tag with left subclavian to carotid artery bpg. pt with lumbar drain. he was admitted the night before because of his crf with a baseline creatinine of 1.7. on dc his creatinine is 1.6, he was prehydrated with po mucomyst and iv sodium bicarbonate. 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. post-operatively, he was transferred to the cvicu for further stabilization and monitoring. pod # 1 he was immediatly extubated. he did recieve post operative po mucomyst and iv sodium bicarbonante. hct on arrival stable. creatinine was stable. his neo was weaned. pt kept bedrest. pod # 2 lumbar drain removed, remained neurologically intact. sbp remained high treated with iv hydralazine. foley remained in place with good urine output. 02 weaned to 2l. treated with humulog ssi. good pain control. encouraged is support. transfered to the vicu. while in the vicu he recieved monitered care. when stable he was delined. his diet was advanced. a pt consult was obtained. pod # 3 pt consulted. cleared pt for home without serivices. pt went into rapid afib to 130's. hemodynamically stable without sequele. lopressor did not work, started on dilt drip. pt r/o for mi. pod # 4 converted to nsr, dilt drip weaned. recieved lasix for fluid overload. had good responce with adaquate uop. he was stabalized from the acute setting of post operative care, he was transfered to floor status pod # 5 febrile, pan cultured. cxr shows lll pna, cx'x negative. po levoquin started. creat stable. pt stable for dc 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 home in stable condition. to note his coumadin was started on dc. his pcp to inr in the usual manner. medications on admission: asa 81, lipitor 20, coreg 3.125, coumadin 2.5 6d/wk, 3 1d/wk, diovan 80, mvi discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 2. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. sodium bicarbonate 650 mg tablet sig: one (1) tablet po tid (3 times a day). 5. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for fever: prn. 7. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed: prn. disp:*30 tablet(s)* refills:*0* 9. multivitamin tablet sig: one (1) tablet po once a day. 10. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. disp:*1 polyvinyl alcohol-povidone (ophthalmic) 1.4-0.6 %* refills:*0* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain for 10 days: prn. disp:*30 tablet(s)* refills:*0* 12. warfarin 2.5 mg tablet sig: one (1) tablet po once daily at 4 pm: have your inr checked in the usual manner. goal inr is . discharge disposition: home discharge diagnosis: descending thoracic aortic aneurysm pneumonia lll afib pmh: cad, htn, mi, bladder ca, gerd . psh: thoracoabdominal aaa repair c supraceliac clamp , s/p ccy, cataract, cabg, aaa repair ', prostatectomy, hernia discharge condition: good discharge instructions: division of vascular and endovascular surgery endovascular thoraic aortic aneurysm (taa) discharge instructions, with subclavian artery to carotid bpg medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? do not stop aspirin unless your vascular surgeon instructs you to do so. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? 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 it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and 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: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin 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 or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and cta what to report to office: ?????? numbness, coldness or pain in lower and or upper extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site or incision) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office. if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: , md phone: date/time: 1:20 call dr office (. schedule an appointment for 4 weeks. you may need a cta. this is a cat scan with contrast. let the receptionist know that you had a tag (thoracic aortic graft stent placement). also let the receptionist know that you have renal failure. you may need to be hydrated with a special medication before you get the cat scan. his office will arrange the follow-up and the cat scan if you need. procedure: endovascular implantation of other graft in abdominal aorta aorta-subclavian-carotid bypass endovascular implantation of graft in thoracic aorta diagnoses: esophageal reflux cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate aortocoronary bypass status chronic kidney disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction 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 other acquired absence of organ old myocardial infarction long-term (current) use of anticoagulants personal history of malignant neoplasm of bladder diverticulosis of colon (without mention of hemorrhage) thoracoabdominal aneurysm, without mention of rupture other artificial opening of urinary tract status hepatitis b carrier 

Answer: The patient is high likely exposed to