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: penicillins attending: chief complaint: chest pain major surgical or invasive procedure: emergent replacement of ascending aorta and subtotal arch with aortic valve replacement utilizing a 25mm pericardial valve. re-exploration for bleeding history of present illness: mr. is a 47 year old male who presented to osh with left sided chest pain, dizziness and diaphoresis while showering. cta revealed type a aortic dissection. he was emergently med flighted to the for surgical intervention. past medical history: hypertension dyslipidemia s/p vasectomy social history: employed as financial advisor. married, lives with his wife. denies tobacco but admits to occasional marijuana. denies history of etoh abuse. family history: no premature coronary artery disease. physical exam: at the time of discharge, mr. was found to be awake, alert, and oriented. his heart was of regular rate and rhythm. his lungs were clear to auscultation bilaterally. his sternal incision was clean, dry, and intact. his sternum was stable. his abdomen was soft, non-tender, and non-distended. +1 edema was noted in his extremities. pertinent results: intraop tee: prebypass - the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%) right ventricular chamber size is normal. with focal hypokinesis of the apical free wall. the ascending aorta is markedly dilated. the descending thoracic aorta is mildly dilated. a mobile density originating from the right sinus of valsalva is seen in the ascending aorta, transverse arch and descending thoracic aorta consistent with an intimal flap/aortic dissection. the aortic valve leaflets (3) are mildly thickened. moderate to severe (3+) aortic regurgitation is seen. the mitral valve leaflets are structurally normal. no mitral regurgitation is seen. postbypass - lv systolic function remains normal. there is a well seated, well functioning bioprosthesis in the aortic position. there is mild valvular ai. a graft appears in the ascending aorta and transverse arch. the disection flap is still present in the distal arch and descending thoracic aorta. flow is visualized in the true lumen. the study is otherwise unchanged from prebypass. renal ultrasound: no renal arterial abnormality detected. normal renal arterial waveforms. head mri: probable chronic small vessel infarct within the inferolateral aspect of the right cerebellar hemisphere. 09:17am blood wbc-9.5 rbc-2.92* hgb-8.7* hct-25.8* mcv-88 mch-29.7 mchc-33.6 rdw-15.0 plt ct-449* 05:55am blood glucose-108* urean-13 creat-1.1 na-137 k-3.9 cl-104 hco3-26 angap-11 09:17am blood alt-76* ast-36 alkphos-192* totbili-1.3 brief hospital course: mr. was emergently brought to the operating room where dr. performed replacement of his ascending aorta and subtotal arch along with aortic valve replacement. for surgical details, please see seperate dictated operative note. following the operation, he was brought to the cvicu in critical condition. initially coagulopathic, he required multiple blood products. postoperative tee was notable worsening pericardial effusion with questionable signs of early tamponade. he concomitantly had a slight decline in renal function. renal ultrasound showed no evidence of aortic dissection into the renal arteries. on postoperative day two, he returned to the operating room for re-exploration. given prolonged period of sedation and intubation, tube feedings were started for nutritional support. as sedation was weaned he became extremely agitated with question of nonpurposeful movements. head ct scan and mri were obtained which did not show any large area of territory infarct. neurology service was consulted and attributed his altered mental status to most likely toxic-metablolic encephalopathy. he remained hypertensive and continued to require labetolol drip for adequate blood pressure control. he also experienced postop fevers, and pan-cultures were obtained. he was empirically started on antibiotics for possible ventilator associated pneumonia along with positive blood cultures. over several days, clinical improvements were noted. he was eventually extubated on postoperative day nine. he was transferred to the step down floor. he was seen in consultation by the physical therapy service. he was gently diuresed. a picc line was placed and he was screened for rehab. by post-operative day 15 he was ready for discharge to rehab. medications on admission: transfer meds: iv esmolol, iv nipride home meds: hctz 25 qd, zocor, lisinopril 10 , viagra prn discharge medications: 1. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours): completes . 2. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours): completes . 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*0* 5. furosemide 10 mg/ml solution sig: twenty (20) mg injection twice a day for 7 days. disp:*qs * refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 8. labetalol 200 mg tablet sig: four (4) tablet po tid (3 times a day). disp:*360 tablet(s)* refills:*0* discharge disposition: extended care facility: hospital - discharge diagnosis: type a aortic dissection, aortic insufficiency - s/p repair postoperative bleeding/pericardial effusion - s/p re-exploration postoperative toxic-metabolic encephalopathy hypertension dyslipidemia discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: dr. in 4 weeks, call for appt dr. in weeks, call for appt cta scan in 3 months to evaluate aneurysm please follow weekly lfts/bun/creatinine while on antibiotics md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels pericardiotomy resection of vessel with replacement, aorta, abdominal other repair of vessel diagnoses: pneumonia, organism unspecified toxic encephalopathy unspecified essential hypertension acquired coagulation factor deficiency aortic valve disorders other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure bacteremia dissection of carotid artery anticoagulants causing adverse effects in therapeutic use dissection of aorta, thoracoabdominal other and unspecified infection due to central venous catheter hemopericardium dissection of other artery 

Answer: The patient is high likely exposed to