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: aortic dissection major surgical or invasive procedure: endovascular repair of type b aortic dissection history of present illness: 44m w/ h/o htn on meds but ran out recently, with sudden acute back/lower chest pain earlier this afternoon ~3pm while shopping at target. denied ever having this type of pain. no h/o trauma. sent to hospital where ct scan demonstrated type b aortic dissection and was transferred here for further management. in ed here, initial bp was 210/113, was given labetolol iv and dilaudid for pain. he denies nausea/vomit, sob, fever. urinating without difficulty. past medical history: pmhx: htn, h/o seizures and was on dilantin but off for a while (since ) pshx: appendectomy ~, l foot bunion removal in social history: aircraft fueler @ airport; quit tobacco 14 years ago, 15 pack year history; etoh: glasses of wine on days off family history: no dm, no vascular disease physical exam: avss aaox3 nad rrr ctab soft ntnd palp rad and ulnar pulses on lue b/l le 2+ pt and dp pertinent results: 09:25am blood wbc-8.8 rbc-4.04* hgb-11.9* hct-35.5* mcv-88 mch-29.4 mchc-33.5 rdw-13.4 plt ct-313 06:00pm blood wbc-13.2* rbc-5.43 hgb-16.2 hct-46.7 mcv-86 mch-29.9 mchc-34.7 rdw-13.2 plt ct-209 09:25am blood glucose-140* urean-21* creat-0.8 na-138 k-4.0 cl-104 hco3-25 angap-13 02:17pm blood urean-42* creat-1.5* k-3.8 04:00am blood glucose-137* urean-45* creat-1.8* na-135 k-3.8 cl-100 hco3-27 angap-12 01:35pm blood glucose-89 urean-42* creat-2.4* na-139 k-3.3 cl-103 hco3-25 angap-14 02:05am blood glucose-104* urean-41* creat-3.0*# na-136 k-3.9 cl-102 hco3-23 angap-15 12:11pm blood glucose-149* urean-30* creat-1.5* na-138 k-3.5 cl-103 hco3-26 angap-13 01:30am blood glucose-188* urean-19 creat-1.2 na-140 k-4.3 cl-103 hco3-24 angap-17 06:00pm blood glucose-159* urean-13 creat-1.0 na-139 k-3.8 cl-102 hco3-24 angap-17 01:56am blood ck(cpk)-1449* 01:59am blood ck(cpk)-2632* 03:29pm blood ck(cpk)-3534* 05:20am blood ck(cpk)-4248* 09:49pm blood ck(cpk)-4253* 02:17pm blood ck(cpk)-3188* 01:35pm blood ck(cpk)-878* 06:00pm blood ck(cpk)-225 brief hospital course: pt was seen in the ed and found to have a type b aortic dissection on ct scan. he was admitted to the cvicu for blood pressure control and monitoring. on hd 2 he was intubated secondary to respiratory failure and was found to have a questionable pneumonitis. he was taken to the angio suite on (hd 3) for ctag repair of his aortic dissection. he tolerated this procedure, but was found to have decreased lue blood pressures, which were then followed for his admission. his creatinine increased to 3.0 (baseline ~1.0) by the time of his procedure. he was cautiously hydrated given his known respiratory distress and his pulses were followed. his blood pressure was maintained at <140 using nitroglycerine, and ck's were followed, peaking at 4200 on pod 1, and proceeded to trend downward appropriately. an us was obtained and showed no dvt. he was extubated without complication and was transferred to the floor on pod 4. he was seen by pt and was cleared for discharge to home. renal ultrasound was also obtained and showed good flow throughout both kidneys. he was seen by cardiology for assistance with his blood pressure medication and these were modified appropriately. on hd 10 (pod 7) he was discharged to home. his creatinine and ck had normalized, and he was oob w/o difficulty and tolerated a normal diet. medications on admission: lisinopril, atenolol, hctz discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* 2. ranitidine hcl 150 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*qs capsule(s)* refills:*2* 3. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*qs tablet, delayed release (e.c.)(s)* refills:*2* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 6. hydralazine 50 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*qs tablet(s)* refills:*2* 7. isosorbide dinitrate 20 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*qs tablet(s)* refills:*2* 8. chlorthalidone 25 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 9. labetalol 200 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*qs tablet(s)* refills:*2* 10. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 11. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qfri (every friday). disp:*4 patch weekly(s)* refills:*2* discharge disposition: home discharge diagnosis: type b aortic dissection discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: 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 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: scan phone: date/time: 11:30 provider: , md phone: date/time: 12:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube intravascular imaging of intrathoracic vessels endovascular implantation of graft in thoracic aorta diagnoses: unspecified essential hypertension acute respiratory failure dissection of aorta, thoracic long-term (current) use of aspirin 

Answer: The patient is high likely exposed to