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: aaa major surgical or invasive procedure: aaa resection with aortobi-iliac bpg history of present illness: ....58 y/o nondiabetic with cad, h/o tia, s/p left cea , htn, gout, chronic, severe low back pain fell down 10 steps at home without loss of cons- ciousness around 5pm on . pt was seen at . imaging studies showed fracture posterior left 9th rib with tiny pneumothorax on ct. incidental finding was 9cm aaa. ....pt denied abdominal pain or new back pain different from his chronic back pain. he was transferred to er for further evaluation. past medical history: pmh: 1.cad:silent imi, ptca lad and ptca/stent om2 ; ef=32% 2.tia, carotid stenosis 3.hypertension 4.hypercholesterolemia 5.gout 6.l5-s1 radiculopathy 7.hiatal hernia 8.depression/ anxiety 9.emphysema psh: 1.left cea 2.arthroscopy right knee 3.circumcision 4.tonsillectomy social history: pte lives with his wife. is on disability secondary to back pain. he quit smoking cigarettes 15 years ago after smoking up to 5ppd for 13 years. he stop- ped drinking alcohol 15 years ago. he ambulates independently. family history: cad physical exam: vs: p 92 r 16 b/p o2 sat=95% on 2l via n/c wt=113.8 kg ht=6'2" general: alert, cooperative in nad chest: tenderness left side. cor-rrr. lungs clear. abdomen: obese. soft. nontender/nondistended. no pulsatile mass palpated. extremities: feet warm. dp pulses palpable bilaterally. neurological exam nonfocal; equal grip strength; alert and oriented x3. pertinent results: 11:20pm blood wbc-13.7*# rbc-5.36 hgb-15.6 hct-43.0 mcv-80* mch-29.2 mchc-36.4* rdw-14.9 plt ct-229 03:44am blood wbc-10.9 rbc-3.72* hgb-10.6* hct-31.4* mcv-85 mch-28.4 mchc-33.6 rdw-15.0 plt ct-216 05:20am blood wbc-10.2 hct-31.3* plt ct-223 11:20pm blood pt-13.6* ptt-27.9 inr(pt)-1.2 11:20pm blood glucose-109* urean-18 creat-0.9 na-137 k-4.1 cl-104 hco3-22 angap-15 05:12am blood glucose-98 urean-22* creat-1.0 na-137 k-3.5 cl-101 hco3-26 angap-14 05:01pm urine rbc-* wbc-0 bacteria-few yeast-none epi-0 05:01pm urine blood-mod nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.5 leuk-neg 05:01pm urine color-yellow appear-clear sp -1.020 ekg nsr at 86. lbbb. sinus bradycardia on ekg resolved. cxr no pneumothorax seen, left posterior 9th rib fx not visualized. brief hospital course: ....pt was admitted to the hospital from er on . repeat ct showed 7.9 x 7.5cm infrarenal aaa, diffuse emphysema, and rml/rul pulmonary nodules up to 7mm. the cxr did not visualize the left rib fx or any pneumothorax. pt denied new abdominal pain but c/o increased low back pain. ....cardiology was consulted for pre-operative cardiac clearance. persantine mibi study done showed ef of 32%, inferior fixed defect which was unchanged from . cardiac cath from was reviewed, found to be stable and pt was cleared for surgery. cardiology recommended increasing beta blocker to attain hr of 50-60. however pt became bradycardic to hr~35 so dose changed back to at home dose. ....since admission pt's o2 saturation hovered at ~90%. pt was followed by his pcp, . , who thought this was due to splinting from rib fracture pain and low back pain. the acute pain service was consulted regarding pt's back pain which had unsuccessfully treated with morphine pca. pt's aaa resection was rescheduled in order to address respiratory and pain issues adequately. ....on pt underwent an uneventful aaa resection with an aortobi-iliac bpg. at the end of surgery pt had equally warm feet with palpable femoral and dopplerable pedal pulses. ancef was given peri-operatively. one unit of prbc was transfused on pod#2. post-op pain was managed with hydromorphone epidural until pod#2 and then pain was controlled with morphine pca and finally percocet prn. ....pt started on sips on pod#3 and diet was advanced as tolerated. physical therapy cleared pt for discharge home. at time of discharge pt's abdominal incision was clean, dry, and intact. he will f/u with dr. in th office in one week for staple removal. medications on admission: 1.imdur 40mg po qd 2.lopressor 50mg po tid 3.lisinopril 10mg po qd 4.lipitor 40mg po qd 5.zantac 150mg po bid 6.probenecid 500mg po bid 7.indocin 50mg po qd 8.zoloft 200mg po qd 9.ativan prn 10. nitro sl prn discharge medications: 1.metoprolol 50mg po tid 2.atorvastatin 40mg po qd 3.ranitidine 150mg po bid 4.probenecid 500mg po bid 5.sertraline 200mg po qd 6.percocet 5-325mg 1-2 tabs po q 4-6hrprn pain discharge disposition: home discharge diagnosis: asymptomatic 7.5cm aaa secondary dx: 1.left posterior 9th rib fx secondary to fall on 2.blood loss anemia; s/p transfusion 3.bradycardia resolved after adjustment of beta blocker dose. 4.emphysema:o2 desaturation requiring o2 via nasal cannula 5.chronic severe low back pain 6.cad: s/p mi',ptca',ptca/stent 7.tia,s/p left cea 8.hypertension 9.hypercholesterolemia 10.gout 11.depression/anxiety 12.rml/rll pulmonary nodules to 7mm seen on ct ; f/u chest ct in 3months recommended. discharge condition: satisfactory. followup instructions: follow with dr. in the office in one week: call for appt. procedure: resection of vessel with replacement, aorta, abdominal diagnoses: unspecified essential hypertension chronic airway obstruction, not elsewhere classified aortocoronary bypass status other and unspecified angina pectoris accidental fall on or from other stairs or steps old myocardial infarction closed fracture of one rib abdominal aneurysm without mention of rupture traumatic pneumothorax without mention of open wound into thorax 

Answer: The patient is high likely exposed to