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: back pain,emergent transfer from hosp. major surgical or invasive procedure: s/p replacement asc ao-resuspension of ao valve/exlporatory laparotomy() s/p tracheostomy() history of present illness: 64 yo f transferred from osh for type a dissection. presented to osh with hypotension after collapsing while in the bathroom. past medical history: htn, hypothyroidism social history: lives with family family history: unable to obtain physical exam: admission nad ncat lungs ctab rrr + bs mottled toes decreased rectal tone discharge vs t99.4 hr 80sr bp 104/52 rr 26 o2sat 98% on 50% tm gen nad neuro a&ox3, mae-lower extremity weakness(l>r) pulm cta-bilat cv rrr, no murmur. sternum stable, incision cdi. abdm firm, slightly distended, +bs. upper abdm incision w/vac dressing/lower incision cdi ext wasrm with trace edema. palpable pulses pertinent results: 08:58pm glucose-155* lactate-2.9* k+-3.6 07:58pm urea n-15 creat-1.0 01:02pm alt(sgpt)-71* ast(sgot)-121* ld(ldh)-444* alk phos-44 amylase-41 tot bili-1.8* 01:02pm wbc-4.9 rbc-2.74* hgb-8.7* hct-23.3* mcv-85 mch-31.7 mchc-37.3* rdw-14.7 01:02pm plt count-183 01:02pm pt-14.7* ptt-54.6* inr(pt)-1.3* 03:19am blood alt-175* ast-398* ld(ldh)-1223* ck(cpk)-* alkphos-58 totbili-2.0* 03:34am blood wbc-12.1* rbc-3.25* hgb-9.9* hct-29.9* mcv-92 mch-30.4 mchc-33.1 rdw-15.7* plt ct-464* 03:34am blood plt ct-464* 03:34am blood pt-12.9 ptt-28.3 inr(pt)-1.1 03:34am blood glucose-133* urean-21* creat-0.5 na-135 k-4.3 cl-100 hco3-28 angap-11 02:00am blood alkphos-236* 02:22am blood alt-76* ast-73* ld(ldh)-292* alkphos-284* amylase-65 totbili-0.4 radiology final report chest (portable ap) 12:49 pm chest (portable ap) reason: check dophoff placement medical condition: 64 year old woman s/p asc ao replacement and dophoff placement reason for this examination: check dophoff placement history: for dobbhoff placement. findings: in comparison with the study of , there has been placement of a dobbhoff tube that extends to the lower body of the stomach, then coils upon itself and extends further into the stomach. there is increasing opacification at the left base consistent with some combination of pleural fluid, atelectasis, and even pneumonia. dr. approved: tue 3:45 pm chest (portable ap) reason: dropping hct r/o effusion medical condition: 64 year old woman with reason for this examination: dropping hct r/o effusion single ap portable view of the chest reason for exam: dropping hematocrit, assess for effusion. comparison is made with prior study performed a day earlier. cardiac size is normal. the mediastinum is not widened. tracheostomy tube is in the standard position. ng tube tip is out of view below the diaphragm. small right and small-to-moderate left pleural effusions have increased, as are adjacent bibasilar atelectasis. jr dr. dr. approved: fri 10:38 pm radiology final report ct head w/o contrast 11:19 pm ct head w/o contrast reason: assess for infarcts field of view: 25 medical condition: 64 year old woman s/p replacement of asc ao/resuspention of avr. post-op weakness l>r reason for this examination: assess for infarcts contraindications for iv contrast: none. indication: 64-year-old woman status post replacement of ascending aorta/resuspension of aortic valve. with postoperative weakness, left greater than right. comparison: there are no prior studies of this area for comparison. technique: non-contrast head ct. findings: there are confluent areas of hypodensity involving the parietal regions bilaterally, in a somewhat watershed-type distribution between the middle cerebral and posterior cerebral arteries, concerning for hypoperfusion. in addition, there are smaller areas of low density involving the white matter of both frontal lobes, predominantly in a subcortical location. there is no evidence of hemorrhage, shift of normally midline structures or hydrocephalus. there is local effacement of sulci in the parietal lobes bilaterally. mild mucosal thickening is noted within the left sphenoid air cell as well as within a few ethmoid air cells. the patient is currently intubated. the mastoid air cells appear clear. soft tissues are unremarkable. there appears to be a calcification of the left distal vertebral artery. impression: findings consistent with subacute bilateral parietal lobe infarctions, which appears to be within watershed distribution, most suspicious for ischemia related to hypoperfusion, although given the other abnormalities in the white matter of both frontal lobes, embolic infarcts are also within the differential. findings were discussed with of the primary team at 11:40 p.m. on . the study and the report were reviewed by the staff radiologist. dr. l. dr. approved: tue 10:52 am echocardiography report , (complete) done at 1:36:02 pm final referring physician information , , status: inpatient dob: age (years): 64 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: ascending aortic dissection icd-9 codes: 402.90, 440.0, 441.00, 423.3, 424.1, 424.0 test information date/time: at 13:36 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw-:1 machine: b2009 echocardiographic measurements results measurements normal range findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: low normal lvef. right ventricle: mild global rv free wall hypokinesis. aorta: ascending aortic intimal flap/dissection.. descending aorta intimal flap/aortic dissection. aortic valve: trace ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: mild tr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-: the patient was in shock, being resuscitated, so only a few images were obtained prior to fem-fem bypass. a dissection is noted from the stj across the arch and continuing down the full length of the visible aorta. extensive clots in the false lumen. trace ai. mild mr. : the patient is av paced, on epi and milrinone infusions. there is good biventricular systolic fxn. a graft of the ascending aorta is seen. descending aorta dissection with flap and clot in false lumen are noted. trace ai, mild mr. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:54 brief hospital course: she was intubated in the emergency room. she was seen by vascular surgery as she has numbness and weakness as well as mottled lower extremitites. she was taken emergently to the operating room on where she arrested, was placd emergently on bypass and underwent a replacement of ascending aorta and hemiarch and aortic valve resuspension. she developed an acute abdomen and underwent an exploratory laparotomy and repair of large liver laceration. her abdomen was left open and she was transferred to the icu in critical but stable condition. she was taken back to the operating room later that same day for abdominal washout and vac placement as her abdomen was unable to be closed due to edematous bowel. she remained intubated. she was seen by neurology as she awoke but was not moving her left arm. ct head showed subacute bilateral parietal lobe infarctions, which appears to be within watershed distribution, most suspicious for ischemia related to hypoperfusion. she continued on tpn. she remained intubated and on ancef while her abdomen was open. she was aggressively diuresed to assist with abdominal closure and her abdomen was closed on . she was started on a lasix drip to diuresis. tube feeds were started. she developed a fever and was pancultured, sputum grew h. flu for which she was started on cipro. she continued to have difficulty weaning from the vent and on she underwent tracheostomy. she began to tolerate trach collar during the day, and remained on the ventilator overnight. she continued to improve. the top of her incision was opened and vac'd and she was started on 1 week of ampicillin. she continued to slowly improve and she was ready for discharge to rehab with a dobhoff tube on pod #29. medications on admission: antihypertensive, ? synthroid discharge medications: 1. acetaminophen 500 mg/5 ml liquid : five hundred (500) mg po q4h (every 4 hours) as needed for temperature >38.0. 2. atorvastatin 10 mg tablet : one (1) tablet po daily (daily). 3. paroxetine hcl 10 mg tablet : one (1) tablet po daily (daily). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. heparin (porcine) 5,000 unit/ml solution : 5000 (5000) units injection tid (3 times a day). 6. aspirin 325 mg tablet : one (1) tablet po daily (daily). 7. potassium chloride 20 meq packet : forty (40) meq po once a day. 8. metoprolol tartrate 50 mg tablet : 1.5 tablets po tid (3 times a day). 9. lorazepam 0.5 mg tablet : 0.5 mg po q8h (every 8 hours) as needed. 10. amlodipine 5 mg tablet : two (2) tablet po daily (daily). 11. furosemide 80 mg tablet : one (1) tablet po daily (daily). discharge disposition: extended care facility: hospital discharge diagnosis: s/p replacement asc ao-resuspension of ao valve/exploratory laparotomy() s/p tracheostomy() subacute parietal watershed cva pmh:htn, hypothyroid discharge condition: stable discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds change abdominal vac dressing q3days followup instructions: dr 2 weeks after discharge from rehab dr (general surgery)in weeks dr (pcp) after discharge from rehab md procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances intraoperative cardiac pacemaker diagnostic ultrasound of heart insertion of endotracheal tube temporary tracheostomy control of hemorrhage, not otherwise specified control of hemorrhage, not otherwise specified resection of vessel with replacement, thoracic vessels pulmonary artery wedge monitoring reopening of recent laparotomy site reopening of recent laparotomy site reopening of recent laparotomy site transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified other laparotomy delayed closure of granulating abdominal wound transfusion of other serum peritoneal lavage peritoneal lavage peritoneal lavage transfusion of platelets other immobilization, pressure, and attention to wound percutaneous cardiopulmonary bypass diagnoses: anemia, unspecified unspecified pleural effusion unspecified essential hypertension unspecified acquired hypothyroidism pulmonary collapse acute respiratory failure injury to liver without mention of open wound into cavity, laceration, minor cardiac arrest 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 pressure ulcer, buttock other ascites dissection of aorta, thoracoabdominal atherosclerosis of native arteries of the extremities, unspecified cerebral artery occlusion, unspecified with cerebral infarction other malaise and fatigue cardiac tamponade hemophilus influenzae [h. influenzae] infection in conditions classified elsewhere and of unspecified site traumatic compartment syndrome of abdomen 

Answer: The patient is high likely exposed to