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: history of present illness: this is a 58-year-old female with a known descending thoracic aneurysm who was referred to for cardiac catheterization as part of her preoperative work up. the patient reports a history of a myocardial infarction appropriately 10 years ago with occasional chest discomfort. it should be noted that the patient preoperatively was a poor historian. the patient reported this was due to prior cvas. past medical history: 1. hypertension 2. hypercholesterolemia 3. positive tobacco 4. status post myocardial infarction approximately 10 years ago 5. anxiety 6. chronic obstructive pulmonary disease 7. chronic back pain 8. status post multiple cvas, most recently one year ago 9. rheumatoid arthritis 10. descending thoracic aneurysm approximately 6.3 cm past surgical history: 1. status post cholecystectomy 2. status post appendectomy 3. status post tonsillectomy 4. status post bilateral carotid endarterectomies 5. status post hysterectomy preoperatively, the patient reported the residual deficits from her cva were occasional aphasia and poor memory. allergies: no known drug allergies. preoperative medications: 1. celebrex 200 mg po qd 2. lopressor 100 mg po q a.m., 50 mg q p.m. 3. plavix 75 mg po qd 4. norvasc 5 mg po qd 5. celexa 20 mg po qd 6. hydrochlorothiazide 25 mg po qd 7. darvocet prn 8. alprazolam 0.5 mg po bid 9. albuterol inhaler prn 10. vanceril inhaler prn preoperative laboratory data: white blood cell count 10.2, hematocrit 38.7, platelet count 271. sodium 142, potassium 4.5, chloride 107, bicarbonate 30, bun 17, creatinine 1.2, glucose 128. preoperative physical exam vital signs: pulse 72, blood pressure 112/80, respiratory rate 12. head, ears, eyes, nose and throat: negative neck: bilateral surgical scars. carotids without bruit. chest: clear to auscultation. the patient was noted to have erythema under both breasts and over the lower aspect of the sternum thought to be due to fungal infection. heart: regular rate and rhythm without murmur. abdomen: obese, positive bowel sounds, nontender, nondistended. ho course: the patient was admitted to on for cardiac catheterization. cardiac catheterization showed left ventricular ejection fraction of approximately 50%, 70% to 80% lad lesion, 80% lcx lesion, 70% om2 lesion, 90% rca lesion. the patient was taken to the operating room on with dr. for a coronary artery bypass graft x3, left internal mammary artery to ramus, saphenous vein graft to pda, saphenous vein graft to pl. please see operative note for further details. the patient as transferred to the intensive care unit on nitroglycerin, milrinone and liquefied infusions. on the evening of postoperative day 0, the patient was noted to have a significant respiratory acidosis. chest x-ray revealed a left upper lobe collapse. the patient underwent bronchoscopy which revealed a left upper lobe mucous plug which was removed. post bronchoscopy chest x-ray revealed mild improvement in the aeration of the left upper lobe. the patient initially had a low cardiac index which responded to volume resuscitation and increasing the milrinone infusion. on postoperative day #1, the patient underwent repeat bronchoscopy which showed mild bilateral tracheobronchitis and again a mucous plug in the left upper lobe which was removed. the patient was continued on a propofol infusion through the first postoperative day due to patient tenuous respiratory status. on postoperative day #2, the patient's propofol was weaned to off at which time the levophed infusion was discontinued as patient's blood pressure increased and the patient was subsequently placed on nitroprusside infusion to maintain her systolic blood pressure less than 130. the patient was noted to have a cough and gag with suctioning. the patient was noted to move head with noxious stimuli and pupils were 3 cm equal and reactive to light, but it was noted that there was no movement of arms or legs. on postoperative day #3, the milrinone was weaned to off with a continued adequate cardiac output and index. the patient continued on nitroprusside infusion for blood pressure control. the patient had been started back on plavix for her previous carotid endarterectomies and patient had improving respiratory status and was able to decrease the ventilatory support, however the patient continued to have decreased neurologic function and a neurology consult was obtained and a head ct scan was obtained. ct scan of the head showed a aca hypodensity bilateral watershed hypodensity extending posteriorly on the left and an old cerebellar stroke. her neurologic exam on postoperative day #3 was no spontaneous eye opening, however opened eyes to noxious stimuli. the patient had positive corneal reflex, positive gag reflex, withdrew all limbs weakly to noxious stimuli. neurology felt that it was unclear whether or not that patient's status was due to her preoperative neurologic findings or a new neurologic event and requested an eeg to rule out subclinical seizure activity. on postoperative day #4, the patient underwent eeg study which showed no epileptic features, generalized swelling with suggestion of encephalopathic condition. on neurologic exam, it was noted that the patient had bilateral babinski sign. the patient was started on enteral nutrition on postoperative day #4. the patient had a sputum culture sent for increasing tracheal secretions which subsequently are positive for haemophilus influenza and pseudomonas. the patient was started on levofloxacin and ceftazidine for double coverage of the pseudomonas. on postoperative day #4, the patient was started on lopressor for control of hypertension, as well as placed on isordil. the patient's neurologic status slowly progressed on postoperative day #6. patient opened eyes to voice, but did not track. on postoperative day #9, it was noted that the patient stuck out her tongue to command and was able to track movement with her eyes. it was felt by the neurology service that due to the patient's early improvement in the first week, substantial recovery over the next few weeks to months was possible and it was decided that the patient would undergo tracheostomy and peg placement and would be evaluated for neurologic rehabilitation. on , the patient underwent placement of tracheostomy percutaneously by dr. . a 7.0 portex as well as a peg placement. after the tracheostomy placement, the patient as noted on chest x-ray to again have a whiteout of the left side and underwent bronchoscopy for large amounts of bloody secretions. subsequent chest x-ray was improved. on postoperative day #11, the patient underwent a psychiatry consultation. as the patient has a history of anxiety, it was thought that the patient has a combination of delirium and dementia complicated by encephalopathy and it was recommended to continue the present management. the patient underwent repeat bronchoscopy on postoperative day #11 which showed relatively clear airways, clear secretions, no plugs in the left upper lobe. on postoperative day #12, the patient was tracking with her eyes, inconsistently following commands, non purposeful upper body movement. the patient remained hemodynamically stable and weaning on the ventilator. on postoperative day #12, neurology evaluated the patient and felt that she would continue to improve over the next several weeks and recommended once the patient was in a rehabilitation facility she could benefit from a dopamine agonist such as bromocriptine 2.5 mg q day and slowly titrate over several weeks to about 20 mg per day. the patient's ventilator had been weaned down to pressure support ventilation which she has tolerated well. on , postoperative day #17, the patient was accepted at a rehabilitation facility and was clear for discharge to rehabilitation facility. discharge condition: t-max 99.3??????, pulse 84 in sinus rhythm, blood pressure 139/83, respiratory rate 23, oxygen saturation 95%. the patient is on the ventilator via tracheostomy. pressure support ventilation 50% fio2, peep of 5, pressure support of 12. tidal volumes about 400. neurologically, the patient opens eyes to voice, tracks visual stimuli, occasionally will follow commands by sticking out tongue, although inconsistently. the patient has non purposeful movements of her upper extremities and will withdraw her lower extremities to pain. cardiovascular regular rate and rhythm without rub or murmur. lungs - breath sounds are coarse with scattered wheezes and rhonchi throughout. the patient is being intermittently suctioned for small amounts of yellow secretions. the patient's last sputum culture from showed sparse growth of pseudomonas. abdomen is obese, positive bowel sounds, nondistended. peg tube is in place without erythema or drainage. the patient is tolerating tube feeds promod with fiber at 55 cc an hour. laboratory data from : white blood cell count 8.8, hematocrit 32.6, platelet count 356. sodium 138, potassium 4.4, chloride 102, bicarbonate 25, bun 23, creatinine 0.6, glucose 138. the patient's sternal incision is clean and dry without erythema. sternum is stable. the patient's vein harvest site is clean and dry without erythema or drainage. discharge medications: 1. norvasc 5 mg per peg qd 2. celexa 20 mg quit 3. combivent metered dose inhaler 2 puffs qid 4. isordil 15 mg qd 5. colace 100 mg qd 6. prevacid 30 mg qd 7. plavix 75 mg qd 8. lopressor 50 mg tid 9. levofloxacin 500 mg q 24 hours x5 days 10. heparin 5000 units subcutaneous q 12 hours 11. aspirin 325 mg qd 12. ceftazidime 1 gm intravenous q8h x5 days 13. nystatin swish and swallow 5 cc to mouth qid 14. regular insulin sliding scale for blood sugar 150 to 200 give 3 units subcutaneous, for blood sugar 201 to 250 give 6 units subcutaneous, for blood sugar 251 to 300 give 9 units subcutaneous, for blood sugar 301 to 350 give 12 units subcutaneous. ventilator settings: cpap fio2 50%, peep 5, pressure support 12. th is to receive all medications via peg tube. the patient is to receive tube feeds promod with fiber at 55 cc an hour via peg tube. the patient is to follow up upon discharge from rehabilitation with dr. , as well as her cardiologist. the patient is to be discharged to rehabilitation in stable condition. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures intraoperative cardiac pacemaker temporary tracheostomy pulmonary artery wedge monitoring diagnoses: acidosis coronary atherosclerosis of native coronary artery thoracic aneurysm without mention of rupture pulmonary collapse other alteration of consciousness iatrogenic cerebrovascular infarction or hemorrhage bronchitis, not specified as acute or chronic hemophilus influenzae [h. influenzae] infection in conditions classified elsewhere and of unspecified site 

Answer: The patient is high likely exposed to