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: iodine; iodine containing / gadolinium-containing agents attending: chief complaint: severe disabling claudication with malfunctioning of left axillary bifemoral graft with bilateral femoral artery stenoses and partial thrombosis of femoral-femoral crossover graft. major surgical or invasive procedure: or: l ax-fem revision with 6mm ptfe, fem-fem with 6mm ptfe history of present illness: 71 year old f s/p rt cia-bifem bypass with dacron in complicated by thrombus. then has lt axillary to fem/fem bypass in . restenosis noted during follow up duplex/mra. diagnostic angiogram on revealed patent distal axillofemoral bypass with moderate stenosis in the midportion of graft and high grade stenosis at the proximal anastamosis. required surgical revision. patient admitted for planned surgery in am. past medical history: pmh: rheumatoid arthritis, cad, mi, osteoarthritis, lung ca with rul resection s/p chem and xrt. gerd, htn, psh: ballon angioplasty x 2 rle , rul resection with xrt / chemo, tah with b/l saplingoopherectomy, appy, carpal tunnel release x 2 b/l, lipoma removal, cyst b/l hands, rcia to bifemoral bpg with 6mm dacron ptfe / complicated by thrombus then had left axillary to fem - fem bpg , benign growth removal colon social history: lives at home, uses wheel chair family history: n/c physical exam: vs: 97.3, 101/38, 16 ra 96%ra neuro a+ox3 lungs: cta cards: rrr abd: soft, nt pulses: b/l dp/pt doppler pertinent results: 05:08am blood wbc-6.4 rbc-3.01* hgb-9.6* hct-27.0* mcv-90 mch-31.8 mchc-35.5* rdw-14.6 plt ct-230 05:08am blood plt ct-230 05:08am blood pt-13.0 inr(pt)-1.1 05:08am blood glucose-97 urean-14 creat-1.5* na-137 k-3.7 cl-99 hco3-34* angap-8 05:08am blood calcium-8.5 phos-3.2 mg-2.3 brief hospital course: admitted preop for fem-fem revision. preop labs, ecg obtained. patient has had all pat as outpatient. home medications resumed. : no overnight events. underwent revision of left axillary-femoral graft with jump graft, a 6 mm ptfe and left to right femoral-femoral bypass with 6 mm ptfe graft. extubated and transfered to pacu. vss. pain controlled. transfered to vicu when bed was available. vss. transfused 1uprbcs for hct 25. diet advanced. b/l dp/pt pulses dopplerable. ivf heplocked. patient kept on bedrest today. stroke team called to evaluate patient secondary to confusion. her exam is notable for inattention and bilateral asterixis, in addition to signs of peripheral neuropathy that is chronic. she is not a candidate for tpa for several reasons; chiefly, her event is not consistent by history with stroke, she has no acute neurologic deficits and her recent surgery. all signs point to encephalopathy, likely infectious or toxic/metabolic in origin. impression: encephalopathy. pain medications held. chest x-ray showing stable examination with no acute pulmonary process. temp of 101.8- cultures sent. urine cx negative, blood cx negative to date (at discharge). wbc wnl. all lines discontinued : temp of 101.8- encourage oob, incentive spirometry. transfused with 1uprbcs. iv lasix given. : no overnight events. t 99.3- 97.3. patient oob with nursing staff. physical therapy consult obtained for home safery vs rehab evaluation . continued on asa, coumadin and sq heparin. medications on admission: doxepin 25 ", digitek 0.25, tenormin 12.5 ", lipitor 40, folgard rx, asa 81, prilosec 20 ", dulcolax 20 ", meclizine 12.5 noon, lorazepam 0.5 qhs, coumadin 3, aldactazide 25 mg m/w/f, fyntnal patch q 72 hours, lidoderm patch q 12 on / off, vit b-6 50,0000 iu, discharge medications: 1. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 2. atenolol 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po hs (at bedtime). 6. meclizine 12.5 mg tablet sig: one (1) tablet po daily (daily). 7. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. doxepin 25 mg capsule sig: one (1) capsule po bid (2 times a day). 9. spironolactone 25 mg tablet sig: one (1) tablet po mwf (monday-wednesday-friday). 10. fentanyl 75 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 11. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical 12 hrs on /12 hrs off (): 1 ptch td 12 hrs on /12 hrs off. 12. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 14. warfarin 1 mg tablet sig: three (3) tablet po hs (at bedtime): continue anticaogulation by primary care md , b. . discharge disposition: home with service facility: vna discharge diagnosis: 71f s/p rcia to bifemoral bpg with 6mm dacron ptfe / complicated by thrombus then had left axillary to fem - fem bpg . or: l ax-fem revision with 6mm ptfe, fem-fem with 6mm ptfe . pmh: rheumatoid arthritis, cad, mi, osteoarthritis, lung ca with rul resection s/p chem and xrt. gerd, htn, psh: ballon angioplasty x 2 rle , rul resection with xrt / chemo, tah with b/l saplingoopherectomy, appy, carpal tunnel release x 2 b/l, lipoma removal, cyst b/l hands, rcia to bifemoral bpg with 6mm dacron ptfe / complicated by thrombus then had left axillary to fem - fem bpg , benign growth removal colon discharge condition: good. discharge instructions: division of vascular and endovascular surgery lower extremity bypass surgery discharge instructions what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? 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 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? 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: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over 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 over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: call dr. office to schedule a post op visit to be seen in days. procedure: other (peripheral) vascular shunt or bypass other (peripheral) vascular shunt or bypass diagnoses: coronary atherosclerosis of native coronary artery toxic encephalopathy atrial fibrillation osteoporosis, unspecified old myocardial infarction other complications due to other vascular device, implant, and graft rheumatoid arthritis surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation unspecified hereditary and idiopathic peripheral neuropathy arterial embolism and thrombosis of lower extremity atherosclerosis of native arteries of the extremities with rest pain home accidents atherosclerosis of nonautologous biological bypass graft of the extremities 

Answer: The patient is high likely exposed to