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: penicillins / lisinopril attending: chief complaint: groin hematoma major surgical or invasive procedure: - evacuation r groin hematoma history of present illness: the patient is a 68 year old man with a history of aortic dissection s/p st. jude's valve placement , on coumadin, who is seen 3 days post-operatively from a r inguinal hernia repair with a large r groin hematoma. the patient had an uneventful hernia repair with mesh on , and was discharged home on coumadin with a lovenox bridge (he has been taking 100 mg of lovenox twice daily, and his inr yesterday was 1.5 by report). he states that since surgery on tuesday, he has noticed r groin swelling that has become progressively larger. he has had bleeding from the incision site. he denies shortness of breath, dizziness, tachycardia, or palpitations. he last took lovenox this morning. past medical history: pmh: seizure disorder aortic dissection htn sleep apnea psh: s/p st. mechanical valve (aortic dissection) s/p r inguinal hernia repair with mesh social history: former architect, wife is a pediatrician; no tobacco since , 1 glass of wine nightly family history: fh (from dr. notes): his father died of an aortic aneurysm. his mother had schizophrenia and died from a fire that was caused by her smoking in bed. this occurred when the patient was 33. his sister has chronic schizophrenia and is in a nursing facility in , , and he is the responsible relative for her. physical exam: temp 98.3 hr 68 bp 66/35 on admission in triage, now 118/65; 96% ra - nad, awake, alert, and conversant - heart regular with systolic murmur - lungs clear to auscultation - abdomen soft, non-tender, non-distended; no rebound tenderness or guarding - r groin with large, tense, fluctuant collection deep to incision, with active oozing out of the incision site; the scrotum is discolored with ecchymosis; there is no frank skin breakdown or compromise at the time of this exam - r dp pulse 2+, r calf and thigh soft pertinent results: 11:05am blood wbc-9.6 rbc-2.85*# hgb-9.0*# hct-26.3*# mcv-92 mch-31.7 mchc-34.4 rdw-13.7 plt ct-225 02:56pm blood hct-22.0* 02:35am blood hct-24.1* 09:00am blood wbc-8.0 rbc-2.89* hgb-9.2* hct-26.0* mcv-90 mch-31.6 mchc-35.2* rdw-14.5 plt ct-133* 03:08am blood wbc-7.9 rbc-2.91* hgb-9.1* hct-25.9* mcv-89 mch-31.4 mchc-35.3* rdw-14.5 plt ct-149* 02:56am blood wbc-7.1 rbc-3.20* hgb-10.1* hct-29.0* mcv-91 mch-31.6 mchc-34.9 rdw-14.1 plt ct-177 06:45am blood wbc-5.8 rbc-2.97* hgb-9.4* hct-26.7* mcv-90 mch-31.7 mchc-35.3* rdw-13.9 plt ct-211 11:05am blood pt-26.8* ptt-56.6* inr(pt)-2.7* 10:42pm blood pt-23.7* ptt-48.2* inr(pt)-2.3* 02:35am blood pt-21.9* ptt-45.8* inr(pt)-2.1* 09:00am blood pt-20.4* ptt-41.8* inr(pt)-1.9* 06:45am blood pt-18.9* ptt-35.9* inr(pt)-1.7* 11:05am blood glucose-109* urean-29* creat-1.5* na-131* k-5.0 cl-95* hco3-28 angap-13 06:45am blood glucose-95 urean-16 creat-0.7 na-136 k-4.5 cl-101 hco3-27 angap-13 09:46pm blood type-art po2-51* pco2-39 ph-7.47* caltco2-29 base xs-4 intubat-not intuba brief hospital course: the patient was admitted on with a large groin hematoma. he was given 2units prbcs and 1unit ffp on the day of admission. he was also brought to the or that day for a groin hematoma evacuation. he tolerated the prcoedure well and was immediately started on therapeutic lovenox and coumadin for prophylaxis of his mechanical valve. on he was noted with some desaturations to 80% on ra likely due to fluid overload which improved with 30mg iv lasix. he was transferred from the icu with normal saturations. his pain was managed appropriately and he was discharged home after voiding on his own and having one large bowel movement. he was with notable but stable ecchymoses to his groin which were expected given his necessary anticoagulation. he was up and walking prior to discharge. discharge medications: 1. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 2. oxcarbazepine 600 mg tablet sig: 1.5 tablets po qam (once a day (in the morning)). 3. oxcarbazepine 600 mg tablet sig: 1.5 tablets po qhs (once a day (at bedtime)). 4. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 5. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 6. oxcarbazepine 600 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 7. enoxaparin 100 mg/ml syringe sig: one (1) 90mg dose subcutaneous q12h (every 12 hours). disp:*60 90mg dose* refills:*2* 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 9. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily) for 4 days. disp:*4 capsule, sust. release 24 hr(s)* refills:*0* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 11. warfarin 2.5 mg tablet sig: three (3) tablet po once a day: please follow up with your coumadin clinic for your inr testing. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: -right inguinal hernia hematoma -mechanical valve with anticoagulation discharge condition: stable, on lovenox for bridge to coumadin discharge instructions: general instructions/information ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. call your surgeon immediately if you experience any of the following ?????? any numbness, tingling, weakness in your extremities. ?????? any signs of infection at the wound site: increasing redness, increased swelling, increased tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. significant abdominal pain, vomiting/diarrhea, further signs of bleeding or hematoma getting larger followup instructions: it is imperative that you follow up with your primary care doctor, dr. at within 2-3 weeks for follow up blood count and routine follow up care. call your normal coumadin clinic within 1 week for inr follow up, goal inr 2.5-3.5 ( please call dr. office for follow up in weeks. ( procedure: other incision with drainage of skin and subcutaneous tissue diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension hematoma complicating a procedure heart valve replaced by other means hemorrhage complicating a procedure long-term (current) use of anticoagulants epilepsy, unspecified, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to