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: addendum: **** this is a corrected discharge summary for discharge on name: , unit no: admission date: discharge date: date of birth: sex: f service: cardiothoracic allergies: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain, nausea and vomiting major surgical or invasive procedure: emergency replace.asc. aorta/resusp. av ( 28 mm gelweave graft) history of present illness: 75 yo f with pmh significant for htn who presented to ed with complaints of nausea, vomiting, and substernal chest pain. cta torso revealed type a dissection. pt going to or urgently now. past medical history: htn esrd on pd s/p transplant in from daughter, c/b "clot" in transplant abdominal hernia nephrolithiasis hemorrhoids arthritis social history: lives by self at home, has homemaker who visits once weekly on thursdays. very independent but children help. has 6 daughters and 2 sons. smoked a couple cigarettes daily on-and-off x20years, quit in her 30s. etoh: drinks a beer once in a while. family history: significant for htn. mother w/alzheimer's. brother w/cva in 40s. physical exam: unable to perform due to urgency of transfer to or pertinent results: conclusions overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the number of aortic valve leaflets cannot be determined. mild (1+) aortic regurgitation is seen. no mitral regurgitation is seen. there is no pericardial effusion. impression: preserved -ventricular systolic function. mild aortic insufficiency. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 19:27 findings: there is no intra- or extra-axial hemorrhage, masses, mass effect or shift of normally midline structures. the ventricles and sulci are moderately prominent, compatible with the age-appropriate involutional changes. there is bilateral periventricular white matter hypoattenuation, worst in the frontal lobe, suggestive of chronic small vessel ischemic disease. there is no evidence of acute major vascular territorial infarct. there are bilateral basal ganglia calcifications that are unchanged. artifact from eeg leads is evident. there is mucosal thickening in the maxillary, ethmoid and sphenoid sinuses suggestive of sinus disease. impression: no acute intracranial pathology. specifically, there is no evidence of intracranial hemorrhage. if there is continued concern, consider mri for further evaluation. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sat 1:48 pm impression: 1. no evidence of internal carotid artery stenosis on the right side. 2. less than 40% stenosis of the left internal carotid artery. 3. no flap suggestive of dissection could be visualized in the extracranial carotid arteries. dr. approved: mon 6:10 pm brief hospital course: admitted to er on and transferred emergently to or with type a aortic dissection for immediate repair with dr. . transferred to the cvicu in stable condition on titrated epinephrine and propofol drips. seizures were noted in the early postop period. she was evaluated by neuro and ct scans of head x2 were done. there was no apparent extension of dissection or cva noted. dilantin and then fosphenytoin started.she did not follow commands for several more days and was ultimately extubated on pod #7. swallowing eval done and dobhoff placed for all tube feeds ( nova source/renal with bene-protein started ). she is at current goal for today. she is lethargic but respond to commands appropriately and moves all 4 extremities. midline placed for access.she continues on hd m-w-f and had dialysis today.subclavian hd cath being used; av fistula in place but not used. changed back to oral dilantin for dobhoff dosing on . produces very little urine, and may be straight cathed at discretion of provider. cleared for discharge to rehab on pod #9. f/u appts are in dc planning worksheet. medications on admission: asa 81 mg daily nephrocaps one tab daily renagel 1600 mg tid sensipar 60 mg colace 100 mg dulcolax prn ensure one can allopurinol 100 mg daily lactulose prn nystatin 5 ml swish and swallow qid percocet prn discharge disposition: extended care facility: for the aged - macu discharge diagnosis: type a aortic dissection s/p repair htn esrd on pd s/p transplant in from daughter, c/b "clot" in transplant abdominal hernia nephrolithiasis hemorrhoids arthritis postop seizures discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with liquid oral analgesics incisions: sternal - healing well, no erythema or drainage edema :mild in extremities discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. wednesday @ 1:00 pm @ please call to schedule appointments with your: primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. docusate sodium 50 mg/5 ml liquid sig: two (2) ml po bid (2 times a day). 5. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 6. sevelamer hcl 400 mg tablet sig: four (4) tablet po tid w/meals (3 times a day with meals). 7. allopurinol 100 mg tablet sig: 1.5 tablets po every other day (every other day). 8. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 9. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: six (6) puff inhalation q4h (every 4 hours) as needed for wheezing. 10. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day): subcutaneous. 11. cinacalcet 30 mg tablet sig: two (2) tablet po bid (2 times a day). 12. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 13. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day): hold for sbp<100 or hr <60. 14. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 15. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day) as needed for oral care: oral care. 16. sodium chloride 0.9% flush 10 ml iv prn line flush temporary central access-icu: flush with 10ml normal saline daily and prn. 17. potassium chloride 10 meq / 100 ml sw iv prn k<4.0 ** concentrated kcl must be given via central line only ** 18. metoclopramide 5 mg iv q6h:prn nausea/vomiting 19. dextrose 50% 12.5 gm iv prn glucose < 60 recheck glucose q 30 minutes until glucose > 100 20. heparin flush (10 units/ml) 2 ml iv prn line flush mid-line, heparin dependent: flush with 10 ml normal saline followed by heparin as above, daily and prn per lumen. 21. phenytoin 100 mg/4 ml suspension sig: one hundred (100) mg po q8h (every 8 hours): for dobhoff administration; please monitor dilantin and serum albumin levels. discharge disposition: extended care facility: for the aged - macu md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery enteral infusion of concentrated nutritional substances hemodialysis resection of vessel with replacement, thoracic vessels open heart valvuloplasty of aortic valve without replacement diagnoses: end stage renal disease anemia, unspecified aortic valve disorders hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease grand mal status osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of urinary calculi surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation dissection of aorta, thoracic complications of transplanted kidney unspecified hemorrhoids without mention of complication 

Answer: The patient is high likely exposed to