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: sulfonamides / nortriptyline / ultram / diltiazem / ace inhibitors / norvasc / percocet / lipitor / zetia / cymbalta attending: chief complaint: abdominal pain, leaking abdominal aortic aneurysm major surgical or invasive procedure: open surgical repair of leaking abdominal aortic aneurysm history of present illness: pt. is a 79 y/o female well known to the vascular surgery service, discharged on with stable type i endoleak of previous evar , presents to the ed with 10/10 abdominal pain with radiation to back, nausea and vomiting, and labile blood pressure. past medical history: post-operative af svt s/p ablation chf, excerbation carotid disease. asymptomatic. rt. 60-69% lt. 40-59% htn hypercholestremia copd hiatal hernia with reflux gastritis cri anemia past surgical history aaa 4.7 cm. s/p endovascular aaa repair s/p ovarian cyst ecxision with appendectomy s/p ccy s/p spinal surgery s/p spinal fusion s/p rt. sfa-tpt vein graft extensor hallucis longus tenoplasty, z-lengthening. and fifth toe proximal interphalangeal joint derotational arthroplasty. brachial access with aortogram, celiac balloon angioplasty and stent, superior mesenteric artery stent. allergies: sulfa - nausea and vomiting sob. elavil - rash. ace - creatinine elevation. ultram - rash. social history: the patient lives at home with a daughter in , previously a homemaker tobacco: 60 years x 2ppd: 120 pk-yr, quit etoh: none illicits: none family history: non-contributory physical exam: vs - temp 97.4f, bp 154/47, hr 65, r 18, o2-sat 96% ra general - wd/wn elderly woman in nad, a&ox3, appropriate heent - nc/at, perrl, eomi, sclera anicteric, mmm, op clear neck - supple, no lad, no jvd, + bilat carotid bruits lungs - cta bilat, no r/rh/wh heart - rrr, nl s1-s2, +ii/vi sem @ rusb abdomen - nabs, soft/nt/nd, no masses or hsm, no bruits extremities - wwp, no c/c/e, 2+ radials bilat, 1+ dps bilat . pulses: carotids brisk, 2+, no bruit fem 2+ bilat. 2+ bilat. dp/pt 2+ bilat. radials 2+ bilat. abdominal aorta pulse palpable, no pulsatile mass appreciated. nt/nd. incision site well healed with staples. no drainage or obvious signs of infection. pertinent results: ct chest/abd/pelvis conclusion: 1. interval increase in the size of the abdominal aortic aneurysm which is now leaking with free fluid in the abdomen and pelvis, and a hematoma surrounding the abdominal aorta. 2. extensive atherosclerosis present in the abdominal aorta, its branches, and the iliac arteries. there is a stable right common iliac artery aneurysm. 3. stable subcentimeter low attenuation foci in the liver and kidneys, likely representing cysts. 4. prior spinal fixation at l5-s1 and grade 1 spondylolisthesis at l4-5 are unchanged. 5. a 12 x 11 mm spiculated opacity in the right upper lobe anteriorly may be followed with a chest ct in 3 months to assess stability/change. brief hospital course: pt. is a 79 y/o female well known to the vascular surgery service, discharged on with stable type i endoleak of previous evar , presents to the ed with 10/10 abdominal pain with radiation to back, nausea and vomiting, and labile blood pressure from 80 to 250 sbp. a ct of the chest, abdomen, and pelvis was performed in the ed and findings were significant for a leaking aaa with surrounding hematoma as reported above. efforts to control ms. blood pressure in ed were made using nipride and esmolol and were unsuccessful. a code was called in ed when ms. became asystolic. she was resuscitated after 2 mins of cpr with no medication given, and was subsequently intubated and transferred to the cvicu. the family was informed of her diagnosis and consent for open repair of her aaa was obtained. she underwent an open retroperitoneal aaa repair (suprarenal clamp inferior to the sma) with a bifurcated dacron graft with distal anastomosis to endografts. ms. this procedure well and was transferred to the sicu directly from the operating room. a pa catheter was placed on pod 0 in the sicu for monitoring. she was started on empiric vancomycin and zosyn. she made steady progress during her cvicu stay and was consulted by cardiology during this time for management of her blood pressure. she required a continuous infusion of nipride for sbp management during her stay. she was extubated and transferred from the cvicu to the vicu on 11 on pod 4 (). ms. made steady progress suring her vicu stay but had multiple episodes of intermittent bradycardia and sustained hypertension requiring adjustment of her nipride drip. on pod 7, , she was weaned from her nipride drip and given a regular diet. she again had several episodes of intermittent sinus bradycardia to hr 30 - 40's and a type i block was suspected. cardiology was consulted. her foley was removed on this date and she voided shortly thereafter. she was restarted on heparin sq. her antibiotics were stopped. she got out of bed several times to her chair. she had no reports of pain and her pulse exam was wnl. on pod 9, , ms. was transferred to 3, floor status, from the vicu. she continued to have bouts of bradycardia and labile hypertension. cardiology was again consulted for evaluation of the patient and she was ultimately transferred to their service for placement of pacemaker. ms. was noted to have bradycardia and 2nd degree mobitz i av block, with intermittent worsening to 2nd degree mobitz ii av block, so a permanent dual-chamber pacemaker was placed on . her metoprolol dose was increased to improve control of her labile hypertension. she was monitored by the cardiology team overnight and the electrophysiologists interrogated the pacemaker on the morning of , which showed appropriate firing. she was transferred back to the vascular service for continued care. medications on admission: hydralazine 100 qid isosorbide dn 30 tid nitrofurantoin 100 hs neurontin 800 tid nexium 40 qd senna colace 100 albuterol atrovent darvocet n-100 discharge medications: 1. clonidine 0.3 mg po tid hold for sbp<110 2. hydralazine 100 mg po q6h hold for sbp<110 3. isosorbide dinitrate 40 mg po tid hold for sbp<110 4. metoprolol 50 mg po tid 5. bisacodyl 10 mg pr hs:prn 6. docusate sodium 100 mg po bid 7. losartan potassium 25 mg po daily 8. aspirin ec 81 mg po daily 9. albuterol 0.083% neb soln 1 neb ih q6h:prn 10. simvastatin 40 mg po daily 11. ipratropium bromide neb 1 neb ih q6h:prn wheezing 12. acetaminophen 1000 mg po q6h discharge disposition: extended care facility: & rehab center - discharge diagnosis: leaking abdominal aortic aneurysm s/p open retorperitoneal repair discharge condition: stable discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? 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 incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs 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 ?????? you should get up every day, get dressed and walk, gradually increasing 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 (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 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: follow up with dr. office within one week to have your staples removed (preferably on ). procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle arterial catheterization resection of vessel with replacement, aorta, abdominal cardiopulmonary resuscitation, not otherwise specified diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation other specified cardiac dysrhythmias cardiac arrest abdominal aneurysm, ruptured chronic diastolic heart failure mobitz (type) ii atrioventricular block 

Answer: The patient is high likely exposed to