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: diamox sequels attending: chief complaint: shortness of breath major surgical or invasive procedure: sp resection of complex distal arch/proximal descending aortic aneurysm w/ deep hypothermic circulatory arrest . sp tracheostomy/bronchoscopy history of present illness: 70 m p/w shortness of breath x 2 years. upon work-up, cxr ? mediastinal "vascular" mass and b upper lobe pulmonary nodules. ct revealed 5.8x4.9 saccular aneurysm of the proximal descending aorta, calcified atherosclerotic descending aorta. past medical history: niddm osa on bipap obesity cad sp stent x 2 hypercholesterolemia htn remote malaria remote spontaneous pneumothorax bph h/o hemorrhoids social history: tobacco: 1 ppd x 30 , quit 25 ago. rare etoh. family history: father dies in 50's-cad/mi mother alive @ old. physical exam: obese, slightly uncomfortable from shortness of breath perrla, eomi no jvd/bruits ctab rrr obese, nt/nd warm, well perfused cn ii-xii pertinent results: 04:26am blood wbc-8.3 rbc-3.39* hgb-10.6* hct-32.3* mcv-95 mch-31.3 mchc-32.8 rdw-15.0 plt ct-408 03:39am blood wbc-15.5* rbc-3.95* hgb-12.2* hct-37.3* mcv-94 mch-30.8 mchc-32.7 rdw-14.3 plt ct-422 04:30am blood wbc-12.5* rbc-4.08* hgb-12.7* hct-38.1* mcv-93 mch-31.0 mchc-33.2 rdw-14.2 plt ct-385 02:45am blood wbc-5.4 rbc-2.96*# hgb-9.0*# hct-25.8* mcv-87 mch-30.3 mchc-34.8 rdw-15.4 plt ct-177 02:40am blood wbc-7.9 rbc-3.59* hgb-11.3* hct-32.7* mcv-91 mch-31.4 mchc-34.6 rdw-14.4 plt ct-153 02:44am blood pt-13.1 ptt-25.5 inr(pt)-1.1 05:27pm blood pt-17.8* ptt-33.0 inr(pt)-2.0 06:25pm blood fibrino-194 04:26am blood glucose-187* urean-41* creat-0.8 na-147* k-4.6 cl-108 hco3-28 angap-16 02:45am blood glucose-119* urean-20 creat-1.0 na-143 k-4.5 cl-109* hco3-25 angap-14 03:39am blood alt-134* ast-56* alkphos-115 amylase-102* totbili-0.6 09:46pm blood type-art temp-38.2 peep-10 o2-40 po2-164* pco2-38 ph-7.44 calhco3-27 base xs-2 intubat-intubated vent-imv 09:07am blood type-art tidal v-800 o2-100 po2-308* pco2-54* ph-7.33* calhco3-30 base xs-1 aado2-363 req o2-64 intubat-intubated vent-controlled 05:04am blood lactate-2.3* brief hospital course: : admitted to or (see operative report for details), post-op to csru, initially kept paralyzed and sedated to facilitate oxygenation and ventilation. had intrathecal catheter for first few post-op days for drainage and pain control. : bronchoscopy for thick secretions : antihypertensives initiated neurology consult obtained due to decreased level of responsiveness/movement after sedation/paralytics stopped. head ct's x 2 ( & ) showed no acute bleed nor stroke. mri on showed multiple embolic subacute infarcts, left > right. pt. continued with decreased movement despite becoming "more awake" over next week. mri of tls spine revealed no cord compression nor intrinsic abnormality. multiple attempts to wean vent over next few days were unsuccessful, tube feeding was initiated as pt. was not able to be extubated. had elevated temp., with hypotension requiring neo-synephrine for a few days. treated epirically w/vancomycin & levofloxacin. had 1 positive blood culture (out of 4, felt to be contaminated, subsequent blood cultures were negative). tracheostomy performed on due to need for continued vent. support, and slow nature of vent. weaning. pt. had become more responsive, but still with significant decrease in movement. picc line placed on for iv access. has been tolerating tube feedings well through dobhoff feeding tube. pt. had remained stable for a number of days, on slowly decreasing vent. support. spiked temp to 101.8 again (off antibiotics) on . while chest x-ray was unremarkable, he had copious amt. of thick sputum. previous sputum culture was positive for pan-sensitive staph. repeat sputum was the same. pt. was re-started on levaquin for positive sputum (without x-ray evidence of infiltrate, or elevated wbc). temp. has decreased, and pt. now ready for rehab. medications on admission: asa 325', metformin 1000", pravachol 20', isosorbide 60', lopressor 100", accupril 40", hctz 25', doxazosin 2", mvi' discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 2. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). 3. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. ranitidine hcl 15 mg/ml syrup sig: one y (150) mg po qd (once a day). 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal qd (once a day) as needed. 6. trazodone hcl 50 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. 7. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days: started . 8. insulin regular human 100 unit/ml cartridge sig: one (1) injection four times a day: as per sliding scale. 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 10. potassium chloride 20 meq/50 ml piggyback sig: one (1) intravenous prn (as needed) as needed for k<4.4 and cr<2.0. 14. humalog 100 unit/ml solution sig: one (1) vial subcutaneous every four (4) hours: sliding scale humalog insulin coverage q 4 hours: bs 121-140=3units s/c bs 141-160=6u s/c bs 161-180=9u s/c bs 181-200=12u s/c bs 201-220=15u s/c bs 221-240=18u s/c bs >240=21u s/c . disp:*1 vial* refills:*2* 15. insulin nph human recomb 100 unit/ml suspension sig: one (1) vial subcutaneous every twelve (12) hours: 30 units s/c q 12 hours. disp:*1 vial* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: proximal descending aortic aneurysm discharge condition: stable discharge instructions: please call physician if experiencing fever/chills, nausea/vomiting, redness/drainage from the wound site, chest pain/shortness of breath. followup instructions: please follow up with dr. in 3 weeks; call the office for an appointment. please follow up with dr. ; call the office for an appointment. please follow up with your pcp/cardiologists within 1-2 weeks regarding new medications. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances other intubation of respiratory tract temporary tracheostomy resection of vessel with replacement, thoracic vessels diagnoses: pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled thoracic aneurysm without mention of rupture coronary atherosclerosis of unspecified type of vessel, native or graft percutaneous transluminal coronary angioplasty status other complications due to other vascular device, implant, and graft 

Answer: The patient is high likely exposed to