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: history of present illness: this is a morbidly obese man with severe chronic obstructive pulmonary disease, who presented on with bilateral common iliac and aortic aneurysms. he had been evaluated in for this with a cta of the chest, abdomen, pelvis, and lower extremities with contrast. that showed him to have an infrarenal aortic aneurysm at the level of the inferior mesenteric artery origin measuring 4.7 x 4.3 cm in maximum dimensions, as well as having a left common iliac artery aneurysm measuring 2.7 x 2.7 cm and a right common iliac aneurysm measuring 4.3 x 4.2 cm. they did not extend beyond the iliac bifurcation on either side, and at this time, the patient had been evaluated preoperatively at length and had undergone an angiographic evaluation as well leading up to his presentation for endovascular repair. past medical history: hypertension; hypercholesterolemia; diabetes mellitus, type 2; abdominal aortic aneurysm with bilateral common iliac aneurysms; chronic obstructive pulmonary disease - on home oxygen. medications at home: albuterol; aspirin; citalopram; lasix; glyburide; lantus; levoxyl; metformin; metoprolol; novolog; potassium chloride; simvastatin. admission physical examination: the patient was noted to have vital signs within normal limits and was afebrile. he was normocephalic and atraumatic. pupils were equally round and reactive to light. the oropharynx was clear. he was without lymphadenopathy or bruits. he was in a regular rate and rhythm, without murmurs, rubs, or gallops. he was mildly coarse bilaterally, with occasional expiratory wheezes. he was nondistended, with normoactive bowel sounds, and he was soft and nontender throughout, without rebound or guarding. he had no clubbing, cyanosis, or edema, and he was noted to be warm and well-perfused distally. his vascular exam was as follows. he had no pulsatile abdominal mass and no abdominal bruits. he had no neck bruits, and his pulse exam revealed 2+ brachial and radial pulses bilaterally. he had palpable femorals bilaterally. he had palpable, but full popliteal pulses bilaterally and palpable dorsalis pedis and posterior tibial pulses bilaterally. hospital course: the patient was admitted on and was brought to the operating room by dr. and dr. and underwent endovascular aortic aneurysm repair using an excluder endograft and an aortic cuff extender of 26 mm along with a right external iliac artery extender cuff of 16 x 115 mm and a left external iliac extender cuff of 16 x 95 mm and, in addition, received a palmaz 40-10 stent at that time. at the end of the case, there was a repeat angiogram performed that showed patency of both renal arteries and good apposition of the proximal stent graft, with no signs of leak and with good flow noted through both iliac limbs. the device was then removed. the patient was perclosed and brought to the intensive care unit at this time. he remained intubated at this time and was noted to be stable in the initial postoperative period. with his long history of chronic obstructive pulmonary disease, attempts were made to carefully wean this patient. he was extubated on postoperative day 1; however, he ended up requiring reintubation for a desaturation episode into the 70s along with respiratory distress. at this time, he had a cta of his chest to evaluate this episode of acute hypoxia and hypercarbia to rule out pulmonary embolism. there was no pulmonary embolism on cta and no signs of any dissection, but there was noted to be multifocal consolidation and bibasilar effusions as well as scattered subcentimeter pulmonary nodules for which follow-up in 3 months with a chest ct was recommended. also at this time, an echocardiogram was performed that showed a left ventricular ejection fraction of 45% to 50%, with mild, 1+ mitral regurgitation noted. aortic valve leaflets were noted to be mildly thickened, but no aortic stenosis was present. so at this time, the patient remained intubated and attempts at diuresis were commenced with lasix and diamox and these attempts were continued throughout the postoperative period. tube feeds were also started in the postoperative period and were titrated up to a goal rate of 80, which he tolerated well. these were given through a dobhoff tube. the patient's abdomen was noted to be soft, and he was having bowel movements. on postoperative day 9, due to prolonged respiratory failure and after a brief stint on the floor, the patient had required reintubation and a tracheostomy was performed by the thoracic surgery service on . this was performed without complication, with a #8 portex trach placed with the diagnosis of respiratory failure at this time. from this point forward, the patient continued to improve, however, did have an episode of fever on for which full cultures were sent, of which the blood cultures are still pending and urine cultures came back negative. however, sputum culture revealed 4+ gram-positive cocci in pairs and clusters and 2+ gram-negative diplococci. the sensitivities came back as these being oxacillin- resistant, and the patient was started on vancomycin, which he is to continue for 2 more weeks after discharge. with the tracheostomy in place, he did continue to improve and at the time of discharge was noted to be on a trach collar 12 hours a day with vent requirement at night. he also had had a speech and swallow evaluation formerly done with a green dye swallow evaluation as well. he also tolerated a passy-muir valve well at this time, without changes in vital signs or secretion interference, and it was noted that he can safely wear the valve for extended periods of time. the recommendation at this time was for a diet of thick liquids and ground solids, with his family to bring in his dentures, and pills were noted to be able to be given whole with thin liquids as well. so on , the patient was deemed ready for discharge. he had self-discharged his dobhoff tube, but with the speech and swallow evaluation, he was going to be gradually advanced on his diet. he was to be continued on lasix 40 mg iv t.i.d. to continue off-loading fluid. he was to continue vancomycin as well. final diagnoses: 1. abdominal aortic aneurysm. 2. hypertension. 3. hypercholesterolemia. 4. diabetes mellitus. 5. chronic obstructive pulmonary disease - on home oxygen. 6. status post endovascular repair of abdominal aortic aneurysm. 7. status post endovascular repair of bilateral common iliac artery aneurysms. discharge instructions: the patient will be discharged to a rehabilitation facility and to follow up with dr. as directed. please call if there is any worsening pain, fevers, chills, nausea, vomiting, shortness of breath, chest pain, or redness or drainage around the wounds or if there are any questions or concerns. the patient has passed a speech and swallow for thin liquids and pureed solids. recommended follow-up: the patient is to have a cat scan on . that is scheduled for 2 p.m., and then the patient is to see dr. the same day, , at 3 p.m. his phone number is . discharge condition: stable. discharge medications: regular insulin sliding scale; aspirin 81 mg p.o. q.d.; atorvastatin 20 mg p.o. q.d.; zantac 150 mg p.o. q.d.; levothyroxine 25 mcg p.o. q.d.; citalopram 20 mg p.o. q.d.; dulcolax 10 mg suppository p.r.n. daily; albuterol 1 to 2 puff inhalations q.4 hours; sarna lotion applied topically q.i.d. as needed; tylenol 325 mg 1 to 2 tabs p.o. q.6 hours as needed; chlorhexidine gluconate mouthwash b.i.d.; oxycodone 5 mg p.o. q.6 hours p.r.n.; glyburide 5 mg p.o. b.i.d.; warfarin 7.5 mg p.o. daily for atrial fibrillation (goal inr 2 to 3) - this can be continued for 1 month and then can be stopped if the patient continues to be in sinus rhythm; metoprolol 25 mg p.o. t.i.d.; combivent inhalation q.4 hours as needed; fluticasone 110 mcg/actuation 2 puffs b.i.d.; vancomycin 1 g iv b.i.d. for 2 more weeks after discharge; lasix 40 mg q.8 hours. , m.d. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other electric countershock of heart temporary tracheostomy endovascular implantation of other graft in abdominal aorta other endovascular procedures on other vessels bronchoscopy through artificial stoma cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation paroxysmal ventricular tachycardia other specified cardiac dysrhythmias morbid obesity abdominal aneurysm without mention of rupture aneurysm of iliac artery 

Answer: The patient is high likely exposed to