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: chief complaint: chest and back pain major surgical or invasive procedure: - emergent repair of type a aortic dissection left heart catheterization, coronary angiogram history of present illness: this 62 year old white male with a history of coronary artery disease went to the ed and was admitted to for chest pain. troponins were negative and there were no ekg changes. he was then transferred for cardiac catheterization. in the lab no significant coronary disease was found, however, he was then found to have an acute type a aortic dissection. surgical referrral was then made. past medical history: hypertension hypercholesterolemia depression body disease-(followed dr. old brain hemorrhage on mri, l arm tremor sleep apnea on home cpap prostate cancer s/p radical prostatectomy s/p lumbar laminectomy x2 s/p tonsilectomy social history: exercise -walking no tobacco social etoh married insurance sales family history: noncontributory physical exam: deferred pertinent results: echo prebypass no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is moderately/severely dilated. the descending thoracic aorta is mildly dilated. a mobile density is seen in the ascending aorta consistent with an intimal flap/aortic dissection. the flap originates just proximal to the sino-tubular junction and extends through the arch and into the descending aorta. the aortic valve leaflets (3) are mildly thickened. severe (4+) aortic regurgitation is seen and is secondary to the disection flap prolapsing into/through the av during diastole. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. postbypass the patient is receiving an infusion of epinephrine at 0.03 ucg/kg/min lv systolic function remains preserved in the setiing of inotropes. rv systolic function is borderline normal. the ai is now trace. the disection flap is no longer seen in the ascending aorta but remains in the arch and descending aorta. there is a tube graft visualized in the ascending aorta. the remaining study is unchanged compared to prebypass. 05:54am blood wbc-12.5* rbc-3.24* hgb-9.7* hct-30.1* mcv-93 mch-29.9 mchc-32.2 rdw-16.0* plt ct-160 03:01am blood wbc-11.2* rbc-2.93* hgb-9.1* hct-26.5* mcv-90 mch-31.2 mchc-34.5 rdw-16.2* plt ct-114* 05:54am blood glucose-131* urean-22* creat-1.2 na-143 k-2.6* cl-102 hco3-35* angap-9 07:07am blood k-2.8* 03:59am blood glucose-127* urean-18 creat-1.2 na-139 k-4.0 cl-112* hco3-22 angap-9 brief hospital course: following detection of the type a dissection at cardiac catheterization he was taken for emergent repair. he was taken immediately to the operating room where he underwent surgical repair of his aortic dissection with resuspension of the aortic valve. please see operative note for details. he weaned from bypass on neo synephrine, epinephrine and propofol infusions in stable condition. postoperatively he was taken to the intensive care unit for monitoring. he awoke intact, was weaned from the ventilator and extubated. pressors were weaned to off and he remained stable. chest tubes were discontinued without complication. the patient was disoriented, and narcotics were minimized. his mental status improved and he became alert and oriented. he had a postoperative ileus, treated conservatively. he regained bowel sounds, had normal bowel movements and the ng tube was removed and liquidws started. his diet was gradually advanced to a regular heart healthy diet. physical therapy worked with him for mobility and strengthening. beta blockade was instituted and he was diuresed towards his preoperative weight. blood pressure was controlled pharmacologically. he required reinsertion of the foley catheter for retention and tamsulosin was started. foley was subsequently removed and he was able to spontaneously void. on pod#10 his right lower extremity svg harvest site was noted to erythematous, warma dn tender to touch. he was treated with iv vanco and po levaquin with improvement. he was sent to rehab on pod#12 on a 7day course of oral bactrim and levaquin after being cleared by dr. . he was referred to a rehabilitation facility for further recovery prior to return home. medications on admission: lisinopril, lopressor, lipitor, hydrochlorothiazide, prozac, norvasc, potassium discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 7. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 9. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 10. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 11. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 12. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 10 days: while on lasix. 14. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days: for right lower extremity cellulitis. 15. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 16. lasix 40 mg tablet sig: one (1) tablet po twice a day for 10 days: until edema has resolved and at pre-op weight. 17. bactrim ds 800-160 mg tablet sig: one (1) tablet po twice a day for 7 days: for rle cellulitis. discharge disposition: extended care facility: health care center discharge diagnosis: type a aortic dissection hypertension hyperlipidemia depression prostate cancer early body dementia post operative ileus saphenous vein graft cellulitis right thigh discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with ultram prn alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with ultram prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 followup instructions: surgeon dr. at 1pm () please call to schedule appointments primary care dr. in weeks () cardiologist dr. in weeks () wound check appointment - 6 () - your nurse will schedule procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter resection of vessel with replacement, thoracic vessels aortography open heart valvuloplasty of aortic valve without replacement diagnoses: pure hypercholesterolemia other postoperative infection unspecified pleural effusion cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate aortic valve disorders depressive disorder, not elsewhere classified chronic kidney disease, unspecified pulmonary collapse cellulitis and abscess of leg, except foot surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus retention of urine, unspecified dementia in conditions classified elsewhere without behavioral disturbance dissection of aorta, thoracic dementia with lewy bodies dissection of other artery dissection of coronary artery 

Answer: The patient is high likely exposed to