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: abdominal pain major surgical or invasive procedure: mra of kidney mri and ct of chest. mri and ct of abdomen. intubation. history of present illness: 70 yom w/ htn, hyperlipidemia, cad s/p cabg and redo transferred from cape code hospital for evaluation of possible distal abdomen aortic dissection. she was brought to the osh ed by her husband c/o constant, severe left scapular pain, which she had for the last 2-3 days, but which had progressively worsened over the last day. per husband, she did not have any associated chest pain, sob, n/v, abd pain, f/c, or chough. there, t 97.1, bp 204/77, hr 67, 98% ra. while there, she received 1 mg iv dilaudid and 1 mg iv ativan for pain and 20 mg labetolol for bp control after which she became nauseated and diaphoretic and vomited. after having the ct (which showed possible distal abdominal aortic dissection), she was intubated for agitation and severe back pain, started on a nipride gtt and transferred to for further management. . in ed t 95.3, hr 58, bp 171/72, resp 18 100%. she was continued on propofol gtt and nipride gtt. vascular surgery evaluated her and reviewed the ct scan, noting a 0.5 cm area of heavily calcified/heterogeneous plaque that could represent dissection. vascular surgery did not recommend surgical intervention and advised medical management with aggressive blood pressure control. currently, the patient is arousable to voice/tactile stimulation and denies pain. past medical history: 1) h/o gi bleed: pill endoscopy showed multiple phlebectasias and lymphangiectasias in sb mucosa 2) cabg , redo - ett mibi: limited exercise capacity w/ sob/lh. 0.5- dep and twi inferolaterally. moderate inferolat fixed defect and moderate reversible apical defect - tte: enlarged la and lv, decreased lv function (not quantified), multiple wall motion abnl, mod mr 3) htn 4) hypercholesterolemia 5) cva with residual right upper and lower extremity weakness 6) type ii dm 7) seizure disorder following cva, last seizure 8) s/p open ccy 9) hypothyroidism social history: shx: quit tob (30 pk-yr history). no etoh or other drug use. at baseline, walks with a walker family history: nc physical exam: tc 97, hr 65, bpc 140/53, resp 18, 100% ac tv 450, rr 18, fio2 50%, peep 5 gen: elderly female, intubated, sedated, opens eyes to voice/tactile stimulation and intermittently follows commands. heent: anicteric, pale conjunctiva, ommm, intubated, ogt in place, neck supple, jvp ~10 cm cardiac: rrr, nl s1 and s2, ii/vi sm at apex. well-healed sternotomy scar pulm: decreased bs at bases bilaterally, diffuse scatterred ronchi abd: hypoactive bs, soft, nt/nd, no hsm ext: no c/c/e, warm with 1+ dp bilaterally, 2+ right radial, non-palpable left radial. neuro: perrl, tracks well, moves all 4 extremities in response to noxious stimulis, 1+ dtr throughout, toes downgoing bilaterally pertinent results: on admission: 01:30am blood wbc-9.2 rbc-3.60* hgb-10.3* hct-29.7* mcv-82 mch-28.6 mchc-34.8 rdw-13.8 plt ct-135* 01:30am blood neuts-84.9* lymphs-10.6* monos-3.6 eos-0.6 baso-0.3 01:30am blood glucose-186* urean-7 creat-0.7 na-133 k-4.0 cl-100 hco3-22 angap-15 01:30am blood ck-mb-notdone ctropnt-<0.01 10:41am blood ck-mb-notdone ctropnt-<0.01 03:40pm blood ck-mb-notdone ctropnt-<0.01 01:30am blood albumin-3.6 calcium-8.7 phos-2.4* mg-1.5* iron-88 cholest-163 04:15pm blood type-art temp-37.2 peep-5 fio2-50 po2-201* pco2-38 ph-7.45 calhco3-27 base xs-3 intubat-intubated 09:09am blood wbc-8.7 rbc-3.54* hgb-10.3* hct-28.8* mcv-82 mch-29.1 mchc-35.8* rdw-13.5 plt ct-195 06:11am blood neuts-71.1* lymphs-17.8* monos-6.4 eos-4.4* baso-0.4 on discharge: 09:09am blood glucose-175* urean-11 creat-0.8 na-137 k-3.7 cl-102 hco3-25 angap-14 09:09am blood alt-49* ast-58* alkphos-63 totbili-0.3 07:25am blood calcium-8.8 phos-3.3 mg-1.6 brief hospital course: 70 year old woman w/ htn, hyperlipidemia, cad s/p cabg and redo transferred from cape code hospital to micu for concern for aortic dissection. intubated at osh for concern for airway protection. on transfer, she ruled out for mi. magnetic resonance study negative for dissection. during micu stay she was maintained on labetalol and nipride drip for blood pressure control. she self-extubated on but never had any respiratory distress after extubation, by end of stay she was successfully weaned off those drips and maintained on a antihypertensive regimen of isosorbide dinitrate, metoprolol, verapamil, and lisinopril. sbp's ranging in low 130's. mra to assess for renal artery stenosis revealed normal renal vasculature. . other issues of note is that patient has been anemic with hematocrit ranging around 25. she was also started on ciprofloxacin for presumed uti when sample from foley grew out enterococus. . pt was transferred to floor on. foley was dc'd. sbp's ranged 130-140. no other events. . pt spiked temperature to 100.8, no signs of sepsis. sbps range 130-160. only source was urine clean catch which grew enterococcus which was sensitive to ciprofloxacin. ciprofloxacin restarted. since admission patient has denied any further chest pain. she has denied shortness of breath, and palpitations. tolerating regular diet. patient was discharged. husband declined transfer to rehabiliation facilities. in summary this is a 70 year old woman w/ htn, hyperlipidemia, cad s/p cabg and redo transferred from cape code hospital for severe back pain symptoms consistent with aortic dissection. mri revealed no dissection in aorta, only a calcified plaque which, per ct surgery, did not require intervention. patients chest/back pain resolved upon transfer. patient's hypertension proved difficult to control and required 4 anti-hypertensive medications as noted. cause never established, renal artery stenosis ruled out by mra, no symptoms or laboratory data c/w hyperthyroid or pheochromocytoma. blood pressure control was adequate by time of discharge. medications on admission: 1) lisinopril 40 mg po daily 2) isosorbide dinitrate 20 mg po four times a day 3) atenolol 25 mg po bid 4) aggrenox twice a day 5) glyburide 2.5 mg po daily 5) levothyroxine 200 mcg po daily 6) sanctura 20 mg po bid 7) verapamil 180 mg po daily 8) ?phentek 200 mg po one day, then 300 mg po the next 9) trazodone 25 mg po qhs 10) lipitor 80 mg po qhs 11) senna 2 tab po qhs 12) phenobarbitol 32 mg po tid discharge medications: 1. levothyroxine sodium 200 mcg tablet sig: one (1) tablet po daily (daily). 2. dipyridamole-aspirin 200-25 mg cap, multiphasic release 12 hr sig: one (1) cap po bid (2 times a day). 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). 4. phenobarbital 30 mg tablet sig: one (1) tablet po tid (3 times a day). 5. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day) as needed. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 9. verapamil 180 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). 10. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 11. isosorbide dinitrate 20 mg tablet sig: 1.5 tablets po qid (4 times a day). 12. glyburide 2.5 mg tablet sig: one (1) tablet po daily (daily). 13. cipro 250 mg tablet sig: one (1) tablet po twice a day for 3 days. disp:*6 tablet(s)* refills:*0* 14. trazodone 50 mg tablet sig: 0.5 tablet po at bedtime. discharge disposition: home discharge diagnosis: anuerysmal ulcers hypertension urinary tract infection discharge condition: good, blood pressure controlled and afebrile discharge instructions: please call or return if you have increase in shortness of breath, chest pain or fevers, chills. please take all medications as prescribed. followup instructions: please follow up with your primary doctor in days. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube transfusion of packed cells diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atherosclerosis of aorta aortocoronary bypass status other convulsions other and unspecified hyperlipidemia other late effects of cerebrovascular disease 

Answer: The patient is high likely exposed to