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: albuterol attending: chief complaint: chest pain, cough, sore throat, sob major surgical or invasive procedure: avr/root enlargement /aortic endarterectomy (21mm perimount ce magna bioprosthesis and pericardial patch) history of present illness: 88 yo female admitted to with above sx. troponin was elevated. treated with abx and diuretics for pna versus chf. echo showed critical as, mac, moderate to severe mr, preserved lv fxn. cath done which showed ef 60%, mac, no mr, mildly dilated aortic root, lm nl, 40-50% lad, 20% cx, 0.4 cm2, peak grad 80 , mean 62 mm. referred for avr to dr. . past medical history: as afib s/p ablation macular degeneration cva with slight left arm weakness pacer htn elev. chol. oa obesity gi bleed ( while on coumadin) tonsillectomy remov. pilonidal cyst social history: lives with partner works as psychotherapist quit smoking in rare glass of wine family history: mother died of as at age 77 physical exam: hr 81 rr 20 151/65 5'2" 172 lbs elderly , nad skin/heent unremarkable neck supple with full rom, transmitted murmur to carotids rhonchi throughout, decreased bs at left base rrr 4/6 sem soft, nt, nd with + bs no edema, no varicosities, warm, well-perfused neuro grossly intact 2+ fem/ radials 1+ dp/pts pertinent results: 07:15am blood wbc-12.1* rbc-3.10* hgb-9.7* hct-27.8* mcv-90 mch-31.2 mchc-34.7 rdw-14.2 plt ct-212 07:15am blood plt ct-212 11:25am blood fibrino-279 07:15am blood urean-18 creat-0.6 k-3.6 07:25pm blood alt-23 ast-19 ld(ldh)-178 alkphos-75 totbili-0.5 07:15am blood mg-1.9 07:25pm blood %hba1c-5.7 -done -done 03:13am blood freeca-1.28 final report ap chest, 9:30 a.m. on . history: chest tube removed. impression: ap chest compared to and : lung volumes are lower, bibasilar atelectasis moderately severe has worsened accompanied by increasing small bilateral pleural effusion. low lung volumes exaggerate heart size which is top normal, probably unchanged. upper lobe vasculature is mildly engorged, but there is no pulmonary edema. transvenous right atrial and right ventricular pacer leads are continuous from a left pectoral pacemaker which lies substantially lower on today's examination than on . dr. approved: wed 2:35 pm procedure date: brief hospital course: admitted for surgical evaluation for avr. carotid us showed less than 40% right ica, 40-60-% , left vertebral occluded. dental consult done and cleared for .pulmonary consult done and determined no pna, but resolving bronchitis with ? of some underlying emphysema. had avr/root enlargement/aortic endarterectomy on and was tranferred to the csru in stable condition on levophed, neosynephrine, and propofol drips. extubated that evening. transfused one unit prbcs on pod #1 and weaned off neo. cultures sent when pt. was febrile. chest tubes removed on pod #2 and transferred to the floor to begin increasing her activity level. ep service consulted to interrogate her pacer on pod #2. pacing wires removed without incident on pod #3. remains v-paced through her pacemaker. cleared for discharge to rehab on pod #4. pt.is to follow up as per discharge instructions. medications on admission: asa 325 mg daily protonix 40 mg daily heparin 5000u sc bid norvasc 10 mg daily metoprolol 50 mg levaquin for uri approx. 1 week prophylactic abx daily for utis discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 1 weeks. 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 1 weeks. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. ipratropium bromide 0.02 % solution sig: one (1) nebulizer inhalation q6h (every 6 hours) as needed. 8. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 10. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). 11. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: tcu discharge diagnosis: s/p avr with root enlargement/ aortic endarterectomy afib s/p ablation cva gi bleed pacer htn elev. chol. macular degeneration nstemi oa obesity discharge condition: stable discharge instructions: may shower over incision and pat dry no lotions, creams or powders on incision call for fever greater than 100, redness , drainage no driving for one month no lifting greater than 10 pounds for 10 weeks followup instructions: follow up with dr. in weeks follow up with dr. in weeks follow up with dr. in 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft endarterectomy, aorta artificial pacemaker rate check procedure on single vessel diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension atherosclerosis of aorta aortic valve disorders personal history of tobacco use other emphysema cardiac pacemaker in situ acute bronchitis 

Answer: The patient is high likely exposed to