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: the patient is a 66-year-old female who presents with a history of angina and hypertension. she underwent an angioplasty in the past and stent placed recently. an angiogram after the stent showed an aortic valve disease. six months ago she was hospitalized with congestive heart failure and treated with lasix. currently she is unable to lie flat in bed or at least since that episode. past medical history: type 2 diabetes time five years treated with oral medicines, hypertension, high cholesterol, coronary artery disease. in 's she had empyema, in she had a cesarean section. cardiac catheterization showed severe aortic disease with less than .57 cm sq valve area and coronary arteries without significant lesions and severe diastolic ventricular dysfunction. her echo showed an ef of 25%, mild lvh, moderate lvh, aortic valve leaflets thickened with stenosis, no regurg, 3+ mitral regurgitation with a thickened valve. medications: preoperative meds are aspirin, atenolol, lasix, zestril, premarin and provera, glyburide, glucophage, lipitor, paxil, multivitamin and motrin. she has a rash allergy to sulfa drugs. hospital course: so on the patient was taken to the operating room where she had an aortic valve replacement surgery with porcine valve. the indications for surgery were an aortic stenosis with valve area less than .5 and chf and symptomatic severe aortic stenosis with shortness of breath at rest, edema and occasionally cough. she tolerated the procedure well. the day after surgery, when she awoke, she was initially alert and oriented times three. however, by mid morning she was confused and agitated with some paranoid features. her vital signs were stable with a heart rate of between 80's and 90's and sinus rhythm with occasional apc's and she had an episode of supraventricular tachycardia to the 130's which resolved. she also had a thick yellow sputum cough and she was started on captopril on postoperative day #1, 25 mg for her ejection fraction. her postoperative cardiac index was around 2.5, hematocrit 29 and she was alert with some confusion but hemodynamically she was stable and she was transferred to the floor. on the floor she had an episode of being found with sudden onset of unresponsiveness with eyes deviated to the left side. she had no verbal output and was not moving her right arm and leg. she was transferred to the ctic and was intubated. she then underwent a stat head ct which was negative for an acute bleed. she was awakened the next morning and she had gradual resolution of the symptoms on the right side of her body. aspirin was given to her as well and she was kept with systolic blood pressure around 140/80. anesthesia was called for the emergent intubation. dr. was made aware of this event. the following day she was extubated and continued to have improvement in her exam. she was not aware what had happened to her the day prior. she was found to have a right pleural effusion and she had a chest tube placed which drained about 400 cc of serosanguineous fluid. she had gradual increase in her wbc count from 13 to 24 and she was started on ciprofloxacin. she was being treated for e. coli in her uti and sputum h flu and found to have enterococcus and we added ampicillin to her antibiotic regimen. the patient on the floor was kept on ampicillin and ciprofloxacin and she had slow progression. she was seen by physical therapy. her mental status changes gradually improved and on postoperative day #9 she was thought to be pretty much back to her baseline. she was afebrile. her wbc count was coming down and she will be followed up at the skilled nursing facility, similar to where she came from. discharge medications: lopressor 50 mg , multivitamin, darvocet n 100 mg prn, prn albuterol nebs, premarin, glucophage, glyburide, provera, paxil, captopril 25 mg , lipitor 20 mg q d, triamcinolone cream, tylenol prn, motrin prn and aspirin 81 mg po q d. discharge instructions: include following up with neuro clinic in approximately two weeks, to continue to check her wbc count. she should get a repeat urinalysis and she should continue cipro for 9 additional days. she should continue ampicillin for 6 more days for a total course of 10. discharge diagnosis: 1. status post avr with hancok porcine valve. 2. urinary tract infection. 3. congestive heart failure. discharge condition: stable. she will be followed up by dr. in his office three weeks from date of surgery, approximately 10 days from her discharge date and she should get her staples removed in approximately 5 days from discharge, postoperative day #14. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage extracorporeal circulation auxiliary to open heart surgery insertion of endotracheal tube open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified transient mental disorder in conditions classified elsewhere mitral valve insufficiency and aortic valve stenosis 

Answer: The patient is high likely exposed to