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: dyspnea on exertion major surgical or invasive procedure: mitral valve repair (26mm profile 3d annuloplasty ring) history of present illness: 70 year old female with known mitral regurgitation which has woserned over time and is symptomatic with dyspnea on exertion. past medical history: mitral regurgitation, hypertension, hypercholesterolemia, paroxysmal atrial fibrillation, sick sinus syndrome, left bundle branch block, varicose veins, s/p pacemaker placement, s/p bladder surgery, s/p left eye surgery social history: denies tobacco or etoh use. family history: non-contributory physical exam: vs: 59 18 133/73 5'1" 63kg gen: no acute distress skin: unremarkable heent: unremarkable neck: supple, full range of motion chest: clear lungs bilaterally heart: regular rate and rhythm abd: soft, non-tender, non-distended ext: warm, well-perfused -edema neuro: grossly intact, alert and oriented x 3 pertinent results: 07:10am blood hct-22.9* 06:44am blood wbc-10.5 rbc-2.97* hgb-7.9* hct-24.4* mcv-82 mch-26.6* mchc-32.4 rdw-14.7 plt ct-122* 04:55pm blood wbc-4.6 rbc-4.12* hgb-11.0* hct-32.5* mcv-79* mch-26.6* mchc-33.7 rdw-13.9 plt ct-164 06:15am blood pt-15.8* inr(pt)-1.4* 04:55pm blood pt-14.3* ptt-25.5 inr(pt)-1.2* 07:10am blood glucose-106* urean-20 creat-1.1 na-136 k-3.7 cl-98 hco3-31 angap-11 04:55pm blood glucose-88 urean-22* creat-1.2* na-138 k-4.5 cl-103 hco3-31 angap-9 04:55pm blood alt-25 ast-42* ld(ldh)-238 alkphos-101 totbili-0.7 07:10am blood mg-1.9 04:55pm blood %hba1c-6.3* brief hospital course: mrs. was admitted one day prior to surgery since she was on coumadin previously for cardiac arrhythmias. she stopped coumadin 5 days prior to surgery and was started on heparin on day of admission. she also underwent usual pre-operative work-up. on she was brought to the operating room where she underwent a mitral valve repair. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. she was transferred to the step down floor where she continued to progress. physical therapy was consulted to work on strength and balance. she continued to progress and was ready for discharge home on post-operative day 4. medications on admission: lisinopril 20mg qd, zocor 10mg qd, atenolol 50mg qd, hctz 12.5mg qd, coumadin discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 7. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 9. atenolol 50 mg tablet sig: one (1) tablet po once a day. 10. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 11. warfarin 5 mg tablet sig: as directed tablet po once a day: please resume coumadin as you had been taking at home (half of a 5mg pill). please have your inr checked on monday with results to dr office. . tablet(s) discharge disposition: home with service facility: all care vna of greater discharge diagnosis: mitral regurgitation s/p mitral valve repair secondary: hypertension, hypercholesterolemia, paroxysmal atrial fibrillation, sick sinus syndrome, left bundle branch block, varicose veins, s/p pacemaker placement, s/p bladder surgery, s/p left eye surgery discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks () please call for appointment dr. (pcp) in 1 week ( please call for appointment dr. (cardiology) in weeks please call for appointment fax inr results to dr office. need an inr checked monday, then m/w/f until she sees dr in the office. wound check appointment 6 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery annuloplasty artificial pacemaker rate check diagnoses: hyperpotassemia pure hypercholesterolemia mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation long-term (current) use of anticoagulants cardiac pacemaker in situ sinoatrial node dysfunction streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group b asymptomatic varicose veins 

Answer: The patient is high likely exposed to