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: this 81-year-old white female has a history of coronary artery disease. she is status post cabg in with lima to the lad, saphenous vein graft to the pda and om. she is also status post ptca of the lima in , and has a history of chf and aortic stenosis. she had an echo which revealed severe aortic stenosis, mitral , ef of 40 percent, an aortic valve area of 0.7 cm2. she also has a history of hypertension, hyperlipidemia, insulin dependent diabetes, afib/flutter, and is status post cardioversion in the past. on , she was experiencing severe dyspnea on exertion and chest pain and was admitted. medications on admission: 1. lopressor 12.5 mg po bid. 2. lasix 40 mg po bid. 3. nph insulin 22 u subcu q am, 6 u subcu q pm. 4. regular insulin sliding scale. 5. aspirin 325 mg po qd. 6. sublingual nitroglycerin prn. 7. cozaar 60 mg po qd. 8. pravachol 20 mg po qd. 9. amiodarone 200 mg po qd. 10.coumadin 2.5 mg po qd. 11.b12. 12.b6. 13.folate. 14.evista 60 mg po qd. 15.imdur 60 mg po qd. 16.levoxyl 25 mcg po qd. allergies: she has no known allergies. past medical history: hypertension. coronary artery disease, status post cabg in , status post ptca in . congestive heart failure. aortic stenosis. hyperlipidemia. insulin dependent diabetes. afib/flutter. social history: she does not drink alcohol. does not smoke cigarettes. lives with her daughter. family history: significant for coronary artery disease. review of symptoms: as above. physical exam: she was an elderly white female in no apparent distress. vital signs stable. afebrile. heent exam: normocephalic, atraumatic. extraocular movements intact. oropharynx benign. neck: supple. full range of motion. no lymphadenopathy or thyromegaly. carotids 2 plus and equal bilaterally without bruits. lungs: clear to auscultation and percussion. cardiovascular exam: regular rate and rhythm, and a systolic ejection murmur. abdomen: soft, nontender with positive bowel sounds. no masses or hepatosplenomegaly. extremities: bilateral pedal edema. pulses were 2 plus and equal bilaterally throughout. neuro exam: nonfocal. hospital course: she was admitted for rule out mi. she had an echo on admission which revealed an ef of 45 percent, an aortic valve area of 0.7 cm2, basilar inferolateral hypokinesis. the rv was dilated. she had 1 plus ar, 2 plus mr, 3 plus tr. she was diuresed and responded well to this. she had an elevated inr and had to have her coumadin held to have her cath. she was followed by for her diabetes and did well with diuresis. she had a cardiac cath on which showed severe aortic stenosis with a 26 mm mean gradient, and a 0.8 cm2 aortic valve area, an ef of 45 percent. her om was widely patent with a 90 percent stenosis after touchdown into a diffusely diseased om, and the vein grafts to the rca and the lima to the lad were widely patent. she had moderate pulmonary hypertension. dr. was consulted, and she was booked for surgery. prior to surgery, she had carotid duplex studies which were negative. she also had a dental consult, as she had had a recent root canal, and they felt that her number 13 tooth needed to be extracted, but she could be covered with antibiotics for the surgery and then see her oral surgeon immediately after discharge. so, on the patient underwent a redo sternotomy, avr with a 19 mm - pericardial valve. the crossclamp time was 66 minutes. total bypass time 78 minutes. she tolerated the procedure well and was transferred to the csru on levophed, dobutamine, propofol and insulin. she was extubated on the postop night. she was followed postop. on postop day 2, she had her chest tubes dc'd. she had a low platelet count of 79,000, and a hit was sent which was negative. she continued to progress. she did have some afib and converted back to sinus rhythm. she was transferred to the floor on postop day 4 in stable condition. she did have her foley dc'd, but it had to be placed back for urinary retention. a ua was sent which was positive, and she was started on levaquin. she continued to progress. she had a failure to void on postop day 7, again, and had the foley again replaced. dental saw her and wanted her to stay on the clindamycin. actually, she was on septra for her teeth but she developed a rash. so, she was now on clinda for her teeth, and they want that on until her tooth is extracted. she had a pacing wires dc'd. she also developed a rash and was seen by dermatology who felt that her rash was multifactorial and was an irritant dermatitis, and also a drug rash from amoxicillin, and they wanted triamcinolone cream to the rash for 2 weeks , and bactroban cream to the excoriations . she also was restarted on her coumadin and received 1 dose of 2.5 on and needs another dose tonight for an inr goal of 2 to 2.5. she was discharged to rehab on postop day 9 in stable condition. labs on discharge: hematocrit 34.4, white count 8,300, platelets 214,000, sodium 135, potassium 4.1, chloride 98, co2 29, bun 26, creatinine 1, blood sugar 252, pt 13.5, inr 1.2. discharge medications: 1. colace 100 mg po bid. 2. levoxyl 25 mcg po qd. 3. clindamycin 300 mg po tid. 4. calcium carbonate 500 mg po qid. 5. heparin 5,000 u subcu . 6. amiodarone 200 mg po qd. 7. aspirin 81 mg po qd. 8. levofloxacin 250 mg po qd for 5 days. 9. potassium 20 meq po qd. 10.pravastatin 20 mg po qd. 11.nph insulin 18 u subcu q am, 6 u subcu q pm. 12.evista 60 mg po qd. 13.coumadin 2.5 mg po qd. 14.sarna lotion prn. 15.mupirocin/calcium 2 percent cream topically . , procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters open and other replacement of aortic valve with tissue graft pulmonary artery wedge monitoring monitoring of cardiac output by other technique transfusion of packed cells diagnoses: intermediate coronary syndrome urinary tract infection, site not specified congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site coronary atherosclerosis of autologous vein bypass graft atrial fibrillation atrial flutter mitral valve insufficiency and aortic valve stenosis retention of urine, unspecified 

Answer: The patient is high likely exposed to