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: penicillins / sulfa (sulfonamide antibiotics) / iv dye, iodine containing contrast media / bactrim attending: chief complaint: increasing fatigue and dyspnea on exertion major surgical or invasive procedure: aortic valve replacement with 21mm st. tissue valve and replacement of ascending aorta utilizing a 34mm hemashield graft. history of present illness: this is a 66 year old female hospitalized with strep bacteremia. uti or pna was thought to be the offending source and she completed two week course of levaquin. had ventricular ectopy which prompted an echocardiogram which revealed severe ai, a dilated ascending aorta and severe cardiomyopathy. a cardiac catheterization did not show any significant coronary disease. she was seen by dr. in at . after extensive preoperative evaluation, she was eventually cleared for cardiac surgical intervention. past medical history: hairy cell leukemia (s/p chemo - remission since ) ascending aortic aneurysm severe cardiomyopathy (wears lifevest defib) history of nsvt aortic insufficiency mitral regurgitation history of bacteremia history of pneumonia history of renal calculi osteoporosis cataracts chronic lower back pain (fx l2) splenectomy left cataract tonsillectomy hemorrhoidectomy social history: lives with: husband occupation: bank teller tobacco: denies etoh: denies family history: non contributory physical exam: preop exam pulse: 60 occ. irregular b/p right: 150/80 left: 156/70 height: 5'5" weight:162 general: anxious, nad skin: warm dry intact heent: perrla eomi anicteric sclera; op unremarkable neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur: 2/6 systolic and diastolic abdomen: soft non-distended non-tender bowel sounds + no hepatomegaly extremities: warm , well-perfused edema -none varicosities: mild spider veins neuro: grossly intact; mae strengths;nonfocal exam pulses: femoral right: 2+ left:2+ dp right: 1+ left:1+ pt : 1+ left:1+ radial right: 2+ left:2+ carotid bruit right: none left: none pertinent results: intraop tee: pre-cpb: 1. the left atrium is moderately dilated. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is severely depressed (lvef= 25 %). 4. right ventricular chamber size and free wall motion are normal. 5. the ascending aorta is moderately dilated. the aortic arch is mildly dilated. the descending thoracic aorta is moderately dilated. 6. there are three aortic valve leaflets. there is no aortic valve stenosis. there is no valvular aortic stenosis. the increased transaortic velocity is likely related to increased stroke volume due to aortic regurgitation. moderate to severe (3+) aortic regurgitation is seen. 7. moderate (2+) mitral regurgitation is seen. the jet is central. the mitral annulus is enlarged and measures 3.9 cm. post-cpb: on infusion of epi, milrinone, phenylephrine. av pacing for sb and poor atrial capture. well-seated bioprosthetic valve in the aortic position. trivial ai. mr is now 1+. biventricular systolic function is improved on inotropic support. lvef = 35%. the proximal aortic graft appears in place. the descending aortic contour is normal post decannulation. . wbc-9.4 rbc-3.90* hgb-11.8* hct-34.7* plt ct-129* wbc-10.5 rbc-3.62* hgb-11.3* hct-31.0* plt ct-88* wbc-11.7* rbc-3.50* hgb-10.6* hct-31.1* plt ct-79* wbc-14.6* rbc-3.84* hgb-11.7* hct-33.9* plt ct-74* glucose-123* urean-18 creat-0.6 na-131* k-4.4 cl-91* hco3-33* glucose-118* urean-21* creat-0.7 na-130* k-4.7 cl-89* hco3-32 glucose-114* urean-19 creat-0.6 na-130* k-4.2 cl-92* hco3-30 glucose-114* urean-21* creat-0.7 na-131* k-4.1 cl-95* hco3-29 glucose-110* urean-26* creat-0.9 na-132* k-4.3 cl-98 hco3-25 calcium-8.5 phos-3.2 mg-2.4 04:40am blood glucose-123* urean-18 creat-0.6 na-131* k-4.4 cl-91* hco3-33* angap-11 brief hospital course: admitted same day surgery and was brought to the operating room for aortic valve replacement and replacement of her ascending aorta. see operative report for further details. given penicillin allergy, she received vancomycin for perioperative antibiotics. she arrived in the intensive care unit on milirone, epinephrine, and neosynphrine for hemodynamic support. she was transfused for anemia with packed red blood cells and hematocrit remained stable post transfusion. in the first twenty four hours she was weaned from sedation, awoke neurologically intact and was extubated without incident. over several days, she was gradually weaned from inotropic support and transitioned to heart failure regimen of coreg, captopril, and lasix for diuresis. she otherwise maintained stable hemodynamics and transferred to the floor on postoperative day five. she remained in a normal sinus rhythm and her renal function remained stable. over the remaining days, medical therapy was optimized. she continued to make clinical improvements with diuresis and was eventually cleared for discharge to in . medications on admission: fosamax 70mg q thurs coreg 6.25 mg losartan 25 mg daily spirinolactone 25mg daily flovent 110mcg 2 puffs twice daily multivitamin b complex discharge medications: 1. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 6. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 7. alendronate 70 mg tablet sig: one (1) tablet po qthur (every thursday). 8. losartan 25 mg tablet sig: 0.5 tablet po daily (daily). 9. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 10. spironolactone 25 mg tablet sig: one (1) tablet po once a day. 11. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 12. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 13. multivitamin tablet sig: one (1) tablet po daily (daily). 14. ensure liquid sig: one (1) po three times a day. discharge disposition: extended care facility: nsg discharge diagnosis: ascending aortic aneurysm s/p ascending aorta replacement aortic insufficiency s/p avr acute on chronic systolic heart failure mitral regurgitation secondary diagnosis hairy cell leukemia (s/p chemo - remission since ) pneumonia bacteremia renal calculi osteoporosis cataracts lower back pain non-sustained ventricular tachycardia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage edema - trace bilaterally discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr at heart center - thrusday at 9:00am cardiologist: dr at 2:30pm please call to schedule appointments with your primary care dr in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels diagnoses: other primary cardiomyopathies other iatrogenic hypotension thrombocytopenia, unspecified congestive heart failure, unspecified acute posthemorrhagic anemia hyposmolality and/or hyponatremia thoracic aneurysm without mention of rupture mitral valve insufficiency and aortic valve insufficiency osteoporosis, unspecified lumbago acute on chronic systolic heart failure leukemic reticuloendotheliosis, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to