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: atrial fibrillation major surgical or invasive procedure: bilateral thoracoscopic mini mazes, left atrial ligation left heart catheterization, coronary angiogram history of present illness: this 52 year old white female has had atrial fibrillation dating back to . she has suffered multiple cerbral emboli, with hemorrhagic conversion in with residual episodic seizures (sensory right hand deficit), maintained on keppra. she was admitted now for catheterization and operation after heparin bridging. past medical history: atrial flutter/atrial fibrillation left mca infarct with hemorrhagic conversion right lentiform nucleus infarct s/p excision melanoma hyperlipidemia social history: discharge summary social history signed , sun , 5:52 pm - she lives at home with her husband and one of her sons, her other 2 sons are in college. - she has been back working since summer , and currently works 2 days/week as an administrator at a doctor's office. . habits: - she smoked socially for 4 years in college, but not since then. - she drinks glasses of wine daily with dinner. - she denies illicit drug use. family history: - her maternal grandmother had a stroke and mi - her dad had a lymphoma. physical exam: admission: pulse: resp: o2 sat: b/p right: left: height:66" weight:130# general:wdwn in nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur: n abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right:n left:n pertinent results: 06:24am blood wbc-4.7 hct-29.0* 07:40pm blood wbc-6.5 rbc-3.56* hgb-11.4* hct-33.4* mcv-94 mch-31.9 mchc-34.0 rdw-12.9 plt ct-173 06:24am blood pt-24.8* inr(pt)-2.4* 05:17am blood pt-23.8* ptt-55.3* inr(pt)-2.3* 04:04am blood pt-21.0* ptt-53.9* inr(pt)-1.9* 07:40pm blood pt-17.4* ptt-51.3* inr(pt)-1.6* 05:48am blood pt-13.9* ptt-90.3* inr(pt)-1.2* 10:59pm blood pt-13.6* ptt-63.5* inr(pt)-1.2* 04:50pm blood pt-15.1* ptt-30.1 inr(pt)-1.3* 05:10am blood pt-24.5* ptt-30.5 inr(pt)-2.3* 03:30pm blood pt-32.9* ptt-31.9 inr(pt)-3.3* 06:24am blood glucose-112* urean-16 creat-0.9 na-132* k-3.9 cl-95* hco3-29 angap-12 03:30pm blood glucose-112* urean-15 creat-0.8 na-138 k-4.1 cl-100 hco3-24 angap-18 the left atrium is normal in size. no mass/thrombus is seen in the left atrium or left atrial appendage. no thrombus is seen in the left atrial appendage. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. post left atrial appendage ligation on 3 d transesophageal echo,there in no appreciable remnant of the visible lv function is similar to preligation 06:01am blood pt-25.0* inr(pt)-2.4* brief hospital course: following admission she underwent catheterization to rule out coronary disease after her inr was near normal. heparin was then started and on she went to the operating room where bilateral thoracoscopic minimazes were done, along with left atrial ligation. she was in sinus rhythm. she tolerated the operation well and chest drains were removed in the usual manner when ready. flecanide was resumed per electrophysiology request. on she had atrial firillation again and concverted to sinus after several 3 second pauses. flecanide was discontinued. she had episodic assymptomatic nodal rhythm to the 50s afterward and was observed. there was some episodic nausea which seemed to be related to the indocin and medication times were adjusted to meals with improvement. coumadin was resumed and will be managed by her primary care physician (dr. as preoperatively. her inr was 2.4 on 19/5 and she was instructed to take 5 mg of coumadin per her preoperative routine. she was cleared by the ep service to go home. medications on admission: keppra 1250mg ,minocin 100mg daily,simvastatin 20mg daily,omega 3,coumadin 4mg m/w/fr/-5mg t/th/sa (ld ) discharge medications: 1. minocycline 100 mg capsule : one (1) capsule po once a day. 2. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po hs (at bedtime) as needed for constipation. 3. ranitidine hcl 150 mg tablet : one (1) tablet po bid (2 times a day) for 2 months. disp:*120 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed for pain. 5. oxycodone-acetaminophen 5-325 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 6. indomethacin 50 mg capsule : one (1) capsule po three times a day for 1 months: with food. disp:*90 capsule(s)* refills:*0* 7. simvastatin 20 mg tablet : one (1) tablet po once a day. 8. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). 9. colchicine 0.6 mg tablet : one (1) tablet po daily (daily) for 4 weeks. disp:*30 tablet(s)* refills:*0* 10. levetiracetam 250 mg tablet : 1250mg tablets po bid (2 times a day). 11. outpatient work pt/inr on and then prn please fax results to dr. 12. furosemide 40 mg tablet : one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 13. potassium chloride 20 meq tab sust.rel. particle/crystal : one (1) tab sust.rel. particle/crystal po daily (daily) for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 14. coumadin 4 mg tablet : one (1) tablet po m/w/f/sun. disp:*60 tablet(s)* refills:*2* 15. coumadin 5 mg tablet : one (1) tablet po t/th/sat. disp:*50 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: paroxysmal atrial fibrillation s/p multiple cerbral emboli from atrial fibrillation hyperlipidemia s/p melanoma resection s/p augmentation mammoplasty discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: parasternal - healing well, no erythema or drainage edema :none 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. () on at 1:15pm cardiologist: dr. on at 12:40pm please call to schedule appointments with: 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** labs: pt/inr for coumadin ?????? indication atrial fibrillation goal inr 2.5-3 first draw results to dr. , fax procedure: coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach injection or infusion of other therapeutic or prophylactic substance cardiac mapping injection of anesthetic into peripheral nerve for analgesia proctostomy diagnoses: atrial fibrillation atrial flutter long-term (current) use of other medications personal history of malignant melanoma of skin late effects of cerebrovascular disease, aphasia localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to