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: coumadin attending: chief complaint: asymptomatic aortic stenosis major surgical or invasive procedure: cardiac catheterization aortic valve replacement(21mm porcine) and two vessel coronary artery bypass grafting utilizing saphenous vein grafts to lad and diagonal history of present illness: mr. is an 84 year old male with known aortic stenosis. on admission, he denied chest pain, shortness of breath, orthopnea, pnd, pedal edema and syncope. he is relatively asymptomatic and performed routine adls without difficulty. he was admitted for cardiac catheterization prior to aortic valve replacement. past medical history: chronic systolic congestive heart failure aortic valve stenosis, coronary artery disease hypertension dyslipidemia chronic renal insufficiency atrial fibrillation/complete heart block - s/p ppm history of pulmonary embolus history of gi bleed peripheral vascular disease diet-controlled diabetes mellitus gout depression peptic ulcer disease colon polyps prostatism social history: lives with wife and son. denies any current cigarrette use, smoked for 7-10 years in his youth. occasional alcohol use. retired civil engineer. family history: no premature cad. physical exam: admission vs hr 80 bp 130/68 rr 14 ht 5'7" wt 70.3k gen: nad heent: perrl/eomi. o/p mmm-full dentures chest: cta-bilat cv: rrr-paced. 3/6 sem abdm: soft, nt/+bs ext: warm, well perfused, no pedal edema. no varicosities. neuro: nonfocal exam discharge vs t99.8 hr 70 vpaced bp 131/80 rr 20 o2sat 98%-2lnp gen nad neuro a&ox3, nonfocal exam pulm cta-bilat cv rrr, no murmur. sternum stable, incision cdi abdm soft, nt/+bs ext warm 1+ pedal edema bilat. l leg evh site cdi oral +thrush pertinent results: 07:15pm blood wbc-8.0 rbc-4.29* hgb-13.6* hct-38.9* mcv-91 mch-31.7 mchc-35.0 rdw-14.2 plt ct-256 07:15pm blood pt-13.5* ptt-21.9* inr(pt)-1.2* 07:15pm blood glucose-186* urean-49* creat-2.6* na-134 k-5.1 cl-98 hco3-27 angap-14 07:15pm blood alt-16 ast-15 ld(ldh)-200 alkphos-76 amylase-60 totbili-0.4 07:15pm blood albumin-4.3 07:15pm blood %hba1c-6.8* 06:02am blood wbc-6.3 rbc-3.89* hgb-12.4* hct-34.6* mcv-89 mch-31.8 mchc-35.8* rdw-14.3 plt ct-136* 06:02am blood glucose-124* urean-48* creat-2.5* na-134 k-4.2 cl-100 hco3-25 angap-13 06:02am blood mg-2.5 cardiac cath: 1. selective coronary angiography demonstrated single vessel coronary artery disease. the lmca had no angiographically apparent coronary artery disease. the lad had a 60% mid stenosis and a 70% ostial lesion in the first diagonal artery. the lcx had no obstructive disease. the rca had 30% ostial narrowing with no catheter damping. 2. left ventriculography revealed stroke volume index of 44 ml/m2 and an ef of 82% with normal regional wall motion. there was aortic valve calcification and no significant mitral regurgitation noted. carotid ultrasound: bilateral less than 40% carotid stenosis. intraop tee: pre-bypass: 1. the left atrium is moderately dilated. 2. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no thrombus is seen in the left atrial appendage. 3. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. 4. there is severe symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with inferior and infero-septal hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 40 %). 5. right ventricular chamber size and free wall motion are normal. 6. the ascending aorta is moderately dilated. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. 7. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. 8. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. 9. there is no pericardial effusion. dr. was notified in person of the result. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is being av paced. 1. a well-seated bioprosthetic valve is seen in the aortic position with normal leaflet motion and gradients (mean gradient = 13 mmhg). a trivial perivalvular leak is seen. . 2. the aorta is intact. 3. left ventricular function is mildly improved. 4. mr is improved to mild to moderate. 5. the remainder of the study is unchanged. , sr. m 84 radiology report chest (pa & lat) study date of 5:25 pm , fa6a sched chest (pa & lat) clip # reason: eval for pleural effusions medical condition: 84 year old man s/p avr/cabg wet read: 6:27 pm small right effusion. retrocardiac atelectesis versus infiltrate. preliminary report !! wet read !! small right effusion. retrocardiac atelectesis versus infiltrate. dr. dr. dr. , sr. m 84 radiology report carotid series complete study date of 9:46 am , sched carotid series complete clip # reason: preop aur final report study: carotid series complete. reason: preop avr. findings: duplex evaluation was performed of bilateral carotid arteries. there is heterogeneous plaque in the proximal ica and distal cca bilaterally. on the right peak velocities are 54, 71 and 65 cm/sec in the ica, cca and eca respectively. this is consistent with less than 40% stenosis. on the left peak velocities are 49, 72 and 65 cm/sec in the ica, cca and eca respectively. this is consistent with less than 40% stenosis. there is antegrade vertebral flow bilaterally. impression: bilateral less than 40% carotid stenosis. dr. approved: mon 6:43 am brief hospital course: the patient is an 84 year old male with a history of aortic stenosis, who was admitted for cardiac catheterization on . due to his history of renal insufficiency, he was admitted one day early for pre-procedure hydration. on catheterization, he was found to have one vessel disease, with 60-70% lesions in the left anterior descending coronary artery. the patient was further monitored and hydrated for his renal function. he was brought to the operating theater on , where he underwent aortic valve replacement with 21mm porcine tissue valve, and coronary artery bypass grafting x 2 with saphenous vein grafts to the left anterior descending and diagonal coronary arteries. please see operative note for further details. the patient received vancomycin peri-operatively because his preoperative inpatient hospital stay exceeded 24 hours. overall the patient tolerated the procedure well, and post-operatively was transferred to the cvicu for invasive monitoring and further recovery. by pod 1 the patient was extubated and breathing comfortably on no inotropic or vasopressor support. he was slightly confused, therefore narcotics were held. confusion did clear. the patient was transferred to the step down unit where he worked with physical therapy for improved strength and mobility. chest tubes and pacing wires were discontinued without complication. the patient was gently diuresed toward his preoperative weight. on a sputum culture was positive for gram negative rods and he was started on cipro 500mg po daily for 14 days. the remainder of his post-operative course was uneventful. he was discharged to rehabilitation on pod 5. medications on admission: lisinopril 30' propranolol la 120' alprazolam 0.25' qhs aspirin 81' lasix 10' flomax 0.4' lipitor 40' probenecid 500 vitamin c 500' beta carotene 25,000 iu' discharge disposition: extended care facility: - discharge diagnosis: chronic systolic congestive heart failure aortic valve stenosis, coronary artery disease - s/p avr/cabg hypertension dyslipidemia chronic renal insufficiency atrial fibrillation/complete heart block - s/p ppm history of pulmonary embolus history of gi bleed peripheral vascular disease diet-controlled diabetes mellitus discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for at least one month. 7) call with any questions or concerns. 8) take all medications as prescribed. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation aortic valve disorders candidiasis of mouth chronic kidney disease, unspecified other and unspecified hyperlipidemia atrioventricular block, complete chronic systolic heart failure cardiac pacemaker in situ personal history of venous thrombosis and embolism drug-induced delirium other specified analgesics and antipyretics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to