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 / vancomycin and derivatives / percocet / metformin / rezulin / metoclopramide / / sulfonamides / zoloft / nsaids attending: chief complaint: please see discharge summary major surgical or invasive procedure: please see discharge summary pertinent results: 10:25am blood wbc-12.7* rbc-3.30* hgb-9.4* hct-27.6* mcv-84 mch-28.5 mchc-34.1 rdw-14.1 plt ct-433 06:45am blood pt-21.5* inr(pt)-3.1 06:30am blood pt-23.1* inr(pt)-3.5 10:25am blood pt-21.0* ptt-37.3* inr(pt)-2.9 10:25am blood glucose-173* urean-22* creat-1.2* na-135 k-4.5 cl-102 hco3-24 angap-14 06:20pm blood glucose-151* urean-26* creat-1.3* na-134 k-5.1 cl-101 hco3-18* angap-20 brief hospital course: mrs. was discharged to the inpatient psychiatric floor on . shortly after arrival, she was found to be diaphoretic and bradycardic, sbp in the 80s. her ekg at the time showed ventricular bigeminy at a rate of 80. she was readmitted to the floor, and placed on telemetry. she did not have any documented bradycardia, her amiodarone and lopressor were decreased. her creatinine was noted to be elevated to 1.9, thought to be due to a combination of agressive diuresis and ace inhibitor. her lasix was decreased and her ace inhibitor was held as her sbp was also low. she was also noted to have a larger separation of the skin on the superior aspect of her sternal wound, which was draining serous fluid. over the next several days, her creatinine decreased to 1.3, her sternal wound was packed with normal saline wet to dry and began to granulate in, and she had no documented bradycardia. the psychiatry service evaluated mrs. on friday and felt that she was no longer a threat to herself or others, and did not need inpatient psychiatriac care. it was recomended that patient be evaluated for short term rehab. discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. warfarin sodium 1 mg tablet sig: qd tablet po hs (at bedtime): titrate for inr goal of .5. 4. clonazepam 1 mg tablet sig: one (1) tablet po qd (once a day). 5. tolterodine tartrate 2 mg tablet sig: one (1) tablet po qd (once a day). 6. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 7. multivitamin capsule sig: one (1) cap po qd (once a day). 8. paroxetine hcl 30 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 9. amiodarone hcl 200 mg tablet sig: one (1) tablet po qd (once a day). 10. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. warfarin sodium 5 mg tablet sig: one (1) tablet po once (once) for 1 doses. 12. insulin 70/30 70-30 unit/ml suspension sig: one (1) subcutaneous twice a day: 48 units q breakfast and 24 units q dinner. 13. tylenol-codeine #3 300-30 mg tablet sig: 1-2 tablets po every 4-6 hours. 14. insulin lispro (human) 100 unit/ml cartridge sig: one (1) subcutaneous four times a day: humalog ssplease see attached sliding scale. 15. risperidone 2 mg tablet sig: one (1) tablet po twice a day. 16. lasix 20 mg tablet sig: one (1) tablet po once a day. 17. multivitamin capsule sig: one (1) cap po qd (once a day). 18. polysaccharide iron complex 150 mg capsule sig: one (1) capsule po qd (once a day). 19. zinc sulfate 220 mg capsule sig: one (1) capsule po qd (once a day). 20. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: bostonian - discharge diagnosis: status post mitral valve replacement mitral regurgitation/tricuspid regurgitation/aortic insufficiency diabetes mellitus status post redo sternotomy, mitral valve replacement/aortic valve replacement depression pre-renal atn discharge condition: good discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium, diabetic diet follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower, let water flow over wounds, pat dry with a towel. followup instructions: make an appointment with dr. @ . make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. make an appointment with dr. for 3-4 weeks. provider: , where: phone: date/time: 2:00 provider: , where: phone: date/time: 2:00 provider: , where: phone: date/time: 2:00 md procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve arterial catheterization atrial cardioversion reopening of recent thoracotomy site open and other replacement of mitral valve diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation hemorrhage complicating a procedure mechanical complication due to heart valve prosthesis surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation schizoaffective disorder, unspecified 

Answer: The patient is high likely exposed to