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: ciprofloxacin er / lisinopril / diovan attending: chief complaint: poor wound healing, admitted from wound clinic major surgical or invasive procedure: sternal wound debridement, wire removal, omental flap closure history of present illness: s/p avr/cabg on c/b superficial sternal wound infection. discharged home on vancomycin, at followup visit wound did not appear to be healing and patient was readmitted for debridement and evaluation by plastic surgery. past medical history: s/p avr/cabg, hypertension, hyperlipidemia, cll, s/p t&a, s/p umbilical hernia repair, s/p cholecystectomy, s/p total hip replacement, s/p varicose vein ligation, s/y hysterectomy social history: quit smoking 44 years years ago (15yr smoking hx). denies etoh. family history: non-contributory physical exam: admission: gen: nad cor: rrr, no murmur pulm: diminished left base skin: sternal incision open 5x3x1 inch with fibrinous slough in base. yeast under breasts bilat. discharge: vs 97.2 94sr 132/58 18 93%ra 107.2 kg neuro: non focal pulm: cta bilat cv: rrr, no murmur abdm: soft, nt/nabs ext: warm, well perfused. no edema skin: sternal and abdominal incisions with staples. no erythema. jp drain x1 with serosang fluid pertinent results: 06:44pm glucose-107* urea n-13 creat-0.9 sodium-143 potassium-3.8 chloride-103 total co2-29 anion gap-15 06:44pm wbc-18.8* rbc-3.65* hgb-10.1* hct-31.1* mcv-85 mch-27.8 mchc-32.6 rdw-15.1 06:44pm plt count-308 06:44pm pt-12.1 ptt-20.3* inr(pt)-1.0 03:31am blood wbc-24.3* rbc-3.67* hgb-10.0* hct-31.9* mcv-87 mch-27.3 mchc-31.4 rdw-15.7* plt ct-300 03:31am blood plt ct-300 03:31am blood pt-13.6* ptt-27.9 inr(pt)-1.2* 03:31am blood glucose-115* urean-20 creat-0.9 na-141 k-3.7 cl-109* hco3-25 angap-11 05:48am blood vanco-12.3 echocardiography report , (complete) done at 9:43:06 am final referring physician information , division of cardiothoracic , , . plastic surgery, pc , status: inpatient dob: age (years): 76 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. aortic valve disease. coronary artery disease. h/o cardiac surgery. pericardial effusion. icd-9 codes: 440.0, 424.1 test information date/time: at 09:43 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw2-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 40% to 45% >= 55% aortic valve - peak gradient: 11 mm hg < 20 mm hg aortic valve - mean gradient: 8 mm hg pericardium - effusion size: 0.2 cm findings left atrium: mild la enlargement. no spontaneous echo contrast in the body of the la. no spontaneous echo contrast or thrombus in the body of the laa. right atrium/interatrial septum: normal ra size. no spontaneous echo contrast in the body of the ra. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. mild symmetric lvh. normal lv cavity size. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: bioprosthetic aortic valve prosthesis (avr). minimally increased gradient c/w minimal as. trace ar. mitral valve: mildly thickened mitral valve leaflets. moderate mitral annular calcification. calcified tips of papillary muscles. trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions 1. the left atrium is mildly dilated. no spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. 2. no spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. 3. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 45%). 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 6. a bioprosthetic aortic valve prosthesis is present and well-seated. . there is a minimally increased gradient consistent with minimal aortic valve stenosis. trace aortic regurgitation is seen. there is no paravalvular leak. 7. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 8. there is a trivial/physiologic pericardial effusion. 9. there is a moderate sized pleural effusion on both sides. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 11:32 brief hospital course: admitted from wound clinic on and treated with iv antibiotics. plastic surgery was consulted and on she was brought to operating room for debridement with pectoral and omental flap closure. she tolerated this well and was brought to the cardiac surgery icu after the surgery in stable condition. she stayed in the cvicu for two days then was transferred to the cardiac surgery floor for continued care. she was gently diuresed for a right pleural effusion. beta blockade was titrated and her ace inhibitor was restarted. she did well, her activity level was advanced with physical therapy and it was decided she was stable and ready for discharge home with vna on . medications on admission: colace 100" asa 81' percocet 5/325 lipitor 10' zantac 150" amiodarone 200' lopressor 50" lasix 40' captopril 12.5''' vancomycin 750" discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*45 tablet(s)* refills:*0* 2. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day) as needed for chest wound. disp:*1 bottle* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed. 5. cefepime 2 gram recon soln sig: two (2) gms injection q12h (every 12 hours) for 6 weeks. disp:*168 gms* refills:*0* 6. vancomycin 500 mg recon soln sig: 1250 (1250) mg intravenous q 24h (every 24 hours) for 6 weeks. disp:* mg* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 9. captopril 12.5 mg tablet sig: 0.5 tablet po three times a day. disp:*45 tablet(s)* refills:*0* 10. zinc sulfate 220 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 11. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 12. outpatient lab work qweekly draws on wednesdays cbc with diff, bun, cr, lft, vanco trough results to dr fax discharge disposition: home with service facility: homecare discharge diagnosis: s/p sternal debridement and omental flap closure pmh: s/p avr/cabg , as, cad, htn, ^chol, cll, hernia repair, ccy, total hip replacement, varicose vein ligation, hyst, t&a discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds. followup instructions: dr (pt to call for monday am for appt next week dr () in weeks, pt to call for appt procedure: diagnostic ultrasound of heart reopening of recent thoracotomy site other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] graft of muscle or fascia transfusion of packed cells revision of pedicle or flap graft diagnoses: anemia, unspecified pure hypercholesterolemia other postoperative infection unspecified pleural effusion unspecified essential hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortic valve disorders heart valve replaced by other means 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 surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation sinoatrial node dysfunction staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus chronic lymphoid leukemia, without mention of having achieved remission pseudomonas infection in conditions classified elsewhere and of unspecified site hip joint replacement disruption of external operation (surgical) wound non-healing surgical wound 

Answer: The patient is high likely exposed to