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 / cephalosporins / ciprofloxacin attending: chief complaint: shortness of breath major surgical or invasive procedure: aortic valve replacement 25-mm biocor apical tissue heart valve history of present illness: 79 year old male with moderate to severe aortic regurgitation with associated fatigue, dyspnea and neck pain was admitted preoperatively for an aortic valve replacement on . he was placed on heparin drip for coumadin washout for paroxysmal atrial fibrillation. initial labs were drawn and revealed neutropenia and an elevated creatnine from baseline. based on mr. history of renal transplant, the renal transplant service was consulted. his medications were reviewed and recommendations were made. his cyclosporine and prednisone were continued. azathioprine and colchicine were discontinued per renal. labs were monitored. his creatnine drifted down to 1.5 and wbc ct=1.5 on . the decision was made to rescreen mr. for rehab with postponement of his avr until his lab values trend towards normalizing. he returns to today for heparin bridge preop avr/? asc.ao.replacement with normalizing lab values. past medical history: 1. moderate-to-severe aortic insufficiency with dilating lv, currently be evaluated for valve replacement by cardiac surgery. 2. recent cardiac catheterization showing no obstructive coronary artery disease, however, found to have elevated filling pressures, requiring diuresis. 3. hypertension. 4. kidney transplant in due to pckd, the baseline creatinine approximately 1.6. 5. hyperlipidemia. 6. peripheral neuropathy. 7. diverticulitis. 8. pseudogout. 9. osteoporosis. 10. atrial fibrillation, currently on coumadin for thromboembolic prophylaxis. social history: patient previously worked as an engineer for channel 5. he currently lives in a house himself. his wife passed away 9 years ago. prior history of 3 ppd x 20 years, quitting 34 years ago. occasional etoh (few beers per week). no illicits. his daughters ( (daughter) - (, (daughter) ) are very involved. family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission physical exam 97.6 131/60 64afib 18 100%ra general: nad skin: dry intact heent: perrla eomi neck: supple full rom limitied rom chest: lungs clear bilaterally crackles right base, o/w clear heart: rrr irregular murmur grade _2/6 syst__ abdomen: soft non-distended non-tender bowel sounds extremities: warm , well-perfused edema +2 lower ext edema _____ varicosities: none neuro: grossly intact pertinent results: echocardiography report , (complete) done at 12:31:50 pm final general comments: written informed consent was obtained from the patient. a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. conclusions pre-cpb: moderate to severe spontaneous echo contrast is seen in the body of the left atrium. moderate to severe spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. the left ventricular systolic function is globally mildly depressed, estimated ef=45%. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. no thoracic aortic dissection is seen. the aortic valve leaflets (3) are mildly thickened. moderate to severe (3+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened with focal calcifications. trivial mitral regurgitation is seen. there is a small pericardial effusion. there is a small left pleural effusion. dr. was notified in person of the results at time of study. post-cpb: the patient is on no vasopressors. a bioprosthetic valve is seen in the aortic position. the valve is well seated with normally mobile leaflets. there are no apparent paravalvular leaks. there is no ai. the peak gradient across the aortic valve is 13mmhg, the mean gradient is 6mmhg with co of 3.8l/min. the inferior and inferoseptal segments of the left ventricle appears hypoknetic. this improves with time but is still more notable than pre-bypass. overal left ventricular systolic function remains mildly depressed, estimated ef 40-45%. the rv systolic function remains normal. the mr remains trace. other valvular function is unchanged. the small left pleural effusion remains. there is no evidence of aortic dissection. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:58 ?????? caregroup is. all rights reserved. 04:41am blood wbc-5.4 rbc-3.25* hgb-9.9* hct-30.5* mcv-94 mch-30.5 mchc-32.5 rdw-18.1* plt ct-87* 06:27am blood wbc-5.8 rbc-3.09* hgb-9.8* hct-29.1* mcv-94 mch-31.6 mchc-33.6 rdw-18.6* plt ct-64* 02:32am blood wbc-10.9 rbc-2.90* hgb-9.2* hct-27.4* mcv-95 mch-31.6 mchc-33.4 rdw-17.7* plt ct-75* 04:41am blood pt-18.8* inr(pt)-1.8* 06:27am blood pt-16.3* ptt-26.9 inr(pt)-1.5* 02:32am blood pt-14.6* ptt-26.2 inr(pt)-1.4* 01:57am blood pt-15.9* inr(pt)-1.5* 04:09am blood pt-13.4* ptt-25.5 inr(pt)-1.2* 12:10am blood pt-13.0* ptt-26.3 inr(pt)-1.2* 09:58pm blood pt-13.4* ptt-26.6 inr(pt)-1.2* 06:00pm blood pt-14.4* ptt-27.5 inr(pt)-1.3* 02:48pm blood pt-16.5* ptt-31.9 inr(pt)-1.6* 01:17pm blood pt-19.1* ptt-30.3 inr(pt)-1.8* 11:30am blood pt-14.9* ptt-45.6* inr(pt)-1.4* 04:35am blood pt-15.6* ptt-25.6 inr(pt)-1.5* 04:41am blood glucose-87 urean-63* creat-1.4* na-137 k-3.5 cl-97 hco3-34* angap-10 06:27am blood glucose-141* urean-71* creat-1.6* na-136 k-3.5 cl-96 hco3-32 angap-12 02:32am blood glucose-113* urean-66* creat-1.9* na-134 k-3.8 cl-94* hco3-30 angap-14 brief hospital course: pre-op mssa screen was positive and the patient was treated with mupirocin. additionally, on admission his inr was supratherapeutic. he was given vitamin k and ffp. inr would trend down and on mr. was taken to the operating room where he underwent aortic valve replacement 25-mm biocor apical tissue heart valve with dr.. please see operative report for surgical details. he tolerated the procedure well and was transferred to cvicu intubated and sedated for invasive monitoring. he awoke neurologically intact and extubated. he weaned off pressor support and beta-blocker/statin/diuresis was initiated. renal continued to follow the patient. coumadin was resumed for chronic afib. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to bay point in in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from patientwebomr. 1. alendronate sodium 70 mg po qsun 2. benzonatate 100 mg po tid:prn cough 3. cyclosporine (sandimmune) 100 mg po daily 4. diltiazem extended-release 120 mg po daily 5. fluticasone propionate 110mcg 1 puff ih 6. hydrochlorothiazide 12.5 mg po daily 7. lovastatin *nf* 20 mg oral daily 8. metoprolol tartrate 75 mg po tid 9. furosemide 40 mg po bid 10. fluticasone-salmeterol diskus (100/50) 2 inh ih 11. prednisone 5 mg po daily 12. warfarin 2.5-3.75 mg po daily 13. aspirin ec 81 mg po daily 14. guaifenesin ml po q6h:prn cough 15. multivitamins 1 tab po daily discharge medications: 1. alendronate sodium 70 mg po qsun 2. aspirin ec 81 mg po daily 3. benzonatate 100 mg po tid:prn cough 4. cyclosporine (sandimmune) 100 mg po daily 5. fluticasone propionate 110mcg 1 puff ih 6. furosemide 40 mg po bid 7. metoprolol tartrate 75 mg po tid hold for hr < 55 or sbp < 90 and call medical provider. 8. prednisone 5 mg po daily 9. warfarin md to order daily dose po daily goal inr for afib 10. acetaminophen 650 mg po q4h:prn pain 11. lovastatin *nf* 20 mg oral daily 12. tramadol (ultram) 50 mg po q6h:prn pain rx *tramadol 50 mg 1 tablet(s) by mouth every four (4) hours disp #*40 tablet refills:*0 13. potassium chloride 20 meq po daily hold for k+ > 4.5 14. fluticasone-salmeterol diskus (100/50) 2 inh ih 15. guaifenesin ml po q6h:prn cough 16. multivitamins 1 tab po daily 17. hydrochlorothiazide 12.5 mg po daily discharge disposition: extended care facility: rehabilitation & care center - discharge diagnosis: severe aortic insufficiency s/p aortic valve replacement secondary: 2. paroxysmal atrial fibrillation. 3. hypertension. 4. kidney transplant in secondary to polycystic kidney disease. 5. cri with baseline creatinine of 1.2-1.4 6. hyperlipidemia. 7. peripheral neuropathy. 8. diverticulitis. 9. history of pseudogout. 10. osteopenia 11. recent admission for dehydration and rabdomylysis 12. recent uti developed peripheral neuropathy from cipro and switched to linezolid past surgical history: pckd s/p renal transplant in (on immunosuppression) bilateral cataracts inguinal hernia repair right av fistula in 80 which has been tied off bronchitis lactose intolerance bph bilateral rotator cuffs not repaired discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 2+ 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: provider , md phone: date/time: 2:20 provider , md phone: date/time: 2:00 the cardiac surgery office will call you with the following: surgeon: dr. # please call to schedule appointments with your primary care dr. , d. 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: first draw: *needs coumadin follow up arranged prior to dc from rehab procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: thrombocytopenia, unspecified abnormal coagulation profile acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) osteoporosis, unspecified long-term (current) use of anticoagulants surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation anticoagulants causing adverse effects in therapeutic use glucocorticoid deficiency other specified antibiotics causing adverse effects in therapeutic use disorder of bone and cartilage, unspecified kidney replaced by transplant polycystic kidney, unspecified type other fluid overload polyneuropathy due to drugs 

Answer: The patient is high likely exposed to