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: history of present illness: this is a 64-year-old female with a past medical history significant for critical aortic stenosis and three-vessel coronary artery disease, and chronic congestive heart failure, who presented on with acute on chronic shortness of breath. she was found to be in congestive heart failure at the time. the patient had no chest pain, palpitations, nausea, vomiting, abdominal pain, or dysuria. medications on admission: enteric coated aspirin, atenolol. allergies: no known drug allergies. past medical history: critical aortic stenosis, valve area of 0.5-0.6 gradient, 31 mmhg. catheterization with 80% prca, 40% lad, 40% circumflex, moderate pa hypertension, biventricular diastolic dysfunction, gallstones, headaches, arthritis, uterine fibroids. physical examination: general: the patient was a russian female in no apparent distress. heent: normocephalic, atraumatic. sclerae anicteric. oropharynx without lesion. extraocular movements intact. pupils equal, round and reactive to light and accommodation. neck: supple. no lymphadenopathy. unable to assess jugular venous distention. chest: clear bilaterally. no crackles appreciated. cardiovascular: regular rhythm. loud systolic ejection murmur increasing to neck. abdomen: obese. macular papular rash diffusely. abdomen: nontender and nondistended. no rashes. extremities: no cyanosis or clubbing. there was 2+ edema to thighs. psoriatic plaque on soles of feet, elbows. skin: there was a macular papular diffuse rash on back and trunk. laboratory data: on admission, white blood cell count was 10.0, hematocrit 31.4, platelet count 310,000; bun 17, creatinine 0.8, sodium 137, potassium 4.1, chloride 103, bicarb 21, glucose 125. chest x-ray showed mild congestive heart failure. troponin was 1.2. electrocardiogram showed sinus rhythm with tachycardia and inverted t-waves in leads vi, possible left atrial abnormality, rate 101. cardiac catheterization performed on , showed three-vessel coronary artery disease, severe aortic stenosis, moderate to severe pulmonary arterial hypertension, moderate to severe left and mild moderate right ventricular diastolic dysfunction. hospital course: the patient was taken to the operating room on , where she underwent two-vessel coronary artery bypass graft and aortic valve repair with tissue. on postoperative day 0, the patient required right chest tube thoracostomy for a right pleural effusion which she tolerated well. the patient was extubated and transferred to the floor. on postoperative day #5, the patient's sternum was found to be unstable. chest x-ray was obtained which showed shift of sternotomy wires. she was then taken to the operating room on , where she underwent sternal debridement with left pectoralis major muscle advancement flap, right pectoralis major muscle advancement flap, and local fascia cutaneous advancement flap under general anesthesia. the patient was extubated three days later; however, required reintubation secondary to respiratory distress. she was able to be extubated two days later, and her respiratory status steadily improved. she remained on levaquin post sternotomy with flaps having had three jps, one of which was removed and was also treated with vancomycin for positive blood cultures which grew out coag-negative staph. the patient remained afebrile with wound intact, clean and dry, jps draining serosanguinous fluid and was felt to be stable for discharge to a rehabilitation facility with further monitoring of the output from her jp drains which will be removed when it is less than 30 cc. the patient is also to continue on levaquin for the duration of the jp drainage. discharge diagnosis: 1. coronary artery disease. 2. critical aortic stenosis. 3. status post coronary artery bypass graft times two with tissue aortic valve replacement. 4. gallstones. 5. headaches. 6. uterine fibroids. 7. poor respiratory reserve. 8. status post sternal debridement with bilateral pectoralis flaps. discharge medications: colace 100 mg p.o. b.i.d., aspirin 325 mg p.o. q.d., flovent 2 puffs t.i.d., triamcinolone creme b.i.d., captopril 12.5 mg p.o. b.i.d., combivent mdi 2 puffs q.6 hours, lasix 20 mg p.o. q.12 hours, kcl 20 meq p.o. b.i.d., multivitamin 1 p.o. q.d., zantac 150 mg p.o. b.i.d., lopressor 75 mg p.o. b.i.d., tylenol 650 mg p.o. q.6 hours p.r.n. pain, albuterol mdi 2 puffs q.4 hours and p.r.n., ibuprofen 400-600 mg q.6 hours, levaquin 500 mg p.o. q.d. discharge instructions: the patient is discharged to facility for cardiopulmonary rehabilitation and wound care and monitoring of jp drain output. the jp drains are to be removed when output is less than 30 cc per 24-hour period. the patient is to remain on levaquin for the duration of the jp drainage. the patient is to follow-up with dr. in days and with her primary care physician weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery insertion of endotracheal tube (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] graft of muscle or fascia attachment of pedicle or flap graft to other sites advancement of pedicle graft diagnoses: coronary atherosclerosis of native coronary artery other postoperative infection unspecified pleural effusion congestive heart failure, unspecified cardiac complications, not elsewhere classified aortic valve disorders ventricular fibrillation 

Answer: The patient is high likely exposed to