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: no known allergies / adverse drug reactions attending: chief complaint: band-like abdominal pain across epigastrum major surgical or invasive procedure: percutaneous cholecystectomy tube previous: ascending aortic aneurysm s/p replacement atrial fibrillation s/p maze and laa ligation past medical history: aortic, mitral, and tricuspid valve regurgitation dyslipidemia hypertension diverticulosis cataract surgery bladder suspension cholecystitis social history: lives with: son : etoh: rare family history: non contributory physical exam: pulse: 56 resp: 18 o2 sat: 96% ra b/p right: 99/69 left: height: weight:65.7 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally . healing sternal incision, no erythema. sternum stable. heart: rrr irregular murmur abdomen: soft, slightly distended and tender to light touch over epigastrum, + rebound tenderness in the area as well. bowel sounds present in all 4 quadrants. extremities: warm , well-perfused edema varicosities: none trace edema bilat neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: 2+ left: 2+ pertinent results: gall bladder u/s: impression: slightly distended gallbladder and wall edema but no evidence of stones. findings are equivocal for acute cholecystitis, however acalculous cholecystitis and further workup with hida scan is recommended if clinically indicated. impression: thick-walled gallbladder with a son sign consistent with acute cholecystitis. planned percutaneous cholecystostomy not performed in view of the patient's airway, the procedure has been re-scheduled for tomorrow under anaesthesia care. 05:40am blood wbc-5.6 rbc-3.18* hgb-10.2* hct-28.5* mcv-90 mch-32.0 mchc-35.7* rdw-17.1* plt ct-156 05:40am blood pt-26.6* inr(pt)-2.5* 04:25am blood pt-21.3* inr(pt)-2.0* 05:40am blood urean-15 creat-0.9 na-132* k-3.0* cl-98 03:39am blood alt-21 ast-19 ld(ldh)-187 alkphos-70 amylase-18 totbili-0.4 03:39am blood lipase-20 05:40am blood mg-1.8 brief hospital course: mrs. was admitted via the emergency room w/ 2 day history of increasing upper quadrant abdominal pain and lack of appetite. a ruq ultrasound revealed acute cholecystitis. general surgery was consulted and given her recent replacement of ascending aorta and hemiarch/maze on a percutaneous cholecysteostomy tube was placed. coumadin (for afib) was held and her inr drifted down prior to the procedure. she was started on iv cipro and flagyl, then abx dced per general surgery.her coumadin was resumed on . her diet was advanced to regular heart healthy which she is slowly tolerating. on hd # 7 she was cleared for discharge to rehab. target inr 2.0-2.5 for a fib. she is to f/u with dr. in 2 weeks( please call for appt). na+ on day of discharge 132. will be monitored at rehab. medications on admission: docusate sodium 100 mg po bid, aspirin 81 mg daily, metoprolol tartrate 25 mg po bid, amiodarone 200 mg twice a day, decrease to 200 mg daily in 1 week, warfarin 1 mg tablet po once a day: please titrate for goal inr of .5 for atrial fibrillation, acetaminophen 325 mg two (2) tablet po q6h discharge medications: 1. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): right neck extending toward right shoulder along sternocleomastoid muscle track . 2. warfarin 1 mg tablet sig: one (1) tablet po daily (daily): dose today 1 mg only then all further daily dosing per rehab provider;target inr 2.0-2.5 for a fib. 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 4. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 6. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day): please monitor weights and bun/creatinine/k+ / sodium daily . 7. potassium chloride 20 meq tablet, er particles/crystals sig: two (2) tablet, er particles/crystals po once a day: hold for k+ > 4.5. 8. outpatient lab work k+/ na+ daily until stabilized on lasix dosing 9. outpatient lab work please check potassium and magnesium levels sunday with pt/inr 10. fluid restriction please fluid restrict and monitor na+ daily until completely normalized discharge disposition: extended care facility: for the aged - macu discharge diagnosis: ascending aortic aneurysm s/p replacement atrial fibrillation s/p maze and laa ligation cholecystitis past medical history: dyslipidemia hypertension diverticulosis past surgical history: cataract surgery, bladder suspension discharge condition: discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema- none 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 2) please no lotions, cream, powder, or ointments to incisions 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4) 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 5) no lifting more than 10 pounds for 10 weeks 6) females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 2.0-2.5 first inr draw sunday and then as clinically indicated. coumadin follow-up with dr. please arrange prior to discharge from rehab. **you have a percutaneous cholecystostomy tube in place. if you should have any problems, please call dr. ( general .).please call for f/u appt in 2 weeks. followup instructions: you are scheduled for the following appointments dr. (general surgery for biliary drainage tube) you have a percutaneous cholecystostomy tube in place. if you should have any problems, please call dr. ( general .).please call for f/u appt in 2 weeks. please call to schedule appointments with your cardiologist: dr. in 3 weeks - primary care dr in weeks labs: pt/inr for coumadin ?????? indication atrial fibrillation goal inr 2.0-2.5 first inr draw sunday and then as clinically indicated. **coumadin follow-up with dr. . please arrange prior to discharge from rehab. **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: percutaneous aspiration of gallbladder diagnoses: unspecified essential hypertension atrial fibrillation other and unspecified hyperlipidemia long-term (current) use of anticoagulants acute cholecystitis diverticulosis of colon (without mention of hemorrhage) 

Answer: The patient is high likely exposed to