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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: urgent mitral valve replacement(27 st. mechanical)and closure of ostium secundum atrial septal defect left and right heart catheterization, coronary angiogram, left ventriculogram insertion of intraaortic balloon pump history of present illness: this is a 57 year old white female with known moderate to severe mitral regurgitation who presented to complaining of a cold with fever and short of breath. she had started to have some difficulty when she laid down at night over the previous 3 weeks. this has progressively worsened over last few days and she noted that she had developed a fever. in the ed at a cxr showed bilateral infiltrates with bilateral pleural effusions, ekg showed a lbbb. saturations in ed were down to 89%. initially she was placed on a non rebreather and subsequetly was intubated for increasing work of breathing. blood cultures x2 were drawn and patient given 1 gram vancomycin given at hours the day of transfer. past medical history: partial flail lealet mv on echo hypercholesterolemia social history: unknown, intubated on arrival family history: unknown, intubated on arrival physical exam: admission: pulse: 82 sr resp: 20 o2 sat: 100% b/p right: 137/80 general: intubated skin: dry intact no rash heent: perrla eomi neck: supple full rom chest: rales heart: rrr irregular iv/vi systolic murmur across precordium abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: moderate varicosities bilaterally, no edema none neuro: sedated, moves all extremities pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit: right: murmur radiates to right carotid left: murmur radiates to right carotid pertinent results: 05:40am blood wbc-8.2 rbc-3.31* hgb-9.4* hct-28.0* mcv-85 mch-28.5 mchc-33.8 rdw-14.7 plt ct-192 05:40am blood glucose-93 urean-10 creat-0.5 na-137 k-3.8 cl-101 hco3-31 angap-9 05:40am blood plt ct-192 03:15am blood pt-12.9 inr(pt)-1.1 06:25am blood wbc-8.8 rbc-3.36* hgb-9.7* hct-29.5* mcv-88 mch-28.8 mchc-32.8 rdw-14.3 plt ct-530*# 06:25am blood glucose-88 urean-6 creat-0.6 na-142 k-3.9 cl-106 hco3-30 angap-10 06:25am blood pt-24.6* ptt-69.6* inr(pt)-2.4* 08:45am blood pt-21.6* ptt-68.6* inr(pt)-2.0* 06:35am blood pt-24.8* ptt-124.2* inr(pt)-2.4* 07:20am blood pt-21.7* ptt-72.1* inr(pt)-2.0* 07:32pm blood pt-21.5* ptt-65.2* inr(pt)-2.0* 01:00pm blood pt-21.3* ptt-64.1* inr(pt)-2.0* 03:30am blood pt-19.8* ptt-134.3* inr(pt)-1.8* 07:36pm blood pt-19.0* ptt-59.7* inr(pt)-1.7* brief hospital course: this 57 year old white female a history of moderate/severe mitral valve prolapse presented to an outside hospital with dyspnea. she was intubated for respiratory distress. on echo she was found to have wide open mitral valve regurgitation with an ef of 50%. she was transferred to the ccu at for further care. echo showed worsened mitral valve regurgitation. she underwent a cardiac cath which revealed no evidence of coronary disease along with right and left heart failure and pulmonary hypertension. chest x-ray showed pulmonary edema likely secondary to mr resulting in dyspnea/respiratory distress. an iabp was placed for afterload reduction in conjunction with lasix diuresis. a swan ganz catheter was also placed to assess hemodynamics but was discontinued in the icu. she was initially on vancomycin for possible endocarditis but this was discontinued after echo showed no endocarditis. culture data at both and was negative. she was brought to the operating room on where she underwent mitral valve replacement and atrial septal defect closure. please see operative report for surgical details. her bypass time was 94 minutes with a crossclamp time of 73 minutes, she tolerated the operation well and weaned from bypass on epinephrine, propofol and neo synephrine infusions. she was transferred to the cardiac surgery icu, in stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. pressors were weaned off on post-op day one her iabp and chest tubes were removed. on postop day two she continued to be doing well and was transferred to the telemetry floor for further care and advancement of physical activity. epicardial pacing wires and foley were removed per protocol. she worked with physical therapy to increase her strength and mobility. she was anticoagulated for her mechanical mitral valve. the remainder of her hospital course was uneventful. she wa snoted to have a right foot drop and complained of mild paresthesias on pod 3. a splint was ordered and she continued to progress with her activity. a neurology consult was obtained and a mri of the lumbar soine was unremarkable. she felt that the strength was improving and the weakness was felt to be dur to local nerve trauma from catheterization and/or the iabp. heparin was begun on pod 3 as coumadin was adjusted. when the inr was 2.4 the heparin was stopped. arrangements were made for the heart center clinic to follow her coumadin dosing, with a target inr of 2.5-3.5. out patient pt will be continued. as she has no cardiologist, her primary care doctor will refer her to one for long term follow up.medications, precautions and follow up were discussed prior to her discharge. medications on admission: at home: tylenol prn discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 weeks. disp:*56 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. simvastatin 40 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). disp:*30 tablet(s)* refills:*2* 7. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. oxycodone-acetaminophen 5-325 mg tablet sig: 0.5-1 tablet po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*30 tablet(s)* refills:*0* 9. coumadin 5 mg tablet sig: as directed tablet po once a day: daily as directed. disp:*100 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: mitral valve regurgitation atrial septal defect s/p urgent mitral valve replacement and closure of ostium secundum atrial septal defect congestive heart failure hypercholesterolemia right foot drop discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with percocet prn sternal wound healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments surgeon; dr. on at 1pm () primary care:dr. on as scheduled contact dr. for a cardiologist referral wound check appointment - 6 () - your nurse will schedule heart center will regulate your coumadin dosing. please go there in the morning and 17. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnostic ultrasound of heart open and other replacement of mitral valve implant of pulsation balloon other and unspecified repair of atrial septal defect pulmonary artery wedge monitoring nonoperative removal of heart assist system diagnoses: pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases acute respiratory failure cardiogenic shock ostium secundum type atrial septal defect acute systolic heart failure leukocytosis, unspecified other acquired deformities of ankle and foot 

Answer: The patient is high likely exposed to