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: betadine attending: chief complaint: non-specific malaise major surgical or invasive procedure: mitral valve repair history of present illness: mr. is a very nice 36-year-old man with known mitral valve prolapse for approximately the last four years. he was always told he had a heart murmur since childhood but was not diagnosed with mitral valve prolapse until when he was worked-up for dizziness. more recently he developed a febrile illness following in which consisted of a few weeks of fever, sweats and cough. he had significantly exerted himself for several hours shoveling snow and came ill a day or two later. he was ultimately diagnosed with pneumonia and placed on antibiotics. around the same time, he had obtained a new primary care physician and given his history of mitral valve prolapse, an echocardiogram had been electively scheduled for further follow-up. this revealed a newly-flail posterior mitral leaflet with severe regurgitation, a dilated left ventricle and pulmonary hypertension. as this was found in conjunction with his febrile illness and he had his teeth cleaned several weeks prior, there was a concern for endocarditis however work-up was negative. currently he admits to fatigue and overall not feeling well the last few months. he does not have any chest discomfort, palpitations, orthopnea or exertional dyspnea. due to echocardiographic evidence of early lv decompensation with dilation, he has been referred for cardiac surgery and was first evaluated . past medical history: - mitral valve prolapse with mitral regurgitation - secondary pulmonary hypertension by echo - hypertension - mild chronic thrombocytopenia - status post surgery for herniated lumbar disc age 19 social history: race: caucasian last dental exam: late /early - no prophylaxis lives with: wife who is a physician : real estate attorney tobacco: denies etoh: social use. few glasses wine/week family history: father mi in his mid/ate 50's. mom with . physical exam: pulse: 73 99% sat r 120/76 l 130/75 height: 72" weight: 235 general: wdwn in nad skin: warm, dry and intact. no lesions or rashes. small incision well healed on lower back. heent: ncat, perrla, eomi, sclera anicteric, op benign. teeth in good repair. neck: supple full rom chest: lungs clear bilaterally heart: rrr, nl s1-obscured s2, iv/vi holosystolic murmur. cardiac pmi is displaced laterally. abdomen: soft non-distended non-tender bowel sounds + ;no hsm/cva tenderness extremities: warm , well-perfused no edema varicosities: superficial spider varicosities noted. neuro: grossly intact; mae strengths, nonfocal exam pulses: femoral right:1+ left:2+ dp right:2+ left:2+ pt :1+ left:1+ radial right:2+ left:2+ carotid bruit right: transmitted left: none pertinent results: echo: prebypass: the left atrium is dilated. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is severely dilated. overall left ventricular systolic function is mildly depressed (lvef= 40-45 %). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened with more severe thickening of the posterior leaflet with flail of the p2 and p3 scallops. an eccentric, anteriorly directed jet of severe (4+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). there is no pericardial effusion. postbypass: the patient is in sinus rhythm and on an infusion of norepinephrine. there is an annuloplasty ring in the mitral position which appears well-seated. mitral regurgitation is now trace. mean gradient is 3 mmhg at a co of 6.4 l/min. biventricular systolic function is preserved. other valvular findings are unchanged. the thoracic aorta is intact post decannulation. dr. was notified in person of the results at the time of the study. 06:10am blood wbc-8.5 rbc-3.91* hgb-10.9* hct-32.2* mcv-82 mch-27.8 mchc-33.9 rdw-12.9 plt ct-124* 06:10am blood plt ct-124* 06:10am blood urean-11 creat-0.7 na-136 k-4.3 cl-100 06:10am blood mg-2.2 brief hospital course: mr. was a same day admission and was brought directly to the operating room where he underwent a mitral valve repair. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later that day he was weaned from pressors. he awoke neurologically intact and extubated. his chest tubes were removed and he was transferred to the surgical step down floor. he developed post operative afib on pod#3 which lasted approx 12 hrs and converted to sr w/ iv amiodarone. couamdin was not started. his platelet count was low (77) but he has a history of thrombocytopenia. hit was negative. he was started on betablockade and diuresed toward his pre-operative weight. he was evaluated by physical therpay for strength and conditioning and was discharged to home on pod#4. all instructions were advised and appointments made. medications on admission: amoxicillin prn dental discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. amiodarone 200 mg tablet sig: two (2) tablet po twice a day: 400mg twice daily for 5 days then 400mg daily for 7 days then 200mg ongoing until your are instructed to stop. disp:*120 tablet(s)* refills:*2* 8. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 7 days. disp:*14 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: mitral valve prolapse/regurgitation s/p mitral valve repair past medical history: secondary pulmonary hypertension by echo - hypertension - mild chronic thrombocytopenia - status post surgery for herniated lumbar disc age 19 discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage edema- trace 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: you are scheduled for the following appointments surgeon: dr. on at 1;30pm cardiologist: dr. on 9:20am please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: thrombocytopenia, unspecified mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia cardiac complications, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation phlebitis and thrombophlebitis of upper extremities, unspecified 

Answer: The patient is high likely exposed to