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: sulfa (sulfonamide antibiotics) / hydralazine attending: chief complaint: aortic stenosis. major surgical or invasive procedure: aortic valve replacement with a 19-mm magna ease aortic valve bioprosthesis. history of present illness: the patient is an 83-year-old woman with a history of progressively worsening aortic stenosis. the patient was referred for aortic valve replacement. past medical history: -esrd secondary to pauci-immune crescentric glomerulonephritis from hydralazine, on hd since (tu, th, sa) -afib, not on coumadin -hypertension -hyperlipidemia -aortic stenosis, severe -steal syndrome from her av fistula (l) -gout -gerd -age-related macular degeneration social history: -lives alone, independent in most adls, but daughter assists with shopping and some meals -tobacco: none -alcohol: none -illicits: none family history: -father: died at 80 of " problem" -mother: died at 89 of "something with her heart" -no history of rheumatologic illness, prostate, breast, ovarian, or colon cancer. physical exam: admission physical exam pulse:58 resp:18 o2 sat:98/ra b/p right:144/66 height:5' weight:128 lbs general:nad, alert, cooperative skin: dry intact multiple bruises, skin thin and fragile heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur - ii/vi sem across precordium abdomen: soft non-distended non-tender bowel sounds + well healed midline scar extremities: warm , well-perfused edema varicosities: none venous changes ble neuro: grossly intact pulses: femoral right: +2 left:+1 dp right:+2 left:+1 pt : +1 left:+1 radial right:+2 left:+2 carotid bruit right/left:murmur radiates to both carotids pertinent results: hct-31.5* wbc-5.8 rbc-3.54* hgb-10.8* hct-32.2* mcv-91 mch-30.3 mchc-33.4 rdw-17.1* plt ct-150 wbc-12.7*# rbc-3.25* hgb-9.8* hct-29.4* mcv-91 mch-30.1 mchc-33.2 rdw-18.6* plt ct-122* glucose-146* urean-43* creat-2.7* na-138 k-3.9 cl-98 hco3-27 urean-28* creat-2.4* na-143 k-3.8 cl-106 hco3-30 angap-11 calcium-8.4 mg-2.0 mrsa screen (final ): no mrsa isolated. echocardiogram prebypass 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. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is mildly depressed (lvef= 45-50%). the right ventricular cavity is mildly dilated with borderline normal free wall function. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is no pericardial effusion. postbypass the patient is av paced and is on a phenylephrine infusion. there is a new bioprosthesis in the aortic position. it is well seated without evidence of perivalvular leaks. there is no valvular regurgitation and the peak/mean gradients are 14/6 mmhg at a co of 5 l/min. mitral regurgitation and tricuspid regurgitation have decreased to mild. the thoracic aorta is intact post decannulation. cxr: : there has been interval removal of the right-sided chest tube with no evidence for pneumothorax. hemodialysis catheter and left internal jugular catheter are in unchanged positions. persistent cardiomegaly, interstitial edema and left pleural effusion with associated atelectasis are seen. impression: interval removal of right chest tube with no evidence for pneumothorax. 06:05am blood glucose-115* urean-54* creat-2.9* na-134 k-4.2 cl-96 hco3-27 angap-15 brief hospital course: on mrs was taken to the operating room and underwent aortic valve replacement with a 19-mm magna aortic valve bioprosthesis with dr.. cardiopulmonary bypass time: 86 minutes.cross clamp time:65 minutes.please refer to operative report for further surgical details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. she was extubated, alert, oriented and breathing comfortably on 4l nc 98%. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. on pod#2 the patient was transferred to the telemetry floor for further recovery. chest tubes were discontinued without complication on pod #2. respiratory: successfully extubated pod1. aggressive pulmonary toilet, nebs, incentive spirometer and ambulation were continued. her oxygen requirements improved to 92% on 2 l via nasal cannula. she was started on guaifenesin for a persistent non-productive cough. cardiac: pacing wires remained for a junctional rhythm until seen by electrophysiology. they reviewed all her rhythms which showed her in an escape junctional rhythm for more than a year without any events. she does have sick sinus syndrome but a stable escape rhythm. no pacemaker was needed at this time. no nodal agents were given. epicardial wires discontinued per ep. nutrition: she was seen by speech for a bedside swallow-exam on which she failed. they recommended keeping her npo. they re-evaluated her on and cleared her po diet, thin liquids and soft consistency solids. medications whole with liquids for which she tolerated. renal: she was followed the renal service for hd through right subclavian tunnel catheter. her last hd was 2.5l of fluid were removed. her next hd on tues . skin: the wound service was consulted for an area of 11 x 11 cm ecchymoses on either side of sternal incision and fragile skin. recommendations dsd no tape on ecchymotic area. on pod# 6 she was cleared by dr. for discharge to rehab. she was seen by physical and occupational therapy for evaluation of strength and mobility. she was discharged to in . she will follow-up with dr. , renal and her pcp as an outpatient. all follow up appointments were advised. medications on admission: amlodipine 7.5 mg daily, b complex-vitamin c-folic acid 1 mg daily, furosemide 40 mg daily, omeprazole 40 mg daily, ondansetron 4 mg by mouth every 8 hours as needed for nausea, simvastin 10 mg daily, aspirin 325 mg daily, calcium carbonate 260 mg (650 mg) twice a day discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 5. heparin (porcine) 1,000 unit/ml solution sig: one (1) injection prn (as needed) as needed for line flush. 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours). 9. guaifenesin 600 mg tablet extended release sig: one (1) tablet extended release po bid (2 times a day) as needed for cough. discharge disposition: extended care facility: at village discharge diagnosis: esrd secondary to pauci-immune crescentric glomerulonephritis from hydralazine, on hd since (tu, th, sa) paroxysmal afib/aflutter in during acute renal failure, loculated pericardial effusion. no coumadin steal syndrome from av fistula hypertension dyslipidemia gerd gout age-related macula degeneration discharge condition: no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be cleared to drive no lifting more than 10 pounds for 10 weeks 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 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: 1:00 in the building provider: , md phone: date/time: 2:00 clinical center follow-up with renal for hd on tues--sat. **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 hemodialysis open and other replacement of aortic valve with tissue graft diagnoses: end stage renal disease renal dialysis status cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation macular degeneration (senile), unspecified sinoatrial node dysfunction accidents occurring in residential institution chronic glomerulonephritis with other specified pathological lesion in kidney 

Answer: The patient is high likely exposed to