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: penicillins attending: chief complaint: dyspnea on exertion and fatigue major surgical or invasive procedure: : aortic valve replacement with . epic ultra porcine, coronary artery bypass graft surgery x 3 with lima--> left anterior descending, reverse saphenous vein graft --> ramus, posterior descending artery history of present illness: this is a 84 year old gentleman with known aortic stenosis who has been followed by serial echocardiograms. over the past several months, he had noted some fatigue and increasing shortness of breath. he has also developed some peripheral edema. an echocardiogram was performed which showed significnatly worsened aortic stenosis with early left ventricular dysfunction. a cardiac catheterization was performed which revealed left main and two vessel disease. given the progression of his symptoms and severity of his disease, he was referred for surgical management. cardiac catheterization @ nebh: left main 70-80%, lad 50%, rca 99%. lvef 52%. no mr. as, 0.76cm2 (peak/mean 38/33mmhg), trace->1+ ai. slightly dilated ascending aorta. pa 39/14 cardiac echocardiogram: lvef 50%, severe as, 0.7cm2, (peak/mean 75/53mmhg). trace/mild mr . trace tr. past medical history: aortic stenosis and coronary artery disease diabetes mellitus type ii hyperlipidemia hypertension infrarenal abd aortic aneurysm, 3.4cm history of gi bleed secondary gastric ulcer, 3-5 years ago history of pancreatitis prostate cancer, s/p xrt spinal stenosis s/p epidurals lumbar disc disease hard of hearing endoscopy, s/p cauterization of gastric ulcer right total hip replacement achilles tendon repair social history: race: caucasian last dental exam: several months ago lives with: wife : 20 , quit 30 years ago etoh: wine daily, no history of abuse family history: no premature coronary disease physical exam: pulse: 60 resp: 16 o2 sat: 97% bp 156/60 general: elderly male in no acute distress skin: dry intact - multiple areas of bruising noted heent: ncat perrla eomi neck: supple full rom jvd - none chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 sem noted radiating to carotids abdomen: soft non-distended non-tender bowel sounds + ventral hernia noted as well extremities: warm , well-perfused with chronic venous statsis changes bilaterally, slightly more erythema noted than before edema 1+ bilaterally varicosities: none neuro: grossly intact pulses: femoral right: 2 (with soft bruit) left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 2 carotid bruit: transmitted murmurs pertinent results: cardiac echocardiogram: lvef 50%, severe as, 0.7cm2, (peak/mean 75/53mmhg). trace/mild mr . trace tr. 03:44am blood wbc-11.3* rbc-3.69* hgb-11.4* hct-32.2* mcv-87 mch-30.9 mchc-35.4* rdw-15.3 plt ct-140* 03:44am blood glucose-78 urean-21* creat-1.0 na-134 k-4.0 cl-99 hco3-24 angap-15 03:44am blood calcium-8.5 phos-3.3 mg-3.0* brief hospital course: the patient was admitted to the hospital after a 10 day course of ciprofloxacin for urinary tract infection and brought to the operating room on where he underwent an aortic valve replacement and coronary artery bypass graft x 3. see operative note for full details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. he did have some post operative confusion and was given ativan and haldol which caused somnolence. all narcotics were discontinued and the patient was oriented and mentally clear by post operative day 2. on post operative day 2 he developed atrial fibrillation and ventricular bigeminy. he had a 15 beat run of ventricular tachycardia. he was started on amiodarone and subsequently this was stopped secondary to bradycardia. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he was started on levaquin for questionable aspiration per dr with copious secretions and white blood count increased to 13. he remained afebrile and white blood count had decreased at the time of discharge. sputum culture came back negative and antibiotics were stopped. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. he did have a small residual left apical pneumothorax on post chest tube pull cxr. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod#5 the patient was ambulating, the wound was healing and pain was controlled with tylenol. the patient was discharged to rehab in in good condition with appropriate follow up instructions. stop medications on admission: lisinopril 5mg daily hctz 25 mg daily lasix 20mg daily cardizem cd 180mg daily glipizide 10mg twice daily aspirin 81mg daily simvastatin 20mg daily fexofenadine 60mg prn ciprofloxacin - 10 day course, day 2 of 10 discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 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). 4. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po bid (2 times a day). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 8. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 9. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 10. glipizide 5 mg tablet sig: two (2) tablet po bid (2 times a day). 11. clobetasol 0.05 % cream sig: one (1) appl topical (2 times a day). 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 13. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 14. fexofenadine 60 mg tablet sig: one (1) tablet po prn. discharge disposition: extended care facility: lower discharge diagnosis: coronary artery disease, aortic stenosis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage leg left - healing well, echymotic, mildly pink, no drainage. edema: +2 le edema bilaterally- left greater than right. 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 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** followup instructions: you are scheduled for the following appointments surgeon: dr on at 1pm cardiologist: dr on at 3:15pm 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: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of malignant neoplasm of prostate aortic valve disorders unspecified transient mental disorder in conditions classified elsewhere paroxysmal ventricular tachycardia other and unspecified hyperlipidemia other specified cardiac dysrhythmias iatrogenic pneumothorax 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 abdominal aneurysm without mention of rupture hip joint replacement chronic total occlusion of coronary artery personal history of peptic ulcer disease cardiac rhythm regulators causing adverse effects in therapeutic use degeneration of lumbar or lumbosacral intervertebral disc 

Answer: The patient is high likely exposed to