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: history of present illness: a 77-year-old woman with known as recently admitted for congestive heart failure underwent a balloon valvuloplasty on . post valvuloplasty, aortic valve area is 1.1 with a gradient of 10, discharged to home on . cardiac catheterization data - aortic valve area 0.6, gradient 43 with three vessel disease. echocardiogram from - ejection fraction of 45% to 50%, 2+ mitral regurgitation, 2+ tricuspid regurgitation and moderate to severe as. past medical history: 1. neurogenic bladder 2. diverticulosis 3. hypertension 4. restrictive lung disease on home o2 5. tonsillectomy and appendectomy both in the 6. multiple cervical and lumbar spine procedures 7. kidney repair in the 8. gastroesophageal reflux disease 9. complete heart block, status post pacemaker 10. bilateral mastectomies in the 11. hysterectomy in 12. left pneumonectomy due to lung cancer 13. multiple hand surgeries for arthritis. 14. left humeral fracture in 15. positive ppd medications prior to admission: 1. atenolol 12.5 mg po qd 2. cozaar 25 mg qd 3. ditropan 2.5 mg 4. prevacid 30 mg qd 5. 60 mg 6. aspirin 81 mg qd 7. atrovent metered dose inhalers 8. amoxicillin for urinary tract infection which was completed on . allergies: morphine from which she develops rash. cipro and levaquin from which she develops flu-like symptoms, including nausea and diarrhea. fentanyl from which she develops agitation. physical examination prior to admission: vital signs: heart rate 80 and regular, respiratory rate 24, blood pressure 159/62. height is 48 inches. weight is 88 pounds. general: frail appearing woman in no acute distress. skin: intact. head, ears, eyes, nose and throat: unremarkable. neck: limited range of motion. chest: clear to auscultation in the right lung field. heart: regular rate and rhythm, grade ejection murmur. abdomen: softly distended, nontender, positive bowel sounds. extremities: warm with no peripheral edema, limited mobility of the left arm secondary to a humeral fracture. no varicosities. neurologic: grossly intact. labs: all labs are pending. electrocardiogram is a v-paced rhythm. chest x-ray is also pending. hospital course: the patient is to be admitted as a postoperative admission for coronary artery bypass graft avr on . as stated previously, the patient was postoperative admit. on , she was admitted to the operating room at which time she underwent coronary artery bypass graft x2 with a saphenous vein graft to the lad and saphenous vein graft to distal rca, as well as an aortic valve replacement with a #19 pericardial valve. please see the operating room report for full details. the patient was transferred from the operating room to the cardiothoracic intensive care unit with an open chest. at that time, she had epinephrine at 0.5 mcg per kg per minute, levophed at 0.1 mcg per kg per minute, propofol, ............ and ............. the patient also had an anterior aortic balloon pump in place at 1 to 1. upon arrival in the csru, the patient was noted to have bright red blood per nasogastric tube. the gastrointestinal service was consulted and an esophagogastroduodenoscopy was done. unfortunately, the patient was unstable during the esophagogastroduodenoscopy and the procedure had to be aborted before completion. no source of gastrointestinal bleeding was noted in the stomach. blood was pooled in the cardia. there was no blood in the antrum or the duodenum. during her cardiac procedure and subsequent upper gastrointestinal bleed, the patient received a total of 13 units of packed red blood cells, 12 units of platelets and 10 units of fresh frozen plasma on the day of her surgery. over the next several days, the patient remained in the cardiothoracic intensive care unit sedated and paralyzed. hemodynamically, she continued to slowly improve and was weaned from some of her cardioactive drugs. on postoperative day 3, she returned to the operating room. at that time, her balloon pump remained in place,however she was able to have her chest closed. she returned from the operating room to the cardiothoracic intensive care unit again with propofol, neo-synephrine and intra-aortic balloon pump at 1 to 1. this patient was hemodynamically stable upon arrival to cardiothoracic intensive care unit for the course of the evening and night. following closure, the patient was weaned from all cardioactive drugs. on the morning of postoperative day 4 and 1, she was weaned from the intra-aortic balloon pump which was ultimately discontinued without any hemodynamic compromise. following the removal of the intra-aortic balloon pump, all sedation was discontinued. the patient was weaned from full support mechanical ventilation to pressure support ventilation. neurologically, the patient was slow to awaken for her sedation. she as initially unresponsive and over the next several days, regained the ability to follow commands. two days following chest closure, the patient's chest tubes were removed. on postoperative day 3 and 6, the patient's swan-ganz catheter was removed. on postoperative 7 and 4, the patient was transferred from the cardiothoracic intensive care unit to the surgical intensive care unit for continuing postoperative care in an intensive care unit environment. over the next several days, the patient was slowly weaned from pressure support ventilation and ultimately on , she was successfully extubated. following extubation, the patient remained in the intensive care unit where we closely monitored her respiratory status. several days following extubation a swallow study was performed which the patient felt initial plans were made to have a peg placed, however, decision was made not to place peg. her nasogastric feeding tube was changed to a dobbhoff tube. the patient remained in the intensive care unit throughout the rest of her hospital course due to weakness and her high risk of aspiration. on , it was decided that as stable and ready for transfer to rehabilitation center of continuing postoperative care and cardiac rehabilitation. at the time of transfer, the patient's physical exam is as follows: vital signs: temperature 96.1??????, heart rate 90 av placed, blood pressure 155/75, respiratory rate 24, os2 %100 on 2 liters nasal oxygen. weight preoperatively is 89.5 pounds, at discharge it s 116 pounds. lab data on : white count 8.6, hematocrit 34, platelets 168, od 147, potassium 3.9, chloride 102, co2 28, bun 33, creatinine 0.4, glucose 137. chloride 111, co2 28, bun 33, creatinine 0.4. physical exam: general: alert and responsive, follows some commands. respiratory: breath sounds clear to auscultation on the right, no breath sounds on the left. cor: regular rate and rhythm, s1, s2. sternum: stable, incision with steri-strips open to air, clean and dry. abdomen: soft, nontender, nondistended with positive bowel sounds. extremities: warm and well perfused with 2+ edema and dopplerable pulses bilaterally. discharge medications: 1. lopressor 50 mg 2. heparin 5000 units subcutaneous 3. ............ 4 mg q hs 4. colace 100 mg 5. enteric coated aspirin 325 qd 6. lansoprazole 30 mg qd 7. regular insulin sliding scale 8. dulcolax suppository 1 pr qd prn discharge diagnoses: 1. as status post avl with #19 pericardial valve 2. coronary artery disease, status post coronary artery bypass graft x2 with a saphenous vein graft to the lad and the saphenous vein graft to the distal rca. 3. hypertension 4. diverticulosis 5. restrictive lung disease 6. kidney repair 7. neurogenic bladder 8. complete heart block status post permanent pacemaker 9. gastroesophageal reflux disease 10. bilateral mastectomies 11. status post left pneumonectomy 12. status post hysterectomy 13. status post appendectomy allergies: cipro and levofloxacin from which she gets flu-like symptoms. morphine from which she gets a rash and fentanyl from which she develops agitation. also listed in ace inhibitor for which no reaction is listed. follow up: the patient is to have follow up with dr. in one month and follow up with her primary care provider, . , in three to four weeks following discharge from rehabilitation. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries intraoperative cardiac pacemaker diagnostic ultrasound of heart other esophagoscopy open and other replacement of aortic valve other repair of chest wall implant of pulsation balloon other operations on thorax diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders urinary tract infection, site not specified aortic valve disorders primary pulmonary hypertension other specified complications of procedures not elsewhere classified hemorrhage of gastrointestinal tract, unspecified 

Answer: The patient is high likely exposed to