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: novocain / aspirin / strawberry / shrimp attending: chief complaint: dyspnea on exertion major or invasive procedure: 1. aortic valve replacement with a size 21 mm - magna tissue valve. 2. coronary artery bypass graft times 3, left internal mammary artery to the left anterior descending artery and saphenous vein grafts to diagonal and obtuse marginal arteries. 3. endoscopic harvesting of the long saphenous vein. history of present illness: ms. is a 66 year old woman with known as and mr who developed sudden onset shortness of breath, wheezing diaphoresis. she denies pain. on ems arrival she was hypertensive with a systolic blood pressure of 200mmhg. in the ed she ruled in for a myocardial infarction by enzymes. past medical history: coronary artery disease diabetes morbid obesity chronic diastolic heart failure moderate as mild-moderate mr multiple back surgeries, thoracic lumbar bolts in back and neck shoulder replacement debridement of r 4th and 5th fingers s/p tenosynovectomy osteoporosis social history: lives with:husband, financially supports her son and his wife contact: phone #( occupation:retired cigarettes: smoked no yes last cigarette 45 years ago hx:for ten years other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week denies illicit drug use family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. father died of prostate cancer. mother died of colon and liver cancer. physical exam: pulse:66 resp:18 o2 sat:98% 1l b/p right:141/84 height: 5'2" weight:97.4kg general: skin: dry intact multiple raised areas across chest heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ii/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right:1+ left:1+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right: - left:- pertinent results: 08:25am blood wbc-15.8* rbc-3.31* hgb-9.6* hct-29.6* mcv-89 mch-28.9 mchc-32.3 rdw-15.1 plt ct-243 08:25am blood glucose-113* urean-19 creat-0.8 na-136 k-4.1 cl-99 hco3-27 angap-14 03:03am blood glucose-149* urean-22* creat-1.0 na-137 k-4.0 cl-102 hco3-26 angap-13 03:03am blood wbc-17.3* rbc-3.43* hgb-10.0* hct-30.1* mcv-88 mch-29.0 mchc-33.0 rdw-15.4 plt ct-218 08:25am blood mg-1.9 brief hospital course: the patient was brought to the operating room on where she underwent avr, cabg x 3 with dr. . see operative note for further details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. post-operative day one found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. she was started on plavix instead of aspirin due to a history of aspirin allergy. the patient was evaluated by the physical therapy service for assistance with strength and mobility. she was restarted on her home medications of ciprofloxacin and prednisone. by the time of discharge on post-operative day four the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. she was discharged to home with appropriate follow up instructions. medications on admission: atenolol - 25 mg tablet - one tablet(s) by mouth twice a day b and d ultrathin needles - - use twice a day ciprofloxacin - 500 mg tablet - 1 tablet(s) by mouth twice a day darifenacin - (prescribed by other provider: ) - 15 mg tablet extended release 24 hr - 1 tablet(s) by mouth once a day exenatide - (prescribed by other provider: ) - 10 mcg/0.04 ml per dose pen injector - 10 mcg twice a day glyburide - 5 mg tablet - tablet(s) by mouth qam and 1 tablet by mouth qpm levothyroxine - 112 mcg tablet - 1 tablet(s) by mouth once a day meloxicam - 15 mg tablet - 1 tablet(s) by mouth once a day metformin - 1,000 mg tablet - 1 tablet(s) by mouth twice a day naproxen - 500 mg tablet - 1 tablet(s) by mouth twice a day - no substitution nifedipine - 60 mg tablet extended rel 24 hr - 1 tab(s) by mouth once a day increased to 90 mg per card oxybutynin chloride - (prescribed by other provider) - 10 mg tablet extended rel 24 hr - tablet(s) by mouth oxycodone - 5 mg tablet - tablet(s) by mouth q4-6h as needed for pain do not drive or drink alcohol while taking this medication. sedating. oxycodone-acetaminophen - 5 mg-325 mg tablet - 1 to 2 tablet(s) by mouth every 4-6 hours as needed for pain do not drink alcohol, drive, or take tylenol. #bb-os paroxetine hcl - 40 mg tablet - 1 tablet(s) by mouth once a day pravastatin - 80 mg tablet - 1 tablet(s) by mouth once a day prednisone - - 2 tabs once a day 5mg quinapril - 40 mg tablet - 1 tablet(s) by mouth once a day spironolacton-hydrochlorothiaz - 25 mg-25 mg tablet - 1 tablet(s) by mouth once a day triamcinolone acetonide - 0.1 % cream - apply to affected area twice a day for 2 weeks, avoid face skin folds and groin discharge medications: 1. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 2. paroxetine hcl 40 mg tablet sig: one (1) tablet po once a day. 3. enablex 15 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 4. levothyroxine 112 mcg tablet sig: one (1) tablet po once a day. 5. pravastatin 80 mg tablet sig: one (1) tablet po once a day. 6. glyburide 5 mg tablet sig: one (1) tablet po take 0.5 tablets (2.5mg) in the morning and 1 tablet (5mg) at night. 7. byetta 10 mcg/0.04 ml pen injector sig: one (1) subcutaneous twice a day. 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. quinapril 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 10. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 12. lasix 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*2* 13. prednisone 10 mg tablet sig: one (1) tablet po once a day. 14. cipro 500 mg tablet sig: one (1) tablet po twice a day. 15. meloxicam 15 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease diabetes morbid obesity chronic diastolic heart failure moderate as mild-moderate mr history multiple back surgeries, thoracic lumbar bolts in back and neck shoulder replacement debridement of r 4th and 5th fingers s/p tenosynovectomy osteoporosis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg, left - 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 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 1:30pm cardiologist:dr. at on at 2pm 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** md procedure: 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: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism mitral valve insufficiency and aortic valve stenosis chronic diastolic heart failure 

Answer: The patient is high likely exposed to