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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement (21 mm pericardial) history of present illness: 74 year old female with history of hypertension, aortic valve stenosis secondary to biscuspid aortic valve who has been followed with echocardiograms over last 1-2 years. recently she has noticed some dyspnea on exertion when going up hills. her most recent echocardiogram showed worsening aortic stenosis. past medical history: aortic stenosis bicuspid aortic valve hypertension asthma retinal detachment retinal vein occlusion actinic keratosis neuropathy sciatica vertigo fracture-thoracic compression-t12 osteoporosis hypothyroidism, thyroid mass diverticulosis cataracts lipoma lumbar spinal stenosis sacroiliac join pain hip bursitis s/p hysterectmoy s/p tonsillectomy social history: lives with: husband occupation: professor tobacco: denies etoh: 1 glass wine/day family history: brother and gf with bav, no premature cad physical exam: general: no acute distress skin: warm dry intact heent: ncat perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 4/6 sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: 04:53am blood hct-27.7* 04:10am blood wbc-6.6 rbc-3.16* hgb-9.5* hct-27.3* mcv-86 mch-30.1 mchc-34.8 rdw-14.3 plt ct-110* 04:53am blood na-135 k-4.2 cl-104 04:10am blood glucose-94 urean-15 creat-0.6 na-133 k-4.5 cl-99 hco3-27 angap-12 intra-op tee prebypass 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 normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. physiologic mitral regurgitation is seen (within normal limits). postbypass lv systolic function is hyperdynamic. there is a well seated, well functioning bioprosthesis in the aortic position. no aortic insufficiency is visualized. the remaining study is unchanged from prebypass. brief hospital course: admitted same day surgery and underwent aortic valve replacement, see operative report for further details. she received cefazolin for perioperative antibiotics and was taken to the intensive care unit for post operative management. in the first twenty four hours she was weaned from sedation, awoke neurologically intact, and was extubated without complications. she continued to progress and was started on betablockers. she continued to progress. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating, but deconditioned, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to rehab in good condition with appropriate follow up instructions. medications on admission: montelukast 10 mg daily fosamax 70 mg every other week. lisinopril-hydrochlorothiazide 20-25 mg once a day fluticasone-salmeterol 500-50 disk one puff levothyroxine 50 mcg daily simvastatin 20 mg daily calcium 1,250 tablet twice a day. multivitamin once a day. lidoderm 5 % patch once a day as needed for pain. albuterol sulfate inhaler 2 puffs every six (6) hours as needed for shortness of breath or wheezing. discharge medications: 1. 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:*0* 2. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. fosamax 70 mg tablet sig: one (1) tablet po once a week. disp:*5 tablet(s)* refills:*0* 5. advair diskus 500-50 mcg/dose disk with device sig: one (1) inhalation twice a day. disp:*qs qs* refills:*0* 6. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 8. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 weeks. disp:*90 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q6h (every 6 hours). disp:*qs * refills:*2* 11. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). disp:*30 adhesive patch, medicated(s)* refills:*2* 12. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: limit 4grams apap per day. disp:*60 tablet(s)* refills:*0* 13. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 14. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: aortic stenosis s/p avr hypertension asthma retinal detachment retinal vein occlusion actinic keratosis neuropathy sciatica vertigo fracture-thoracic compression-t12 osteoporosis hypothyroidism diverticulosis lumbar spinal stenosis sacroiliac join pain hip bursitis 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 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 tuesday, 1:45pm please call to schedule appointments with your cardiologist: dr. in 4 weeks primary care dr. , p. 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 and other replacement of aortic valve with tissue graft diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism asthma, unspecified type, unspecified aortic valve disorders other specified cardiac dysrhythmias other and unspecified angina pectoris osteoporosis, unspecified congenital insufficiency of aortic valve mononeuritis of unspecified site unspecified cataract spinal stenosis, lumbar region, without neurogenic claudication cardiomegaly 

Answer: The patient is high likely exposed to