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, chest pain major surgical or invasive procedure: iabp placement history of present illness: 49 year old male with h/o severe mr s/p mvr , s/p avr due to endocarditis in , redo bioprosthetic avr for endocarditis recurrence, cad s/p cabg with svg to rca and svg to lad, htn who presented to the ed at with chest pain and dyspnea, n/v, loose stools. pt initially received sl ntg and asa in ambulance on way to er and was on cpap. bp 170/100 on presentation, hr 80 in sr. ecg showed ste anterior leads with lateral depressions. tte done in ed and seen by cardiology. cxr with pulmonary edema and given 80 iv lasix, became hypotensive to 80. he was given 2l ivf, sbp improved to 100. blood and urine cx's sent, given vanco and gentamicin. he subseqently developed rapid afib to 110, became more dyspneic and was intubated. became hypotensive to 60s in setting of intubation. a-line was placed with sbp 107, transferred to ccu. on arrival pt was hypotensive to 70's, started on levophed, l femoral central line placed. pt was transferred to cath lab for emergent iabp, in addition r sided cath revealed severe mr. during this time, increasing difficulty with ventilation and hypercarbic acidosis, despite attempts at various types of ventilation, limited by resp pressure in high 40's. pt was paralyzed with vecoronium to aid with ventilation. after iabp added, sbp improved to 90's, however continued difficulty oxygenating, abg ph 7.06/79/83. pcw 41, fick ci 2.78. on evaluation, pt is intubated and sedated. past medical history: #cad s/p cabg (svg->lad, svg->rca) #mvr s/p mv repair and mechanical mvr #hx aortic endocarditis s/p avr ', redo bioprosthetic avr in ' for recurrent endocarditis #h/o embolic stroke with episodes of endocarditis. #h/o paroxysmal atrial fibrillation in the setting of endocarditis. # dm ii # chronic pseudomonal respiratory colonization, utis. # hx hypercalcemia on pamidronate # seizure disorder since age of 12. the patient has been seizure free on keppra. # chronic malnutrition. # depression. # recurrent aspiration. # bowel dysmotility, previously on reglan and erythromycin. # h/o fungemia. # tracheal-cutaneous fistula: s/p closure # h/o right hemicolectomy. # h/o type 1 renal tubular acidosis. # h/o gastric outlet obstruction by gj tube abutting pylorus. # h/o anoxic encephalopathy. # chronic intermittent chemical pancreatitis. # h/o severe esophagitis # s/p choclear implant () for deafness. # left eye blindness. . cardiac risk factors: diabetes, dyslipidemia, hypertension cath : 4+ mr, 60% lvef lad mid-segment competitive flow from patent svg which is patent, rca occluded at origin, svg patent. ci 2.78, pcw 41 . cardiac cath performed on demonstrated: 1. two vessel native coronary artery disease. 2. patent svg to lad. 3. moderate origin stenosis of svg to rca. 4. moderate pulmonary systolic arterial hypertension. 5. giant v waves consistent with mitral regurgitation. 6. preserved cardiac index (ci 2.9, pcwp 16). social history: no reported history of iv drug use, had edentulation after initially presented with endocarditis in '. no smoking hx. lives alone family history: nc. no history of stroke. physical exam: vs: t 97.1, bp 98/73, hr 118 sinus tach , rr , on pcv 100%/434/40/peep 12 on pip 48 at 1:1.5 ratio, plateau 25. gen: intubated, sedated heent: puplis symmetrical, consitricted, minimally reactive neck: supple with elevated jvp while flat cv: regular, tachy, difficult to ascultate given baloon pump active. chest: no chest wall deformities, scoliosis or kyphosis. bs bilateral, + crackles b/l when auscultated anteriorly abd: soft, nd, no hsm or tenderness. ext: r groin with baloon pump, l groin with tlc skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: palpable dp and pt b/l pertinent results: 08:30pm pt-36.8* ptt-38.9* inr(pt)-3.9* 08:30pm plt count-226 brief hospital course: 49 year old male with h/o severe mr s/p mvr , s/p avr due to endocarditis in , redo bioprosthetic avr for endocarditis recurrence, cad s/p cabg with svg to rca and svg to lad, htn found to be in cardiogenic shock due to acute severe mr in setting of volume overload with extreme difficulty mantaining oxygenation and adequate map. . # cardiogenic shock/multiorgan failure due to acute mr due to severe mr, on triple pressors (dopa 5, ne 0.3 to 0.4, vaso 2.4), lasix gtt (15), iabp. multiorgan failure, kidney (creat 3.1 to 4.2), liver (inr 6 to 13, bili 4.6 to 7.6), cardiac, and pulmonary function is all trending down. patient was currently not a surgical candidate per ct surgery. decision made my hcp (brother) and family to withdraw care. patient expired with family present on at 2100. autopsy to be performed, consent given by son . medications on admission: asa 81mg daily atorvastatin 10mg daily metoprolol 50mg warfarin 5mg daily amiodarone 200mg daily- postop atrial fib, stopped lisinopril 10mg daily- primarily for afterload reduction in the context of severe mr, stopped keppra 500mg pantoprazole 40mg daily reglan 10mg qid docusate senna bisacodyl prn discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of endotracheal tube other bronchoscopy arterial catheterization implant of pulsation balloon dilation of esophagus diagnoses: acidosis coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation other convulsions acute respiratory failure mechanical complication due to heart valve prosthesis cardiogenic shock unspecified hearing loss long-term (current) use of anticoagulants pulmonary congestion and hypostasis unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure 

Answer: The patient is high likely exposed to