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: haloperidol attending: chief complaint: dyspnea major surgical or invasive procedure: aortic valve replacement (25mm mosaic ultra-porcine) history of present illness: 63 yo m with h/o aortic stenosis with c/o dyspnea on exertion referred for left and right heart cath. past medical history: htn ^lipids nstemi schizophrenia with depression diabetes on insulin hepatitis, remote history s/p aspiration pneumonia, treated with antibiotics left ventricular diastolic dysfunction aortic stenosis gerd anxiety bilateral hearing loss eczema h/o skin cancer + bph per pt, bullet still at base of spine- not removed during surgery social history: b& , middle of 6 kids, dad was an abusive alcoholic. pt. attended prep school. after graduation worked for turnpike for several years. he's been on disability for >20yrs. pt said he has been living in a group home in for the past five years. family history: unknown physical exam: physical exam pulse:62 resp:18 o2 sat: b/p right:119/76 left:124/76 height:5'" weight:185 lbs general:alert & oriented x 3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur holo-sys ,w/radiation to carotids abdomen: soft non-distended non-tender bowel sounds + , no masses extremities: warm , well-perfused edema 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: 06:00am blood wbc-14.4* rbc-3.23* hgb-9.2* hct-27.5* mcv-85 mch-28.5 mchc-33.5 rdw-14.3 plt ct-242 06:00am blood wbc-12.6* rbc-3.33* hgb-9.3* hct-28.1* mcv-85 mch-28.1 mchc-33.2 rdw-14.2 plt ct-204# 07:40am blood wbc-16.3* 06:00am blood glucose-209* urean-20 creat-0.9 na-140 k-4.2 cl-106 hco3-26 angap-12 pre-bypass: 1. a left-to-right shunt across the interatrial septum is seen at rest. a secundum type atrial septal defect is present. 2. there is moderate 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%). 3. right ventricular chamber size and free wall motion are normal. 4. the number of aortic valve leaflets cannot be determined. 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. 5. trivial mitral regurgitation is seen. 6. there is a trivial/physiologic pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is being a paced. 1. biventricular function is intact 2. a bioprosthesis is well seated in the aortic position. leaflets move well. trace central ai is noted. mean gradient is < 10 mm of hg. 3. aortic contours appear intact post decannulation 06:15am blood wbc-12.4* rbc-3.45* hgb-9.4* hct-29.6* mcv-86 mch-27.4 mchc-31.9 rdw-13.8 plt ct-283 09:16pm blood glucose-212* urean-20 creat-1.1 na-138 k-4.2 cl-99 hco3-31 angap-12 brief hospital course: on mr. an aortic valve replacement with a 25mm mosaic ultra porcine valve. please see the operative note for details. he tolerated this procedure well and was transferred in critical but stable condition to the surgical intensive care unit. he was extubated and weaned from his pressors. his psych meds were restarted. chest tubes were removed. on post-operative day two he was transferred to the step down floor. epicardial wires were removed. he was placed on vancomycin/zosyn for a presumed pneumonia, but as he remained afebrile, his leukocytosis resolved, and his chest radiograph improved these antibiotics were discontinued at discharge. by post-operative day seven he was ready for discharge to home with services. medications on admission: amlodipine 10 mg daily nr clonazepam 0.5 mg clozapine 100 mg tablet 3 tablet(s) by mouth daily hydrocortisone 2.5 % cream apply to rectal area as needed (prescribed by other provider) insulin lispro protam & lispro 100 unit/ml (75-25) suspension 24 units in the am, 14 units in the pm twice daily metoprolol tartrate 25 mg polyethylene glycol 3350 17 gram (100 %) powder in packet one packet(s) by mouth twice daily as needed for prn simvastatin 40 mg daily aspirin 325 mg daily omeprazole magnesium 20 mg tablet, delayed release (e.c.) daily discharge medications: 1. clozapine 100 mg tablet sig: three (3) tablet po hs (at bedtime). 2. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(s)* refills:*0* 4. 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:*2* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. prilosec otc 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 7. metoprolol succinate 100 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). disp:*60 tablet sustained release 24 hr(s)* refills:*2* 8. insulin lispro protam & lispro 100 unit/ml (75-25) insulin pen sig: twelve (12) units subcutaneous once a day: 75/25 insulin 12 units daily in the morning until otherwise directed by your endocrinologist. disp:*qs units* refills:*2* 9. lasix 40 mg tablet sig: one (1) tablet po twice a day for 10 days: assess for need for further diuresis at end of course. disp:*20 tablet(s)* refills:*2* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 10 days. disp:*20 tab sust.rel. particle/crystal(s)* refills:*2* 11. polyethylene glycol 3350 17 gram (100 %) powder in packet sig: one (1) po once a day. discharge disposition: home with service facility: city psych vna discharge diagnosis: aortic stenosis s/p aortic valve replacement this admission discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. (cardiac surgery) in 4 weeks () dr. , (pcp) in 1 week dr. (cardiologist)in weeks please call for appointments wound check appointment 6 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: esophageal reflux unspecified pleural effusion aortic valve disorders unspecified schizophrenia, unspecified dysthymic disorder personal history of other malignant neoplasm of skin old myocardial infarction heart disease, unspecified contact dermatitis and other eczema, unspecified cause 

Answer: The patient is high likely exposed to