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: sulfonamides / ilotycin / gentamicin attending: chief complaint: mr, a fib major surgical or invasive procedure: s/p mvr,maze history of present illness: this is an 81 year-old male who had been followed by his cardiologist for several years with progression of mitral regurgitation, development of atrial fibrillation. he was referred for surgical intervention and after the risks and benefits of the procedure were discussed with the patient, the patient elected to proceed with surgery. past medical history: mitral regurgitation (see above) atrial fibrillation s/p cardioversion x2; treated with amiodarone until stopped 3 weeks ago h/o endocarditis () - low level consitutional sx without fever or peripheral stigmata. multiple bcx positive for strep bovis. treated with 2 wks of penicillin and gentamicin. renal insufficiency (cr 1.6) hypothyroidism ( amiodarone) hypertension hypercholesterolemia social history: the patient lives in with his wife. they are both retired, and spend their in . he gets plenty of exercise, walking ~3 miles per day. he also plays golf, walking from hole to hole. he denies ever smoking or using illicit drugs. he drinks only non-alcoholic beer. family history: no known history of valvular heart disease. pertinent results: 07:15pm blood wbc-7.1 rbc-3.96* hgb-13.1* hct-37.3* mcv-94 mch-33.2* mchc-35.2* rdw-13.3 plt ct-269 05:50am blood wbc-8.9 rbc-2.72* hgb-9.1* hct-26.1* mcv-96 mch-33.4* mchc-34.7 rdw-14.8 plt ct-212 05:50am blood pt-24.3* inr(pt)-2.4* 05:50am blood plt ct-212 05:50am blood glucose-84 urean-24* creat-1.2 na-131* k-3.8 cl-98 hco3-26 angap-11 general comments: suboptimal image quality - poor echo windows. conclusions: 1. the left atrium is moderately dilated. the right atrium is markedly dilated. 2. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. 3. the aortic root is moderately dilated. the ascending aorta is moderately dilated. 4. the aortic valve leaflets are mildly thickened. 5. a bioprosthetic mitral valve prosthesis is present. the prosthetic mitral leaflets appear normal. the transmitral gradient is normal for this prosthesis. 6. compared with the prior study (images reviewed) of , the prosthetic valve is new. electronically signed by , md on 15:39. physician: brief hospital course: mr. was taken to the operating room on where she underwent an mvr/mazw with a 31 mm mosaic pericardial tissue valve. he was transferred to the sicu in critical but stable condition. patient was weaned to extubate that night on pod0 without difficulty. patient continued to be in afib post-op, so his amiodarone was conitued (iv topo on pod1) adn bblocker, aspirin, and diuresis were started on pod1 as per protocol and patient was transferred to the floor on pod1 after ct & med tubes were dc'd. optho consult was obtained on pod2 seeing flashing lights (and pt will f/u as outpt). patient continued to do well. lopressor and and lasix were increased on pod3. patient had a questionable syncopal episodes, so catotid dopplers were obtained which were negative, serial hematocrtis were followed, and echo obtained on pod4 (see results section). coumadin for afib was started on pod3. patient remained in house whiel he became therapeutic on his inr. foley was dc'd on pod4 without issue and patient got 2 u of blood for a low hct - he bumped appropriately. patient was discharged home on pod6 in good condition with pt and instructions to have his coumadin checked on tues and firday this week. medications on admission: coumadin, colchicine 0.5', cozaar 100", lasix 40', levoxyl 100', lipitor 10', nasacort, nifedipine cr 30', toprol xl 75' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. 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* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 9. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. disp:*28 tablet(s)* refills:*0* 10. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 11. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 12. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 13. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 14. warfarin 2.5 mg tablet sig: one (1) tablet po at bedtime for 10 days: please have your level checked on tuesday at coumadin clinic. disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: s/p mvr,maze cri hypothyroidism afib gout mr discharge condition: good discharge instructions: please call the office if you experience fever>101.5, severe nausea, vomitting, pain, gain more than 2lbs/day or 5lbs in 1 week. no heavy lifting for a few weeks no driving while on narcotics please have your coumdain level checked on tues and friday this week at the clinic followup instructions: provider: , follow-up appointment should be in 1 month provider: , . follow-up appointment should be in 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach open and other replacement of mitral valve with tissue graft transfusion of packed cells diagnoses: anemia, unspecified pure hypercholesterolemia mitral valve disorders unspecified essential hypertension unspecified acquired hypothyroidism gout, unspecified atrial fibrillation chronic kidney disease, unspecified long-term (current) use of anticoagulants unspecified visual disturbance 

Answer: The patient is high likely exposed to