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: shortness of breath major surgical or invasive procedure: coronary artery bypass graft x 2 (lima to lad, svg to om), aortic valve replacement (27mm sjm biocor tissue valve) history of present illness: mr. is a 88yo man who presented with acute shortness of breath. found to have a nstemi with resultant congestive heart failure. thus admitted for furter work-up. past medical history: heart murmur, cervical spondylosis, gait disorder, abdominal aortic aneurysm (4.6cm), s/p hernia repair social history: recently moved to , in to visit his children and wife who is in a nursing home. no hx tobacco, alcohol. family history: non-contributory physical exam: temp 99.8 bp 128/83 p 70 rr 24 100%ra nad jvd to 10cm, no tm rrr nl s1s2 dem at upper right sternal border lungs with bl basilar rales abd soft nt nd, nabs ext wwp, no cce skin warm, w/o rash pertinent results: echo : the left ventricular cavity is dilated. there is mild regional left ventricular systolic dysfunction. resting regional wall motion abnormalities include basal to mid inferior/inferolateral hypokinesis. the aortic root is mildly dilated. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. moderate (2+) aortic regurgitation is seen. mild to moderate (+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric. there is mild pulmonary artery systolic hypertension. cardiac cath : selective coronary angiography revealed left main coronary artery disease. the lmca had an 80% ostial stenosis. the lad had a 40% stenosis proximally. the remainder of the lad and diagonal branches were without flow limiting disease. the lcx and om branches were without flow limiting disease. the rca was a dominant vessel without flow limiting disease. resting hemodynamics from right heart catheterization revealed normal right and left heart filling pressures (rvedp=6mmhg and mean pcwp=5mmhg). cardiac output and index were 4.0 l/min and 2.3l/min/m2 respectively. moderate systemic arterial hypertension. ct : moderate cardiomegaly. dilation of the ascending aorta to 4.2 cm without focal aneurysm. 4.3-cm infrarenal abdominal aortic aneurysm. eight-mm right lung base pulmonary nodule. small but functioning right kidney with mild dilatation of the calices and pelvis. the right ureter is not opacified, but there is no evidence of stones or mass. unremarkable left kidney. no cause for patient's hematuria identified. degenerative changes of the spine, including grade i anterolisthesis of l4 over l5 and chronic disc space narrowing at t12-l1 and l5-s1. 05:20am blood wbc-7.7 rbc-2.76* hgb-8.2* hct-25.1* mcv-91 mch-29.7 mchc-32.6 rdw-14.2 plt ct-256 04:55am blood wbc-8.9 rbc-3.04* hgb-8.9* hct-27.1* mcv-89 mch-29.2 mchc-32.7 rdw-14.1 plt ct-276 07:30am blood wbc-8.7 rbc-2.97* hgb-8.8* hct-26.5* mcv-89 mch-29.7 mchc-33.3 rdw-14.0 plt ct-270 05:20am blood plt ct-256 05:20am blood urean-33* creat-1.9* k-4.4 04:55am blood glucose-111* urean-35* creat-1.9* na-141 k-4.1 cl-101 hco3-31 angap-13 08:10am blood glucose-127* urean-33* creat-1.9* na-144 k-4.4 cl-102 hco3-33* angap-13 brief hospital course: he was transferred from the operating room in critical but stable condition on neosynephrine and epinephrine. he was weaned from his vasoactie drips and extubated by pod #2. he went into atrial fibrillation for which he was seen by eps, cardioverted and started on amiodarone. he remained in nsr for the remainder of his hospital stay. he was seen by speech and sdwallowing who initially recommended that he remain npo however repeat evaluation showed improvement with recommendations of pureed diet wand thin liquids and crushed pills. calorie counts were done and showed inadequate intake however, mr. refused a dht or peg. his family will come in to feed him 3 times per day since he eats the most when they are helping. he developed a uti for which he was treated with cipro, the urine culture showed a resistance to cipro/levo so he was switched to bactrim. medications on admission: flomax discharge medications: 1. tamsulosin 0.4 mg capsule, sust. release 24hr : one (1) capsule, sust. release 24hr po hs (at bedtime). 2. metoprolol tartrate 25 mg tablet : 0.5 tablet po bid (2 times a day). 3. docusate sodium 150 mg/15 ml liquid : one (1) po bid (2 times a day). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. acetaminophen 325 mg tablet : one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 6. oxycodone-acetaminophen 5-325 mg/5 ml solution : five (5) ml po every six (6) hours as needed. 7. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 8. warfarin 1 mg tablet : two (2) tablet po daily (daily) for 2 days: then check inr and dose for target inr of 2.0-2.5 (for afib). 9. potassium chloride 20 meq packet : one (1) packet po bid (2 times a day) for 7 days. 10. thiamine hcl 100 mg tablet : one (1) tablet po daily (daily). 11. lasix 20 mg tablet : one (1) tablet po twice a day for 7 days. 12. bactrim ds 160-800 mg tablet : one (1) tablet po once a day for 5 days. 13. amlodipine 5 mg tablet : one (1) tablet po daily (daily). 14. aspirin 325 mg tablet : one (1) tablet po daily (daily). 15. simethicone 80 mg tablet, chewable : 0.5 tablet, chewable po qid (4 times a day) as needed for gas pain. 16. phenazopyridine 100 mg tablet : one (1) tablet po tid (3 times a day) for 3 days. 17. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 18. furosemide 40 mg tablet : one (1) tablet po bid (2 times a day): 40 x 5 days, then decrease to qd. discharge disposition: extended care facility: & rehab center - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 2 aortic insufficiency s/p aortic valve replacement congestive heart failure myocardial infarction pmh: cervical spondylosis, gait disorder, abdominal aortic aneurysm (4.6cm), s/p hernia repair discharge condition: good discharge instructions: can take shower. wash incisions with water and gentle soap. gently pat dry. do not take a bath. do no apply lotions, creams, ointments or powder to incisions. do not drive for 1 month. do not lift greater than 10 pounds for 2 months. if you develop a fever or notice redness or drainage from incisions, please contact office immediately. followup instructions: dr. in 4 weeks. dr. in weeks procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of one coronary artery atrial cardioversion open and other replacement of aortic valve with tissue graft transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases other diseases of lung, not elsewhere classified surgical or other procedure not carried out because of patient's decision abdominal aneurysm without mention of rupture cervical spondylosis without myelopathy 

Answer: The patient is high likely exposed to