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: penicillins attending: chief complaint: fatigue and doe major surgical or invasive procedure: redo avr with 23 mm ce pericardial valve history of present illness: 80 yo male with avr in . followed by serial echos and has had increasing aortic stenosis of the prosthetic valve. cath in showed 0.6cm 2. referred for redo avr. past medical history: avr l cea r cataract surgery elev. chol. htn as niddm tia gout cvd renal insufficiency social history: lives with wife, retired never used tobacco, one drink per week family history: mother with chf physical exam: hr 74 r 100/66 l 98/60 66" 190 # nad, well- healed sternotomy ble scb and skin discoloration ncat, perrl, eomi no jvd, transmitted murmur to carotids s1 s2, 3/6 sem cta bilat. abd. unremarkable , bs present superficial sv in ble neuro grossly intact, mae strengths pertinent results: 06:10am blood glucose-169* urean-33* creat-1.2 na-137 k-3.8 cl-98 hco3-31 angap-12 06:10am blood wbc-6.1 rbc-3.41* hgb-10.1* hct-30.8* mcv-90 mch-29.5 mchc-32.6 rdw-15.1 plt ct-90* 06:10am blood plt ct-90* 04:45am blood k-4.1 04:45am blood mg-2.1 04:23am blood freeca-1.21 brief hospital course: admitted same day on and underwent redo avr with pericardial valve by dr. .pre-operatively in the or, dr. from urology was able to deflate the penile prosthesis so a foley catheter could be passed safely. transferred to csru in stable condition on levophed, milrinone, and propofol drips. extubated early next morning with good hemodynamics.pod #1- on nipride and milrinone. he was also on an insulin drip.milrinone wean continued.on pod #2, off all drips, swan removed, and chest tubes removed prior to transferring to the floor. diuresis started as well as beta blockade and ace inhibitor. he was alert and oriented. he had a productive cought and pulmonary toilet was encouraged. captopril increased for ef 30%. on pod #4, ra sat 94%. lopressor increased, and he was encouraged to increase his ambulation.narcotic pain meds caused him so confusion, so discomfort handled with tylenol. he made excellent progress and was discharged to home with vna on in stable condition. medications on admission: allopurinol 300 mg daily atenolol 50 mg daily metformin 100 mg qam metformin 500 mg qpm asa 325 mg daily amiloride 50 mg every other day lipitor 10 mg every other day lisinopril 10 mg daily 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. 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* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. captopril 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 30 doses. disp:*30 tablet(s)* refills:*0* 11. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: as s/p avr s/p cea hyperlipidemia hypertension cri(1.2-1.4) cad niddm tia gout s/p right cataract surgery discharge condition: good. discharge instructions: shower, wash incision with soap and water and pat dry. no lotions, creams, powders, or baths. call with fever, redness or drainage from incisions, or wieght gain more than 2 pounds in one day ro five in one week. no lifting more than 10 pounds or driving until follow up with surgeon. p instructions: dr. 4 weeks dr. 2 weeks provider: where: cardiac services phone: date/time: 1:00 provider: , m.d. where: cardiac services phone: date/time: 4:30 procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders 

Answer: The patient is high likely exposed to