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: shellfish derived attending: chief complaint: sob major surgical or invasive procedure: avr (27 mm mosaic ultra porcine)/cabg x 1 (svg to plb) bronchoscopy history of present illness: 53 yo m with history of htn, hyperlipidemia, bicuspid aortic valve and aortic insufficiency with worsening shortness of breath. pt states that he was diagnosed in with aortic insufficiency and bicuspid valve, but has not had any repeat echocardiograms since that time. the patient was referred to dr. for complaints of worsening shortness of breath and echo showed severe as with 0.4cm2 and 4+ai. pt presents today for elective preop cardiac catheterization and surgical consult for avr. past medical history: biscuspid aortic valve with severe aortic stenosis and aortic insufficiency sleep apnea (did not tolerate cpap) hypertension hyperlipidemia le claudication seasonal allergies gerd hx of left forearm, right collar bone fractures without . cervical disc disease, on percocet anxiety etoh abuse age 6 mva with head injury h/o pericarditis early . past surgical history: s/ptonsillectomy s/p neck lymph node removal social history: last dental exam:1-2 years ago lives with:wife, has 2 children occupation:business consultant in automotive industry tobacco:+ 2ppd x 40 yrs etoh:4-5 beers/day recreational drug use: denies family history: father died from an mi age 67 physical exam: pulse:91 resp:16 o2 sat: 98% ra b/p right:133/21 left:130/91 height:5'8" weight:227 lbs general: skin: dry heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly , mae, follows commands pulses: femoral right: 1+ left:1+ dp right: 1+ left:1+ pt : 1+ left:1+ radial right: 1+ left:1+ carotid bruit right: left: pertinent results: conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic . the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is on low dose and av paced for slow sr. preserved biventricularsystolic fxn. the prosthetic aortic valve is well-seated with no leak and no ai. residual mean gradient = 13. trace mr. . i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 14:25 , h m 53 radiology report chest (pa & lat) study date of 9:01 am , fa6a 9:01 am chest (pa & lat) clip # reason: evaluate for effusion medical condition: 53 year old man with s/p cabg avr reason for this examination: evaluate for effusion final report study: ap chest . history: 53-year-old man status post cabg and avr. evaluate for effusion. findings: the right-sided central venous catheter has a lead tip in the mid svc unchanged. the cardiac silhouette is enlarged but stable. there is no signs for overt pulmonary edema. there is no pneumothoraces, focal consolidation or pleural effusions. dr. approved: sat 11:03 am 05:15am blood wbc-14.1* rbc-3.24* hgb-10.4* hct-30.2* mcv-93 mch-32.0 mchc-34.3 rdw-13.8 plt ct-630* 02:28am blood pt-13.7* ptt-26.7 inr(pt)-1.2* 05:15am blood glucose-102 urean-14 creat-0.6 na-132* k-4.0 cl-98 hco3-26 angap-12 brief hospital course: the patient was admitted and underwent avr(tissue)/cabgx1(svg->plb) on . he tolerated the procedure well and was transferred to the cvicu on neo and propofol. he was difficult to oxygenate on his postoperative night and had a bronchoscopy for copious secretions. the patient did not tolerate propofol weaning and would become extremely agitated. he remained intubated and was started on valium and tube feedings on pod#2. his chest tubes were discontinued and he was hemodynamically stable. precedex was attempted as well, but the patient spiked temps to 103 with this medication. he received aggressive respiratory therapy and diuresis for the next few days and slowly improved. it was felt that the patient was suffering from dts and percocet withdrawal. he was extubated on pod#6 and remained extremely agitated. he was stated on clonidine and methadone and eventually became more oriented. h. flu grew from his sputum and he was treated with ampicillin. he was transferred to the floor on pod# 9 and his valium and methadone were weaned. he was discharged to home in stable condition on pod#10. medications on admission: atenolol 50mg daily every morning lipitor 20mg daily every morning nexium 40mg daily every morning fluoxetine 40mg daily every morning hctz 25mg daily every morning lisinopril 5mg daily every morning oxybutynin chloride 10mg every morning percocet 5mg-325mg 1.5 tablets every afternoon aspirin 81mg daily every morning mvi discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. 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:*2* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). disp:*60 capsule(s)* refills:*2* 5. therapeutic multivitamin liquid sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). disp:*30 patch weekly(s)* refills:*2* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*1 inhaler* refills:*2* 10. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). disp:*60 tablet sustained release(s)* refills:*2* 11. 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* 12. ciprofloxacin 250 mg tablet sig: two (2) tablet po q12h (every 12 hours) for 7 days. disp:*28 tablet(s)* refills:*0* discharge disposition: home with service facility: tba discharge diagnosis: as/ai s/p avr /cabg x 1 cad bicuspid av sleep apnea (did not tolerate cpap) hypertension hyperlipidemia le claudication seasonal allergies gerd left forearm/clavicle fxs without . anxiety mva with head injury @ age 6 pericarditis 's cervical disc dz etoh abuse discharge condition: stable discharge instructions: no driving for one month and off all narcotics no lifting greater than 10 pounds for 10 weeks no lotions, creams or powders on any incision shower daily and pat incisions dry call for fever greater than 100, redness,drainage or weight gain of 2 pounds in 2 days or 5 pounds in 1 week followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks please call for all appts. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery insertion of endotracheal tube (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft closed [endoscopic] biopsy of bronchus combined alcohol and drug detoxification diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux tobacco use disorder opioid type dependence, continuous acute respiratory failure unspecified sleep apnea hypoxemia congenital insufficiency of aortic valve pneumonia due to hemophilus influenzae [h. influenzae] other and unspecified alcohol dependence, continuous alcohol withdrawal delirium cervical spondylosis without myelopathy acute bronchospasm 

Answer: The patient is high likely exposed to