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: increasing fatigue major surgical or invasive procedure: avr ( 29 mm mosaic ultra porcine) history of present illness: 72 year old man s/p episode of bacterial endocarditis in , treated at hospital in . an echocardiogram from done in ,nj demonstrated aortic stenosis with a peak gradient of 36mmhg and a calculated valve area of 1. since that time he has had echocardiograms ( & ) that have been consistent with moderate as. a more recent echo revealed severe as. cardiac surgery consulted for surgical correction. past medical history: -aortic valve endocarditis() -aortic stenosis -hernia-left(scheduled for repair-) social history: lives with:married 2 children occupation:retired corporate financial officer tobacco: none etoh: 2 drinks/day recreational drug use: none family history: father died of mi @75yo physical exam: admission physical exam: pulse: 66 resp: 18 o2 sat: 98%-ra b/p right: 143/85 left: height: 5'9" weight: 175 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 4/6 sem abdomen: soft non-distended non-tender +bowel sounds extremities: warm , well-perfused edema: none -eccymotic area left groin below cath site, soft and nontender varicosities: none neuro: grossly intact- nonfocal exam pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit-radiated murmur pertinent results: 07:00am blood wbc-10.5 rbc-3.12* hgb-10.2* hct-29.8* mcv-96 mch-32.7* mchc-34.2 rdw-13.4 plt ct-156 07:00am blood glucose-105* urean-20 creat-1.1 na-136 k-4.8 cl-100 hco3-30 angap-11 07:00am blood mg-2.6 pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 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). trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is a-paced, on no inotropes. there is a prosthetic valve in the aortic position, well-seated with no ai and no leak. residual mean gradient = 7 mmhg. mr . preserved biventricular systolic fxn. aorta intact. the tip of the sg catheter is at the pa bifurcation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 11:02 04:50am blood hct-28.2* 04:40am blood wbc-6.7 rbc-3.02* hgb-9.9* hct-28.3* mcv-94 mch-32.6* mchc-34.8 rdw-13.2 plt ct-208 04:50am blood pt-15.7* inr(pt)-1.4* 04:50am blood urean-20 creat-0.9 na-139 k-4.4 cl-104 brief hospital course: admitted and underwent aortic valve replacement 29-mm mosaic tissue valve with dr. . please refer to operative report for further details. he transferred to the cvicu in stable condition. he awoke neurologically intact and was extubated later that afternoon. weaned off all drips and beta-blocker/statin/asa and diuresis was initiated. all lines and drains were discontinued in a timely fashion. mr. was transferred to the floor on pod #1 to begin increasing his activity level.physical therapy was consulted for strength and mobility. postoperatively mr. went into a fib and was treated with amiodarone and coumadin. he continued to make good progress and was cleared for discharge to home with vna on pod 5. target inr is 2.0-2.5 for atrial fibrillation, to be followed by dr. . all followup appointments were advised. medications on admission: -omega 3 fatty acids -coenzyme q10 -glucosamine chondroitin discharge medications: 1. 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:*1* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 4 days: 400 mg through ; then 400 mg daily - ; then 200 mg daily ongoing. disp:*60 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 2 weeks. disp:*14 tablet(s)* refills:*0* 6. warfarin 2.5 mg tablet sig: one (1) tablet po once (once) for 1 doses. disp:*1 tablet(s)* refills:*0* 7. warfarin 1 mg tablet sig: md to order tablet po once daily at 4 pm: inr goal >2 for atrial fibrillation. disp:*120 tablet(s)* refills:*2* 8. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: aortic stenosis s/p avr aortic valve endocarditis left. ing. hernia ( pre-op for surgery) postop a fib discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage edema ............ discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication a fib goal inr 2.0-2.5 first blood inr draw results to dr. phone followup instructions: you are scheduled for the following appointments surgeon: dr. phone: date/time: 1:15 cardiologist:dr. , 1:00pm please call to schedule appointments with your: primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication a fib goal inr 2.0-2.5 first draw with results called to 6- ,, then to be called in on monday to: results to dr. phone procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: other iatrogenic hypotension cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders pulmonary collapse surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) other specified analgesics and antipyretics causing adverse effects in therapeutic use drug-induced psychotic disorder with hallucinations 

Answer: The patient is high likely exposed to