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: heparin agents attending: chief complaint: fevers, fatigue major surgical or invasive procedure: left and right heart catheterization, coronary angiogram multiple dental extractions placement of intra aortic balloon mitral valve replacement, maze,ligation of left atrial appendage history of present illness: this 78 year old white male has had essentially no medical for 20 plus years. he was told in the early summer he had dental abscesses but declined intervention then. he recalls fever at the time, despite a 10 day course of antibiotics. he eventually underwent dental surgery and received another 10 day course of antibiotics. he now presented to with fever and malaise and a murmur was appreciated. an echocardiogram was concerning for mitral vegetation and after being cultured was begun on vancomycin and unasyn. he was then transferred for further evaluation. echcardiography and cardiac catheterization were performed and a flail posterior mitral leaflet was seen. denatal extarctions were performed after an intra aortic balloon was placed for stabilization. infectious disease was consulted as well. . past medical history: dental abscess social history: lives alone in , family he performs all adls independently. works as a chaplain in a prison. smoked for approx 30 years, quit 35 years ago. remote h/o occasional etoh, none for the past 30 years. family history: no h/o premature coronary disease or stroke. father and mother both had heart disease, unsure what type. sister passed away from heart disease at 73. physical exam: admission exam general: pleasant, frail-appearing elderly man in nad. oriented x3. heent: ncat. mm dry. sclera anicteric. perrl, eomi. poor dentition. neck: jugular veins distended, jvp above earlobe. cardiac: irregularly irregular, normal s1, s2. harsh iv/vi holosystolic murmur heard best at lls border. +rv heave, +palpable thrill. lungs: pectus excavatum. no accessory muscle use. bibasilar crackles, r>l. diffuse rhonchi. abdomen: soft, ntnd. +bs. no abdominial bruits. extremities: cool. no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ dp 1+ pt 1+ left: carotid 2+ femoral 2+ dp 1+ pt 1+ . discharge exam pertinent results: tte (): dilated atria. mild symmetric left ventricular hypertrophy with normal cavity size and preserved global and regional systolic function. probable flail posterior mitral leaflet with at least moderate to severe mitral regurgitation. severe tricuspid regurgitation in the presence of a possible septal leaflet vegetation. at least moderate pulmonary artery systolic hypertension (ivc not visualized). tee ():flail posterior mitral valve with severe mitral regurgitation. no vegetation, mass, or thrombus seen. ruq ultrasound (): 1. extremely dilated hepatic veins and ivc, and pulsatile pv flow, findings suggestive of right heart failure, tricuspid insufficieny and congestive hepatopathy secondary to cardiac dysfunction. 2. no definite hepatic mass or abscess. 3. large right pleural effusion. 4. limited examination of the pancreas, biliary tree, and gallbladder. cardiac cath (): 1. selective coronary angiography of this right dominant system demonstrated no angiographically apparant coronary artery disease. 2. resting hemodynamics demonstrated significantly elevated right and left sided filling pressures, with a mean ra pressure of 22 mmhg, a rvedp of 22 mmhg, a mean pa prssure of 39 mmhg, and a mean pcwp of 22 mmhg. 3. the cardiac output/index were severely reduced to 1.9/1.0 4. svr and pvr were elevated 5. an iabp was inserted in the right femoral artery 6. a 8 french venous sheath was sutured in place. brief hospital course: following admission the infectious disease service was consulted. several tees failed to reveal mitral vegetations, but did demonstaret a flail posterior leaflet. antibiotics were continued. no coronary disease was found at catheterization and an intra aortic balloon was placed to stabilize hemodynamics and unload the ventricle. beta blockade was utilized to reduce his rapid ventricular rate in atrial fibrillation. multiple dental extaractions were completed as he was prepared for cardiac surgery. on he went to the operating room where valve replacement, maze and ligation of the left atrial appendage was performed. the tricuspid regurgitation was reduced to trace after mitral replacement. the balloon was retained and the right heart was severely impaired at the end of surgery, requiring milrinone, epinephrine and neo synephrine to wean from bypass. tissue culteres and ribosomal pcr samples were sent intraoperatively. vasopressin was added on the night of surgery. his iabp was removed on pod2 followed by worsening heart function- his pressor support was escalated and the intraortic balloon pump was reinserted. he stabalized mom but then developed a lactic acidosis and elevated liver function tests. he was seen by general surgery and brought to the operating room for an exploratory laparotomy and cholecysectomy. post-operatively he had acute renal failure requiring continuous venovenous hemodialysis. he also developed bilataterally cold lower extremity limbs and the iabp was removed. eventually, his toes became necrotic. he ultimately was found to have developed heparin antibodies and all heparin containing meds/catheters were stopped and he was started on argatroban. he continued to have an escalating pressor need and was hypothermic. blood cultures ultimately grew out albicans- he was started on antifungals at that time. a long discussion was carried out with family. given the fact that his prognosis was poor, and that his quality of life would be what the patient desired, even if he was to recover from the sepsis, the family decided to make this patient comfort measures only. his pressors were stopped and he expired shortly thereafter. he was pronounced at 15:40. medications on admission: started at : metoprolol tartrate 25mg po bid vancomycin 1000mg iv q18hours lovenox 60mg sc q12 hours furosemide 20mg iv daily levothyroxine 25mcg (unknown frequency) mgoh 10ml daily:prn constipation no meds at home discharge medications: expired discharge disposition: expired discharge diagnosis: heparin induced thrombocytyopenia mitral valve endocarditis mitral regurgitation tricuspid regurgitation atrial fibrillation acute renal failure hypothyroidism dental caries s/p mitral valve replacement,maze,ligation left atrial appendage s/p placement of intra aortic balloon s/p dental extractions s/p exploratory laparotomy and cholecystectomy fungal sepsis discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart hemodialysis excision or destruction of other lesion or tissue of heart, open approach cholecystectomy closed [endoscopic] biopsy of bronchus implant of pulsation balloon implant of pulsation balloon open and other replacement of mitral valve with tissue graft extraction of other tooth other surgical extraction of tooth operations on chordae tendineae diagnoses: acidosis hyperpotassemia mitral valve disorders acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia acquired coagulation factor deficiency unspecified acquired hypothyroidism atrial fibrillation other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure loss of weight cardiogenic shock other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus disseminated candidiasis calculus of gallbladder without mention of cholecystitis, without mention of obstruction other ascites ventilator associated pneumonia examination of participant in clinical trial dental caries, unspecified gangrene oliguria and anuria heparin-induced thrombocytopenia (hit) tricuspid valve disorders, specified as nonrheumatic chronic passive congestion of liver rupture of chordae tendineae hypothermia not associated with low environmental temperature pectus excavatum 

Answer: The patient is high likely exposed to