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: morphine attending: chief complaint: infected icd lead major surgical or invasive procedure: icd removal and reimplantation history of present illness: this is a 33 yo male with pmhx of congenital heart defect s/p asd repair , s/p mv repair and then mechanical mvr (model number #), complicated by complete heart block s/p pacemaker, developed pacemaker-induced cardiomyopathy, upgraded to biventricular icd upgraded in , who presents with an infected, eroded, exposed lead to osh this am. . he initially noted a small pustule around the pocket 2 weeks ago. at that time, he had no fevers, chills, and denied pain or drainage from the site. he visited his outpatient cardiologist, dr. , 3 days prior to admission, and was started on keflex. he presented to osh ed today after he noticed that exposed leads after the pustule spontaneously drained. he denied any recent fever (highest temp 99f on friday), chills, sweats, or pain or redness at site. further denies trauma in the area. . he was noted to be afebrile, hr 75 (paced), bp 129/81, satting 99% on ra. prior to transfer, the patient was started on 1.25mg vancomycin q12 and ancef 1g q8. inr at the osh was noted to be 3.0, with goal inr 2.5 to 3.5. labs showed glucose of 136, bun of 13, creatinine of 0.69, sodium 139, potassium of 3.9, chloride of 106, bicarb of 26, wbc of 10.4, hemoglobin of 14.3, hematocrit of 41.5, platelets of 299,000. cxr showed no subcutaneous air and pacerleads looked intact. he was transferred to on the same day for hardware removal and reimplantation. . on arrival to the floor, patient was afebrile and comfortable, vs were 98.2, 117/80, 86, 18, 100% ra. he denies chest pain and shortness of breath. . past medical history: 1. cardiac risk factors: (-)diabetes, (-)dyslipidemia, (-)hypertension 2. cardiac history: *premium asd repair *mv repair *h/o afib *mvr and maze in c/b chb s/p ppm with pacemaker induced cm s/p *biv icd upgrade (ep-hx: ppm placement for chb post mvr; upgrade to biv icd afer noted to have cm (ef 45--->17%); , generator change, rv ppm and fidelis lead extraction)complicated by a hematoma . 3. other past medical history: none social history: lives with parents. works at shaws. independent of adls. family history: two sisters, both in good health. no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory physical exam: vs- 98.3 101/66 83 20 93% general- well appearing, nad. cardio- rrr, nl s1s2, +2/6 systolic murmur chest - surgical dressings cdi, left arm in sling resp- ctab anteriorly, no w/ra/rh, respirations unlabored. abd- s/nt/nd, nabs ext- no cce, dp 2+ b/l. pertinent results: 08:30pm wbc-9.9 rbc-4.90 hgb-14.8 hct-43.8 mcv-90 mch-30.2 mchc-33.8 rdw-13.3 08:30pm glucose-124* urea n-11 creat-0.8 sodium-139 potassium-3.7 chloride-103 total co2-30 anion gap-10 08:30pm calcium-9.9 phosphate-3.4 magnesium-2.2 chem admission: 08:30pm blood glucose-124* urean-11 creat-0.8 na-139 k-3.7 cl-103 hco3-30 angap-10 calcium-9.9 phos-3.4 mg-2.2 . coag 08:30pm blood pt-22.1* inr(pt)-2.1* 07:20am blood pt-18.2* inr(pt)-1.7* 06:45am blood pt-14.1* ptt-150* inr(pt)-1.3* . lfts: 07:20am blood alt-36 ast-39 alkphos-61 totbili-0.5 . vanc: 08:30pm blood 08:30pm blood vanco-8.9* 05:20pm blood vanco-5.9* . digoxin 07:20am blood digoxin-0.6* . . imaging: cxr () comparison: no comparison available at the time of dictation. findings: the lung volumes are normal. moderate cardiomegaly, status post valvular replacement. pacemaker in situ. no acute changes, notably no pulmonary edema, no pneumonia. no pleural effusions. the study and the report were reviewed by the staff radiologist. . tte (): the left atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is an inferobasal left ventricular aneurysm. overall left ventricular systolic function is moderately depressed (lvef= 35 %) secondary to inferior and posterior akinesis. the basal inferior and posterior walls are aneurysmal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. a bileaflet mitral valve prosthesis is present. at least moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. no valvular or wire-associated vegetation seen. . tee (): no mass/thrombus is seen in the left atrium or left atrial appendage. no mass or thrombus is seen in the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. there is moderate regional left ventricular systolic dysfunction with akinesis of the mid anteroseptal wall. there is moderate global left ventricular hypokinesis (lvef = 30-35 %). right ventricular cavity size is normal with mild global free wall hypokinesis. there are three aortic valve leaflets. there is no aortic valve stenosis. trace aortic regurgitation is seen. a mechanical mitral valve prosthesis is present. the motion of the mitral valve prosthetic leaflets appears normal. characteristic washing jets are seen. a mild paravalvular mitral prosthesis leak is probably present. moderate to severe tricuspid regurgitation is seen. the tricuspid regurgitation jet is eccentric and may be underestimated. no masses or vegetations are seen on the tricuspid valve. no masses or vegetations are seen on the icd/pacemaker leads in the right atrium and right ventricle. there is no pericardial effusion. . cxr right icd leads terminate in the right atrium and ventricle. again seen is a tubular structure overlying the left hemithorax that is presumably external to the patient. median sternotomy wires, and surgical clips are noted. the lungs are clear. there is mild cardiomegaly. brief hospital course: patient is a 33yo m w/ pmhx of congenital heart defect, s/p asd repair at age 2, mvr, pacemaker induced cariomyopathy, s/p icd placement who presents with an infected, eroded, exposed lead, s/p hardware removal and reimplantation. . active problems: # lead infection: upon presentation, the patient was afebrile with leads exposed in the left upper aspected of the chest with no surrounding erythema, palpable fluctuance, or purulence. the patient was started on iv cefepime and vancomycin under the guidance of infectious disease consult service. blood cultures were drawn daily while the infected and generator were in place. tte did not show evidence of valvular vegetations given the concern of wire-associated endocarditis. the patient was taken to the operating room for lead and generator extraction. blood cultures remained negative. cultures of the pocket grew propionibacterium acnes. his pocket was closed by plastic surgery on without complication. he then underwent a pacemaker replacement on his right anterior chest on with removal of the temporary pacing device. he is to continue antibiotic thearpy for 10 days following his new pacemaker placement, with linezolid and moxifloxacin. . # -induced cardiomyopathy: icd exchanged in . patient with an ef of 35%. followed by an outpatient cardiologist. his outpatient medications of lisinopril, metoprolol, and digoxin were initially held due to concern of hypotension. they were restarted at lower doses, including lisinopril 5mg daily and metoprolol tartrate 12.5mg . the patient's digoxin level was therapeutic when checked during admission. . # status post mechanical mvr: model number #. patient's goal inr 2.5-3.5. the patient was stopped on coumadin in the setting of intiating antibiotics (anticipate elevated inr) and started on a heparin drip. coagulation studies were followed through the admission, and the heparin drip was adjusted accordingly. his inr was 2.2 on day of discharge and heparin was stopped. he was discharged on 7.5mg warfarin daily. . transitional issues - he needs close monitoring of inr due to antibiotic use. he will have his inr checked at dr. office on monday. - he should followup with device clinic this week for interrogation and to have stitches removed. medications on admission: coumadin 5-7.5mg qday (inr goal 2.5-3.5) lisinopril 10mg digoxin 250mcg metoprolol succinate 100mg no longer takes asa discharge medications: 1. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 8 days. disp:*16 tablet(s)* refills:*0* 2. digoxin 250 mcg tablet sig: one (1) tablet po q12h (every 12 hours). 3. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. warfarin 2.5 mg tablet sig: three (3) tablet po once daily at 4 pm. 5. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*0* 6. moxifloxacin 400 mg tablet sig: one (1) tablet po once a day. disp:*8 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. -pocket infection 2. s/p asd repair 3. s/p mvr 4. induced cardiomyopathy 5. schf discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure to care for you at - . you were transferred to us for a -pocket infection. you were treated with antibiotics. you device was replaced. you will be on the antibiotics for 10 days after implantation. please note these medication changes to your medication: linezolid 600mg twice daily for 8 more days for infection moxifloxicin 400mg daily for 8 more days for infection reduce lisinopril to 5mg daily (this can be further discussed with dr. reduce metoprolol succinate to 25mg daily (this can be further discussed with dr. followup instructions: name: drew, location: cardiology center address: , , , phone: appointment: thursday 10:20am department: cardiac services please call to make an appointment on thursday or friday. with: device clinic building: sc clinical ctr campus: east best parking: garage name: np address: 450 veterans pkwy , east , phone: appointment: friday 1:00pm department: infectious disease when: friday at 10:30 am with: , md building: lm bldg () campus: west best parking: garage department: spine center when: friday at 2:45 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: diagnostic ultrasound of heart insertion of temporary transvenous pacemaker system implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] closure of skin and subcutaneous tissue of other sites other myectomy removal of lead(s) [electrode] without replacement automatic implantable cardioverter/defibrillator (aicd) check revision or relocation of cardiac device pocket diagnoses: other primary cardiomyopathies congestive heart failure, unspecified acute posthemorrhagic anemia hematoma complicating a procedure paroxysmal ventricular tachycardia heart valve replaced by other means hypotension, unspecified atrioventricular block, complete chronic systolic heart failure long-term (current) use of anticoagulants surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes infection and inflammatory reaction due to cardiac device, implant, and graft 

Answer: The patient is high likely exposed to