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: 58 year old white male s/p cabg in with tvr and multiple hospitalizations for chf over past 6 months. major surgical or invasive procedure: tricuspid valve replacement with 33mm ce thermafix pericardial valve history of present illness: 58 year old white male s/p cabgx4 in with a 6 month history of tr and chf. he has had 3 admissions for chf since and is treated with torsemide. an echo revealed an lvef of 25%, diffuse hypokinesis, trace ai and severe tr. cardiac cath showed an lvef of 25%, 3 patent grafts, and a 50% lesion in the pda graft. he is now admitted for tvr. past medical history: s/p cabgx4 s/p mi s/p bil. thr s/p bil. detached retinal surgeries s/p bil. cataract . obesity afib chf ischemic cardiomyopathy htn gerd ra ^chol. cri social history: lives with wife and daughter cigs: quit 15 years ago etoh: 3 glasses wine per day family history: cad physical exam: gen: wdwn in nad avss heent: nc/at, perla, eomi, oropharynx has upper dentures, benign neck: supple, from, +jvd, no lymphadenopathy or thyromegaly, carotids 2+=bilat. without bruits. lungs: clear to a+p cv: irrr without r/g +m abd: obese, soft, nontender, without masses or hepatosplenomegaly ext: without c/c/e, severe varicosities on bil. le, well healed surgical scars on leg and l radial site. neuro: nonfocal pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 10:55am 8.9 3.67* 11.8* 34.8* 95 32.1* 33.8 16.0* 342# differential neuts bands lymphs monos eos baso atyps metas 10:55am 71.9* 20.3 3.6 3.9 0.4 red cell morphology hypochr macrocy 10:55am 1+ 1+ basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 10:55am 342# chemistry renal & glucose glucose urean creat na k cl hco3 angap 03:45pm 95 56* 1.8* 138 3.9 97 26 19 inr: 2.4 brief hospital course: the patient was admitted on for tricuspid valve replacement and on he underwent a right thorocotomy and tricuspid valve replacement with a 33mm ce thermafix pericardial valve. total bypass time was 97 mins. and patient was transferred to the csru on propofol, milrinone, and levophed in stable condition. he had thick, copious secretions post op and was bronched. he was hypoxic and hypotensive and required ^peep. the milrininone was d/c'd on pod#3 as well as his chest tubes. he continued to have thick, copious secretions with frequent bronchs and required sedation. he was followed by the heart failure service at this time as well. he had a r pneumothorax on pod#5 and had a chest tube placed. he was eventually evaluated by infectious disease as he ws spiking temps to 105 without a clear source. he was continued on vanco and zosyn. he only grew out e. coli in the sputum. he had a full course of antibiotics and eventually defervessed and his tee was negative. he developed a l gluteal necrotic area which has been packed with duoderm gel and foam. he was eventually extubated on pod#15 and continued to require aggressive respiratory therapy and diuresis. he was confused and his mental status waxed and waned. he was evaluated by the electrophysiology service and dr. wants the patient to go to rehab, and when he is ready to be discharged from rehab to home, he wants him readmitted to his service and evaluated for an icd/biventricular pacer. he continued to slowly improve and was transferred to the floor on pod#25. he was evaluated by psychiatry as he had increased paranoid ideations and delerium and had a negative head ct, mri, and neurological workup. he was started on haldol and eventually cleared. he was diagnosed with an e. coli uti which is resistant to most abx. and is being treated with a course of cefepime for 14 days. he was discharged to rehab on pod#33 in stable condition. medications on admission: lisinipril 20 mg po daily carvedilol 6.25 mg po bid prilosec 20 mg po daily colace 100 mg po daily flexeril 10 mg po tid lipitor 10 mg po daily ferrous sulfate 325 mg po daily triazolam 0.25 mg po daily percocet 1 po bid torsemide 50 mg po bid mvi coumadin 3 mg po daily kcl 20 meq po daily discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 3. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed. 4. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 5. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 8. multivitamin capsule sig: one (1) cap po daily (daily). 9. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 10. torsemide 100 mg tablet sig: 0.5 tablet po bid (2 times a day). 11. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 12. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 13. papain-urea unit-mg/g ointment sig: one (1) appl topical prn (as needed). 14. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 15. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 16. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 17. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). 18. haloperidol 1 mg tablet sig: one (1) tablet po bid (2 times a day). 19. cefepime hcl 2 g piggyback sig: one (1) intravenous once a day for 14 days. 20. warfarin sodium 1 mg tablet sig: one (1) tablet po daily (daily): inr goal 2-2.5. discharge disposition: extended care facility: - discharge diagnosis: tricuspid regurgitation prolonged intubation htn e. coli uti delerium discharge condition: good. discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower, let water flow over wounds, pat dry with a towel. followup instructions: make an appointment with dr. when you are released from rehab. make an appointment with dr. when you are released from rehab. make an appointment with dr. for 4 weeks. when you are ready to be released from rehab, call dr. office to arrange to be readmitted for evaluation for icd/biventricular pacer. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart fiber-optic bronchoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus other incision of pleura pulmonary artery wedge monitoring open and other replacement of tricuspid valve with tissue graft injection or infusion of nesiritide injection or infusion of oxazolidinone class of antibiotics infusion of vasopressor agent diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified atrial fibrillation aortocoronary bypass status rheumatic heart failure (congestive) iatrogenic pneumothorax morbid obesity pressure ulcer, buttock diseases of tricuspid valve delirium due to conditions classified elsewhere hip joint replacement 

Answer: The patient is high likely exposed to