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: no known allergies / adverse drug reactions attending: chief complaint: shortness of breath major surgical or invasive procedure: aortic valve replacement(21mm st. tissue) history of present illness: ms. is a 67 year old caucasian female with prior excellent functional status who experienced a near syncopal episode and mild chest pressure while reaching over to feed chickens 2 weeks ago. local workup included an echocardiogram revealing aortic stenosis with peak velocity 4.3m/sec, peak gradient 70mmhg, mean gradient 46 mmhg, ef 50%. patient reports new shortness of breath in the last 4 months after swimming long distance or going up a flight of stairs. past medical history: hyperlipidemia tah secondary to fibroids rt breast biopsy (neg) stress incontinence social history: retired flight attendant, travels frequently with husband who is a veterinarian. lives on a farm with cows, pigs, chickens, and cats. family history: denies a family history of early cardiac disease physical exam: pulse: 82 b/p: right 141/100 left 121/84 resp: 16 o2 sat: 100% temp: 97.7 height: weight: general: well developed female in nad at rest. skin: tan, turgor good. heent: normocephalic, anicteric, eomi's, eyeglasses, good dentition, oropharynx moist. neck: supple, trachea midline, no jvd, bruit vs referred murmer chest: cta, no whz, no deformities/scarring heart: murmer rsb radiating throughout abdomen: soft,nt, nd (+) bowel sounds extremities: no edema, left shin varicosity r/t trauma neuro: calm, gait steady, +5/5 strength x 4. pulses: palp peripheral pulses. pertinent results: echocardiography report intra-op tee conclusions no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. the patient has moderate aortic regurgitation. if they remain asymptomatic, a follow-up echocardiogram is suggested in years. post-bypass: s/p avr 21mm bio-prosthetic valve. the patient is on norepi 0.15 mcg/kg/min, epi 0.04 mcg/kg/min, the co is 9.5 l/min, there is now a well seated bioprosthetic valve in the aortic position.there are no peri/paravalvular leaks seen.the mean gradient across the valve is 27 mmhg with the max gradient is 44mmhg. all the other valves are similar to prebypass. the aorta is intact post decannulation. lv and rv function is preserved . 05:15am blood wbc-5.8 rbc-2.52* hgb-8.1* hct-24.2* mcv-96 mch-32.2* mchc-33.5 rdw-14.2 plt ct-164 05:23am blood wbc-6.3 rbc-2.56* hgb-8.3* hct-24.3* mcv-95 mch-32.4* mchc-34.1 rdw-13.9 plt ct-133* 05:15am blood glucose-111* urean-7 creat-0.5 na-135 k-4.2 cl-101 hco3-28 angap-10 05:23am blood glucose-108* urean-7 creat-0.5 na-131* k-3.9 cl-98 hco3-27 angap-10 brief hospital course: the patient was brought to the operating room on where the patient underwent aortic valve replacement with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was hemodynamically stable, weaned from inotropic and vasopressor support. she developed some neck fasciculations and neurology was consulted. movement resolved. thepatient continued to progress. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. estradiol transdermal patch *nf* (estradiol) 0.025 mg transdermal weekly 2. aspirin 81 mg po daily 3. loratadine *nf* 10 mg oral daily prn allergies discharge medications: 1. aspirin ec 81 mg po daily 2. furosemide 40 mg po daily duration: 7 days rx *furosemide 40 mg 1 tablet(s) by mouth daily disp #*7 tablet refills:*0 3. potassium chloride 20 meq po daily duration: 7 days rx *klor-con 20 meq 1 packet by mouth daily disp #*7 tablet refills:*0 4. ibuprofen 400 mg po q6h:prn pain, headaches take with food 5. metoprolol tartrate 25 mg po bid hold for hr < 55 or sbp < 90 and call medical provider. *metoprolol tartrate 25 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*0 6. tramadol (ultram) 50 mg po q4h:prn pain rx *tramadol 50 mg 1 tablet(s) by mouth every four (4) hours disp #*40 tablet refills:*0 7. estradiol transdermal patch *nf* (estradiol) 0.025 mg transdermal weekly 8. loratadine *nf* 10 mg oral daily prn allergies discharge disposition: home with service facility: vna, discharge diagnosis: severe aortic stenosis, hypertension (pt reports white coat syndrome only) dyslipidemia(not on meds) right knee pain/arthritis mild stress incontinence, needle bx right breast(negative) uterine fibroids, s/p tah/bso ' discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema 1+ discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office date/time: 11:00 in the medical building surgeon dr. date/time: 2:15 in the medical building cardiologist dr. (office will call patient) please call to schedule the following: 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** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: acidosis acute posthemorrhagic anemia aortic valve disorders personal history of tobacco use other and unspecified hyperlipidemia abnormal involuntary movements osteoarthrosis, localized, not specified whether primary or secondary, lower leg stress incontinence, female 

Answer: The patient is high likely exposed to