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: history of present illness: this is a 55-year-old woman with known bicuspid aortic valve and aortic stenosis with one syncopal episode prior to return for outpatient catheterization to assess coronaries prior to aortic valve replacement. the patient's history is significant for congenital bicuspid aortic valve, admitted , with syncope, and was found to have aortic stenosis by echocardiogram. she declined catheterization at that time. past medical history: hypertension. increased cholesterol. bicuspid aortic valve. osteoporosis. depression. back pain. past surgical history: hysterectomy. tubal pregnancy. social history: she has a past cocaine use but stopped six years ago. positive tobacco, one pack per day times 30 years. positive etoh, drinks per week. she lives alone. medications on admission: fosamax, os-cal, multivitamin, paxil, lipitor. allergies: codeine which causes hives, aspirin causes upset stomach. echocardiogram on , showed mild left ventricular hypertrophy with an ejection fraction of 75%, mildly dilated aortic valve bicuspid, and moderate to severe aortic stenosis. catheterization on , showed an ejection fraction of 60%, an no coronary artery disease. review of systems: significant for no diabetes, stroke, or transient ischemic attack, seizures, or cancer. the patient has had syncopal episodes of and palpitations. no orthopnea. no edema. no claudication. no chest pain. laboratory data: on admission the patient had a white count of 11, hematocrit 46.5, platelet count 282; sodium 142, potassium 4.1, chloride 103, bicarb 29, bun 14, creatinine 0.8; urinalysis was negative. chest x-ray showed no acute cardiopulmonary manifestations. electrocardiogram was sinus rhythm at 72 beats per minute. physical examination: vital signs: afebrile, heart rate 76 in sinus rhythm, blood pressure 171/110 on the left, and 169/100 on the right, respirations 20, oxygen saturation 98% on room air. general: the patient was lying on the stretcher in no acute distress. heent: she had equal, round and reactive pupils. intact extraocular motion. moist mucous membranes. normal oropharynx. neck: supple. no lymphadenopathy. no jugular venous distention. no auscultated bruits. chest: clear to auscultation bilaterally. heart: regular, rate and rhythm. normal s1 and s2. there was 3/6 systolic ejection murmur. abdomen: soft, nontender, nondistended. normoactive bowel sounds. no hepatosplenomegaly. no masses were palpable. extremities: warm and well perfused with +2 pulses throughout. assessment and plan: this was a 55-year-old female with bicuspid aortic valve and aortic stenosis. the patient's was prepped preoperatively for aortic valve replacement with dr. . on , the patient presented to for elective repair of the aortic stenosis. the patient underwent an aortic valve replacement. the patient tolerated the procedure well and was transferred to the csru in stable condition on the neo-synephrine and propofol drip. the patient was intubated. on postoperative day #1, the patient received 2 u ffp and packed red blood cells in the operating room. the patient was on a neo-synephrine drip and aspirin. the patient had a t-max of 100.8??????, but otherwise vital signs were stable. the patient was extubated and was on 2 l nasal cannula with a normal arterial blood gas. the patient had a postoperative white blood cell count of 18.3, hematocrit 29.3, platelet count 255. chemistries were stable. the patient was weaned off the neo-synephrine drip. chest x-ray was checked. the patient was given lasix and lopressor. chest tubes were removed. the patient was seen by physical therapy. on postoperative day #2, the patient was transferred to the floor. the patient had some episodes of tachycardia. he was given lopressor with good resolution. the patient was on aspirin 325, lasix 20 b.i.d., and metoprolol 25 b.i.d. the patient was continued on kefzol times two doses. the patient's t-max was 99.9??????. the patient's heart rate was then 80 and in sinus rhythm. otherwise vital signs were within normal limits. the patient had atrial wires in place and a foley catheter. laboratory values showed the patient to be with a white count which had increased to 19.2, and hematocrit was stable at 27.4, platelet count 181. the patient's chemistry was within normal limits. the patient had normal lfts. the patient was encouraged to continue with pulmonary toilet and was out of bed with physical therapy. on postoperative day #3, the patient was afebrile with stable vital signs. the patient had a chest x-ray the day before which showed some questionable infiltrates versus cardiopulmonary overload. the patient was started on levaquin for a mildly elevated temperature to 100.0??????. the patient however had stable vital signs and was in sinus rhythm, tolerating her medications. the patient was placed on levaquin with good effect. on hospital day #4, the patient continued on levaquin, day #2. the patient had a t-max of 100.0??????, and but otherwise vital signs were within normal limits. the patient was ambulating with physical therapy. the patient had improvement of her white blood cell count to 18.6 but had a drop of her hematocrit to 25.9. the patient had a sputum sample which was sent and showed +3 gram-positive cocci and +2 yeast. the patient was encouraged to be out of bed with aggressive chest physical therapy and incentive spirometry. the patient's wires were removed without event. the patient continued to ambulate well with physical therapy and was weaned off oxygen on postoperative day #4, with oxygen saturations remaining in the 94-96% range. on postoperative day #5, the patient was on levaquin day #3. the patient was tolerating a regular diet and was ambulating with physical therapy. the patient was afebrile with a t-max of 98.9??????. otherwise vital signs were stable. white blood cell count from postoperative day #4, showed an improvement in her white blood cell count to 15.3. the patient did have a low hematocrit of 22.9. this hematocrit was followed up with a subsequently hematocrit of 27 and a repeat hematocrit of 24. the patient was given 1 u packed red blood cells with good result. on postoperative day #6, the patient was on levaquin day #4, tolerating all of her medications with a t-max of 99.7??????. vital signs were otherwise all stable. the patient's posttransfusion hematocrit was 31. it was discussed with the patient that she could home. the patient did feel slightly anxious about being discharged to home; however, she was reassured that she would be followed up with at-home visiting nurses. due to the patient's previous history of cocaine abuse, the patient was discharged on darvocet. a follow-up chest x-ray showed bilateral atelectasis but no large unilateral infiltrate. the patient however was continued on levaquin to complete a 10-day course. the patient will be discharged to home with vna care. discharge medications: metoprolol 50 mg ?????? tab p.o. b.i.d., colace 100 mg 1 tab p.o. b.i.d., aspirin 325 mg 1 tab p.o. q.d., fosamax 5 mg 1 tab p.o. q.d., paxil 30 mg 1 tab p.o. q.d., lipitor 10 mg 1 tab p.o. q.d., vitamin c 500 mg 1 tab p.o. b.i.d., multivitamin 1 tab p.o. q.d., iron 150 mg 1 tab p.o. q.d., lasix 20 mg 1 tab p.o. b.i.d. for 10 days, potassium chloride 20 meq p.o. b.i.d. for 10 days, darvocet n-100 1 tab p.o. q.4-6 hours as needed for pain, ativan 0.5 mg tab p.o. q.8 hours dispense 30, levofloxacin 500 mg 1 tab p.o. q.d. for 10 days. follow-up: the patient will follow-up with dr. in six weeks. the patient will follow-up with dr. in two weeks; the patient will call the office for an appointment. discharge status: the patient was discharged to home with vna care in stable condition, tolerating a regular diet. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery enteral infusion of concentrated nutritional substances open and other replacement of aortic valve with tissue graft transfusion of packed cells diagnoses: anemia, unspecified pure hypercholesterolemia tobacco use disorder unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation cocaine abuse, unspecified osteoporosis, unspecified congenital insufficiency of aortic valve 

Answer: The patient is high likely exposed to