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: shortness of breath major surgical or invasive procedure: s/p mitral valve repair (#30mm annuloplasty ring) history of present illness: 50 year old male reports paroxysmal nocturnal dyspnea, orthopnea, and palpitations. murmur was heard on exam at cardiologist and echo revealed severe mr. has experienced recent night sweats and low grade fevers. although tte did not reveal vegetation, he is started empirically on nafcillin and gentamycin. further cardiac workup revealed severe mitral regurg->no valvular vegetations. cardiac surgery was consulted for surgical correction. past medical history: 1. cardiac risk factors: hypertension 2. cardiac history: none 3. other past medical history: kidney stones in the remote past social history: -tobacco history: occasional cigarettes, at most smoked 1 pack every other week in -etoh: 2 glasses of wine on the weekends -illicit drugs: denies lives with wife and 2 children, ages 18 and 15. 15 year old son with autism. works in an imaging laboratory. . family history: mother with 2 minor mis in her 70s, currently 89 years old. father died of progressive supranuclear palsy, ?amyloid. aunt with cancer age 62 and maternal uncle with cancer age 68. another maternal uncle with lung cancer age 62. aunt with ms. 1 brother with multiple myeloma and 2 other brothers who are healthy. physical exam: admission physical exam pulse: 97 resp: 20 o2 sat: 97%ra b/p right: 139/99 left: height: 6'5" weight: 239lb general: nad, wgwn, appears stated age skin: dry intact no rash, no extra-cardiac manifestations of endocarditis such as lesions or osler nodes heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 4/6 systolic murmur, loudest at apex, +thrill, radiation to axilla, abdomen and back abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema- none varicosities: none neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits pertinent results: ech0 the left atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. the left ventricular ejection fraction is normal. there is a mild resting left ventricular outflow tract obstruction. there is no ventricular septal defect. right ventricular chamber size is normal. with depressed free wall contractility. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. a mitral valve annuloplasty ring is present. there is systolic anterior motion of the mitral valve leaflets. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the findings of the prior study (images reviewed) of , the heart rate is lower and there is significantly less left ventricular outflow tract obstruction. systolic anterior motion of the mitral leaflets remains. moderate and tricuspid regurgitation are now seen. electronically signed by , md, interpreting physician 13:30 brief hospital course: mr. was admitted and taken to the operating room where he a mv repair (#30 annuloplasty ring). post operatively he was admitted to the cvicu intubated he sedated. he awoke neurologically intact and was weaned and extubated. post -op echo revealed 2+mr and 2+tr. he was hypertensive post-operatively requiring neo and nitro drips for bp control. he was started on asa, statin and betablocker, ace inhibitor, and hydralazine were added and titrated to maintain sbp<120. his chest tubes and temporary pacing wires were removed per protocol. he was transferred from the icu to the step down unit. he was agressively diuresed and at the time of discharge continues to require agressive diuresis for persistant lower extremity edema. he was evaluated by physical therapy for strength an dconditioning and cleared for discharge to home on pod# 5 by dr. . medications on admission: avapro 150mg daily, flonase prn discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 10 days. disp:*20 tab sust.rel. particle/crystal(s)* refills:*0* 2. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po bid (2 times a day). disp:*60 tablet sustained release 24 hr(s)* refills:*2* 3. captopril 25 mg tablet sig: four (4) tablet po tid (3 times a day). disp:*360 tablet(s)* refills:*2* 4. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 9. hydralazine 25 mg tablet sig: three (3) tablet po q6h (every 6 hours). disp:*360 tablet(s)* refills:*2* 10. lasix 40 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: severe mr s/p mitral valve repair (#30mm annuloplasty ring) past medical history hypertension nephrolithiasis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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** followup instructions: you are scheduled for the following appointments surgeon: dr. at 2pm cardiologist: dr. office will call with appointment to be scheduled for 1st week of please call to schedule appointments with your 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 annuloplasty operations on chordae tendineae diagnoses: anemia, unspecified mitral valve disorders congestive heart failure, unspecified other chronic pulmonary heart diseases diseases of tricuspid valve benign essential hypertension other fluid overload rupture of chordae tendineae 

Answer: The patient is high likely exposed to