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: patient is a 70-year-old woman transferred from hospital after an episode of congestive obstructive pulmonary disease exacerbation and congestive heart failure found to have mild mv elevation in the setting of acute onset chest pain with electrocardiogram ischemia. echocardiogram was positive for stenosis in of last year. catheterization at the outside hospital was without significant coronary disease, an ejection fraction of 50%, a peak gradient of 60 with a mean of 50. the patient is referred to valve replacement. past medical history: 1. congestive obstructive pulmonary disease. 2. coronary artery disease status post ptca x2. 3. congestive heart failure with an ejection fraction of 50%. 4. stenosis. 5. hyperlipidemia. 6. hypothyroidism. 7. status post total abdominal hysterectomy, bao. 8. status post right cea. medications at home: 1. imdur 30 mg q day. 2. lopid 600 mg q day. 3. plavix 75 mg q day. 4. procardia xl 60 mg q day. 5. uniphyl 400 mg q day. 6. welchol 625 mg tid. 7. atenolol 12.5 mg q day. 8. lasix 20 mg q day. 9. solu-medrol 40 mg q12h. 10. tapazole 10 mg q day. 11. lisinopril 2.5 mg q day. 12. levofloxacin 500 mg q day. 13. singulair 10 q day. allergies: the patient states an allergy to penicillin, however, no indication what the allergy is. social history: lives independently. retired registered nurse, former smoker. joint physical examination: vital signs: temperature 98.1, heart rate 88, sinus rhythm, blood pressure 90/50, respiratory rate 20, and o2 saturation is 93% on room air. alert and oriented times three. neck is supple. bilateral carotid bruits left greater than right. respiratory: clear to auscultation bilaterally, heart sounds regular, rate, and rhythm with a holosystolic ejection murmur. abdomen is soft, nontender, nondistended. extremities with good capillary refill. laboratory data: white count 17.2, hematocrit 40.4, platelets 387. pt 13.1, ptt 1.1. sodium 137, potassium 4.3, chloride 100, co2 26, bun 22, creatinine 0.5, glucose 119. electrocardiogram: sinus rhythm at 75, mild left ventricular hypertrophy. the patient was admitted to the cardiothoracic service. on the , she underwent carotid dopplers, which showed a normal right ica, left ica was 60-69% stenosis and normal vertebrals. she was also seen by the dental service, and was cleared for surgery. on the 7th, she was brought to the operating room. please see the operating room report for details. at that time, she underwent an valve replacement with a #19 mm - paramount pericardial valve. she tolerated the surgery well, and was transferred to the operating room to the cardiothoracic intensive care unit. the immediate postoperative period, the patient's blood pressure was extremely labile, however, after several hours she leveled off and was maintained with just levophed drip at 0.06 mcg/kg/min. the following morning the levophed was easily weaned off. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other esophagoscopy open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified aortic valve disorders 

Answer: The patient is high likely exposed to