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 65-year-old white female patient with a history of fatigue and epigastric discomfort for approximately one year. symptoms have been increasing with activity. she denies lightheadedness or syncope. diagnosed to have aortic stenosis by echocardiogram. underwent cardiac catheterization on , which revealed normal coronary arteries and severe aortic stenosis with a peak gradient of 100 mm hg, a mean gradient of 60, and aortic valve area of 0.7 cm squared. she is referred for aortic valve replacement. past medical history: type 2 diabetes mellitus. status post hysterectomy. status post cholecystectomy. status post appendectomy. medications: 1. amaryl 4 mg p.o. q.d. 2. metformin 1000 mg p.o. q.d. 3. actos 45 mg p.o. q.d. 4. lescol 30 mg p.o. q.d. 5. aspirin 81 mg p.o. q.d. allergies: the patient states no known drug allergies. social history: alcohol intake occasional and nonsmoker. review of systems: unremarkable with the exception of history of present illness. physical examination on admission: unremarkable. laboratory data: unremarkable laboratory values with the exception of a preoperative creatinine of 1.4. hospital course: the patient was admitted to the hospital on the morning of , where she was taken to the operating room and she underwent an aortic valve replacement with a number 21 mm magna tissue valve replacement. postoperatively, she was transported from the operating room to the cardiac surgery recovery unit on iv propofol drip in good condition. she was in normal sinus rhythm with stable vital signs. she was weaned from mechanical ventilator and extubated on the night of surgery. patient had some marginal hypoxia in the initial postoperative period. otherwise, remained hemodynamically stable. her chest tubes were discontinued on postoperative day one and she was transferred from the intensive care unit to the telemetry floor on postoperative day two in good condition. her epicardial wires were subsequently discontinued. diabetes consult was obtained to assist with diabetes management. initially, their recommendation was to resume all of her preoperative oral hypoglycemic agents, which was done. however, the patient still continued to have requirement of sliding scale insulin coverage. patient continued to progress with rehabilitation to increase her mobility, although she did have an oxygen requirement and complained of dyspnea with any sort of exertion. she received iv lasix for an additional 24 hours with some improvement in her complaints of dyspnea as well as a bit of a decrease in her o2 requirement. she has since been converted back to oral lasix at this time, and felt stable to be discharged to rehabilitation facility. on followup by the diabetes service, it was their recommendation to add lantus insulin coverage at bedtime 15 units as well as increase her metformin dose and she should be followed as an outpatient for aggressive therapy and diabetes management. patient has remained hemodynamically stable and ready to be discharged to rehabilitation facility today, postoperative day nine. discharge medications: 1. lopressor 12.5 mg p.o. b.i.d. 2. lasix 40 mg p.o. b.i.d. for five days. 3. in addition, potassium chloride 10 meq two tablets p.o. q.d. for five days and the need for diuresis should be monitored at that point to see if she requires further diuresis. it is also recommended that she have her electrolytes checked on , two days from now because of a slight increase in her creatinine, which had been running in the 1.2 to 1.3 range, went up to 1.4 today. however, this was her preoperative, but this should also be followed while she is in rehab. 4. colace 100 mg p.o. b.i.d. 5. zantac 150 mg p.o. b.i.d. 6. enteric coated aspirin 325 mg p.o. q.d. 7. tylenol 325 mg p.o. q.4h prn. 8. percocet 5/325 p.o. q.4h prn pain. 9. metformin 1 gram b.i.d. 10. amaryl 4 mg p.o. b.i.d. 11. lantus insulin 15 units subq q.h.s. 12. avandia 45 mg p.o. q.d. 13. bactrim ds one p.o. b.i.d. for one additional dose, this is to complete a course of preoperative urinary tract infection, which was initially resistant to cipro. 14. fluvastatin 20 mg p.o. q.d. follow up: the patient should follow up with her primary cardiologist, dr. in approximately 1-2 weeks and she should follow up with her primary care physician to continue with diabetes management and in also 1-2 weeks, she should also follow up with dr. in approximately one month for postoperative check. discharge diagnoses: aortic stenosis status post aortic valve replacement. diabetes type 2. discharge condition: good. , m.d. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft diagnoses: congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders 

Answer: The patient is high likely exposed to