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: past medical history: hypercholesterolemia. past surgical history: bone spur removal. vaginal cyst removal in . tubal ligation in ? . periodontal surgery in ? . allergies: she is allergic to penicillin and sulfa, both of which give her hives, and percocet, which gives her nausea and vomiting. medications prior to surgery: 1. coreg 6.25 mg p.o. b.i.d. 2. aspirin 325 mg p.o. q.d. 3. lipitor 20 mg p.o. q.d. 4. pepcid 30 mg p.o. q.d. 5. nicotine 21 transdermal patch q.d. 6. lasix 20 mg p.o. q.d. 7. levbid 0.375 p.o. b.i.d. family history: she lives with her husband in and 2 teenagers, and works part time. she had a 45-pack-year history of smoking and is a current smoker who only quit 5 days prior to her examination, for which she was seen preoperatively by cardiac surgery on . physical examination: she is 5 feet 3 inches, weighs 146 pounds, blood pressure 94/62, heart rate between 80 and 106 with respiratory rate of 20, and saturating 97 percent on room air. she was sitting up in the chair in no apparent distress, alert and oriented and very appropriate grossly, with negative carotid bruits. her lungs were clear bilaterally. heart was regular in rate and rhythm with s1, s2 and a grade holosystolic murmur best heard at the apex. her abdomen was benign with positive bowel sounds. her extremities were warm, well perfused with no edema. she had 2 plus bilateral radial dp and pt pulses. laboratory data: white count 10.3, hematocrit 34.1, platelet count 151,000. sodium 140, potassium 4.2, chloride 105, co2 24, bun 12, creatinine 0.7 and blood sugar of 91. her urinalysis is negative. alt 54, ast 23, alkaline phosphatase 72, total bilirubin 0.6, albumin 3.4. her chest x-ray showed bilateral pleural effusions but was otherwise unremarkable. a preoperative ekg showed sinus tachycardia with a left atrial abnormality and nonsustained ventricular tachycardia up to 4 beats and couplets with a possibility of an old anteroseptal infarct. please refer to the cardiology ekg done on , read by dr. . the echocardiogram done on showed mild dilation of her left atrium, a low ejection fraction and right ventricular free wall hypokinesis with 1 plus aortic insufficiency and 4 plus mitral regurgitation. hospital course: she was referred to dr. and came in to the hospital on for surgery where she underwent a mitral valve repair with a 28-mm st. annuloplasty ring and a posterior leaflet cleft closure. she was transferred to the cardiothoracic icu in stable condition on a dobutamine drip at 10 mcg/kg/minute, a levophed drip, which was being titrated off as the patient was being rolled out of the room to the icu, and finishing off a protamine drip. postoperatively, in the csru later that evening, she did appear to be struggling a bit and echocardiogram was performed by dr. and dr. , which showed that the mitral valve ring was well seeded, there was moderate mitral regurgitation but no paravalvular mitral regurgitation or mitral stenosis. the left ventricle was dilated with an unchanged ejection fraction. the right ventricle was dilated and hypokinetic. please refer to the final report. the impression was severe left ventricle contractile dysfunction. on postoperative day 1, her o2 saturations were down a little bit and her index was sagging. she was on amiodarone drip at 0.5 mg/minute, a dobutamine drip at 10 mcg/kg/min, epinephrine at 0.2 mcg/kg/minute, a levophed drip at 0.12 mcg/kg/minute, which was being titrated down that morning, and an insulin drip at 1, and a lidocaine drip at 2. she was intubated and sedated with coarse breath sounds bilaterally. chest tubes remained in place. her abdomen was soft. her extremities had no cyanosis, clubbing or edema. her postoperative labs were potassium 4.6, bun 17, creatinine 0.8, lactate 2.5, white count 19.6, hematocrit 37.4 with a platelet count of 99,000 and an inr of 1.2. the plan was to try and wean down the dobutamine and lidocaine and also a heart failure service consult was obtained. the patient also had a hematology consult for petechiae with a low platelet count, as her platelets had gone from 157,000 to 99,000 on and then later that day were up to 119,000. the heparin was removed from all of her ivs per hematology recommendations. on postoperative day 2, she was in sinus tachycardia at 101 with a blood pressure 117/64. she was on amiodarone drip at 0.5, epinephrine drip at 0.125, insulin at 2. her index was 1.5. she had been extubated and was on cool nebulizers. her white count rose again to 24.3 with a hematocrit of 33.2, which was stable, and a platelet count of 110,000 that morning. she was on 3 liters nasal cannula. epinephrine was increased back up to 0.125 mcg/kg/minute and she started lasix at 40 iv b.i.d. she continued to improve hemodynamically over the day with no significant worsening of her petechiae. her inr climbed to 1.5 and her platelets dropped again to about 93,000. hematology continued to consult on her daily and monitor her progress. she was also evaluated by physical therapy. on postoperative day 3, she had her lasix drip increased to 60 b.i.d. her epinephrine was discontinued, her lidocaine was discontinued, although she did receive a lidocaine bolus for premature ventricular contraction. her a-wires showed she was in first-degree atrioventricular block. she remained on day 3 of levaquin. her t-max was 101.7 with an index now of 3.6 and a co2 of 69 percent. she was saturating 98 percent on 4 liters nasal cannula with no apparent distress. her lungs were clear except for occasional expiratory wheezes. her abdomen was unremarkable. her femoral a-lines, swan and chest tubes were discontinued, so she could be out of bed with physical therapy. she was alert and oriented and continued to improve dramatically. on , her platelets were 226,000, her pt was 15.5, her white count dropped to 16.6, hematocrit remained stable at 33, and her creatinine was 0.8. she continued to improve and was seen on also by case management to plan for her discharge. on postoperative day 5, she was in first-degree atrioventricular block with a heart rate of 89, a blood pressure 96/42, saturating 98 percent on 2 liters nasal cannula now, with stable-like lab work. she was on amiodarone at 400 mg p.o. b.i.d. and lasix 60 mg iv b.i.d. and she remained on levaquin for day 5. she was also seen on by cardiology. she was hit positive, please refer to the hematology consult note. she was seen by the chs fellow. also, hematology continued to make recommendations. she continued to work with physical therapy. on , postoperative day 5, she had no events overnight, with a white count of 14.8 and hematocrit of 32.9. neurologically, she was intact. she had few bibasilar crackles. heart was in regular rate and rhythm. her abdominal examination was benign, as well as examination of her extremities and incisions, which were clean, dry and intact. carvedilol was added in to her medications. diuresis was continued. we continued to work with her on her mobility and ambulation. the pacing wires were discontinued. her coreg was held later that day for a blood pressure of 90/44, but she was out of bed ambulating without any difficulty. her hematologist, dr. , said she would attempt to speak to dr. in to arrange for follow-up with her local hematologist instead of coming in to to continue follow-up with hematologist in-house. the patient was seen by case management and dr. also, again on . on postoperative day 6, the day of discharge, the patient was awake, alert, very much desiring to be discharged from the hospital with a pulse of 88, t-max 98.8, a blood pressure of 98/51, respiratory rate of 20, saturating 96 percent on room air. white count was 15.5, hematocrit 3.18, platelet count 187,000, potassium 3.6, bun 23, and creatinine 0.7. lungs were clear. her heart was regular in rate and rhythm, without any murmur, rub or gallop. her breath sounds were positive. her abdomen was soft. she had a bowel movement. her incisions were clean, dry and intact. her sternum was stable. the patient, though on the day of discharge, did have 2 plus bilateral pitting edema of her lower extremities, which would continue to require aggressive diuresis. the patient was seen by electrophysiology service because she had a 4-beat run of nonsustained ventricular tachycardia in the evening prior. final report on the hit screen came back negative. also, the patient did not require the fondaparinux or coumadin as had previously been discussed. the plan was that patient be discharged home on more lasix. please refer to the following discharge medication list. the patient was instructed to have a cbc with platelet count drawn on friday after her discharge and have the results called to the hematology fellow dr. , the hematology fellow. the patient was discharged to home on with the following discharge diagnoses. discharge diagnoses: status post mitral valve repair with a 28-mm st. annuloplasty ring and repair of her posterior leaflet cleft. cardiomyopathy. hypercholesterolemia. discharge medications: 1. colace 100 mg p.o. b.i.d. 2. enteric-coated aspirin 325 mg p.o. once a day. 3. levofloxacin 500 mg tablet p.o. once q.24h. x 7 days. 4. hyoscyamine sulfate 0.375 mg capsule p.o. b.i.d. 5. lipitor 20 mg p.o. once a day. 6. nicotine 14 mg 24-hour patch, 1 patch applied transdermal once a day. 7. pepcid 40 mg p.o. once a day. 8. amiodarone 400 mg p.o. b.i.d. x 7 days followed by amiodarone 400 mg p.o. once a day x 7 days, followed by amiodarone 200 mg p.o. once a day x 4 weeks. 9. lasix 80 mg p.o. b.i.d. x 2 weeks. 10. potassium chloride 40 meq p.o. b.i.d. x 2 weeks. 11. carvedilol 3.125 mg p.o. b.i.d. 12. tylenol number 3, 30/300 mg tablets 1-2 tablets p.o. p.r.n. q.4h. for pain. follow up: the patient was instructed to follow up with dr. in approximately 1 week post discharge and make an appointment to see dr. her cardiologist in 1 week, and to follow up with dr. in the office in approximately 2 weeks post discharge. the patient was also instructed to have the platelet count drawn with a cbc on friday, with results to be called to dr. at hospital. discharge status: to home in stable condition on . , dictated by: medquist36 d: 11:22:44 t: 00:38:03 job#: procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified mitral valve disorders congestive heart failure, unspecified cardiac complications, not elsewhere classified other specified cardiac dysrhythmias primary pulmonary hypertension 

Answer: The patient is high likely exposed to