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: redo sternotomy,mitral valve replacement (27mm tissue), tricuspid annuloplasty(28mm ring) history of present illness: this is a 79 year old male, s/p coronary bypass in who presents with congestive heart failure secondary to severe mitral regurgitation. his mitral regurgitation was caused by an enterococcal mitral valve endocarditis in which has been successfully treated with an extended course of antibiotics. he now is limited by his dyspnea on exertion and continues to have pillow orthopnea. he was referred for mitral valve repair v. replacement and tricuspid valve replacment/repair. past medical history: chronic systolic congestive heart failure mitral valve endocarditis(eneterococcus) severe mitral regurgitation hypertension hyperlipidemia coronary artery disease history of gi bleed type ii diabetes mellitus (diet-controlled) obstructive sleep apnea cataracts glaucoma bilaterally pulmonary nodule left lower lobe diverticulitis ventral hernia social history: lives with:wife occupation:retired engineer tobacco:quit 25 years ago; 40-60 pyhx etoh:rare occ. family history: son with mi/cabg at 50; brother with mi @ 63 physical exam: admission: pulse: resp:18 o2 sat:93% 1 l b/p right:133/78 left: height: 5'6" weight:198 # general:aao x 3 in nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally bibasilar crackles heart: rrr irregular murmur iv/vi murmur best heard at apex abdomen: soft non-distended non-tender bowel sounds + + ventral hernia with well healed midline scar extremities: warm , well-perfused edema varicosities: none well healed right medial le scar from groin to ankle neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt :1+ left:1+ radial right:1+ left:1+ carotid bruit right:none left:none pertinent results: pre bypass: the left atrium is moderately dilated. no spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with septal and inferior wall hypokinesis. overall left ventricular systolic function is moderately depressed (lvef= 35-40 %). the right ventricular free wall is hypertrophied. the right ventricular cavity is moderately dilated with moderate global free wall hypokinesis. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. post bypass: patient is on epi, milrinone, norepi. inferior wall function improved on ionotropes, sill mildly hypokinetic. septutm appears dyskinetic, even after discontinuatioin of av pacing in favor of a pacing. lvef 40%. mitral prosthesis well seated, no mr leaks. peak gradients , mean 6-8 mm hg at cardiac outpu lpm. tricuspid annuloplasty ring insitu with no tr or perivalular leaks. peak gradient 3, mean 1 mm hg,. remaining exam unchanged. all findings discussde with surgeons at the time of the exam. 05:49am blood wbc-9.8 rbc-3.31* hgb-8.9* hct-26.8* mcv-81* mch-26.8* mchc-33.2 rdw-18.0* plt ct-194 05:49am blood hct-28.7* 05:49am blood k-4.1 05:49am blood glucose-94 urean-26* creat-0.9 na-138 k-3.7 cl-99 hco3-35* angap-8 01:26am blood glucose-150* urean-17 creat-0.8 na-141 k-4.0 cl-112* hco3-23 angap-10 05:02am blood pt-13.4 inr(pt)-1.1 05:02am blood pt-13.4 inr(pt)-1.1 brief hospital course: the patient was admitted to the hospital on for pre-operative work-up. cardiac catheterization revealed three vessel coronary artery disease with a patent lima and svg-om. svg-rca with 70% ostial and distal anastomosis lesions. echo revealed ef 45%, moderate to severe mr, moderate to severe tricuspid regurgitation and severe pulmonary hypertension. non-invasive carotid exam reveals no stenoses bilaterally. he was brought to the operating room on where the he underwent redo sternotomy, mitral replacement and tricuspid annuloplasty. he weaned from bypass with some difficulty on epinephrine, vasopressin, levophed, milrinone and propofol infusions. post operatively he was transferred to the cvicu for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis given the inpatient stay of longer than 24hours. pod 1 found the patient extubated, alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable. he was weaned from inotropic support over the next 24 hours. diuresis was begun towards his preoperative weight and beta blockers begun. physical therapy was consulted for strength and mobilty assistance. chest tubes and temporoary pacing wires were removed according to protocol. diuretics were continued at discharge for an indeterminate time. a ct of the chest was performed prior to discharge for further characterization of the lll pulmonary nodule which was likely unchanged allowing for technique. . arrangements were made for follow up with dr. from thoracic surgery in 6 months. he developed brief, controlled rate atrial fibrillation and coumadin was begun with a goal inr of .5. diuresis and pulmonary toilet improved his oxygenation. he was ambulatory and wanted to go hoem rather than rehab. arrangements were made for his anticoagulation to be monitored by dr. until dose stable then will transition to clinic. vna will draw an inr on monday, . patient to take 2.5 mg of coumadin 3/11,12,13,14. discharge medications, precautions and follow up were discussed with him and his wife prior to leaving the hospital. medications on admission: furosemide 40mg po qam, 20mg qpm irbesartan 150mg po daily protonix 40mg po bid potassium chloride 10meq daily simvastatin 40mg po daily vitamin c 250 mg daily asa 81mg po daily ferrous gluconate 325 mg daily brimonidine 0.2% 1 gtt ou dorzolamide 2% 1 gtt ou kcl 10meq sr daily ( while on lasix) travaprost (benzalkonium/travatan) 0.004% one gtt os qhs mvi daily amoxicillin prn dental proc. discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. :*60 tab sust.rel. particle/crystal(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. :*50 tablet(s)* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). :*60 tablet, delayed release (e.c.)(s)* refills:*2* 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 8. dorzolamide 2 % drops sig: one (1) drop ophthalmic tid (3 times a day). 9. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). 10. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 12. lasix 40 mg tablet sig: one (1) tablet po once a day. :*60 tablet(s)* refills:*2* 13. coumadin 2.5 mg tablet sig: as directed tablet po once a day: take daily as directed by md. :*100 tablet(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: mitral regurgitation s/p redo sternotomy/mitral valve replacement/tricuspid annuloplasty h/o mitral valve endocarditis coronary artery disease s/p coronary artery bypass grafts chronic systolic congestive heart failure hypertension hyperlipidemia coronary artery disease history of gi bleed type ii diabetes mellitus (diet-controlled) obstructive sleep apnea cataracts glaucoma pulmonary nodules lll diverticulitis s/p partial colectomy ventral hernia discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments surgeon dr. on at 1pm () primary care dr. () in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization other and unspecified coronary arteriography open and other replacement of mitral valve annuloplasty diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft atrial fibrillation other chronic pulmonary heart diseases personal history of tobacco use unspecified glaucoma other and unspecified hyperlipidemia chronic systolic heart failure other diseases of lung, not elsewhere classified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation diverticulosis of colon (without mention of hemorrhage) chronic total occlusion of coronary artery tricuspid valve disorders, specified as nonrheumatic other cataract acquired absence of intestine (large) (small) 

Answer: The patient is high likely exposed to