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: penicillins / vancomycin attending: chief complaint: chest pain, dyspnea major surgical or invasive procedure: redo-sternotomy, avr (23mm pericardial) & mvrepair 28mm annuloplasty history of present illness: 76 yo m s/p cabg x 4 in , now with severe as, referred for surgical intervention. past medical history: cad s/p cabg niddm bradycardia s/p dual chamber bph total knee replacement arthritis carotid disease hemorrhoids guaiac + stool social history: sh: lives alone, has 2 daughters in the area. retired fine arts teacher, current theater clinic. quit tob 45 yers abo no etoh family history: fh: dm 75 died' mom mi dad mi physical exam: nad hr 66 rr 16 bp 137/63 lungs ctab heart rrr sem well healed msi, pacer site acw abdomen soft, nt, nd extrem warm, no edema well healed svg harvest site, lle ankle to groin pertinent results: 08:10am blood wbc-13.7* rbc-3.09* hgb-9.4* hct-27.3* mcv-88 mch-30.3 mchc-34.3 rdw-15.3 plt ct-96* 08:10am blood plt smr-low plt ct-96* 08:10am blood glucose-106* urean-20 creat-0.7 na-133 k-4.1 cl-97 hco3-28 angap-12 08:10am blood mg-2.3 08:43pm blood %hba1c-5.4 echocardiography report , (complete) done at 1:45:04 pm final referring physician information , , status: inpatient dob: age (years): 76 m hgt (in): 67 bp (mm hg): / wgt (lb): 150 hr (bpm): bsa (m2): 1.79 m2 indication: intraoperative tee for avr/mvr icd-9 codes: 440.0, 424.1, 424.0, 424.2 test information date/time: at 13:45 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: suboptimal tape #: 2007aw4-: machine: 4 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.6 cm <= 4.0 cm left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.4 cm <= 5.6 cm left ventricle - ejection fraction: 60% >= 55% aorta - annulus: 2.3 cm <= 3.0 cm aorta - ascending: 2.7 cm <= 3.4 cm aorta - descending thoracic: 2.5 cm <= 2.5 cm aortic valve - peak velocity: *3.6 m/sec <= 2.0 m/sec aortic valve - peak gradient: *52 mm hg < 20 mm hg aortic valve - mean gradient: 30 mm hg aortic valve - valve area: *0.7 cm2 >= 3.0 cm2 findings multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: moderate la enlargement. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. prominent eustachian valve (normal variant). left ventricle: wall thickness and cavity dimensions were obtained from 2d images. mild symmetric lvh. normal lv cavity size. overall normal lvef (>55%). right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. severely thickened/deformed aortic valve leaflets. severe as (aova <0.8cm2). moderate (2+) ar. mitral valve: mildly thickened mitral valve leaflets. moderate/severe mvp. moderate mitral annular calcification. eccentric mr jet. moderate to severe (3+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. mild to moderate +] tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. suboptimal image quality. the patient appears to be in sinus rhythm. results were conclusions pre-bypass: 1. the left atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size is mildly dilated and free wall motion is normal. 4. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). moderate (2+) aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. there is moderate mitral annular calcification. there is mitral valve prolapse of the posterior (p3 scallop) leaflet. an eccentric, anterior-lateral directed jet of moderate to severe (3+) mitral regurgitation is seen. 7. the tricuspid valve leaflets are mildly thickened. mild to moderate tricuspid regurgitation is seen. post-bypass: pt removed from cardiopulmonary bypass on norepinephrine infusion and av pacing. 1. mitral valve posterior annuloplasty is noted. there is trace mitral regurgitation. mva is 2.1 cm2, peak gradient across the valve is 8.1mmhg, with a mean gradient of 4mmhg. 2. in the aortic valve position, there is a bioprosthetic aortic valve. the valve is well seated with good leaflet excursion. no aortic regurgitation is noted. is 1.7 cm2 with a maximum gradient of about 20 mmhg. 3. normal biventricular systolic function. 3. tricuspid regurgitation remains as noted pre-bypass. 4. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 08:03 radiology final report chest (pa & lat) 10:41 am chest (pa & lat) reason: interval change medical condition: 76 year old man with pod 4 redo sternotomy/avr/mvr reason for this examination: interval change pa and lateral of the chest assess for interval change. findings: two views of the chest are compared to the prior examination dated . dual-lead device is again noted stable in course and position with an additional atrial lead unchanged. the patient is status post median sternotomy, cabg and aortic valve replacement. the cardiac silhouette remains mildly enlarged. low lung volumes are noted. there is a small left pleural effusion associated with left basilar streaky opacities likely reflects underlying atelectasis. brief hospital course: he was admitted preoperatively, however the or was delayed secondary to a difficult crossmatch. after appropriate blood was available he was taken to the operating room on where he underwent a redo sternotomy, avr (tissue) and mv repair. he was transferred to the icu in critical but stable condition on levophed and propofol. he was extubated the morning of pod #1. he was given linezolid perioperatively as he in allergic to penicillin, vancomycin and was in house pre operatively. he had a labile blood pressure and was weaned from his vasoactive drips on pod #2. he was transferred to the floor on pod #2. chest tubes and pacing wires removed without incident. he was gently diuresed toward his preop weight. he did well post operatively and was ready for discharge to rehab on pod #6. pt. is to make all followup appts. per discharge instructions. medications on admission: metformin 500", finasteride 5', lipitor 10', metoprolol 12.5", omeprazole 20", doxazosin 1', fosamax 10 qweek, lisinopril 5', mvi, colace, senna, ntg prn. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 6. metformin 500 mg tablet sig: one (1) tablet po twice a day. 7. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 8. senna 8.6 mg tablet sig: 1-2 tablets po twice a day. 9. multi-vitamin w/minerals capsule sig: one (1) capsule po once a day. 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 11. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. 12. potassium chloride 20 meq packet sig: one (1) po q12h (every 12 hours) for 2 weeks. 13. doxazosin 1 mg tablet sig: one (1) tablet po at bedtime. discharge disposition: extended care facility: - discharge diagnosis: cad s/p cabg (lima->lad, svg->ramus, svg->om,svg->pda) carotid disease diabetes mellitus bradycardia s/p ppm bph hemorrhoids guaiac + stool total knee replacement tonsillectomy osteoarthritis discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. please contact surgeon at ( with any wound issues. 2) report any fever greater then 100.5 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lifting greater then 10 pounds for 10 weeks from the date of surgery. 5) no driving for 1 month or while taking narcotics. 6) shower daily and pat incisions dry. followup instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks already scheduled appointments: provider: clinic phone: date/time: 2:30 provider: phone: date/time: 2:00 provider: , m.d. phone: date/time: 2:00 md procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft open heart valvuloplasty of mitral valve without replacement injection or infusion of oxazolidinone class of antibiotics artificial pacemaker rate check diagnoses: pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other specified cardiac dysrhythmias mitral valve insufficiency and aortic valve stenosis osteoarthrosis, unspecified whether generalized or localized, site unspecified cardiac pacemaker in situ 

Answer: The patient is high likely exposed to