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: bactrim attending: chief complaint: chest pain, shortness of breath major surgical or invasive procedure: aortic valve replacement with a 23-mm magna aortic valve bioprosthesis history of present illness: 72 year old female with known aortic stenosis who has been followed by serial echocardiograms, now with progressive exertional chest pressure and shortness of breath. echo last month showed severe aortic stenosis with 0.8-1.0cm2 and a peak gradient of 82mmhg. the patient presents today for cardiac catheterization to evaluate coronary anatomy and evaluation for aortic valve replacement past medical history: aortic stenosis osteoporosis interstitial cystitis s/p hydrodistention 1 yr ago pneumonia s/p cataract surgery s/p tubal ligation s/p tonsillectomy social history: lives with: husband occupation:retired librarian tobacco:denies etoh: glasses of wine/day family history: non contributory physical exam: pulse: 81 resp:16 o2 sat: 100%ra b/p right: 160/93 left: 138/99 height: 5'0" weight:105 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: dressing in place left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: 0 left: 0 brief hospital course: admitted same day surgery and underwent aortic valve replacement. see operative report for further details. she received cefazolin for perioperative antibiotics. post operatively she was transferred to the intensive care unit for management. in the first twenty four hours she was weaned from sedation, awoke neurologically intact and was extubated without complications. she remained in the intensive care unit for hemodynamic management and transfused with blood for anemia. she had episodes of nausea that resolved with treatment however amylase was elevated with negative radiological and physical exams. medications were adjusted and her amylase returned to . she continued to progress and physical therapy worked with her on strength and mobility. she was transferred to the floor for the remainder of her care. she continued to do well and was ready for discharge to home on pod# 5. medications on admission: alendronate 70mg po weekly/tuesday hydrochlorothiazide 25mg po daily lisinopril 10mg po bid olopatadine 0.2% 1 drop each eye prn raloxifene 60mg po daily temazepam 15mg po prn sleep asa 81 mg po daily calcium carbonate with vit d 1 tab po daily centrum i tab po daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 7. alendronate 70 mg tablet sig: one (1) tablet po once a week. 8. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day: start after lasix complete. 9. raloxifene 60 mg tablet sig: one (1) tablet po once a day. 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 5 days. disp:*5 capsule, sustained release(s)* refills:*0* 12. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: aortic stenosis s/p avr osteoporosis interstitial cystitis s/p hydrodistention 1 yr ago pneumonia discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with ultram 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: , md phone: date/time: 1:00 please call to schedule appointments primary care dr in weeks cardiologist dr 1-2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: other iatrogenic hypotension acute posthemorrhagic anemia aortic valve disorders osteoporosis, unspecified nausea alone leukocytosis, unspecified other nonspecific abnormal serum enzyme levels oliguria and anuria other and unspecified general anesthetics causing adverse effects in therapeutic use cataract extraction status tubal ligation status 

Answer: The patient is high likely exposed to