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: aspirin / percocet attending: chief complaint: severe ai due to endocarditis major surgical or invasive procedure: s/p avr(21mmst -mechanical) and mv repair(26mm ce annuloplasty band) history of present illness: mrs. was recently hospitalized for mssa bacteremia and aortic valve endocarditis from an infected av fistula which was removed. while she was completing her antibiotics, she developed a gram negative rod bacteremia from a centeral line which was treated for 2 weeks with negative blood cultures prior to admission. she is now admitted for avr/mvr past medical history: htn endocarditis esrd on hd reactive airway disease s/p tubal ligation s/p multiple fistula formations social history: she lives in with her 2 daughters. she has a 35 pack year smoking history and quit 1 year ago. she has a remote history of cocaine abuse and quit 16 years ago. physical exam: discharge physical exam: tm 98.2 p59sr bp135/80 rr20 spo2 98%ra weight 55.6kg neuro:awake, alert, non-focal, orientedx3 cv:regular rate and rhythm, without rub or murmur resp:lungs clear bilaterally gi:abdomen soft, non-tender, non-distended, +bowel sounds extremities without edema sternal incision clean and dry without erythema or drainage pertinent results: 08:00am blood wbc-10.1 rbc-3.23* hgb-9.3* hct-28.7* mcv-89 mch-28.9 mchc-32.5 rdw-16.0* plt ct-377 08:00am blood plt ct-377 05:05am blood pt-19.3* inr(pt)-2.3 08:00am blood urean-45* creat-9.0*# na-134 k-4.6 cl-96 hco3-26 angap-17 08:00am blood albumin-3.1* calcium-9.3 phos-5.2* mg-1.7 brief hospital course: mrs. was admitted to on preoperatively for hemodialysis. she was taken to the operating room with dr. on and underwent avr with 21mm st. mechanical valve and mv repair with 26mm ce annuloplasty band. please see operative note for full details. she was transferred to the icu in stable condition and required vasopressors to maintain adequate blood pressure. she was significantly volume overloaded and required several hemodialysis treatments prior to successful weaning from the ventilator. she was extubated from mechanical ventilation on pod#3, and started on heparin for anticoagulation. she continued to require lo dose vasopressor support to maintain an adequate blood pressure. this was weaned to off by pod#4, she was started on lopressor and transferred to the regular floor on pod#5. she was noted to have a flexion deformity of her left 3rd digit. the patient reported the night before her surgery she felt a "" in her finger. the hand surgery team surgery was consulted and it was felt that the patient had a mallet deformity and it was recommended that the patient have a splint applied to the dorsum of the l third finger over the dip joint leaving the pip joint free. this was manufactured by occupational therapy and applied to the patient's finger. it was recommended that she follow up with the hand clinic in 6 weeks. on pod#6 the patient developed rapid atrial fibrillation and was treated with iv lopressor and amiodarone. she converted to sinus rhythm shortly after treatment and had no further atrial fibrillation. she continued on heparin and coumadin and on pod#11, her inr was >2.0 and her heparin was discontinued and on pod#12, she was cleared for discharge to home. medications on admission: zovirax 200mg qd norvasc 5mg qd tessalon 100mg tid phoslo 1324mg tid calcium carbonate 500mg tid epogen 10,000 units q hd flovent folate 1mg qd labetolol 200mg prevacid 30mg qd lisinopril 20mg qd nephrocaps 1qd acyclovir ointment prn lactulose qd discharge medications: 1. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*1 mdi* refills:*2* 2. beclomethasone diprop monohyd 0.042 % aerosol, spray sig: two (2) spray nasal q8 hours (). disp:*1 mdi* refills:*2* 3. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po every hours as needed. disp:*40 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months: while taking narcotic pain medication. disp:*60 capsule(s)* refills:*0* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 7. amiodarone hcl 200 mg tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 8. nephrocaps 1 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* 9. coumadin 6 mg tablet sig: one (1) tablet po once a day for 2 days: then per dr. . disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: av endocarditis s/p avr/mv repair esrd on hd post op atrial fibrillation mallet finger of l 3rd finger discharge condition: good discharge instructions: you may take a shower and wash your incisions with mild soap and water do not swim or take a bath for 1 month do not lift anything heavier than 10 pounds for 1 month do not drive for 1 month do not apply lotions, creams, ointments or powders to your incisions followup instructions: follow up with dr. ( in weeks follow up with dr. ( in weeks follow up with dr. ( in weeks call plastic surgery hand clinic @( for follow up appointment in 6 weeks procedure: extracorporeal circulation auxiliary to open heart surgery hemodialysis open and other replacement of aortic valve annuloplasty transfusion of packed cells diagnoses: anemia, unspecified cardiac complications, not elsewhere classified atrial fibrillation asthma, unspecified type, unspecified personal history of tobacco use mitral valve insufficiency and aortic valve insufficiency hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other acquired deformities of finger 

Answer: The patient is high likely exposed to