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: morphine / preservative / amoxicillin / ciprofloxacin attending: chief complaint: ascites and le edema major surgical or invasive procedure: mv repair/tv repair/ right atrial thrombectomy with raa ligation (28 mm cg future mitral ring/ 34 mm ce mc3 tricuspid ring) history of present illness: 62 yo female initially seen in early for evaluation of mr/tr in the setting of le edema and ascites. echo in revealed 4+ mr, 3+ tr, 1+ ai, and dilated main pa and ra. referred to dr. for surgery. this was delayed pending preoperative workup as well as the pt's concerns regarding probable need for blood transfusions.preop workup complete during an admission in late that included cath, picc placement for iv access,as well as treatment for a uti. her inr did not ever completely normalize given continuing hepatic issues. picc was removed prior to this admission. returns now for surgery. past medical history: niddm chronic afib ascites prolactinoma childhood polio hypothyroidism (hashimoto's thyroiditis) sleep apnea chf pulm. htn left breast ca/mastectomy peripheral neuropathy left shoulder fx left foot fx psh: right partial thyroidectomy right breast lumpectomy tah/bso social history: 4 drinks per week family history: noncontributory physical exam: nad 56.7 kg 65" 95.5 t 98% ra sat. 73 a fib 110/70 rr 22 alert and oriented x3 mae bue, ble old abd scar healed eomi perrla neck supple, with full rom, no carotid bruits ctab posteriorly irregular 2/6 systolic murmur abd soft, nt, distended, + bs, ascites extrems warm, well-perfused 1+ bil. dp/pt/radials 2+ bil. fems pertinent results: echocardiography report , tte (complete) done at 5:04:26 pm final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 63 f hgt (in): 65 bp (mm hg): 92/60 wgt (lb): 116 hr (bpm): 78 bsa (m2): 1.57 m2 indication: left ventricular function. preoperative assessment. valvular heart disease. icd-9 codes: v43.3, 424.1, 424.0, 424.2 test information date/time: at 17:04 interpret md: , md test type: tte (complete) son: , rdcs doppler: full doppler and color doppler test location: west echo lab contrast: none tech quality: adequate tape #: 2007w037-0:00 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.3 cm <= 4.0 cm left atrium - four chamber length: *6.1 cm <= 5.2 cm right atrium - four chamber length: *6.5 cm <= 5.0 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: 3.6 cm <= 5.6 cm left ventricle - ejection fraction: >= 60% >= 55% aorta - sinus level: 2.8 cm <= 3.6 cm aorta - ascending: 2.6 cm <= 3.4 cm aortic valve - peak velocity: 1.5 m/sec <= 2.0 m/sec aortic valve - pressure half time: 424 ms mitral valve - e wave: 1.0 m/sec tr gradient (+ ra = pasp): 14 mm hg <= 25 mm hg pulmonic valve - peak velocity: 0.7 m/sec <= 1.5 m/sec findings this study was compared to the prior study of . left atrium: moderate la enlargement. right atrium/interatrial septum: moderately dilated ra. normal ivc diameter (1.5-2.5cm) with <50% decrease during respiration (estimated rap 11-15mmhg). left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). right ventricle: moderately dilated rv cavity. normal rv systolic function. . abnormal diastolic septal motion/position consistent with rv volume overload. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. eccentric mr jet. moderate (2+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. tricuspid leaflets do not fully coapt. severe tr. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: the rhythm appears to be atrial fibrillation. ascites. conclusions the left and right atrium are moderately dilated. the estimated right atrial pressure is 11-15mmhg.there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef >55%) right ventricular chamber size is moderately increased with normal free wall motion. there is abnormal diastolic septal motion/position consistent with right ventricular volume overload. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. an eccentric, anteriorly directed jet of moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened and fail to fully coapt. severe tricuspid regurgitation is seen. the estimated pulmonary artery systolic pressure is high normal. there is a trivial/physiologic pericardial effusion. compared with the prior study (images reviewed) of , the findings are similar (tr was also severe on the prior study). electronically signed by , md, interpreting physician radiology preliminary report chest (portable ap) 7:25 am chest (portable ap) reason: placement of dophoff tube confirmation medical condition: 63 year old woman s/p mv repair/tv repair now s/p tracheostomy reason for this examination: placement of dophoff tube confirmation history: dobbhoff tube placement. single portable radiograph of the chest demonstrates no change in the support lines when compared with . right-sided pleural effusion persists and is unchanged. there may be slight interval improvement in the previously seen left-sided pleural effusion. bibasilar atelectasis persists. no pneumothorax is identified. trachea is midline. cardiomediastinal contours are unchanged. impression: slight interval improvement in left-sided pleural effusion, otherwise no change. dr. ?????? brief hospital course: admitted and underwent surgery on with dr. . please refer to the operative note for details. transferred to the cvicu on epinephrine, propofol and nitroglycerin drips. epinephrine weaned off due to vtach. extubated that night, but reintubated the following afternoon for increasing acidosis and mental status changes. renal consult also done for decreasing urine output.echo also done with no significant findings. ep service also consulted for her chronic afib management. extubated again on the morning of , but reintubated again a few hours later for resp. failure. she was noted to have ventilator associated pneumonia on . she was treated with vancomycin, levofloxacin, and meropenem. she was followed by the renal service for continued renal failure. on , she was noted to be positive for clostridium difficile toxin in her stool, and she was treated with flagyl. at this point, she was on vancomycin and flagyl. she was unable to wean from the ventilator and underwent a tracheostomy on . throughout her course, he bilirubin counts had risen steadily. she was initiated on hemodialysis. she was maintained supportively, but with no signs of improvement. she was unresponsive to painful stimuli, and an eeg demonstrated encephalopathy. she was given lactulose and rifaximin with th eintent of clearing any hepatic encephalopathy. she was evaluated by the renal service, hepatology service and the transplant surgery service. all felt that her condition was critical and likely irreversible. her family was , and met with social work, hepatology, and the on-call intensivist. the decision was made to change her code status to comfort measures. a fentayl drip was initiated and her pressors were withdrawn at 6:45 pm, . her blood pressure declined, and her heart rhythm degenerated to ventricular tachycardia, fibrillation, and then asystole. she was pronounced at 7:54 pm, . the family requested tha a post-mortem be performed. medications on admission: liothyronine 400 mcg daily januvia 50 mg daily metoprolol succinate 25 mg tablet sustained release 24 hr twice daily bumetanide 4 mg twice daily spironolactone 25 mg twice daily vicodin 5-500 mg one tablet po every 6-8 hours as needed for pain. discharge medications: none discharge disposition: expired discharge diagnosis: cardiac failure discharge condition: deceased discharge instructions: none followup instructions: none procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery enteral infusion of concentrated nutritional substances hemodialysis excision or destruction of other lesion or tissue of heart, open approach temporary tracheostomy other operations on heart and pericardium open heart valvuloplasty of mitral valve without replacement open heart valvuloplasty of tricuspid valve without replacement diagnoses: pneumonia, organism unspecified other iatrogenic hypotension mitral valve disorders acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of malignant neoplasm of breast intestinal infection due to clostridium difficile urinary complications, not elsewhere classified other and unspecified coagulation defects diseases of tricuspid valve 

Answer: The patient is high likely exposed to