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: history of present illness: this young lady had a diagnosis of mitral valve prolapse for over five years. she recently saw her primary care physician and had an echocardiogram to follow this. on , she had a cardiac catheterization that showed normal coronary arteries, severe mitral regurgitation, and an ejection fraction of 65%. on , she had an echocardiogram that showed mitral valve prolapse with flail posterior leaflets, severe 3+ mitral regurgitation, and an ejection fraction of 80%. the patient had a dental examination two weeks prior to admission. of note, the patient had focal seal put on her right groin incision after a cardiac catheterization. past medical history: (past medical history includes) 1. mitral valve prolapse. 2. eczema. 3. syncope times one episode at 16 years of age. medications on admission: the only medication was oral contraceptive pills. allergies: allergic to penicillin, shell fish, and dye. physical examination on presentation: she is 5 feet 2 inches, 124 pounds, blood pressure was 141/60. she had a grade murmur. heart was regular in rate and rhythm though. her lungs were clear. her neck examination was normal. she had no jugular venous distention or bruits. she had very good peripheral pulses. hospital course: she was referred to dr. for repair or replacement of her mitral valve. on , she underwent a mitral valve repair with a mammillaplasty band and resection of her posterior leaflets. please refer to the operative note from dr. . the procedure was done through a minimally invasive incision with heart port system in the right femoral vessels. the patient was transferred to the cardiothoracic intensive care unit on a neo-synephrine drip and a propofol drip with a right pleural tube in place. on , the patient was in stable condition. she had been extubated in the intensive care unit the evening prior and was saturating 98%. she was receiving percocet orally for pain and was on low-dose neo-synephrine overnight for blood pressure support. she was treated with some hespan and neo-synephrine was weaned off. she was neurologically intact and was making good urine and tolerating oral intake well. she was transferred out to the floor on the morning of , postoperative day one. she was seen by physical therapy. the patient had only mild discomfort from her right thoracotomy incision and was receiving tylenol and ibuprofen with good affect. she had a little unsettled stomach. she received some zantac with very little affect. thus, the patient was given zofran with some affect. she was started on lopressor and lasix. her lungs were clear. postoperatively, her laboratories were as follows. white blood cell count was 16.9, hematocrit was 26.1, and platelet count was 157,000. sodium was 137, potassium was 4.3, chloride was 108, bicarbonate was 24, blood urea nitrogen was 11, creatinine was 0.6, and blood glucose was 116. calcium was 7.8 and magnesium was 1.6. she had no ectopy on telemetry. her foley catheter was discontinued. she was ambulating at level iv independently. her chest tubes and wires were discontinued prior to transfer to the floor. she was also given one dose of vioxx to help with some incisional pain and then motrin to follow that later. she remained in a sinus rhythm in the 70s to 80s. she continued to work with physical therapy and was seen by case management. the patient was cleared for discharge to home. please note that the patient's incision was approximately four to five inches in the right axillary area. she did have a steri-strip rash with a question of a contact allergy to that all over her trunk on postoperative day two. her white blood cell count dropped to 13.1 with a hematocrit of 22.9. platelet count was 118. sodium was 136, potassium was 4.1, chloride was 103, bicarbonate was 27, blood urea nitrogen was 9, creatinine was 0.6, and blood glucose was 107. her magnesium was 1.5. the patient received magnesium repletion, anticipating her discharge home the following morning. on postoperative day two, her vital signs were stable. her lungs were clear. her heart was regular in rate and rhythm. her incisions were clean, dry, and intact. she continued to work with physical therapy and was receiving motrin for pain. condition at discharge: the patient was discharged to home on in stable condition. discharge instructions/followup: the patient was given instructions for followup with her primary care physician and cardiologist in three to four weeks as well as seeing dr. postoperatively in three to four weeks. discharge diagnoses: (discharge diagnoses as follows) 1. status post minimally invasive mitral valve repair. 2. status post mitral valve prolapse. 3. eczema. 4. single episode of syncope. medications on discharge: (discharge medications were as follows) 1. ranitidine 150 mg p.o. twice per day. 2. docusate sodium 100 mg p.o. twice per day. 3. atenolol 25 mg p.o. once per day. 4. percocet 5/325 one to two tablets p.o. q.4h. as needed (for pain). 5. tylenol 650 mg p.o. q.4h. as needed (for pain). it was unclear if the patient was discharged on potassium replacement and lasix. discharge status: the patient was discharged to home on . , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders 

Answer: The patient is high likely exposed to