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: past medical history: 1) rheumatic fever. 2) prostate cancer status post brachytherapy. 3) murmur since childhood. 4) question gi bleed leading to anemia approximate ten years ago. 5) q wave myocardial infarction . 6) bladder diverticulum. 7) ventral hernia. 8) severe atrial fibrillation. 9) frequent urinary tract infections with mssa urinary tract infection in . 10) status post transurethral resection of prostate . 11) status post pilonidal cyst removal. 12) status post deviated septum surgery. he was originally seen for examination by the ct surgery team. at that time he was on levaquin 500 mg for one week course for his urinary tract infection. he is allergic to macrobid which gives him heavy chest pain and sweats and a question of allergies to sulfa. he was seen again by the team on to update him prior to his impending surgery on . cardiac catheterization showed right dominant with only mild luminal irregularities of left vein, left circumflex and right and a mid lad 50 percent lesion and diagonal one 60 percent lesion with moderately elevated left sided pressures and low normal svr and high cardiac output. he had severe aortic stenosis with a mean gradient of 56 and aortic valve area of 0.8 cm sq as well as global hypokinesis on his echocardiogram with apical akinesis and dyskinesis. there was no mr fraction of 32 percent on his cardiac echo. on examination on prior to operation his lungs were clear bilaterally without any evidence of rhonchi or rales. his heart was regular rate and rhythm with s1 and s2 sounds and a grade iii/vi systolic murmur heard best at the right sternal border and left sternal border at the second intercostal space radiating to bilateral carotids. his extremities were warm without any edema. at that time he had completed his course of levaquin and was on no medications whatsoever. his heart rate was 76 and sinus rhythm on his examination prior. his neurologic examination was grossly intact. his murmur was unchanged from his visit in . his lungs were clear bilaterally. he had good peripheral pulses. preoperative laboratories: on were as follows: white count 5.7, hematocrit 38.6, platelet count 238,000. pt 12.8, ptt 26.9 with an inr of 1.1. his urinalysis had trace proteins and leukocytes with hematuria present as well as some red blood cells and white blood cells were present but no bacteria were present. sodium was 137, potassium 3.7, chloride 101, bicarb 30, bun 17, creatinine 0.8 with a blood sugar of 74 and an anion gap of 10, alt of 16, ast 17, alk phos 81, total bilirubin 0.3, total protein 7.6, albumin 4.3, globulin 3.3. preoperative chest x-ray shows a resolved pneumonia, no acute cardiopulmonary process. preoperative ekg showed sinus rhythm at a rate of 60 with borderline first degree av delay and probable left atrial abnormality with left ventricular hypertrophy and st-t wave changes. since the tracing that had been done prior on there was inferolateral st-t wave changes seen. please refer to the ekg report. on the patient underwent aortic valve replacement and coronary artery bypass grafting times one with a lima to the diagonal and a 25 mm pericardial tissue valve by dr. . patient was transferred to cardiothoracic intensive care unit in stable condition. later that evening a right subclavian introducer was placed without difficulty for a transvenous pacer access and patient was seen that evening also by ep fellow who placed temporary pacemaker wires. the patient was witnessed too to have failure of pacing epicardial wires. access was obtained and a temporary pacing wire was placed by the ep fellow. patient also received two units of fresh frozen plasma as he was a little oozy upon arrival in the intensive care unit. he had some neo-synephrine support for pressure and received some fluid boluses. temporary pacer did lose capture at 7 o'clock and access was placed as previously described. on postoperative day one the patient had required some fluid boluses overnight and hematocrit was trending down slightly. patient was on a levophed drip at 0.04 and a neo-synephrine drip at 1.0 and insulin drip at 2 units per hour and propofol at 40. he was a paced at a rate of 80 with a blood pressure of 92/47, a cardiac index of 3.11 and a gas of 7.38/49/174/30/3. his hematocrit was 29.6 with a white count of 10.9, potassium of 4.7, bun 11, creatinine 0.8, an inr of 1.2. he remained intubated and sedated. sternal dressing was clean, dry and intact with plans to transfuse him at one unit of packed red blood cells for his hematocrit and wean his ventilator. on postoperative day two he was being weaned off his levophed drip. aspirin was started. he had an index of 5.0. his swan mixed venous was 74, satting 95 percent. hematocrit rose to 25.4 from 22 after the transfusion. ep continued to follow the patient. he was alert and oriented. on postoperative day 2, grossly intact neurologically. the levophed had been weaned off. he had good peripheral pulses. he was a sensing and v pacing by his epicardial wires. he was feeling better, had good urine output with intravenous lasix, had been extubated and was starting to tolerate p.o. medications and food. patient was also seen by case management and screened by the clinical nutrition for his risk on postoperative day three. captopril was started .i.d. patient had received one dose of intravenous lasix the day prior. he was v paced with a blood pressure of 143/63 and a heart rate of 89. he was satting 95 percent on 4 liters nasal cannula. he remained stable in the cardiothoracic intensive care unit with plans to hopefully insert his pacer on friday. the chest tubes were discontinued. his white count was 8 on . chest tubes were pulled out. the cordis was planned to be coming out on the 1st also as preoperative checks were done for pacemaker placement the following morning and on the patient received his pacemaker. his hematocrit was stable at 26.4 with a white count of 6.8, bun of 18 and creatinine of 0.8 with a k of 4.1. he was alert and oriented. his lungs were clear bilaterally. his heart was regular rate and rhythm and he went to have his pacemaker placed on by the electrophysiology cardiology team. he received a ddd pacer. he was transferred out on the afternoon of on postoperative day five. he continued on his aspirin, captopril and lasix. he had finished his initial vancomycin dosing receiving three additional doses for coverage of his pacemaker. blood pressure was 116/60 with a pulse of 90. he was satting 91 percent on room air with good urine output. white count of 6.0, hematocrit of 26.4, platelet count of 132,000. sodium 138, potassium 4.1, chloride 103, bicarb 20, bun 17, creatinine 0.8 with a blood sugar of 111, magnesium of 1.8. his diet was advanced. he was out of bed with physical therapy. his pacing wires were discontinued. his incisions were clean, dry and intact. his abdomen was soft, nontender, nondistended. his heart was regular rate and rhythm. his lungs were clear bilaterally. his extremities were warm and dry. he did have a little bit of pain the next day from his pacemaker site overnight for which he received medications. he was evaluated and followed by physical therapy. the next day pacemaker interrogation was done by the ep fellow. beta blockade was begun and instructions were given to the patient to follow up in the device clinic when he receives his appointment and also to complete another 48 hours of antibiotics. the patient continued to do well, was anxious to get home although he had periods of tachycardia to the 110s but he was ambulating with physical therapy and was quite steady. incision was clean, dry and intact. repeat chest x-ray was done. , postoperative day six from his avr coronary artery bypass graft and postoperative day two from his pacemaker placement he was in stable condition with a blood pressure of 126/70, hemodynamically stable, satting 95 percent on room air with good urine output. he was paced at a rate of 94. wires were discontinued. lopressor continued. instructions were again given to the patient for follow up in the clinic and the patient was discharged on with the following discharge diagnoses. discharge diagnoses: 1. status post avr coronary artery bypass graft times one. 2. status post permanent pacemaker. 3. rheumatic fever. 4. prostate cancer with brachytherapy. 5. gi bleed with anemia. 6. myocardial infarction. 7. bladder diverticulum. 8. ventral hernia. 9. frequent urinary tract infections with mss urinary tract infection. 10. status post transurethral resection of prostate. 11. status post pilonidal cyst removal in remote past and deviated septum surgery in remote past. discharge medications: discharge medications will be dictated in a separate dictation to follow. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle (aorto)coronary bypass of one coronary artery insertion of temporary transvenous pacemaker system open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery cardiac complications, not elsewhere classified personal history of malignant neoplasm of prostate aortic valve disorders atrioventricular block, complete 

Answer: The patient is high likely exposed to