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: zetia attending: chief complaint: aortic stenosis major surgical or invasive procedure: : aortic valve replacement with a size 21 st. tissue valve. history of present illness: 76 year old female has a history of hyperlipidemia, type 2 diabetes and aortic stenosis. over the past months she has noticed a progression in dyspnea on exertion, at times associated with chest discomfort. this occurs after walking 30-60 feet. echo in revealed significant aortic stenosis. she was referred for right and left heart catheterization for a pre-op evaluation. she is now referred to cardiac surgery for an aortic valve replacment past medical history: aortic stenosis type 2 dm hyperlipidemia hypothyroidism hx of avm causing gib, s/p cauterization approximately two years ago, requiring transfusion irritable bowel syndrome asthma retinitis pigmentosa causing legal blindness gerd left detached retina, s/p surgery bladder suspension c/b post op hypotension stress incontinence leg and foot pain controlled with gabapentin arthritis hysterectomy esophageal strictures s/p dilatation hx of double pneumonia as a child social history: lives with:lives with her daughter and grandson occupation:retired tobacco:denies etoh:denies family history: mother with mi in her 70's also had 2 valve replacements, brother with 2 valve replacements physical exam: pulse:75 resp:13 o2 sat: 97/ra b/p right:124/70 left: 135/68 height:5'4" weight:200 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iii/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities +1: none neuro: grossly intact pulses: femoral right: cath site left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: cath site left: +2 carotid bruit right/left:transmitted murmur pertinent results: 01:20pm blood wbc-9.6 rbc-3.16* hgb-9.1* hct-27.5* mcv-87 mch-28.9 mchc-33.2 rdw-15.9* plt ct-238# 03:06am blood wbc-10.1 rbc-3.05* hgb-8.9* hct-26.3* mcv-86 mch-29.2 mchc-33.9 rdw-16.0* plt ct-156 01:20pm blood glucose-210* urean-23* creat-0.9 na-131* k-4.9 cl-94* hco3-26 angap-16 03:06am blood glucose-136* urean-14 creat-0.6 na-137 k-4.2 cl-99 hco3-27 angap-15 intra-op tee, conclusions prebyapss: preserved lv systolic function with lvef>55%, no swma. the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. right ventricular chamber size and free wall motion are normal. there are complex (mobile) atheroma in the descending aorta. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. postbypass: normally functioning av bioprosthesis. no ai no as. mv unchanged. lvef > 55% brief hospital course: the patient was brought to the operating room on where the patient underwent aortic valve replacement with a # 21 st. tissue valve. overall the patient tolerated the procedure well and directly post-operatively was transferred to the cvicu intubated in stable condition for recovery and invasive monitoring. she had post operative anemia and was transfused with 1 unit of prbc. she awoke neuologically intact and was weaned and extubated. pod1 found the patient hemodynamically stable, weaned from inotropic and vasopressor support. her insulin was titrated to maintain bs < 150. beta blocker was initiated and titrated. a cxr showed bilateral pleural effusions and mrs. was slow to wean from supplemental oxygen she was aggresively diuresed toward the preoperative weight. a left 50 cm double lumen picc line was placed for iv access. the patient was transferred to the step down unit for ongoing post-operative care. chest tubes and pacing wires were discontinued without complication. she was evaluated by physical therpay for strength and conditioning and rehab stay was recommended. by the time of discharge on pod 5, the patient was ambulating slowly but not at baseline, she requires ongoing diuresis, the sternal wound was healing and pain was controlled with oral analgesics. the patient was discharged to the at with appropriate follow up instructions. medications on admission: albuterol ih 90 mcg prn, advair 250/50 , gabapentin 300 mg , lansoprazole 30 mg daily, levothyroxine 75 mcg daily, metformin 1000 mg , pravastatin 80 mg daily, aspirin 82 mg daily, glcosamine, clearlax daily, psyllium, icaps discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). 2. metoprolol tartrate 50 mg tablet : one (1) tablet po bid (2 times a day). 3. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 5. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 6. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 7. pravastatin 20 mg tablet : four (4) tablet po daily (daily). 8. levothyroxine 25 mcg tablet : three (3) tablet po daily (daily). 9. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po hs (at bedtime) as needed for constipation. 10. gabapentin 300 mg capsule : one (1) capsule po q12h (every 12 hours). 11. tramadol 50 mg tablet : one (1) tablet po q4h (every 4 hours) as needed for pain. 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q6h (every 6 hours). 13. furosemide 40 mg tablet : one (1) tablet po once a day for 1 weeks. 14. potassium chloride 10 meq tablet extended release : two (2) tablet extended release po once a day. 15. insulin regular human 100 unit/ml solution : one (1) injection asdir (as directed): per attached sliding scale. 16. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed for constipation. 17. fluticasone-salmeterol 250-50 mcg/dose disk with device : one (1) disk with device inhalation (2 times a day). 18. multivitamin tablet : one (1) tablet po daily (daily). 19. metformin 500 mg tablet : one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: at discharge diagnosis: aortic stenosis type 2 dm hyperlipidemia hypothyroidism hx of avm causing gib, s/p cauterization approximately two years ago, requiring transfusion irritable bowel syndrome asthma retinitis pigmentosa causing legal blindness gerd left detached retina, s/p surgery bladder suspension c/b post op hypotension stress incontinence leg and foot pain controlled with gabapentin arthritis hysterectomy esophageal strictures s/p dilatation hx of double pneumonia as a child discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema 1+ lower extremity edema 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: surgeon dr. , 1:00 cardiologist dr. on at 3:30pm please call to schedule the following: primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft central venous catheter placement with guidance diagnoses: anemia, unspecified unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism asthma, unspecified type, unspecified aortic valve disorders other and unspecified hyperlipidemia legal blindness, as defined in u.s.a. pigmentary retinal dystrophy 

Answer: The patient is high likely exposed to