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: methotrexate / sulfa (sulfonamides) / quinine attending: chief complaint: presyncope & doe major surgical or invasive procedure: cardiac catheterization avr(#21ce magna pericardial)pfo closure history of present illness: events / history of presenting illness: ms. is an 87 yo female with severe as, htn, pvd, s/p cvax2 who presents for pre-operative catheterization and aortic valve replacement. ms. reports that she has had shortness of breath for more than six months and has had increasing pre-syncope over the past few months. she reports intermittent leg swelling, but none at present. she reports orthopnea, but no pnd. she is unable to walk more than one block due to both claudication and shortness of breath. . at present she denies shortess of breath, chest pain, fevers, chills, nausea, vomiting, diarrhea. . past medical history: past medical history: severe aortic stenosis with ai hypertenion peripheral disease with severe claudication transient ischemic attack b/l carotid stenosis cri (cr 1.5-1.9) rheumatoid arthritis copd osteoporosis s/p cva x 2 (occipital, cerebellar) social history: social history is significant for the absence of current tobacco use, though patient has a 25 py smoking history and quit 10 years ago. there is no history of alcohol abuse but has one drink per day. there is no family history of premature coronary artery disease or sudden death. family history: family history is significant for son with diabetes and sister with stroke. physical exam: physical examination: vs - t 98.4, bp 150/50, hr 68, rr 18, 02 sat 98% on ra gen: wdwn middle aged female in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: no jvp. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2/6 systolic ejection murmur. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, wheezes or rhonchi. crackles at bases bilaterally. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ femoral 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ dp 2+ pt 2+ brief hospital course: ms. was admitted for preoperative cardiac cath which she underwent on . she was maintained on iv heparin after cath due to her history of cva and coumadin use. she was seen by renal. she was cleared for surgery by dental. she had a uti for which she was treated with cipro and her surgery was postponed. she was taken to the operating room on where she underwent an avr (tissue) and pfo closure. she was transferred to the icu in critical but stable condition. she was treated with prophylactic vancomycin perioperatively because she was in house preoperatively. she was given stress dose steroids. she remained intubated overnight. initially, she had complete heart block and was paced, however her rhythm recovered to nsr. she was extubated on pod #1. she was transferred to the floor on pod #2. she did well postoperatively and was ready for discharge to rehab on pod #3. she was restarted on coumadin. she is being treated for a uti, her foley could be discontinued on . medications on admission: current medications: actonel 35 mg po once a week prednisone 5 mg tablet dialy toprol xl 50 mg daily pantoprazole 40 mg po q12h atorvastatin 10 mg po daily warfarin 2 mg tablet qhs (last dose friday) aspirin 325 mg tablet po once a day citracal 2 tabs centrum silver daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). capsule(s) 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). tablet, delayed release (e.c.)(s) 6. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 7. risedronate 35 mg tablet sig: one (1) tablet po qsun (every sunday). 8. ciprofloxacin 250 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 days. 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 10. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 11. warfarin 2 mg tablet sig: one (1) tablet po daily (daily): check inr . 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 10 days. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: sev as w/ai, pfo now s/p avr/pfo closure htn,pvd w/claudication,tia,b/l carotid stenosis, copd, osteoporosis,cvax2(occipital/cerebellar),cri(1.5-1.9) discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 4 weeks dr. 2 weeks already scheduled appointments: provider: , m.d. phone: date/time: 3:40 provider: , md phone: date/time: 2:45 provider: lab phone: date/time: 3:00 procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart cardioplegia open and other replacement of aortic valve with tissue graft other and unspecified repair of atrial septal defect diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified chronic airway obstruction, not elsewhere classified chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortic valve disorders peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction disturbance of skin sensation ostium secundum type atrial septal defect osteoporosis, unspecified rheumatoid arthritis occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction 

Answer: The patient is high likely exposed to