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 sulfate attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement utilizing 27 mm ce perimount pericardial bioprosthesis and mitral valve repair with 28 mm annuloplasty band cystoscopy, dilatation of bladder neck with cystoscopic guidance of foley catheter aortic and carotid angiography history of present illness: mr. is a 77 year old male with longstanding history of a heart murmur. over the last several months, he has been experiencing increasing dyspnea on exertion. his most recent echocardiogram from which showed moderate to severe aortic stenosis with a mean gradient of 50 mmhg and of 0.9 cm2. there was mild aortic insufficiency. there was mitral annular calcification with mitral valve thickening and mild to moderate mitral regurgitation. his left ventricle was dilated and hypertrophied with no regional wma. the lvef was estimated at 60-65%. subsequent cardiac catheterization in revealed no severe coronary artery disease in a right dominant system. based on the above results, he was referred for cardiac surgical intervention. he will be admitted for heparinization as his coumadin was held in anticipation of surgery. past medical history: aortic stenosis and mitral regurgitation, congestive heart failure, symptomatic bradycardia s/p pacemaker, paroxysmal atrial fibrillation, hypertension, history of bladder ca, history of prostate ca s/p radiation and chemotherapy, s/p total knee replacements, s/p back surgery social history: retired autoworker. quit tobacco over 40 years ago. denies excessive etoh. currently lives with his wife. family history: significant for cad, both brother and sister died of myocardial infarctions. physical exam: t 98.0, bp 110/64, p 60, sat 96% on ra general: elderly male in no acute distress heent: oropharynx benign, neck: supple, no jvd, heart: regular rate, normal s1s2, 4/6 systolic ejection murmur lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 1+ distally neuro: nonfocal pertinent results: 07:19am blood hct-27.3* 04:45am blood wbc-7.3 rbc-2.64* hgb-8.9* hct-25.8* mcv-98 mch-33.8* mchc-34.7 rdw-15.1 plt ct-168 07:19am blood pt-16.5* inr(pt)-1.9 07:19am blood urean-28* creat-1.5* k-4.2 01:44am blood glucose-102 urean-32* creat-1.7* na-140 k-4.4 cl-103 hco3-31 angap-10 05:55am blood mg-2.0 05:56am blood alt-89* ast-56* alkphos-185* totbili-1.7* brief hospital course: mr. was admitted prior to his operation for further evaluation and heparinization. a carotid ultrasound was obtained which was remarkable for a 70-79% stenosis of the left internal carotid artery. an echocardiogram confirmed moderate to severe aortic stenosis. it was also notable for moderate to severe mitral regurgitation. his overall lvef was estimated at 60%. it appeared his aortic root and ascending aorta were dilated, measuring 3.9 cm at the valve level and 4.3 cm in the ascending portion. the peak and mean aortic gradients were 68 and 45 mmhg respectively. given his carotid disease and above aortic findings, interventional cardiology was consulted for aorta and carotid angiography with possible carotid stenting. the study revealed only moderate left internal carotid artery stenosis for which stenting was deferred. angiography was also notable for mild left subclavian artery stenosis at the origin. his preoperative course was otherwise uneventful. he remained stable on intravenous heparin. on , dr. performed an aortic valve replacment and mitral valve repair. it is important to note, he required foley placement by cystoscopy just prior to his operation. and given his prior history of prostate cancer, his foley remained in place throughout his hospital stay. his heart operation was otherwise uneventful and he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. episodes of paroxsymal atrial fibrillation were noted. beta blockade was resumed. he was intermittently transfused with prbcs to maintain hematocrit near 30%. his platelet count dropped as low as 61k. hit assays were checked, returning negative. given his episodes of paf, he was re-heparinized with slow transition back to warfarin. he otherwise maintained stable hemodynamics and transferred to the telemetry floor on postoperative day three. warfarin was dosed for a goal inr between 2.0 - 2.5. it took several days for his prothrombin time to become therapeutic. he had a transient rise in lfts for which an ruq ultrasound was obtained. the ultrasound was unremarkable and by discharge, his lfts essentially normalized. by discharge, his platelet count also normalized. beta blockade was slowly advanced over several days for continued episodes of paf and better rate control. he was occasionally noted to be apaced on telemetry. his ppm was interrogated and found to be functioning normally. his other preoperative medications were also resumed and he responded well to diuresis. by discharge, he was near his preoperative weight with room air saturations of 97-99%. his discharge chest x-ray showed only small bilateral pleural effusions. over his hospital stay, he made steady progress with physical therapy and continued to make clinical improvments. once medical therapy was optimized, he was cleared for discharge to home on postoperative day 12. he remained on antibiotics for foley coverage and will follow up with his local urologist for removal. medications on admission: flecainide 100 qam, 50 qpm warfarin lupron q month toprol xl 25 qd ketoconazole 800 tid hydrocortisone 20 qam, 10 qpm vitamins discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 4. flecainide 50 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*30 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*90 tablet(s)* refills:*1* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. warfarin 1 mg tablet sig: five (5) tablet po daily (daily): 5 mg , check inr with results called to dr. . disp:*90 tablet(s)* refills:*0* 8. ketoconazole 200 mg tablet sig: two (2) tablet po tid (3 times a day). 9. ciprofloxacin 250 mg tablet sig: one (1) tablet po q12h (every 12 hours): while with foley catheter. disp:*60 tablet(s)* refills:*0* 10. hydrocortisone 5 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 11. hydrocortisone 20 mg tablet sig: one (1) tablet po q am (). 12. codeine sulfate 30 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 13. lasix 20 mg tablet sig: one (1) tablet po twice a day for 1 weeks. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: aortic stenosis and mitral regurgitation, congestive heart failure, symptomatic bradycardia s/p pacemaker, paroxysmal atrial fibrillation, hypertension, history of bladder ca, history of prostate ca s/p radiation and chemotherapy discharge condition: good. discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. p instructions: cardiac surgeon, dr. in weeks pcp, . in weeks cardiologist, dr. in weeks oncologist, dr. for coumadin follow up dr. (urologist) for foley f/u procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart arteriography of cerebral arteries arteriography of other intrathoracic vessels open and other replacement of aortic valve with tissue graft annuloplasty transfusion of packed cells insertion of indwelling urinary catheter dilation of bladder neck artificial pacemaker rate check diagnoses: atrial fibrillation personal history of malignant neoplasm of prostate peripheral vascular disease, unspecified chronic kidney disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction rheumatic heart failure (congestive) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease mitral valve insufficiency and aortic valve stenosis personal history of malignant neoplasm of bladder bladder neck obstruction stricture of artery fitting and adjustment of cardiac pacemaker irradiation cystitis late effect of radiation 

Answer: The patient is high likely exposed to