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: the patient is a 41-year-old male who complained of shortness of breath with exertion and worsening over the past few months, with chest pressure and a murmur he has had all of his life. an echocardiogram shows aortic stenosis and aortic root dilatation of 4.8 cm proximally. on cardiac catheterization two weeks prior to surgery on , showed area of 0.4 cm, peak of 116, mean gradient of 79. stress echocardiogram showed 65% ejection fraction. he had a bicuspid aortic valve, a 5 cm arch of the aorta, bicuspid sclerotic valve. he had trace mitral regurgitation, trace tricuspid regurgitation, left ventricular hypertrophy, and normal systolic function. past medical and surgical history: significant for hypertension, tonsillectomy, appendectomy. medications at home: prilosec, hyzaar, wellbutrin. he did not know the doses. allergies: no known drug allergies. he has upper dentures, last examination a year ago. the patient had loose teeth, and was evaluated for that prior to admission. family history: significant for breast cancer and pulmonary difficulty due to heavy smoker, which his father was. occupation: he is in plastics manufacturing. social history: he has two children. he is a one-quarter to one pack per day smoker x 25 years. he has an occasional beer, though denies abuse. he denies drug abuse. physical examination: significant for a murmur that radiates bilaterally to his carotids, a grade iv/vi systolic ejection murmur over both sternal borders, which radiates. laboratory data: his preoperative laboratories were 16.2, 46, 211, potassium of 4, bun and creatinine of 16 and 0.8, with a pt of 11.7, ptt of 34.0. hospital course: the patient underwent the procedure without incident on , and was transferred to the cardiothoracic intensive care unit on pressor support. he was extubated in the post-anesthesia care unit without incident, and was transferred to the floor on postoperative day number one, . the gentleman's chest tubes were discontinued on postoperative day number two. on , he had an 11 beat run of nonsustained ventricular tachycardia. he was started on amiodarone, which was later stopped after we discovered that his heart was in sinus, and it was felt that was an individual non-recurrent beat. it was noted on that the patient had some extra beats and crackles. 20 mg of intravenous lasix were given, and he responded. vital signs postoperatively revealed that the patient was not saturating well, and required a face mask to saturate into the low 90s. a chest x-ray done showed total collapse of his left lower lobe. a subsequent ct done during this admission shows that the patient had no ct of the chest and a ct angiogram showed no evidence of a pulmonary embolism, and showed concurrent with the chest x-ray. a chest x-ray done during desaturation showed evidence of fluid overload. the patient was started on levaquin and clindamycin during the course of his admission empirically in response to his fever. he had some single spikes to 102.4, which was cultured, but nothing ever grew from his sputum or blood or his urine. the patient's wires were finally discontinued on , after he had no other episodes of arrhythmia, which he did not. he was bronchoscoped on , which showed no secretions, just swelling of the bronchi. the patient underwent aggressive chest physical therapy for the rest of his stay. pulmonology was consulted for the bronchoscopy, and felt that the patient should be started on clindamycin as well as levaquin for a total of ten days, which was done, and they felt that there was no acute difficulty. however, they agreed with the diagnosis of fluid overload and collapse. by , the patient was tolerating room air, and is walking a level v. he mostly has saturations in the low 90s on walking, and on rest has saturations as high as 97% on room air. the patient is doing very well, and we will continue the antibiotics for a total of ten days. discharge medications: shall include levaquin 500 mg by mouth once daily for five days, clindamycin 600 mg by mouth three times a day for five days, lasix 20 mg by mouth twice a day, albuterol nebulizers, he will get a metered dose inhaler for home, captopril 6.25 mg by mouth three times a day, benadryl 25 mg daily at bedtime, percocet one to two tablets by mouth every four to six hours for pain, he will get 60 of these, aspirin 325 once daily, lopressor 12.5 mg by mouth twice a day, colace 100 mg by mouth twice a day, zantac 150 mg by mouth twice a day. follow up with his primary care physician, is dr. , and dr. in , . the patient will follow up with dr. for neurosurgical issues. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery other bronchoscopy incision of mediastinum open and other replacement of aortic valve with tissue graft resection of vessel with replacement, aorta, abdominal diagnoses: unspecified essential hypertension thoracic aneurysm without mention of rupture cardiac complications, not elsewhere classified pulmonary collapse hemorrhage complicating a procedure abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to