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: dilaudid / advil / levaquin / tylenol / percocet / codeine attending: chief complaint: dyspnea/fatigue major surgical or invasive procedure: : aortic valve replacement with a . medical biocor epic tissue valve. secondary procedure: : permanent pacemaker placement history of present illness: 89 year old female with history of aortic stenosis followed by serial echoacardiograms. she was recently admitted to at the end of after falling; it was unclear whether this fall was mechanical or a result of a syncopal episode. she was found to be in decompensated heart failure and her symptoms improved with iv furosemide. a tte at the time notably showed critical as with a valve area <0.8 cm2, peak gradient of 108 mm hg, lvef > 55%. shortly after discharge, she was again readmitted to hospital for treatment of congestive heart failure and pneumonia. she was subsequently referred by dr. to dr. for surgical evaluation. her current symptoms included worsening dyspnea on exertion, fatigue, mild orthopnea and lower extremity edema. she denies chest pain, syncope, pre-syncope, pnd, and palpitations. lmca: short lad: mild luminal irregularities lcx: mild luminal irregularities rca: moderate diffuse disease with mid vessel 40% stenosis past medical history: aortic stenosis hyperlipidema hypertension gerd osteoporosis anemia depression poor balance, s/p fall in r thr at hospital r thr revisions x 3 r hospital for failed acetabular component and dislocations r tkr hospital social history: lives with daughter, retired nurse, former smoker, no drinking or drugs family history: non-contributory physical exam: pulse: 81 resp: 16 o2 sat: 95-97%/2l b/p right:114/59 left: 123/54 height: 4'" weight: 138 lbs general: elderly female, using walker. no acute distress but has difficulty with ambulation skin: dry intact - multiple bruises noted heent: perrla eomi neck: supple full rom increased jvp noted chest: lungs clear bilaterally heart: rrr irregular murmur grade 4/6 sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema 1+ bilaterally varicosities: none neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 2 carotid bruit: transmitted murmurs bilaterally pertinent results: echo: prebypass: the left atrium is normal in size. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity is moderately dilated. there is moderate to severe global left ventricular hypokinesis (lvef = 30 %). overall left ventricular systolic function is severely depressed (lvef= 30 %). right ventricular sytolic fxn is mildly depressed. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. significant aortic stenosis is present (not quantified). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is a 0.21 x 0.5cm echodensity noted on a chordae beneath the anterior mitral valve leaflet. the tricuspid valve leaflets are mildly thickened. there is a small pericardial effusion. postbypass: the patient is av-paced, on low-dose epinephrine infusion. there is a well-seated prosthetic aortic valve, with no leak and no ai. residual mean gradient = 9 mmhg. biventricular systolic fxn is unchanged. aorta intact. the tip of the sgc is seen at the pa bifurcation. the echodensity beneath the anterior mitral valve leaflet is unchanged. cxr: in comparison with study of , there has been placement of a left subclavian pacemaker with the leads in the region of the right atrium and apex of the right ventricle. moderate bilateral pleural effusions with mild pulmonary vascular congestion. 12:39pm blood wbc-11.9*# rbc-3.05* hgb-9.3* hct-26.3* mcv-86 mch-30.3 mchc-35.2* rdw-16.1* plt ct-168 01:44am blood wbc-7.3 rbc-3.31* hgb-10.2* hct-29.5* mcv-89 mch-30.8 mchc-34.6 rdw-15.4 plt ct-119* 06:15am blood wbc-6.4 rbc-3.65* hgb-11.1* hct-32.0* mcv-88 mch-30.4 mchc-34.7 rdw-15.6* plt ct-171 12:39pm blood pt-13.8* ptt-33.1 inr(pt)-1.2* 04:07am blood pt-12.1 ptt-32.6 inr(pt)-1.0 12:39pm blood urean-21* creat-0.7 na-142 k-4.3 cl-108 hco3-25 angap-13 05:10am blood glucose-106* urean-25* creat-0.8 na-138 k-4.4 cl-101 hco3-31 angap-10 06:15am blood glucose-90 urean-16 creat-0.6 na-133 k-4.5 cl-98 hco3-30 angap-10 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where she patient underwent an aortic valve replacement with a . medical biocor epic tissue valve. see operative note for full details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. she was given multiple products for post operative bleeding which resolved on her post operative night. pod 1 found the patient extubated, alert and oriented and breathing comfortably. ep was consulted with pre-existent infranodal conduction disease complicated by complete heart block post operatively. ceftriaxone was given for proteus urinary tract infection x 3 days and repeat ua was negative. complete heart block persisted and on pod 5 a permanent dual chamber pacemaker was implanted in the ep lab. vancomycin was used for antibiotic prophylaxis x 3 days. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated after the permanent pacemaker was implanted and the patient was gently diuresed toward her preoperative weight. all narcotics were discontinued due to sensitivity to narcotics and tylenol only was used for pain control. zoloft was increased on pod 6 due to patient expressing feeling more depressed and with preoperative plan per pcp was to increase zoloft to 100 mg daily. the patient was transferred to the telemetry floor for further recovery on pod 6. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 8 the patient was ambulating freely, the wound was healing and pain was controlled with tylenol. ceftriaxone for uti and vancomycin for ppm insertion were completed and repeat ua was negative with culture pending at the time of discharge. this is to be followed up as an outpatient. the patient was discharged to rehab in good condition with appropriate follow up instructions. medications on admission: furosemide 40 mg once a day, benazepril 10 mg daily, amlodipine 5 mg daily, lipitor 20 mg daily, aspirin 81 mg daily, colace 100 mg daily, iron 65 mg daily, folic acid 800 mcg daily, detrol 4 mg daily, zoloft 50 mg daily, prilosec 40 mg daily, proctosol 2.5 mg as needed, tylenol as needed. discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. tolterodine 2 mg tablet sig: one (1) tablet po bid (2 times a day). 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 10. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 11. zoloft 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 12. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. capsule, delayed release(e.c.)(s) 13. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 14. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day. 15. magnesium oxide 400 mg tablet sig: one (1) tablet po daily (daily). 16. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day) for 7 days. 17. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 18. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. discharge disposition: extended care facility: - ( hospital of and islands) discharge diagnosis: aortic stenosis/chronic diastolic congestive heart failure complete heart block past medical history: hyperlipidema hypertension gerd osteoporosis anemia depression poor balance, s/p fall in discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage leg edema: none discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: surgeon: dr. on at 1:15pm cardiologist: dr. at 2:20pm ep device clinic: at 1:45pm please call to schedule appointments with your 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** procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle open and other replacement of aortic valve with tissue graft right heart cardiac catheterization diagnoses: anemia, unspecified esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders other and unspecified hyperlipidemia atrioventricular block, complete major depressive affective disorder, single episode, unspecified proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site chronic diastolic heart failure disorder of bone and cartilage, unspecified hip joint replacement 

Answer: The patient is high likely exposed to