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 the present illness: this 74-year-old female has a past medical history significant for a congenital hemangioma from the neck down to the chest all the way down through her abdomen. she also has critical as (aortic stenosis) and mitral regurgitation and was admitted for an aortic valve replacement. she was admitted with chf and treated with lasix a few weeks prior to admission. she denied any increased dyspnea on exertion or orthopnea. she also had a recent enterococcal uti which was treated with levofloxacin on a previous admission and was now admitted for aortic valve replacement. past medical history: 1. history of critical aortic stenosis in with a peak gradient of 80-90%. 2. history of a congenital hemangioma from the face all the way down to the abdomen. 3. status post recent enterococcus uti. 4. history of chf. 5. history of noninsulin-dependent diabetes. 6. history of thrombocytopenia. 7. status post appendectomy. 8. status post attempts at removal of the hemangioma 30 years ago. 9. history of tracheostomy which she currently has. 10. history of hypernatremia. 11. status post bronchoscopy in . medications on admission: 1. lopressor 12.5 b.i.d. 2. albuterol nebulizers two puffs q.i.d. 3. .................... iron 325 mg p.o. q.d. 4. glipizide 10 mg p.o. q.d. 5. glucophage 1,000 mg p.o. b.i.d. 6. lasix 60 mg p.o. b.i.d. 7. 20 meq p.o. b.i.d. allergies: the patient is allergic to penicillin, rash; latex, bronchospasm. social history: she does not smoke cigarettes. she does not drink alcohol. she lives with her daughter. review of systems: unremarkable. physical examination on admission: general: she is an elderly female in no apparent distress. vital signs: stable, afebrile. heent: normocephalic, atraumatic. extraocular movements intact, question of right eye atrophy. she has a hemangioma over the right side of her face. neck: supple, unable to assess secondary to the hemangioma. trach in place. lungs: clear to auscultation and percussion. cardiovascular: regular rate and rhythm. normal s1, s2, with a iii/vi systolic ejection murmur. abdomen: soft, nontender with positive bowel sounds. no masses or hepatosplenomegaly. extremities: without clubbing, cyanosis or edema. pulses: the pulses were 2+ and equal bilaterally throughout. neurologic: nonfocal. hospital course: she was cleared by dental and hematology. on , she underwent an avr with a 19 mm - pericardial valve. the cross clamp time was 84 minutes. total bypass time was 130 minutes. she had a very slow cardiac output in the or and was unstable. she was transferred to the csru on epinephrine, dobutamine, and levophed. she had a lot of chest tube drainage. she required a lot of blood products and was immediately placed on cvvh after surgery. she remained intubated. she received 17 units of packed cells, 50 units of platelets, 16 of ffp, and 50 of cryo on her first postoperative 24 hours. she was switched to neo and milrinone and was still on her epi but her hemodynamics improved significantly. eventually, her bleeding slowed down. she remained on cvvh. she went into atrial fibrillation. she was started on amio. on postoperative day number three, she was almost off her milrinone and just an amio drip. she was awake. she was on cpap. she was doing very well. she was stopped on the cvvh. on postoperative day number five, her chest tubes were discontinued. she continued to progress. she was off the ventilator. she required aggressive diuresis. she also required aggressive pulmonary therapy. she continued to improve. she was transferred to the floor on postoperative day number seven. her trach was changed back to her original metal trach and she was breathing better. she had a swallowing study which revealed that she had profound aspiration and was kept n.p.o. she had a ng feeding tube placed and was started on tube feeds. she continued to progress. she was being diuresed. she did have some intermittent shortness of breath and was dropping her sats. she was tapped on the left. this reaccummulated. she ended up having a chest tube on the left and was sclerosed with talc. she tolerated that well and had minimal drainage after that and her chest tube was discontinued on postoperative day number 23. she had another swallowing study a week after her first one which showed some improvement but she was still n.p.o. but then on postoperative day number 23 she also had a swallowing study which showed that she could eat honey-thick liquids and pureed food with supervision. on postoperative day number 25, she was discharged to rehabilitation in stable condition. medications on discharge: 1. colace 100 mg p.o. b.i.d. 2. aspirin 325 mg p.o. q.d. 3. glipizide 5 mg p.o. b.i.d. 4. levofloxacin 500 mg p.o. q.d. for 14 days. 5. glucophage 1,000 mg p.o. b.i.d. 6. lasix 60 mg p.o. b.i.d. 7. iron 325 mg p.o. q.d. 8. 20 meq p.o. q.d. 9. mycostatin powder to the breast region t.i.d. 10. albuterol two puffs q.i.d. 11. lopressor 50 mg p.o. b.i.d. 12. amiodarone 400 mg p.o. q.d. times seven days and then decrease to 200 p.o. q.d. times four weeks. fop: the patient will be followed by dr. .................... in one to two weeks and dr. in four weeks. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery enteral infusion of concentrated nutritional substances hemodialysis open and other replacement of aortic valve with tissue graft injection into thoracic cavity injection into thoracic cavity injection into thoracic cavity bronchoscopy through artificial stoma diagnoses: unspecified pleural effusion congestive heart failure, unspecified acute posthemorrhagic anemia hyposmolality and/or hyponatremia cardiac complications, not elsewhere classified atrial fibrillation mitral valve insufficiency and aortic valve stenosis urinary complications, not elsewhere classified 

Answer: The patient is high likely exposed to