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: blue dye attending: chief complaint: fatigue/dyspnea on exertion major surgical or invasive procedure: redo aortic valve replacement (21mm ce perimount) exploratory laparotomy w/ lysis of adhesions history of present illness: very pleasant 64 y/o male s/p cabgx1/avr(tissue)/mv repair in in now with increased fatigue, doe, and cp. admitted to where he was found to have severe aortic insufficiency. given the severity of his disease, he was referred for surgical management. past medical history: coronary artery disease s/p cabg x 1/avr(tissue)/mv repair hypertension hypercholesterolemia gastroesophageal reflux disease depression s/p bowel resection secondary to obstruction s/p appendectomy s/p lipoma removal on back social history: quit smoking after 1ppd x 40yrs denies etoh family history: non-contributory physical exam: vs: 56 16 131/57 123/40 64" 131# general: wd, very thin caucasian male in nad. appears older than stated age. skin: warm, dry with well-healed sternotomy incision. multiple nevi. heent: ncat, perrl, anicteric sclera. op benign. neck: supple, from, -jvd, delayed upstrokes, ?bruit vs. murmur radiation chest: ctab -w/r/r heart: rrr, 4/6 systolic murmur and diastolic murmur abd: soft, nt/nd, +bs w/ well-healed rlq scar ext: warm, well-perfused, -edema, gsv harvested from l thigh. superficial varicosities. 2+ pulses throughout neuro: grossly intact, a&o x 3, gait slow/steady, mild hand tremor, strength 5/5 bilaterally pertinent results: 03:57am blood wbc-12.8* rbc-3.25*# hgb-10.5*# hct-29.2* mcv-90 mch-32.2* mchc-35.9* rdw-15.0 plt ct-89* 06:20am blood wbc-8.5 rbc-2.54* hgb-8.4* hct-23.6* mcv-93 mch-32.9* mchc-35.6* rdw-15.0 plt ct-184 05:10am blood wbc-7.5 rbc-3.29* hgb-10.2* hct-29.6* mcv-90 mch-30.8 mchc-34.3 rdw-15.9* plt ct-308 04:50pm blood pt-16.6* ptt-44.3* inr(pt)-1.5* 05:11am blood pt-15.7* ptt-31.3 inr(pt)-1.4* 04:50pm blood urean-17 creat-0.8 cl-110* hco3-25 05:10am blood glucose-111* urean-4* creat-0.5 na-140 k-4.0 cl-103 hco3-31 angap-10 05:08am blood mg-1.7 02:26am urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirub-sm urobiln-neg ph-6.5 leuks-neg abdxr : findings most consistent with an ileus, especially given the postoperative status of the patient. early/partial obstruction cannot be entirely excluded, especially given disproportionate dilation of the small bowel compared to the large. abd ct : 1. small bowel obstruction with a transition point seen in the mid lower abdomen. 2. right basilar pneumothorax. cxr : stable bilateral pleural effusions. brief hospital course: patient was a same day admit and on he was brought directly to the operating room where he underwent a redo aortic valve replacement. please see op note for surgical details. patient tolerated the procedure well and was transferred to csru. he remained on mechanical ventilation until post op day one when he was weaned from sedation, awoke neurologically intact, and was extubated. he remained on minimal inotropic support until post op day two. chest tubes were removed on this day and patient was transferred to the cardiac surgery step down unit. b blockers and diuretics were initiated and he was gently diuresed towards his pre-op weight during his post-op course. on post-op day three patient began to c/o n/v along with abdominal pain and distension. initial abdominal x-ray revealed either a ileus vs. small bowel obstruction (dilated small bowel loops). ng tube was inserted and surgery was consulted. he had another x-ray on post-op day four which showed similar results and then underwent an abdominal ct on . ct revealed a small bowel obstruction with a transition point in his mid lower abdomen. txp surgery then brought patient to the operating room where he underwent a exploratory laparotomy and lysis of adhesions. he was transferred to 10 overnight and then transferred back to the cardiac step-down unit on (post op day 7). on post op day 8 he began to tolerate clear liquids. he was transfused one unit of prbc's on this day d/t anemia. on post op day 9 (4 days since ex-lap) he began having flatus along with bowel movements. kub done on this day revealed dilated small-bowel with air-fluid levels and interval increase in small bowel diameter. despite this his diet was slowly advanced and he was tolerating regular diet by time of discharge. physical therapy worked with patient during his post-op period for strength and mobility. over the next several days patient continued to improve. his sternal staples were removed on post-op day 14. he cleared level 5, labs and physical exam were stable, and he was discharged home with vna services with the appropriate follow-up appointments. medications on admission: 1. aspirin 325mg qd 2. lisinopril 10mg qd 3. lopressor 12.5mg 4. lipitor 40mg qd 5. nitro 0.4mg prn 5. omeprazole 40mg qd 6. wellbutrin 150mg discharge medications: 1. 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:*2* 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 4. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*0* 5. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 6. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. disp:*30 capsule(s)* refills:*0* 9. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). disp:*30 tablet sustained release(s)* refills:*0* 10. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: aortic insufficiency s/p redo-aortic valve replacement small bowel obstruction s/p exploratory laparotomy w/ lysis of adhesions coronary artery disease s/p cabg x 1 hypertension hypercholesterolemia gastroesophageal reflux disease depression discharge condition: good discharge instructions: can take shower. wash incisions with water and gentle soap. gently pat dry. do not take bath. do not apply lotions, creams, ointments or powders to incisions. do not drive for 1 month. do not lift more than 10 pounds for 2 months. if you notice any sternal/chest drainage or experience a fever greater than 101.5, please contact office immediately. please make follow-up appointments. p instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances open and other replacement of aortic valve with tissue graft other lysis of peritoneal adhesions transfusion of packed cells diagnoses: anemia, unspecified esophageal reflux pure hypercholesterolemia unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status aortic valve disorders paralytic ileus 

Answer: The patient is high likely exposed to