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: shellfish derived / lactose / nut flavor / benicar / tiazac / diovan / inderal la / advil / amoxicillin / zithromax / sulfa (sulfonamide antibiotics) / hydrochlorothiazide / codeine / morphine / motrin attending: chief complaint: dizziness at rest and with exertion major surgical or invasive procedure: mitral valve replacement with 27-mm st. medical biocor tissue valve on . history of present illness: 76yo woman with history of mitral valve endocarditis in . treated with antibiotics but now has moderate to severe mitral regurgitation. she states her symptoms of dizziness have increased over past month. presents today for pre-admission testing prior to mvr. past medical history: hypertension hypertrophic obstructive cardiomyopathy(hocm) strep gordonii mitral valve endocarditis (tx ceftriaxone) supraventricular tachycardia osteoporosis-arthritis(hands) colon cancer b12 deficiency hemolytic anemia past surgical history: s/p hysterectomy, s/p colectomy social history: race:caucasian last dental exam:1 month ago(dr ) lives with:husband occupation: tobacco: none etoh: none family history: father died als(57yo), mother died htn(76yo), physical exam: admission physical exam general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur: 4/6 sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: mild neuro: grossly intact, non-focal exam pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 1+ left:1+ radial right: 2+ left:2+ carotid bruit radiated murmur pertinent results: 11:20am blood hct-25.4* 06:48pm blood wbc-10.8# rbc-2.61*# hgb-8.1*# hct-23.3*# mcv-89 mch-31.2 mchc-34.9 rdw-14.6 plt ct-123* 07:57pm blood pt-14.9* ptt-41.9* inr(pt)-1.3* 06:48pm blood pt-15.9* ptt-41.4* inr(pt)-1.4* 04:30am blood glucose-142* urean-24* creat-0.9 na-136 k-4.6 cl-102 hco3-27 angap-12 07:57pm blood urean-15 creat-0.5 na-141 k-4.4 cl-114* hco3-25 angap-6* echocardiography report , (complete) done at 6:52:18 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 76 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: /hocm for mvr/?septal myotomy icd-9 codes: 786.05, 786.51, 424.0 test information date/time: at 18:52 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2010aw1-: machine: or 3 echocardiographic measurements results measurements normal range left ventricle - peak resting lvot gradient: *113 mm hg <= 10 mm hg findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: severely thickened/deformed mitral valve leaflets. mild mitral annular calcification. moderate to severe (3+) mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are severely thickened/deformed. moderate to severe (3+) mitral regurgitation is seen. there is severe and hocm. there is no pericardial effusion. post-cpb: there is a bio-prosthetic mitral valve which is well-seated with no leak and no mr. systolic fxn. there is no significant lvot gradient. no ai. aorta intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 09:00 ?????? caregroup is. all rights reserved. brief hospital course: ms. was taken to the operating room and underwent mitral valve replacement with 27-mm st. medical biocor tissue valve with dr.. please refer to operative report for further details. she tolerated the procedure well and was transferred to the cvicu intubated and sedated in stable but critical condition. she awoke neurologically intact and was extubated without difficulty.she was weaned off all drips. beta-blocker/asa and diuresis was initiated. all lines and drains were discontinued in a timely fashion. pod#1 she was transferred to the step down unit for further monitoring. physical therapy was consulted for strength and mobility evaluation. a transient postoperative burst of atrial fibrillation was controlled with beta-blocker and her rhythm converted. the remainder of her hospital course was essentially uneventful. pod# 4 she was cleared for discharge to home with vna. all follow up appointments were advised. medications on admission: metoprolol er 12.5 qhs, mirtazipine 15', folic acid 800mcg', b12 qmo, vit d 1000u' discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. cholecalciferol (vitamin d3) 400 unit tablet sig: 2.5 tablets po daily (daily). 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. furosemide 40 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. discharge disposition: home with service facility: vnacarenetwork discharge diagnosis: severe mitral regurgitation, status post mitral valve endocarditis, and hypertrophic obstructive cardiomyopathy. pmh: hypertension hypertrophic obstructive cardiomyopathy(hocm) strep gordonii mitral valve endocarditis (tx ceftriaxone) supraventricular tachycardia osteoporosis-arthritis(hands) colon cancer b12 deficiency hemolytic anemia past surgical history: s/p hysterectomy, s/p colectomy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesic incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema- 1+ bilaterally 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. # an appointment was arranged for at 1:45pm cardiologist:dr. arranged for at 2:30pm 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 open and other replacement of mitral valve with tissue graft diagnoses: anemia, unspecified mitral valve disorders unspecified essential hypertension atrial fibrillation other b-complex deficiencies osteoporosis, unspecified personal history of malignant neoplasm of large intestine arthropathy, unspecified, hand 

Answer: The patient is high likely exposed to