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: bactrim attending: chief complaint: sob major surgical or invasive procedure: avr ( 21mm ce pericardial)/mvrepair( 28mm ring)/pfo closure on history of present illness: 62 yo female with diagnosed mrsa in . treated with 4 weeks of vancomycin . admitted with sob to hospital and started on lasix. admitted for avr. cath showed 4+ ai, and severe lv dysfunction. tee showed an av vegetation, severe ai, small secundum asd, ef 60%. past medical history: aortic insufficiency secondary to mrsa aortic valve endocarditis history of staph aurues endocarditis in cholelithiasis with elevated lft's elevated cholesterol anemia hypothyroidism depression anxiety osteoporosis s/p tubal ligation s/p breast biopsy social history: active smoker, pack per day. past etoh use, quit several years ago. works as a lab tech. married with grown children. family history: non-contributory, denies premature cad. physical exam: t 99.1 hr 90 rr 20 106/40 64" 71 kg wdwn female in nad heent unremarkable old embolic skin lesions to feet neck unremarkable with 2+ bil. radiating murmur to carotids ctab rrr 4/6 sem soft, nt, nd, +bs warm, well-perfused, no edema, left arm picc in place no varicosities neuro grossly intact 2+ bil. fem/dp/pts pertinent results: 05:45am blood wbc-9.0 rbc-3.83* hgb-11.4* hct-33.9* mcv-88 mch-29.9 mchc-33.8 rdw-15.3 plt ct-332# 05:45am blood glucose-90 urean-16 creat-1.1 na-139 k-4.6 cl-98 hco3-32 angap-14 05:45am blood calcium-9.2 phos-4.5 mg-2.5 cardiology report echo study date of *** report not finalized *** preliminary report patient/test information: indication: aortic valve endocarditis height: (in) 64 weight (lb): 150 bsa (m2): 1.73 m2 bp (mm hg): 110/60 hr (bpm): 82 status: inpatient date/time: at 12:06 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw02-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. r. measurements: left atrium - long axis dimension: *6.2 cm (nl <= 4.0 cm) left atrium - four chamber length: *6.0 cm (nl <= 5.2 cm) left ventricle - septal wall thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: *7.0 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 50% (nl >=55%) aorta - valve level: 3.0 cm (nl <= 3.6 cm) aorta - ascending: *3.5 cm (nl <= 3.4 cm) aortic valve - peak velocity: 2.0 m/sec (nl <= 2.0 m/sec) aortic valve - peak gradient: 16 mm hg interpretation: findings: left atrium: elongated la. dilated la. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. left-to-right shunt across the interatrial septum at rest. small secundum asd. left ventricle: normal lv wall thicknesses and cavity size. low normal lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. focal calcifications in aortic arch. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. abnormal aortic valve. moderate-sized vegetation on aortic valve. no aortic valve abscess. mild as (aova 1.2-1.9cm2). severe (4+) ar. mitral valve: mildly thickened mitral valve leaflets. moderate to severe (3+) mr. eccentric mr jet. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic 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. no tee related complications. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient appears to be in sinus the patient. conclusions: pre-bypass: the left atrium is elongated and dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a left-to-right shunt across the interatrial septum is seen at rest suggestive of a small secundum atrial septal defect. left ventricular wall thicknesses and cavity size are normal. overall global left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve is abnormal with a perforated left coronary leaflet. there is a moderate-sized vegetation on the aortic valve c/w with previous diagnosis of vegetation.. no aortic root abscess is seen. there is mild aortic valve stenosis (area 1.2-1.9cm2). severe (4+) aortic regurgitation is seen with leaflet perforation as etiology. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric c/w with etiology ofposterior leaflet retraction. there is no pericardial effusion. post_bypass: normal right ventricular systolic function. patient is on milrinone and levophed infusions. there is a bioprosthesis sitting in the aortic position. it is well seated and functioning well. there is a trace central aortic insuffriciency. there is prosthesis seen in the native mitral position and is stable c/w with mitral ring which was placed. there is no residual mitral regurgitation. aortic contour is intact. physician: () radiology final report chest (pa & lat) 8:32 am chest (pa & lat) reason: evaluate effusion medical condition: 62 year old woman with s/p avr reason for this examination: evaluate effusion pa and lateral chest at 0837 hours. history: status post aortic valve replacement. comparison: multiple priors, the most recent dated . findings: lung volumes have mildly improved with no consolidation or superimposed edema evident. there are small bilateral pleural effusions left greater than right. left basilar atelectasis is evident in the retrocardiac left lower lobe. evidence of prior median sternotomy and both aortic and mitral valve replacements are noted. the visualized osseous structures are unremarkable. impression: small bilateral pleural effusions left greater than right with left basilar atelectasis. dr. approved: tue 10:21 am brief hospital course: admitted and pre-op workup with repeat mri completed. id re-consulted and then underwent avr/mv repair/pfo closure with dr. on . transferred to the csru in stable condition on levophed, epinephrine, milrinone, and propofol drips. extubated that evening and transferred to the floor on pod #2 to begin increasing her activity level. gentle diuresis continued and she made good progress. iv antibiotics continued via picc line. cleared for discharge to home with services on pod #6. pt. is to make all follow-up appts. as per discharge instructions. medications on admission: vancomycin 1500 mg iv q 24 hours levoxyl 88 mcg daily celexa 40 mg daily xanax 0.5 mg qhs prn lasix 20 mg daily kcl 10 meq discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. 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:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 9. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 5 days. disp:*10 packet(s)* refills:*0* 10. picc care picc line care per neht protocol 11. outpatient lab work cbc, bun, cr, vanco trough q monday results to clinic 12. vancomycin 1,000 mg recon soln sig: one (1) gm intravenous q 24h (every 24 hours): last dose . disp:*8 gm* refills:*0* discharge disposition: home with service facility: care centrix is finding agency, we will call patient to tell name of agency picked discharge diagnosis: mrsa endocarditis ai/mr/asd chf anemia hypothyroid depression/anxiety osteoporosis cholelithiasis elev. chol. discharge condition: stable discharge instructions: shower daily over incisions and pat dry no lotion, creams or powders on any incision no driving for one month call surgeon for fever greater than 100, redness, or drainage no lifting greater than 10 pounds for 10 weeks followup instructions: see dr. in weeks *** get a referral from dr. for a local cardiologist and make an appt. for 2-3 weeks see dr. in 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft other and unspecified repair of atrial septal defect open heart valvuloplasty of mitral valve without replacement diagnoses: anemia, unspecified congestive heart failure, unspecified unspecified acquired hypothyroidism mitral valve insufficiency and aortic valve insufficiency ostium secundum type atrial septal defect osteoporosis, unspecified acute and subacute bacterial endocarditis 

Answer: The patient is high likely exposed to