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: past medical history: 1. noninsulin dependent diabetes mellitus. 2. congestive heart failure. 3. congenital hemangioma of her chest. 4. congenital telangiectasis syndrome which has required upper airway obstruction requiring tracheostomy. past surgical history: 1. appendectomy approximately thirty-five years ago. 2. attempted removal of congenital hemangioma approximately thirty years ago. 3. tracheostomy eleven years ago. 4. the patient denies hypertension, hypercholesterolemia. medications on admission: 1. glipizide 10 mg once daily. 2. glucophage one gram twice a day. 3. lasix 60 mg twice a day. 4. potassium 20 meq twice a day. allergies: penicillin which causes a rash. ceclor which causes a rash. latex which causes bronchospasm. social history: the patient never smoked. she denied recreational drug use. she lives with her daughter. physical examination: on admission, physical examination revealed vital signs with a heart rate of 54, normal sinus rhythm, blood pressure 108/74, weight 130 pounds, height five foot one inch. in general, the patient is a well developed, well nourished female in no apparent distress appearing stated age, well hydrated. face - positive for right face and neck hemangioma right eye with conjunctivitis and hemangioma noted. the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. normal buccal mucosa with partial upper dentures. the neck is supple with right submandibular lymphadenopathy, no jugular venous distention, no thyromegaly, with intact tracheostomy. chest - mild rales at the right base, no wheezes. the heart is regular rate and rhythm, positive s1 and s2, positive iii/vi murmur at the right sternal border at first intercostal space radiating to the carotids. the abdomen is soft, nontender, nondistended, normoactive bowel sounds, no guarding or rebound. extremities are warm, no edema, no cyanosis. neurologically, cranial nerves ii through xii are intact. pulses - femoral right 2+ and left 2+, dorsalis pedis 1+ bilaterally, posterior tibial 1+ bilaterally, radial 2+ bilaterally. laboratory data: echocardiogram performed on , demonstrated an aortic valve which was heavily calcified with critical stenosis present, peak gradient was measured at 80 to 90 mmhg with a mean gradient of 53 mmhg. the valve area was estimated to be 0.5 centimeter squared. hospital course: the patient was admitted to the cardiac surgery service for evaluation for aortic valve replacement. this plan was complicated by an upper airway congenital hemangioma precluding a direct sternotomy approach. the plan was for first tracheal dilation which would be necessary for appropriate management in a surgical situation. an apical aortic conduit on femoral femoral bypass was considered for potential approach. on , the patient had tracheal stoma dilation and a flexible bronchoscopy which was performed without complication. the patient continued to do well after this procedure and magnetic resonance scan to evaluate the hemangioma was obtained. the patient was noted to have multiple premature atrial contractions and was started on lopressor 12.5 mg twice a day with good control. of note, the patient's sodium trended upward at 152, and this was treated with free water boluses via nasogastric tube. the free water boluses appropriately corrected the free water deficit. of note, during the tracheal dilation, the patient did have episode of flash pulmonary edema which was treated with intravenous lasix with good response. the patient was on lasix 60 mg twice a day as an outpatient, and this was continued with p.r.n. intravenous lasix as needed. the patient was started on tube feeds for nutrition and a hit antibody was sent on , since platelets had dropped from 113,000 to 67,000. this came back negative. on , it was determined since the patient had issues with pulmonary edema, and was not an immediate candidate for valve replacement, the patient was transferred to the ccu service for medical management. on transfer, the patient actually appeared to be easily managed, thus goals were to keep inputs equal to outputs. lasix was decreased from 60 p.o. twice a day to 60 mg once daily with appropriate response. gentle free water repletion was continued. at this point, her sodium was 149. upon transfer, the patient had a repeat echocardiogram to evaluate for aortic insufficiency in the setting of critical aortic stenosis which would also determine further management. the ejection fraction was 40%. the aortic valve area was 0.5, peak gradient 82, mean of 53, left atrium mildly dilated with mild symmetric left ventricular hypertrophy, mild global left hypokinesis, somewhat severe aortic stenosis, 1+ aortic regurgitation and 1+ mitral regurgitation. the patient's sodium was 147 the following day. the patient's course remained uncomplicated with the exception of a temperature spike to 101.4. the patient was pancultured which demonstrated an enterococcus urinary tract infection, which was sensitive to levofloxacin. the patient was put on a ten to fourteen day course of levofloxacin 500 mg p.o. once the antibiotic therapy was instituted, the patient was afebrile. of concern, one blood culture came back positive, which was determined to be coagulase negative staphylococcus. the patient had a midline in for access, and this was removed at that time without difficulty. the patient remained afebrile and no other blood culture became positive. the patient continued to be monitored on the floor without event. physical therapy was consulted who deemed the patient was safe for return back to home with her daughter. th was discharged home on , with vna for continued tracheostomy care, respiratory care and management of secretions, as well as assess for any other needs while at home. disposition was discussed with the thoracic team who stated that the patient was tentatively scheduled for surgical intervention approximately one week after discharge on . the patient was given dr. office number, , and was instructed to call should they not hear from the office with an operating room date. the patient was also instructed to call primary care physician should she have any new onset shortness of breath, which may require institution of her usual second dose of lasix each day. medications on discharge: 1. metoprolol 12.5 mg p.o. twice a day. 2. tylenol p.r.n. 3. albuterol q6hours p.r.n. 4. lumegen optho drops as directed. 5. iron 325 mg p.o. once daily. 6. docusate 100 mg p.o. twice a day. 7. lasix 60 mg p.o. once daily. 8. levofloxacin 500 mg p.o. once daily times ten days. 9. glipizide 10 mg p.o. once daily. 10. glucophage 1000 mg p.o. twice a day. 11. potassium chloride 20 meq p.o. twice a day. discharge diagnoses: 1. critical aortic stenosis. 2. tracheal dilation. 3. enterococcus urinary tract infection. 4. congenital hemangioma. discharge status: to home. condition on discharge: stable. die follow-up: follow-up with dr. in approximately one week for surgical intervention. the patient was given dr. telephone number and was instructed to call by the end of the week if the patient not contact by office prior to that. , m.d. dictated by: medquist36 procedure: diagnostic ultrasound of heart fiber-optic bronchoscopy other operations on trachea diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders hemangioma of skin and subcutaneous tissue bacteremia surgical or other procedure not carried out because of contraindication attention to tracheostomy other and unspecified capillary diseases 

Answer: The patient is high likely exposed to