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: penicillins / tylenol attending: chief complaint: dyspnea on exertion/fatigue major surgical or invasive procedure: 1. bentall procedure with a 29-mm freestyle valve (serial number ) with coronary button reimplantation. 2. ascending aortic replacement and hemiarch replacement with a 28-mm vascutek dacron tube graft (catalog number ; lot number ; serial number ) using deep hypothermic circulatory arrest. history of present illness: 56 year old gentleman whos cardiac history began in folowing a crushing fracture of his left tibia and fibula. he underwent repair of this however his postoperative course was complicated by osteomyelitis. he was eventually admitted in with fevers and was found to have thickening of his aorta consistent with aortitis and aortic valve endocarditis. cultures were negative. of note, a temporal artery biopsy was neagative. an echo ultimately revealed aortic valve endocarditis and aortic insufficiency with a bicuspid aortic valve. since that time he has been followed with serial echocardiograms. his most recent shows a markedly dilated aortic root and ascending aorta with mild aortic stenosis and moderate aortic insufficiency. he has noted progressive dyspnea on exertion as well as fatigue over the past several months. given the progression of his disease, he has been referred back for surgical evaluation. past medical history: av endocarditis, aortic stenosis, aortic insufficiency, dilated aortic root and ascending aorta pmh: -moderate aortic stenosis and moderate-to-severe aortic regurgitation -status post av endocarditis - 9 weeks vancomycin/cipro -inflammatory aortitis -dilated ascending aorta -osteomyelitis - medullary nail -hypertension -dyslipidemia -dyspnea -patellar bursitis -gout -left tibia and fibular fracture -lower extremity dvt in in the setting of immobilization post-surgery social history: lives with: son in , ma occupation:truck mechanic tobacco: denies etoh: denies family history: both parents with heart disease in their 50's physical exam: pulse: 74 sr resp: 22 o2 sat: 98% ra b/p 108/68 height: 68" weight: 240 general: a&ox3, nad skin: dry, warm and intact. +rhinophyma. well healed surgical scars of lle. right temporal 7-8mm lesion/excoriation with central ulcer and small papule. ?basal cell. heent: ncat, perrla, eomi,teeth in very poor repair. neck: supple full rom jvd chest: lungs ess. clear, scattered exp.wheezing bilaterally heart: rrr, nls1-s2, ii/vi systolic murmur with a i/vi diastolic murmur. abdomen: soft non-distended non-tender bowel sounds + obese extremities: warm , well-perfused no edema varicosities: varicosity noted below knee on left. mild dilation of gsv branches below knee of right. neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:1 pt :2 left:1 radial right:2 left:2 carotid bruit- right: none appreciated left: none appreciated pertinent results: 05:10am blood wbc-8.8 rbc-3.47* hgb-11.1* hct-32.0* mcv-92 mch-31.9 mchc-34.6 rdw-15.3 plt ct-183 05:10am blood glucose-102* urean-15 creat-0.8 na-136 k-4.1 cl-101 hco3-27 angap-12 04:50am blood wbc-10.5 rbc-3.60* hgb-11.4* hct-32.8* mcv-91 mch-31.7 mchc-34.8 rdw-15.1 plt ct-224 04:50am blood glucose-119* urean-14 creat-0.9 na-138 k-4.1 cl-103 hco3-27 angap-12 intra-op tee pre cpb: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic root is markedly dilated at the sinus level. the ascending aorta is markedly dilated the aortic arch is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. significant aortic stenosis is present (not quantified). severe (4+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric, directed toward the anterior mitral leaflet. the mitral valve appears structurally normal with trivial mitral regurgitation. the tricuspid valve was not seen well. post cpb: there is a bioprosthetic valve in the aortic position with mild aortic insufficiency. there is trivial mitral regurgitation. there is an ascending aorta graft, otherwise, the visible contours of the thoracic aorta are intact. the biventricular systolic function is preserved. brief hospital course: the patient was brought to the operating room on where the patient underwent bentall with 29mm freestyle porcine aortic valve as well as replacement of ascending aorta with 28mm graft. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu on neo, in stable condition for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis due to penicillin allergy. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. he did have serosanguinous drainage from his sternal incision and had repeated low grade temperatures and was started on vancomycin and levofloxacin as well as betadine paint to the incision. all cultures were negative. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #9 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: diovan hct 320/25 daily carvedilol 25 mg twice daily aspirin 81 mg daily zocor 40 mg daily niacin 500 mg sr once daily meclizine 25(1) calcium-tums magnesium tramadol discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). :*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 4. niacin 500 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 5. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 weeks. :*14 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 7. meclizine 25 mg tablet sig: one (1) tablet po once a day. :*30 tablet(s)* refills:*2* 8. furosemide 40 mg tablet sig: one (1) tablet po twice a day for 7 days. :*14 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 7 days. :*14 tab sust.rel. particle/crystal(s)* refills:*0* 10. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. :*65 tablet(s)* refills:*0* 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). :*60 tablet(s)* refills:*2* discharge disposition: extended care facility: health care center - discharge diagnosis: av endocarditis, aortic stenosis, aortic insufficiency, dilated aortic root and ascending aorta pmh: -moderate aortic stenosis and moderate-to-severe aortic regurgitation -status post av endocarditis - 9 weeks vancomycin/cipro -inflammatory aortitis -dilated ascending aorta -osteomyelitis - medullary nail -hypertension -dyslipidemia -dyspnea -patellar bursitis -gout -left tibia and fibular fracture -lower extremity dvt in in the setting of immobilization post-surgery discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **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 on at 2:00 pm cardiologist: np at 9:30 am 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: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft resection of vessel with replacement, thoracic vessels other repair of vessel diagnoses: anemia, unspecified unspecified essential hypertension gout, unspecified aortic valve disorders other and unspecified hyperlipidemia personal history of venous thrombosis and embolism tachycardia, unspecified dissection of aorta, thoracic adhesive pericarditis 

Answer: The patient is high likely exposed to