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: no known allergies / adverse drug reactions attending: chief complaint: fatigue major surgical or invasive procedure: 1. mitral valve repair with leaflet (p2) resection and ring annuloplasty using an 32-mm physio ii ring. 2. coronary artery bypass grafting x1, with a reversed saphenous vein graft from the aorta to the first obtuse marginal coronary artery. 3. endoscopic right greater saphenous vein harvesting. 4. resection of valve mass. history of present illness: 62 year old male with strept viridans mitral valve endocarditis who has completed his 6 weeks treatment with antibiotics. follow up tee was performed on . tee shows partial leaflet flail with moderate to severe mitral regurgitation. also notable for small mass on valve. dr. has been following mr. progression and the pt has been seen in clinic to discuss plans for surgical correction/timing of his mitral valve. he presents for cardiac cath today, preop mvr, and coronary artery, single vessel disease was revealed. past medical history: endocarditis - strept. viridans moderate mitral regurgitation,mvp, myxomatous leaflets moderate pulmonary hypertension,emphysema,hyperlipidemia syndrome past surgical history:s/p colonoscopy with polypectomy orif for right both column acetabular fracture in multiple r rib fractures and pneumothorax requiring chest tube social history: lives with: spouse occupation: construction tobacco: 40 pack year quit etoh: 1-2 drinks per week family history: cardiac none - cancer -lung father, gi mother physical exam: pulse:66 resp:18 o2 sat: 96% b/p 111/71 height: 68" weight: 184 general:pleasant, a&o x3, nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur sem iii/vi abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2+ left:2+ dp right: 2+ left:2+ pt : left: radial right: left: carotid pulses 2+(b), no bruits appreciated pertinent results: intra-op echo: conclusions pre-cpb:1. the left atrium is mildly dilated. no spontaneous echo contrast is seen in the left atrial appendage. no thrombus is seen in the left atrial appendage. 2. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). overall left ventricular systolic function cannot be reliably assessed due to severe mr. 3. right ventricular chamber size and free wall motion are normal. 4. the root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three valve leaflets. the valve leaflets (3) are mildly thickened. there is a probable on the valve. there are filamentous strands on the leaflets consistent with lambl's excresences (normal variant). there is no valve stenosis. trace regurgitation is seen. 6. the mitral valve leaflets are moderately thickened. there is moderate thickening of the mitral valve chordae. torn mitral chordae are present. moderate to severe (3+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. sinus rhythm. well-seated annuloplasty ring in the mitral position. no mr, no ms. is no longer visible post bypass. ai remains trace. biventricular systolic function is preserved. contour is normal post decannulation. 04:20am blood wbc-6.4 rbc-3.42* hgb-10.7* hct-30.7* mcv-90 mch-31.3 mchc-34.9 rdw-13.4 plt ct-98* 04:20am blood glucose-110* urean-13 creat-0.9 na-140 k-4.0 cl-99 hco3-35* angap-10 06:15am blood wbc-8.1 rbc-3.44* hgb-10.8* hct-30.7* mcv-90 mch-31.5 mchc-35.2* rdw-13.5 plt ct-78* 06:15am blood glucose-133* urean-16 creat-0.9 na-139 k-4.1 cl-100 hco3-32 angap-11 04:20am blood wbc-6.9 rbc-3.35* hgb-10.6* hct-29.9* mcv-89 mch-31.6 mchc-35.4* rdw-13.3 plt ct-128* 04:20am blood urean-12 creat-0.8 na-139 k-4.0 cl-100 brief hospital course: the patient was brought to the operating room on where the patient underwent mitral valve repair, cabg x 1, and resection of leaflet mass with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. 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. 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. all or cultures were negative at the time of discharge and it was determined that no antibiotics were needed. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna services in good condition with appropriate follow up instructions. medications on admission: albuterol sulfate - 90 mcg hfa aerosol inhaler - 2 puffs inhaled every 6 hours as needed fluticasone-salmeterol - (dose adjustment - no new rx) - 100 mcg-50 mcg/dose disk with device - 1 puff(s) inhaled daily rinse mouth after use simvastatin - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth once daily tiotropium bromide - 18 mcg capsule, w/inhalation device - 1 capsule inhaled once a day medications - otc aspirin - (prescribed by other provider) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day b complex vitamins - (prescribed by other provider) - dosage uncertain ferrous sulfate - (otc) - dosage uncertain fish oil-dha-epa - (otc) - 1,200 mg-144 mg capsule - 2 capsule(s) by mouth once a day discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 2. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 5 days. disp:*10 tablet extended release(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 6. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation twice a day. 7. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 8. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 9. ibuprofen 600 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: endocarditis - strept. viridans moderate mitral regurgitation,mvp, myxomatous leaflets moderate pulmonary hypertension,emphysema,hyperlipidemia syndrome past surgical history:s/p colonoscopy with polypectomy orif for right both column acetabular fracture in multiple r rib fractures and pneumothorax requiring chest tube discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage trace edema 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: wound check at cardiac surgery office , 10:30 surgeon dr. , 1:45 cardiologist dr. , at 9:45am please call to schedule the following: primary care dr. , d. in weeks id: dr. **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 (aorto)coronary bypass of one coronary artery annuloplasty open heart valvuloplasty of aortic valve without replacement diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders personal history of other infectious and parasitic diseases aortic valve disorders other chronic pulmonary heart diseases other and unspecified hyperlipidemia other emphysema disorders of bilirubin excretion rupture of chordae tendineae 

Answer: The patient is high likely exposed to