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 / levaquin attending: chief complaint: shortness of breath major surgical or invasive procedure: aortic valve replacement and ascending aorta replacement history of present illness: this is an 82 year old male with known atrial fibrillation, thoracic aortic aneurysm and aortic regurgitation. he has a history of bactermia and possible endocarditis with aortic regurgitation. has been medically managed until now but is developing worsening symptoms of shortness of breath. he is admitted today for heparin bridge for an aortic valve replacement. past medical history: aortic regurgitation dilated aorta congestive heart failure history of strep bacteremia ?endocarditis atrial fibrillation hypercholesterolemia hypertension prostate cancer s/p xrt c/b proctitis kidney stone gynecomastia dvt or thrombophlebitis h pylori s/p pylera vitamin d deficiency radiation enteritis/proctitis with occasional episodes of gi bleeding macular degeneration s/p hernia repair s/p prostatectomy s/p retinal laser s/p prostate implant social history: race: caucasian last dental exam: dental clearance lives with: wife occupation: retired military; retired vp stop & shop cigarettes/tobacco: denies, never a smoker etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use: denies family history: denies premature coronary artery disease physical exam: pulse: 70 af resp: 18- o2 sat: 99% b/p right: 131/57 left: - height: 5'" weight: 200 lbs general: well-developed elderly male sitting in nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema trace chronic rle swelling after dvt varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: echo : pre-bypass: 3d multiplanar reconstructions were used for aortic root measurements. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild left ventricular hypertrophy. the left ventricular cavity is moderately dilated. regional left ventricular wall motion is normal. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). right ventricular chamber size is normal. with normal free wall contractility. the aortic root is moderately dilated at the sinus level. the ascending aorta is moderately dilated. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. severe (4+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: lv systolic function appears improved to normal (lvef 55%) rv systolic function remains normal. there is a well seated, well functioning bioprosthesis in the aortic position. a tube graft is visualized in the ascending aorta. the study is otherwise unchanged from prebypass. impression: moderately dilated aortic sinuses measuring 5.0 cm without effacement of the sinotubular junction. ascending aorta is moderately dilated to 4.8 cm and tapers down to 4.0 cm distally. the aortic valve is trileaflet with poor coaptation. severe aortic regurgitation without aortic stenosis is seen. moderate mitral regurgitation is seen.. mildly depressed lv function. . 05:15am blood wbc-9.3 rbc-2.95* hgb-9.8* hct-30.2* mcv-103* mch-33.3* mchc-32.5 rdw-14.7 plt ct-98* 05:44am blood hct-29.8* 05:15am blood pt-14.7* inr(pt)-1.4* 05:15am blood plt ct-98* 04:50am blood pt-15.8* inr(pt)-1.5* 05:20am blood pt-19.3* inr(pt)-1.8* 05:44am blood pt-25.0* inr(pt)-2.4* 05:44am blood urean-25* creat-1.0 na-136 k-4.1 cl-104 05:20am blood mg-2.2 cxr : mild bilateral pleural effusions are unchanged from prior. bibasilar opacities , a combination of pleural effusions and atelectasis have increased on the right and minimally improved on the left. the upper lungs are clear. there is no pneumothorax. widened mediastinum has improved. cardiomegaly has improved. sternal wires are aligned. brief hospital course: mr. was admitted one day before surgery for routine work-up and heparin since he was on coumadin for atrial fibrillation. on he was brought to the operating room where he underwent an aortic valve replacement and ascending aorta replacement. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later this day he was weaned from sedation, awoke neurologically intact and extubated. he was started on beta-blockers, diuretics and gently diuresed towards his pre-op weight. on post-op day one he was transferred to the step-down floor for further care. chest tubes and epicardial pacing wires were removed per protocol. on pod2 he developed rapid atrial fibrillation, loaded with iv/po amiodarone. his beta-blocker was titrated for rate control. his coumadin was restarted for his history of dvt. prednisone 5 mg was restarted which he has been taken for several years. his pain was well controlled with acetaminophen and low-dose narcotics. he was seen by physical therapy for strength and mobility. on pod # 6 he was noted to have plebitis of left upper extremity possibley related to amiodarone infusion. he was started on po keflex. in light of starting the antibiotic his inr bumped slight and his coumadin was adjusted. this will need to be monitored closely while he continues on the antibiotic. he has continued to make steady progress and was ready for discharge on pod #7. follow-up appointments arranged. medications on admission: atenolol 75mg digoxin 125mcg daily prednisone 5mg daily torsemide 20mg daily coumadin 4mg daily- stopped on vitamin d-3 daily discharge medications: (daily). disp:*60 tablet(s)* refills:*2* 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*1* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 5. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day. disp:*60 tablet extended release(s)* refills:*2* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 7. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for gas. disp:*60 tablet, chewable(s)* refills:*0* 8. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 9. polyvinyl alcohol-povidon(pf) 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for eye irritation. disp:*1 * refills:*0* 10. atenolol 50 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). disp:*60 tablet(s)* refills:*2* 11. atenolol 25 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 12. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days. disp:*40 capsule(s)* refills:*0* 13. torsemide 20 mg tablet sig: two (2) tablet po once a day for 10 days: then decrease to 20mg daily. disp:*14 tablet(s)* refills:*0* 14. demadex 20 mg tablet sig: one (1) tablet po once a day: start lower dose in 0ne week . disp:*30 tablet(s)* refills:*2* 15. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain, fever. disp:*30 tablet(s)* refills:*0* 16. warfarin 1 mg tablet sig: three (3) tablet po once (once) for 1 doses: take 3mg total for today only. disp:*1 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: aortic regurgitation and dilated aorta s/p aortic valve replacement and ascending aorta replacement past medical history: congestive heart failure history of strep bacteremia ?endocarditis atrial fibrillation hypercholesterolemia hypertension prostate cancer s/p xrt c/b proctitis kidney stone gynecomastia dvt or thrombophlebitis h pylori s/p pylera vitamin d deficiency radiation enteritis/proctitis with occasional episodes of gi bleeding macular degeneration s/p hernia repair s/p prostatectomy s/p retinal laser s/p prostate implant discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema +1 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. date/time: 3:15 wound care nurse phone: date/time: 10:30 cardiologist: dr. @ 2:30pm please call to schedule appointments with your primary care dr. in weeks coumadin for dvt goal inr: 2.0-3.0 first draw day after discharge: results to phone fax: dr. office **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 aortic valve with tissue graft resection of vessel with replacement, thoracic vessels diagnoses: abnormal coagulation profile pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension thoracic aneurysm without mention of rupture atrial fibrillation personal history of malignant neoplasm of prostate aortic valve disorders other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure long-term (current) use of anticoagulants personal history of venous thrombosis and embolism diarrhea personal history of urinary calculi other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities examination of participant in clinical trial personal history of irradiation, presenting hazards to health unspecified vitamin d deficiency acquired absence of organ, genital organs 

Answer: The patient is high likely exposed to