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: patient recorded as having no known allergies to drugs attending: chief complaint: sob major surgical or invasive procedure: s/p redo avr/cabg x1 (19mm st. mechanical valve/lima to lad) history of present illness: 51 yo m with prior endocarditis, avr in . followed for doe and recent back pain resulting in hospitalization in . echo showed severe ai. blood cultures showed coag negative staph bacteremia. picc placed for iv antibiotics. diskitis but no abcsess. referred for surgery. past medical history: pmh thrombocytopenia, copd, hepc, endocarditis/diskitis, depression, anxiety, avr ' social history: + tobacco 20 pack years denies etoh unemployed family history: nc physical exam: slightly sob at rest, pale stasis changes ble right eye strabismus lungs cta left, right base crackles healed sternotomy rrr 6/6 diastolic murmur, sytolic murmur abdomen ventral hernia extrem warm, 2+ edema ble neur grossly intact pertinent results: 06:15am blood wbc-6.3 rbc-3.79* hgb-11.5* hct-33.5* mcv-88 mch-30.2 mchc-34.3 rdw-15.2 plt ct-211 06:15am blood plt ct-211 06:15am blood pt-19.5* ptt-28.4 inr(pt)-1.8* 03:19am blood pt-18.0* inr(pt)-1.6* 05:57am blood pt-19.0* ptt-28.5 inr(pt)-1.8* 05:13am blood pt-18.1* ptt-26.9 inr(pt)-1.7* 05:49am blood pt-16.3* inr(pt)-1.5* 06:15am blood glucose-93 urean-16 creat-0.7 na-138 k-3.6 cl-100 hco3-32 angap-10 echocardiography report , portable tte (focused views) done at 10:10:42 am final referring physician information , , status: inpatient dob: age (years): 51 m hgt (in): 72 bp (mm hg): 110/70 wgt (lb): 151 hr (bpm): 60 bsa (m2): 1.89 m2 indication: s/p avr redo with 19mm st. mechanical valve. cabg with subsequent tamponade and pleural evacuation. assess for residual effusion, icd-9 codes: 423.9 test information date/time: at 10:10 interpret md: , md test type: portable tte (focused views) son: , rdcs doppler: limited doppler and color doppler test location: west inpatient floor contrast: none tech quality: adequate tape #: 2008w000-0:00 machine: vivid i-3 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.5 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.6 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.3 cm <= 5.6 cm left ventricle - systolic dimension: 3.7 cm left ventricle - fractional shortening: 0.30 >= 0.29 left ventricle - ejection fraction: 45% to 50% >= 55% aortic valve - peak velocity: *2.7 m/sec <= 2.0 m/sec aortic valve - peak gradient: *29 mm hg < 20 mm hg aortic valve - valve area: *1.4 cm2 >= 3.0 cm2 mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.6 m/sec mitral valve - e/a ratio: 1.33 mitral valve - e wave deceleration time: 212 ms 140-250 ms tr gradient (+ ra = pasp): 22 mm hg <= 25 mm hg findings this study was compared to the prior study of . left ventricle: mild global lv hypokinesis. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aortic valve: bileaflet aortic valve prosthesis (avr). avr well seated, normal leaflet/disc motion and transvalvular gradients. tricuspid valve: normal tricuspid valve leaflets. moderate tr. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: trivial/physiologic pericardial effusion. no echocardiographic signs of tamponade. no ra or rv diastolic collapse. conclusions there is mild global left ventricular hypokinesis (lvef = 45-50 %). right ventricular chamber size and free wall motion are normal. a bileaflet aortic valve prosthesis is present. the aortic valve prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. moderate tricuspid regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. there are no echocardiographic signs of tamponade. no right atrial or right ventricular diastolic collapse is seen. impression: tiny residual echo lucent area anterior to the right ventricle. no evidence of tamponade. normally functioning aortic bioprosthesis. mild global lv hypokinesis. compared with the prior study (images reviewed) of , there is now no evidence of cardiac tamponade. chest (pa & lat) 11:06 am chest (pa & lat) reason: evaluate rt ptx medical condition: 51 year old man with s/p avr reason for this examination: evaluate rt ptx history: avr repair. findings: in comparison with the study of , there is no change. again there is a tiny right apical pneumothorax. moderate cardiomegaly persists with relatively small bilateral pleural effusions, more marked on the right. no evidence of acute pneumonia. brief hospital course: he was admitted to cardiac surgery. he was seen by hepatology. he was cleared for surgery by dental. he was seen and followed by id. mri showed diskitis with ? of osteo of the spine. he was taken to the operating room on where he underwent a redo sternotomy, avr, and cabg x 1. he was transferred to the icu in stable condition on epi, neo and propofol. he was extubated on pod #1. he was given 48 hours of vanocmycin since he was in the hospital > 24 hours preoperatively. he continued on nafcillin, and rifampin, and caspofungin for yeast from a blood culture drawn from a picc line. he was started on coumadin for his mechanical valve. he was started on a heparin gtt until his inr was therapeutic. he was seen by opthamology and fungal eye infection was ruled out. he developed a small pneumothorax after his chest tubes were pulled, which was stable on subsequent chest x rays. he awaited therapeutic inr. he developed cardiac tamponade and was taken emergently back to the operating room on . he was extubated later that same day. he was transferred back to the floor on pod #1. he was restarted on coumadin for his mechanical valve. he continued to have a stable apical pneumothorax. he awaited increasing inr, and was ready for discharge home on pod #16/7. he will require completion of a 10 week course of iv nafcillin and po rifampin, and has completed a 2 week course of caspofungin. at dr. office has agreed to manage coumadin, goal inr for mechanical aortic valve. medications on admission: naficillin 2gm q4h (staph), asa, lasix 40', kcl, methadone 15"', roxicodone 15 prn, rifampin 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:*2* 3. rifampin 300 mg capsule sig: one (1) capsule po q 8h (every 8 hours) for 10 weeks: 10 weeks from , dosing until . disp:*126 capsule(s)* refills:*0* 4. nafcillin in d2.4w 2 gram/100 ml piggyback sig: two (2) grams intravenous q4h (every 4 hours) for 10 weeks: 10 weeks from . dosing until . disp:*504 grams* refills:*0* 5. outpatient lab work weekly cbc, lfts, chem 7 to dr. , phone number 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*30 tablet(s)* refills:*0* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. coumadin 10 mg tablet sig: one (1) tablet po once a day for 1 days: check inr with results to dr. . disp:*60 tablet(s)* refills:*1* 9. picc line care saline 5-10 cc sash and prn; heparin flush (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. 10. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). disp:*qs 1 month* refills:*0* 11. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 1 weeks. disp:*7 tablet(s)* refills:*0* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 13. zantac 150 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 14. methadone 10 mg tablet sig: 1.5 tablets po three times a day. discharge disposition: home with service facility: vna discharge diagnosis: s/p redo avr/cabg x1 (19mm st. mechanical valve/lima to lad) endocarditis tamponade s/p mediatinal reexploration acute diastolic chf endocarditis bacteremia diskitis prior bentall with homograft hep c chronic pain thrombocytopenia depression/anxiety discharge condition: good discharge instructions: shower daily and pat incisions dry no lotions, creams, or powders on any incision no driving for one month no lfting greater than 10 pounds for 10 weeks call for fever greater than 100.5, redness or drainage iv abx to continue to complete 10 weeks course from . target inr 2.0-3 for mechanical aortic valve - dosing per dr. office. followup instructions: see dr. in 4 weeks see dr. in 6 weeks see dr. in 2 weeks see dr. thursday @ 4:30 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart closed (percutaneous) [needle] biopsy of liver pericardiocentesis open and other replacement of aortic valve incision of mediastinum reopening of recent thoracotomy site other incision of pleura diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified acute on chronic diastolic heart failure other complications due to heart valve prosthesis aortic valve disorders dysthymic disorder hemorrhage complicating a procedure iatrogenic pneumothorax surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation acute pericarditis, unspecified cardiac tamponade other and unspecified disc disorder, unspecified region 

Answer: The patient is high likely exposed to