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: codeine / erythromycin base / ampicillin / gabapentin / aspirin / clindamycin / actonel / fosamax attending: chief complaint: as/ai; severe shortness of breath major surgical or invasive procedure: sp avr w/ tissue valve history of present illness: 75 yo f complaing of severe shortness of breath at all times. echo ef 60%, mild to mod ai, severe as with wv 0.4, mod mr. past medical history: aortic stenosis aortic insufficency lactose intolerance peripheal neuropathy mild anemia hypercholesterolemia osteoporosis sp appy sp tah w/ bladder suspension sp t & a social history: quit tobacco x 40 yr. denies etoh. retired. lives with husband. family history: mother died @ 74; mi/dm father dies @ 76; esophageal cancer physical exam: hr 76 bp 156/86 nad rrr, iii sem ctab soft, nt no e/c/c pertinent results: 06:45am blood wbc-7.4 rbc-3.27* hgb-10.1* hct-30.2* mcv-93 mch-30.8 mchc-33.3 rdw-13.1 plt ct-201 01:38pm blood wbc-10.6# rbc-3.77* hgb-11.7* hct-33.4* mcv-89 mch-31.0 mchc-34.9 rdw-13.6 plt ct-124*# 07:15am blood k-4.2 01:00am blood glucose-73 urean-9 creat-0.5 na-138 k-3.8 cl-97 hco3-32* angap-13 02:57am blood glucose-82 urean-9 creat-0.5 na-135 k-4.2 cl-105 hco3-23 angap-11 brief hospital course: pt under went an unremarkable hospital course. pt was tolerating a regular diet with good pain control on po pain medications. pt was ambulating on her own and working with physical therapy. on , pt's cxr showed r pleural effusion. pt's o2 saturation were 95% on ra. on discharge, the pt was 6 kg over her pre operative weight and was dc'd on 1 week on lasix 40mg for continued diuresis. cxr pending. an addendum will be added regarding results. medications on admission: amitryptilline 10 mg po qday calcium qday vit e qday iron 3 times per weekb 6 vit injection qo month discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. amitriptyline hcl 10 mg tablet sig: one (1) tablet po hs (at bedtime). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*75 tablet(s)* refills:*0* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 8. potassium chloride 20 meq packet sig: one (1) po q12h (every 12 hours) for 7 days. disp:*7 tabs* refills:*0* 9. tramadol hcl 50 mg tablet sig: 0.5-1 tablet po q4-6h (every 4 to 6 hours) as needed. discharge disposition: extended care facility: healthcare center discharge diagnosis: aortic stenosis/aortic insufficency colitis gastritis oa peripheal neuropathy anemia lactose intolerance hypercholesterolemia discharge condition: stable discharge instructions: please call physician if experiencing fevers/chills, nausea/vomiting, increasing redness/drainage from the incision. please do not drive while taking narcotics. please do not lift greater than 10 lbs x 6 weeks. please follow up with your pcp regarding new medications (lopressor, baby asa, , lasix/potassium x 1 weeks). followup instructions: please call the office () for an appointment with dr. in 4 weeks. please follow up with your pcp/cardiologists within 2-3 weeks. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft transfusion of packed cells transfusion of platelets diagnoses: other and unspecified noninfectious gastroenteritis and colitis anemia, unspecified pure hypercholesterolemia aortic valve disorders osteoporosis, unspecified unspecified hereditary and idiopathic peripheral neuropathy intestinal disaccharidase deficiencies and disaccharide malabsorption 

Answer: The patient is high likely exposed to