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: avr (25 mosaic tissue) history of present illness: 65 yo m with severe as. transferred from pulmonary evaluation, avr. past medical history: htn, ^chol, prostate ca s/p prostatectomy/xrt ', gout, depression, as, ? osa social history: lives with wife quit ppd x 20 years 30 years ago etoh drinks on the weekend had 4 teeth pulled prior to admission in anticipation of surgery family history: father deceased from " problem" at 59 grandfather deceased from " problem" at 59 mother deceased from mi @ 79 physical exam: nad rrr 3/6 sem radiated to carotids lungs ctab abdomen obese, soft/nt extrem warm, 2+pp, no edema, no varicosities pertinent results: 06:30am blood wbc-9.5 rbc-3.22* hgb-9.7* hct-28.8* mcv-90 mch-30.0 mchc-33.6 rdw-13.9 plt ct-472* 05:40am blood wbc-9.5 rbc-3.16* hgb-9.5* hct-28.6* mcv-91 mch-30.2 mchc-33.2 rdw-13.8 plt ct-476*# 06:30am blood plt ct-472* 05:40am blood plt ct-476*# 06:30am blood urean-17 creat-0.9 k-4.4 05:40am blood glucose-91 urean-23* creat-0.9 na-139 k-4.1 cl-97 hco3-34* angap-12 09:57pm blood alt-29 ast-27 ld(ldh)-230 alkphos-96 totbili-0.6 two view chest, . cardiac and mediastinal contours are stable compared to the prior postoperative radiograph. bibasilar atelectasis shows interval improvement. small bilateral pleural effusions are not substantially changed. impression: improving bibasilar atelectasis. persistent small pleural effusions. echo conclusions: pre-cpb: 1. the left atrium is mildly dilated. no spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). 2. no thrombus is seen in the right atrial appendage no atrial septal defect is seen by 2d or color doppler. 3. there is moderate symmetric left ventricular hypertrophy. there is no asymmetric left ventricular hypertrophy. the left ventricular cavity size is normal. no left ventricular aneurysm is seen. overall left ventricular systolic function is low normal (lvef 50-55%). 4. the right ventricular free wall is hypertrophied. the right ventricular cavity is mildly dilated. right ventricular systolic function is borderline normal. interventricular septal motion is normal. 5. there are simple atheroma in the aortic root. the ascending aorta is mildly dilated. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 6. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are severely thickened/deformed. no masses or vegetations are seen on the aortic valve. there is moderate to severe aortic valve stenosis (area 0.8-1.0cm2). peak gradient = 75 mmhg. trace aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 8. there is no pericardial effusion. post-cpb: on infusion of phenylephrine, epinephrine. well-seated bioprosthetic valve in the aortic position. no paravalvular leak. aortic gradient now 25 mmhg. mr is mild. lvef is preserved post-cpb. normal aortic contour post-decannulation. brief hospital course: mr. was admitted to cardiac surgery service and a pulmonology consult was obtained, and it was felt that his pulmonary venous hypertension was largely due to his as. he was also seen by the sleep fellow to set up outpatient post op follow up for liekly sleep apnea. he continued on a course of amoxicillin for his pre-admission dental extractions. he developed some warmth, pain and erythema on his cheek around the site of his dental extractions and was seen by dental medicine after which he was placed on iv clindamycin with resolution of his symptoms. he was taken to the operating room on where he underwent an avr. he was transferred to the icu in critical but stable condition on propofol and epinephrine. he was extubated later that same day. he had some hallucinations at night which resolved. he had some atrial fibrillation which was treated with lopressor, and he converted to a sinus rhythm. he had a temperature of 101.5 on pod #4, and was pancultured. all testing was negative. he was seen by physical therapy who felt that he would benefit from rehab given his continued liter oxygen requirement and need for endurance training and assistance in and out of bed. he was ready for discharge to rehab on pod #6. discharge medications: 1. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 2. fluvoxamine 50 mg tablet sig: three (3) tablet po daily (daily). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 5. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. clindamycin hcl 150 mg capsule sig: two (2) capsule po q6h (every 6 hours) for 2 days. 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed for pain. disp:*60 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. combivent 103-18 mcg/actuation aerosol sig: one (1) inhalation every six (6) hours. 12. flovent hfa 110 mcg/actuation aerosol sig: one (1) inhalation twice a day. 13. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 14. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours). discharge disposition: extended care facility: - discharge diagnosis: as htn, ^chol, prostate ca s/p prostatectomy/xrt ', gout, depression, ? osa discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. p instructions: dr. in 1 month. sleep study on at 7:30 pm at the sheraton (you will receive more information in the mail prior to that date. call if you have questions related to this. follow-up w/dr. at , , on weds. at 10am. ( provider: . & dr. phone: date/time: 10:00 dr. 2 weeks dr. 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: obstructive sleep apnea (adult)(pediatric) pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension gout, unspecified atrial fibrillation personal history of malignant neoplasm of prostate aortic valve disorders other chronic pulmonary heart diseases depressive disorder, not elsewhere classified pulmonary collapse chronic diastolic heart failure 

Answer: The patient is high likely exposed to