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 / sulfonamides attending: chief complaint: cp/doe major surgical or invasive procedure: avr (19mm regent/mechanical) & cabg x 1 (svg to om) history of present illness: this is a 76 y/o male pt who initially presented to our service in , at which time he was anemic w/ hct 20.8 & ugib. he was known to have as w/ of 0.7 and csurg was consulted for avr. it was recommended that he have resolution of ugib with recovery of hct prior to surgery. admitted today with plans for iv heparin (now off coumadin) prior to cath tomorrow and planned avr. he also admits to intermmittent cp, doe, edema, and palpitations. past medical history: as cad s/p lcx stent htn ^chol pvd l. knee oa anemia afib ugib ?dm2 s/p r. cea ' s/p r fem- ' s/p l fem-popo s/p l tkr social history: lives with wife. retired from telephone company. quit smoking 32 yrs ago. 30 pack/yr hx. denies etoh. family history: cad, father died of mi at 59. sister died of mi at 61. physical exam: vs: t 97.7 bp 149/67 hr 61 rr 20 wt: 5'7" ht: 200lbs gen: walked into room in nad neuro: a&o x 3, appropriate resp: ctab cv: irreg, +s1/s2 +#/^ sem with radiation to both carotids gi: soft, round nt/nd +bs ext: warm, dry, +varicosities, r>l, -edema, well-healed old fem- incisions pulses: radial 2+ bilat., dp & pt 1+ bilat. pertinent results: cardiac cath: the peak to peak gradient across the aortic valve was 60 mmhg. the mean gradient was 52 mmhg. the calculated aortic valve area was 0.9 mmhg. selective coronary arteriography of this right-dominant system revealed single vessel disease. the lmca and the lad were free of flow-limiting stenoses. the previously placed stent in the lcx had a proximal 90% instent restenotic lesion. the rca had an 80% lesion in the major acute marginal branch. pre-op cxr: no acute pulmonary process. 09:34pm blood wbc-4.8 rbc-3.35* hgb-9.8* hct-29.6* mcv-89 mch-29.2 mchc-33.0 rdw-17.0* plt ct-140* 11:38am blood wbc-7.3 rbc-3.11* hgb-8.9* hct-27.4* mcv-88 mch-28.7 mchc-32.5 rdw-15.6* plt ct-357 09:34pm blood pt-16.2* ptt-27.4 inr(pt)-1.7 09:34pm blood plt ct-140* 11:38am blood pt-18.9* inr(pt)-2.2 11:38am blood plt ct-357 09:34pm blood glucose-162* urean-21* creat-1.4* na-143 k-3.7 cl-104 hco3-31* angap-12 11:38am blood glucose-130* urean-19 creat-1.3* na-139 k-4.9 cl-105 hco3-27 angap-12 09:34pm blood alt-33 ast-33 ld(ldh)-235 alkphos-94 amylase-134* totbili-1.0 03:11am blood calcium-8.2* phos-4.9* mg-1.9 08:31pm urine color-straw appear-clear sp -1.013 01:25am urine color-yellow appear-clear sp -1.010 08:31pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-neg brief hospital course: as mentioned in the hpi, pt admitted prior to cath & surgery for d/c of coumadin and to start heparin. hd #2 pt underwent cardiac cath which revealed severe as and lcx 90% in stent restenosis. plan was then for avr & cabg x 1 when inr decreased to ar least 1.3 hd #3 pt rec.'d vit. k. repeat inr was 1.5. hd #5, pt.'s inr was 1.4 and it was felt that this was low enough for surgery. on , pt was brought to the or and after general anesthesia pt underwent an avr and cabg x 1. please refer to op note summary for full surgical details. pt tolerated the procedure well and was transferred to csru in stable condition with a map of 67, cvp 16, pad 24, 30, hr 86 v-paced and being titrated on neo. later on op day pt was weaned from propofol and extubated. he was neurologically intact, mae to command and hemodynam. stable (hr was af, h/o af) pod #1 - lasix and lopressor were started per protocol. pod #3 - chest tubes, pacing wires, foley removed per protocol. pt was oob and ambulated in . transferred to telemetry floor. pod #4 - pt already receiving coumadin. heparin was started today. inr was 1.3. encouraged pt to ambulate & po intake. pod #5 - awaiting increase in inr. coumadin & heparin increased. some l. leg cellulitis (abx started), few bibasal rales, erythema at tiny area at superior aspect of sternal incision. pod #6 - pt. cont. to be in a. fib. increased temp 102.3 erythema at left leg incision, mild increased warmth. ancef continued. ua neg. bloodd cultures negative. pt. denies diarrhea. f/u cxr. pod #7 - kefzol d/c'd for cellulitic l. leg and levofloxacin started. temp decreased to 100. pod #8 - repeat cxr showed decreased l. pleural effusion. temp decreased to 99.7. some erythema cont. on l. leg. heparin d/c'd. coumadin at 1mg. wbc 6,700. pod #9 - pt. had run of raf in130s. lopressir increased. small amount of aerosang. drainage at upper pole of sternal incision. pod #10 - pt. stable, ambulating well. cont. to be in a. fib. inr at therapeutic level. afebrile and will be d/c'd hometoday with vna services. d/c pe: t 99.2 p 120 bp 120/60 rr 20 neuro: alert, oriented, non-focal pulm: ctab cardiac: irreg chest: warm, trace edema ext: leg inc. c/d medications on admission: 1. oscal 500 2. lipitor 80 qd 3. zetia 10 qd 4. potassium 20 qd 5. fosamax qweekly 6. feosol 7. protonix 8. plavix 75 qd 9. coumadin 1 qd 10. asa 81 qd 11. coreg 12.5 12. lasix 20 qd discharge medications: 1. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(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. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 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. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 9. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. lopressor 50 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*2* 11. warfarin sodium 2 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: as s/p avr w/ . regent valve (mechanical) cad s/p cabg x 1 (svg to om) s/p lcx stent htn ^chol pvd l. knee oa anemia afib ugib ?dm2 s/p r. cea ' s/p r fem- ' s/p l fem-popo s/p l tkr discharge condition: good discharge instructions: no lifting > 10# or driving for 1 month no creams or lotions to incisions may shower, no bathing for 1 month followup instructions: with dr. in 1 weeks with dr. in 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnostic ultrasound of heart open and other replacement of aortic valve (aorto)coronary bypass of one coronary artery diagnoses: abnormal coagulation profile coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases cellulitis and abscess of leg, except foot other complications due to other cardiac device, implant, and graft diastolic heart failure, unspecified knee joint replacement 

Answer: The patient is high likely exposed to