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: sulfa (sulfonamide antibiotics) / lipitor attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement history of present illness: 80 yom with severe aortic stenosis and an episode of decompensated congestive heart failure on who has been evaluated in the past by dr but declined to proceed with an aortic valve replacement at that time. a repeat echocardiogram showed progressive disease and a possible small drop in his lvef from 55-60% to 55%. he is now willing to proceed with an aortic valve replacement. past medical history: abdominal aortic aneurysm, small with no recent change ( 3.4 x 3.6cm - stable) carotid artery stenosis, right, asymptomatic chf nyha class iii hypertension hypercholesterolemia insulin dependent diabetes mellitus obesity microalbuminuria history of positive ppd obstructive sleep apnea, unable to tolerate cpap anemia, improved with iron therapy cervical disc disease neuropathy, mild hemorrhoids diverticulosis restless leg syndrome dementia, short term memory per wife rotator tear depression cataracts, bilateral history of mouth benign neoplasm appendectomy polypectomy back surgery social history: race:caucasian last dental exam: edentulous lives with: wife, son, daughter-in-law and grandson (age 16) contact: , wife. cell tion: retired postal service manager cigarettes: smoked no yes hx:quit , 3ppd x10 years other tobacco use: denies etoh: < 1 drink/week illicit drug use: denies family history: premature coronary artery disease- non contributory physical exam: pulse:61 resp:18 o2 sat:98/ra admission: b/p right:156/69 left:154/63 height:6' weight:228 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr murmur iv/vi systolic ejection murmur abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 1 left: 1 carotid bruit bilateral radiation of murmur to carotids discharge: vs: 98.3 hr: 64 sr bp: 130-140/50's rr: 18 sats: 93% ra weight: 105 kg gen: nad neuro:a&o x3, non focal cv: rrr, no murmur. sternum stable, incision cdi pulm: cta-bilat abdm: soft, nt/nd/+bs ext: warm, well perfused. r 1+ & l 2+ pedal edema incision: sternal clean dry intact no erythema or sternal click pertinent results: echo : pre-bypass: the left atrium is moderately dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the left atrium. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the ascending aorta. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. a normal appearing coronary sinus is present. post-bypass: the patient is in sinus rhythm. the patient is on no inotropes. biventricular function is unchanged. there is a well-seated, well-positioned bioprosthetic valve in the aortic position. no paravalvular leak is seen. there is no aortic regurgitation. there is a mean gradient of 14 mmhg at a blood pressure of 96/46. the aorta is intact post-decannulation. no other significant changes from prebypass exam. . chest x-ray: there is interval substantial decrease of pneumomediastinum/pneumopericardium. cardiac and mediastinal silhouettes are unchanged including cardiomegaly. left retrocardiac consolidation and left pleural effusion are unchanged as well as small right pleural effusion. there is no pneumothorax. there is no evidence of pulmonary edema. labs: wbc-9.6 rbc-3.02* hgb-8.9* hct-25.5 plt ct-262# wbc-9.1 rbc-4.51* hgb-13.3* hct-37.9 plt ct-208 urean-20 creat-0.7 na-135 k-3.8 cl-101 glucose-143* urean-19 creat-0.8 na-135 k-4.0 cl-101 hco3-28 glucose-122* urean-16 creat-0.9 na-138 k-3.7 cl-103 hco3-25 06:20am blood mg-2.2 micro: mrsa screen (final ): no mrsa isolated. brief hospital course: mr. was a same day admit on when he was brought to the operating room where he underwent an aortic valve replacement. please see operative report for surgical details. in summary he had: aortic valve replacement with 23mm tissue valve. his bypass time was 73 minutes with a crossclamp time of 55 minutes. he tolerated the operation well and following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and was extubated. on post-op day one he was started on beta-blockers and diuretics and transferred to the step-down floor. respiratory: aggressive pulmonary toilet, nebs and ambulation he titrated off oxygen with room air saturation of 93-96%. cardiac: episode of brief atrial fibrillation rate control 60's with spontaneous conversion to sinus rhythm with no further ectopy. blood pressure stable 130-140 lisinopril 2.5 was started and will titrated at rehab. statin continued gi: benign tolerated a diabetic diet. renal: gently diuresed with lasix. renal function normal with good urine output. electrolytes were replete to maintain k > 4.0 & mg 2.0. endocrine: glargine and humalog insulin sliding scale were continued to maintain blood sugars < 150. neuro: non-focal. home dose donepezil and sertraline continued. disposition: he was followed by physical therapy who recommended rehab. he continued to make steady progress and was discharged to bay rehab . medications on admission: atenolol 25 mg daily aricept 5 mg daily at hs furosemide 40 mg daily insulin glargine 100 unit/ml (3 ml) insulin pen - 58 - 68 units at bedtime pravastatin 40 mg daily sertraline 50 mg daily aspirin 81 mg daily discharge medications: 1. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 7. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 8. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 9. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 11. furosemide 40 mg tablet sig: one (1) tablet po once a day. 12. humalog insulin sliding scale insulin sc fixed dose orders bedtime insulin sc sliding scale breakfast lunch dinner bedtime humalog humalog humalog humalog glucose insulin dose insulin dose insulin dose insulin dose 0-70 mg/dl proceed with hypoglycemia protocol proceed with hypoglycemia protocol proceed with hypoglycemia protocol proceed with hypoglycemia protocol 71-119 mg/dl 0 units 0 units 0 units 0 units 120-140 mg/dl 2 units 2 units 2 units 0 units 141-199 mg/dl 4 units 4 units 4 units 1 units 200-239 mg/dl 6 units 6 units 6 units 2 units 240-280 mg/dl 8 units 8 units 8 units 3 units 13. insulin glargine 100 unit/ml solution sig: sixty (60) units subcutaneous at bedtime. 14. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 15. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: bay skilled nursing & rehabilitation center - discharge diagnosis: aortic valve stenosis s/p aortic valve replacement past medical history: abdominal aortic aneurysm, small with no recent change ( 3.4 x 3.6cm - stable) carotid artery stenosis, right, asymptomatic chf nyha class iii hypertension hypercholesterolemia insulin dependent diabetes mellitus obesity microalbuminuria history of positive ppd obstructive sleep apnea, unable to tolerate cpap anemia, improved with iron therapy cervical disc disease neuropathy, mild hemorrhoids diverticulosis restless leg syndrome dementia, short term memory per wife rotator tear depression cataracts, bilateral history of mouth benign neoplasm appendectomy polypectomy back surgery discharge condition: alert and oriented x3 nonfocal ambulating with assistance incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage leg: left - healing well, no erythema or drainage. edema: 2+ bilat 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 one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **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. on at 1:45pm phone: cardiologist: dr. ( office will contact patient) please call to schedule appointments with your primary care dr. in weeks **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 diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortic valve disorders personal history of tobacco use long-term (current) use of insulin chronic systolic heart failure surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation obesity, unspecified abdominal aneurysm without mention of rupture restless legs syndrome (rls) dementia, unspecified, without behavioral disturbance other pulmonary insufficiency, not elsewhere classified, following trauma and surgery mononeuritis of upper limb, unspecified body mass index 32.0-32.9, adult 

Answer: The patient is high likely exposed to