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) attending: chief complaint: known mitral regurg-eval for mitral valve repair/replacement major surgical or invasive procedure: radical mitral valve repair with posterior leaflet p1/p2) triangular resection with ring annuloplasty using - physio ii 30-mm ring. resection of left atrial appendage. history of present illness: 59 year old male with a long standing history of asymptomatic severe mitral regurgitation secondary to posterior flail leaflet. a recent echocardiogram demonstrates interval progression of mildly enlarged left ventricle, moderate left atrial enlargement with preserved systolic function, ef 65%. the patient denies shortness of breath or chest discomfort. he states he will occasionally take a 45 minute walk without any shortness of breath or difficulty. he presents today for elective cardiac cath. cardiac surgery consulted for evaluation of mitral valve repair vs.replacement. past medical history: severe mitral regurgitation,esophageal reflux,trigger finger social history: last dental exam:-dr. at community health lives with:lives with wife and daughter contact: phone # occupation:works fulltime as a signs fabricator/installer cigarettes: smoked no yes -occasional cigar other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use-denies family history: uncle died of an mi, grandfather had dm physical exam: pulse:61 resp:20 o2 sat: 98% b/p 106/94 height: 5 ft 9inches weight: 200lbs five meter walk test #1_______ #2 _________ #3_________ general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally intermittent (r)exp wz heart: rrr irregular murmur grade _iv/vi sem_____ abdomen: soft non-distended nonx-tender bowel sounds + extremities: warm , well-perfused edema none appreciated at this time _____ varicosities: (r)le neuro: grossly intact pulses: femoral right: left: dp right: 2+ left:2+ pt : left: radial right: left: carotid bruit-none appreciated, pulse right:2+ left:2+ pertinent results: 05:49am blood wbc-11.8* rbc-3.44* hgb-11.1* hct-30.0* mcv-87 mch-32.3* mchc-37.0* rdw-12.5 plt ct-151 01:08pm blood wbc-17.1*# rbc-4.51* hgb-13.9* hct-39.0* mcv-87 mch-30.8 mchc-35.6* rdw-12.9 plt ct-190 01:08pm blood pt-14.3* ptt-44.6* inr(pt)-1.2* 05:49am blood glucose-98 urean-9 creat-0.7 na-138 k-3.9 cl-102 hco3-28 angap-12 01:08pm blood urean-10 creat-0.8 na-142 k-4.1 cl-112* hco3-25 angap-9 06:30am blood wbc-8.5 rbc-3.50* hgb-11.0* hct-29.7* mcv-85 mch-31.4 mchc-37.1* rdw-12.9 plt ct-349 06:00am blood wbc-7.4 rbc-3.55* hgb-11.1* hct-30.3* mcv-85 mch-31.3 mchc-36.6* rdw-12.9 plt ct-271 06:30am blood glucose-87 urean-10 creat-0.7 na-139 k-4.3 cl-104 hco3-26 angap-13 06:00am blood na-144 k-4.5 cl-107 08:57am blood urean-13 creat-0.7 na-141 k-4.3 cl-103 echocardiographic measurements results measurements normal range left ventricle - diastolic dimension: *7.0 cm <= 5.6 cm left ventricle - ejection fraction: >= 55% >= 55% aorta - annulus: 2.5 cm <= 3.0 cm aorta - sinus level: 3.3 cm <= 3.6 cm aorta - sinotubular ridge: 2.7 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm findings right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: normal lv wall thickness. severely dilated lv cavity. normal regional lv systolic function. right ventricle: moderately dilated rv cavity. moderate global rv free wall hypokinesis. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: moderately thickened mitral valve leaflets. eccentric mr jet. severe (4+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. regional left ventricular wall motion: prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is severely dilated. regional left ventricular wall motion is normal. the right ventricular cavity is moderately dilated with moderate global free wall hypokinesis. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. an eccentric, anteriorly directed jet of severe (4+) mitral regurgitation is seen. postbypass lv function now appears borderline normal (lvef ~ 50%). the lv is now moderately dilated. the rv appears less dilated and its function is improved compared to prebypass. there is a ring prosthesis in the mitral position. the mr is now trace. the remaining study is unchanged from prebypass brief hospital course: 59 year old whose preoperative transesophageal echo showed severe mitral regurgitation, and his preoperative cardiac cath showed normal coronaries. the patient was felt to be a good candidate for mitral valve repair. the patient was admitted to the hospital and brought to the operating room on where the patient underwent a radical mitral valve repair with posterior leaflet (p1/p2) triangular resection with ring annuloplasty using - physio ii 30-mm ring and resection of left atrial appendage. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. pod #2 the patient spiked a temperature to 102 and was pan cultured. central line was removed and tip culture came back negative. he did have some nausea and liver function tests and abdominal ultrasound were both negative for a source of fevers. he was started on kefzol and continued with fevers over the next several days. he had multiple blood cultures drawn - all of which are no growth to date. he was switched to vancomycin and infectious disease service was consulted. they recommended switching to keflex for a 10 day course. on pod 8 he had been afebrile x greater than 24 hrs and sternum was without erythema or draiange. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 8 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: omeprazole -20 mg capsule q am zantac 75mg qpm medications - otc horse chestnut dosage uncertain bilberry- dosage uncertain multivitamin -dosage uncertain saw - dosage uncertain vitamin e -dosage uncertain zinc - dosage uncertain discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 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:*1* 3. hydromorphone 2 mg tablet sig: 1-2 tablets po q3hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*1* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 6. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*1* 8. multivitamin tablet sig: one (1) tablet po daily (daily). 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/temp. 10. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day). 11. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 10 days. disp:*40 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: severe mitral regurgitation. discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg edema 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 approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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 1:15pm cardiologist: dr. on at 1:00pm wound check in cardiac surgery office medical building on thrus at 10:15 am 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 mitral valve annuloplasty excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: other iatrogenic hypotension esophageal reflux tobacco use disorder mitral valve disorders other postoperative infection congestive heart failure, unspecified unspecified essential hypertension systolic heart failure, unspecified other and unspecified hyperlipidemia personal history of colonic polyps family history of diabetes mellitus cardiomegaly family history of other cardiovascular diseases abnormal involuntary movements rupture of chordae tendineae personal history of allergy to sulfonamides radial styloid tenosynovitis trigger finger (acquired) 

Answer: The patient is high likely exposed to