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: asymptomatic/past avr now followed by serial echos, now with worsening stenosis/gradients major surgical or invasive procedure: avr(#23 epic supra) history of present illness: 57yom s/p avr/cabg in ' followed by echo now presents with worsening stenosis past medical history: as s/p avr(tissue), cad s/p cabg(svg-om), htn, ^chol, gerd, schizophrenia, depression, tonsillectomy social history: lives alone. does not work. remote tobbacco- quit 30 years ago rare etoh family history: noncontributory physical exam: admission: vs hr 76 bp rt104/60 lft 100/64 rr 12 ht 5'8" wt 195lbs gen nad neuro a&ox3 mae, nonfocal exam pulm cta bilat cv rrr 4/6 sem abdm soft, nt/+bs ext warm, well perfused. no edema. rt le incision mid thigh to ankle-clean. no varicosities palpable pulses throughout discharge: vs pertinent results: 05:35am blood wbc-10.8 rbc-3.49* hgb-10.6* hct-29.7* mcv-85 mch-30.3 mchc-35.5* rdw-14.3 plt ct-342 01:18pm urine color-yellow appear-clear sp -1.016 urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg 10:44 am urine source: catheter. urine culture (final ): no growth. 05:35am blood glucose-112* urean-17 creat-0.9 na-138 k-4.2 cl-105 hco3-24 angap-13 2:57 pm chest (pa & lat) cardiomediastinal contours are stable in the post-operative period. bibasilar atelectatic changes have nearly resolved. calcified granuloma is incidentally noted within the right mid lung. no definite pleural effusions are evident, and there is no evidence of pneumothorax. right hemidiaphragm remains mildly elevated. impression: resolving bibasilar atelectasis 10:39 am femoral vascular us right; femoral vascular us right port findings: sagittal and transverse son analysis of the right groin demonstrate a 5 x 5 x 2 cm hematoma in the subcutaneous tissues. there are small branch vessels around the hematoma but there is no evidence of pseudoaneurysm or fistula formation. doppler analysis of the common femoral artery and vein shows normal waveforms. impression: right groin hematoma with no evidence of pseudoaneurysm or fistula formation. brief hospital course: mr was a direct admission to the operating room on . at that time he had an avr, please see or report for details. in summary he had an avr with #23 supra valve, his bypass time was 98 minutes with a crossclaamp time of 68 minutes. he did well in the immediate post-op period, and he was extubated on the day of surgery. on pod1 he remained hemodynamically stable and was transferred to the floors for continued care. once on the floors he had an uneventful post-op course. his chest tubes and epicardial wires were removed on pod 3 his activity level was advanced medicationsd tittrated and on pod 5 it was decided he was ready for discharge home with visiting nurses. medications on admission: lipitor 40' digoxin 0.25' depakote 250' lisinopril 2.5' lopressor 50" asa 81' clozapine 200'omepprazole 20' 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. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. capsule, delayed release(e.c.)(s) 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. 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* 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. clozapine 100 mg tablet sig: two (2) tablet po daily (daily). 7. divalproex 250 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 9. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 12. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 13. divalproex 250 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po hs (at bedtime). 14. clozapine 100 mg tablet sig: two (2) tablet po hs (at bedtime). 15. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 16. guaifenesin 600 mg tablet sustained release sig: one (1) tablet sustained release po bid (). 17. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed: prn. disp:*30 tablet(s)* refills:*0* 18. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 19. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 20. lipitor 40', digoxin .25', depakote 250', lisinopril 25', lopressor 50'', asa 81', clozapine 200', omeprazole 20'. discharge disposition: home with service facility: vna, discharge diagnosis: s/p redo sternotomy avr(#23 epic supra) discharge condition: stable discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds. followup instructions: clinic in 2 weeks dr in 4 weeks dr or in weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft transfusion of packed cells continuous intra-arterial blood gas monitoring diagnoses: anemia, unspecified esophageal reflux pure hypercholesterolemia unspecified essential hypertension atrial fibrillation aortocoronary bypass status aortic valve disorders depressive disorder, not elsewhere classified delirium due to conditions classified elsewhere schizoaffective disorder, unspecified 

Answer: The patient is high likely exposed to