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: morphine attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: mitral valve repair (28mm 3d profile ring) history of present illness: this 67 year old male has worsening shortness of breath and has had pleural effusions tapped in . at that time the echo showed mitral stenosis with moderate pulmonary hypertension, both increasing since prior echo in . catheterization showed mild left main disease. she was referred for surgical evaluation and is now admitted for same. past medical history: mitral regurgitation mild coronary artery disease chronic diastolic heart failure pneumonia adhd osteoartritis s/p bilateral hip replacements s/p bilateral shoulder surgery s/p right wrist surgery bacteremia ( undetermined source and bacteria) social history: race: caucasian last dental exam: 2 months ago lives with: wife occupation: works at tobacco: never etoh: 1-2 drinks per day family history: non-contributory physical exam: admission: pulse:67 resp:16 o2 sat: 99% ra b/p right: 108/65 left: 100/64 height: 70" weight:165 # general:thin, nad skin: dry intact heent: perrla eomi anicteric sclera;op unremarkable neck: supple full rom no jvd chest: lungs with bibasilar rales heart: rrr irregular murmur 4/6 sem radiates throughout precordium into carotids abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema-none;mult. healed scars varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit :murmur radiate to bil.carotids pertinent results: 05:35am blood wbc-5.9 rbc-2.87* hgb-9.2* hct-27.4* mcv-96 mch-32.0 mchc-33.5 rdw-13.0 plt ct-121* 03:00am blood wbc-8.9 rbc-2.92* hgb-9.4* hct-27.4* mcv-94 mch-32.2* mchc-34.3 rdw-13.0 plt ct-123* 12:57pm blood wbc-12.9*# rbc-2.77*# hgb-9.2*# hct-25.9*# mcv-94 mch-33.0* mchc-35.3* rdw-13.0 plt ct-193 05:35am blood glucose-152* urean-23* creat-1.0 na-136 k-4.7 cl-105 hco3-29 angap-7* 03:15pm blood k-4.4 02:45pm blood urean-19 creat-0.9 cl-113* hco3-25 06:05am blood hct-30.5* 06:05am blood k-4.9 06:05am blood hct-30.5* brief hospital course: the patient was a same day admit after undergoing pre-operative work-up as an outpatient. on he was brought to the operating room where he underwent a mitral valve repair. please see operative report for surgical details. he weaned from bypass on epinephrine and propofol infusions. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, pressors and awoke neurologically intact and extubated. cts and temporary pacemaker wires were removed according to protocols. he remained stable, beta blockers were begun and diuresis towards his preoperative weight begun. physical therapy was consulted for strength and mobility. he had brief atrial fibrillation which converted to sinus rhythm quickly. he maintained sinus rhythm and was independently ambulatory at discharge. discharge medication, restrictions and follow up were discussed with him prior to discharge. medications on admission: ritalin 5 mg daily b complex daily lasix 20 mg daily kcl 20 meq daily lisinopril 2.5 mg daily discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain for 2 weeks. disp:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 8. ritalin 5 mg tablet sig: one (1) tablet po once a day. 9. lasix 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. disp:*30 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: mitral regurgitation s/p mitral valve repair mild coronary artery disease chronic diastolic heart failure pneumonia adhd osteoartritis bilateral hip replacements bilateral shoulder surgs.(right shoulder has screw) right wrist (c/b infection) bacteremia ( undetermined source and bacteria) discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments surgeon: dr. in 4 weeks on at 1pm () primary: care dr. in weeks () cardiologist: dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified other chronic pulmonary heart diseases chronic diastolic heart failure hip joint replacement mitral stenosis rupture of chordae tendineae 

Answer: The patient is high likely exposed to