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: fall/syncope major surgical or invasive procedure: 1. aortic valve replacement with a size 19 - magna tissue valve. 2. coronary artery bypass graft x3, left internal mammary artery to left anterior descending artery and saphenous vein grafts to diagonal and right coronary arteries. history of present illness: 85 yo female with pmhx significant for htn, hip fracture, large submental basal cell carcinoma s/p xrt (finished ) admitted to osh with history of fall. she reports "legs giving out under her" with no associated sob, chest pain, dizziness. hx fall 1 year ago resulting in a broken hip. no loc, head ct was negative for intracranial hemmorrhage. on exam noted to have a murmur and echo revealed critical as. subsequently she underwent cardiac catherization which revealed 3 v cad. she is currently on empiric cefazolin and flagyl for xrt wound care to chin. past medical history: large thyroid nodule (seen on cxr) hiatal hernia hypertension large basal cell carcinoma below the right mandible s/p xrt x 2 cycles right hip fracture s/p right hip pin placement social history: race: caucasian last dental exam: several years ago lives with: daughter occupation: tobacco: none etoh: none family history: non-contributory physical exam: pulse:72 resp:18 o2 sat:100% ra b/p right:165/76 left: height:5'4" weight:142# general:aao x 3 in nad, pleasant skin: dry intact 1) multiple diffuse lesions on upper and lower extremites, trunk, back with excoriations and erythema surrounding 2)large erythematous warm area on left medial calf, nontender, no drainage. 3) erythema at right mandibular area and neck with large ulcerative lesion over submental area covered with dry exudate, dressed with gelfoam heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iii/vi sem abdomen: soft non-distended non-tender bowel sounds + 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:2+ left:2+ carotid bruit right:transmitted murmur left:transmitted pertinent results: echo: prebypass: extremely limited views on tee. unable to advance probe beyond 35 cms. no atrial septal defect is seen by 2d or color doppler. lvef=55% right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. significant aortic stenosis is present (not quantified). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate (2+) mitral regurgitation is seen. there is a small pericardial effusion. dr. was notified in person of the results on at 1000am. post bypass: poor transgastric views post bypass. unable to obtain gradients post bypass. patient is av paced and receiving an infusion of phenylephrine. biventricular systolic function unchanged. bioprosthetic valve seen in the aortic position. with the limited views appears well seated and the leaflets move well. trivial aortic insufficiency present. 2+ mitral regurgitation persists. aorta is intact post decannulation. carotid u/s: 1. bilateral minimal plaque with low end, 1-39% stenosis. antegrade vertebral flow. 2. incidental sub 2-mm heterogeneous mass within the right submandibular gland. recommend further imaging to better characterize. chest ct: 1. aberrant right subclavian artery. 2. extensive coronary calcifications, moderate aortic root and valve calcifications. 3. isolated ectasia of the right pulmonary artery. 4. large hiatal hernia. 5. minimal left pleural effusion. 6. non-characteristic apical granulomas and ground-glass nodules bilaterally, non-characteristic scars, no acute inflammatory or systemic changes of the lung parenchyma. 7. 3-cm retrosternal thyroid nodule. le u/s: 1. left calf dvt of the posterior tibial veins. 2. no evidence of right leg dvt. 3. 1.5 cm right cyst. brief hospital course: as mentioned in the hpi, ms. was transferred from outside hospital following fall/syncopal episode. cath at revealed severe coronary artery disease. subsequent echo showed severe aortic stenosis. upon admission she was medically managed, including iv antibiotics for non healing chin ulcer s/p xrt which was recently completed. she underwent extensive pre-operative work-up, including chest ct, carotid and lower extremity u/s, echo and dental and vascular consults. left lower extremity ultrasound was postive for left dvt. she was treated with iv heparin pre-operatively and coumadin postoperatively which will continue for 6 months. id was consulted for her chin ulcer and she was treated with iv vanco. her mrsa swab was negative and she was transitioned to po keflex for 10days for her chin ulcer upon discharge. on she was brought to the operating room where she underwent a coronary artery bypass graft x 3 and aortic valve replacement (tissue). please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. beta-blockers and diuretics and statin therapy were initiated on post-op day one and she was diuresed towards he pre-op weight. on post-op day one she was transferred to the telemetry floor for further care. chest tubes and epicardial pacing wires were removed per protocol. she experienced post operative atrial fibrilation and was treated with po amiodarone, increased coreg and digoxin and converted to sinus rhythm. she was evaluated by physical therapy and rehab was recommended upon discharge. she was discharged to nursing and rehab on . medications on admission: medications at home: lopressor 50 mg , occ mvi meds on transfer: cefazolin im q 8 hrs, b12 100 mcg po daily, metoprolol 50 mg , flagyl 500 mg tid discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet 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. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day): decrease as indicated and then d/c when edema resolves. 8. keflex 500 mg capsule sig: one (1) capsule po twice a day for 10 days. 9. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching . 10. amiodarone 200 mg tablet sig: two (2) tablet po once a day: 400mg daily for 7 days then decrease to 200mg daily. 11. warfarin 1 mg tablet sig: as directed for dvt tablet po once daily at 4 pm: goal inr 2.0-3.0 has been rec'ing 2.5 mg. 12. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). discharge disposition: extended care facility: nursing and rehab discharge diagnosis: aortic stenosis s/p aortic valve replacement coronary artery disease s/p coronary artery bypass graft x 3 past medical history: large thyroid nodule (seen on cxr) hiatal hernia hypertension large basal cell carcinoma below the right mandible s/p xrt x 2 cycles right hip fracture s/p right hip pin placement left calf dvt dx'd discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage leg right - healing well, no erythema or drainage. bilateral lower extremity 2+ edema chin wound: continue adaptic and dsd daily and prn. 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 11:45am 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** labs: pt/inr for coumadin ?????? indication dvt goal inr 2.0-3.0 first draw md procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation aortic valve disorders diaphragmatic hernia without mention of obstruction or gangrene personal history of other malignant neoplasm of skin cellulitis and abscess of leg, except foot personal history of irradiation, presenting hazards to health radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure effects of radiation, unspecified acute venous embolism and thrombosis of deep vessels of distal lower extremity chronic ulcer of other specified sites nontoxic uninodular goiter 

Answer: The patient is high likely exposed to