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: dyspnea on exertion major surgical or invasive procedure: 1. mitral valve repair with a 3-d annuloplasty ring, 28 mm and a cleft repair of a2. 2. tricuspid valve repair with 30 mm mc3 annuloplasty ring. history of present illness: 75 year old female c/o dyspnea on exertion since summer . developed congestive heart failure which required diuresis and multiple thoracentesis for recurrent pleural effusions. most recent right thoracentesis at for 1 liter. work-up revealed severe mitral regurgitation and she is admitted for heparinization for mv surgery . past medical history: mitral regurgitation congestive heart failure, recurrent effusions s/p thoracentesis x 4 (most recent was last week, also had ptx after thoracentesis) moderate pulmonary hypertension atrial fibrillation (on coumadin) diabetes mellitus hypertension hyperlipidemia hypothyroidism ?copd colon cancer s/p resection social history: race: caucasian last dental exam: , cleared lives: alone occupation: secretary tobacco: quit 50 yrs ago etoh: occ. family history: non-contributory physical exam: physical exam pulse: 107- irreg resp: 20 o2 sat: 88% on ra b/p right: 107/59 left: 105/63 height: 170cm weight: 72kg general: well-developed female in no acute distress skin: dry - dime sized area of blanching erythema on right buttock. heent: perrla eomi neck: supple full rom chest: bilateral rales at the bases with right>left heart: rrr irregular murmur holosystolic heard loudest at the apex abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: +2 varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 2+ left: 1+ radial right: 2+ left: 2+ carotid bruit right/left: none pertinent results: 05:30am blood wbc-6.1 rbc-3.13* hgb-8.8* hct-28.1* mcv-90 mch-28.1 mchc-31.2 rdw-15.6* plt ct-301# 06:05am blood wbc-9.6 rbc-3.04* hgb-8.7* hct-27.2* mcv-89 mch-28.7 mchc-32.1 rdw-15.7* plt ct-168 03:57am blood wbc-11.1* rbc-3.27* hgb-9.3* hct-28.5* mcv-87 mch-28.5 mchc-32.8 rdw-15.6* plt ct-157 05:30am blood pt-14.1* inr(pt)-1.2* 06:10am blood pt-13.4 inr(pt)-1.1 07:50am blood pt-12.8 inr(pt)-1.1 05:30am blood glucose-103* urean-12 creat-0.6 na-140 k-4.5 cl-104 hco3-33* angap-8 06:10am blood glucose-99 urean-12 creat-0.5 na-141 k-4.6 cl-104 hco3-32 angap-10 prebypass the left atrium is elongated. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is moderately dilated with mild global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. the mitral valve leaflets do not fully coapt. an eccentric, posteriorly directed jet of severe (4+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. postbypass lv systolic function is preserved. the is a ring prosthesis in the mitral position . mr is now mild. rv systolic function remains mildly depressed. there is a ring prosthesis in the tricuspid position. tr is mild. the remaining study is unchanged from the prebypass period. brief hospital course: the patient was admitted one day prior to surgery for pre-admission testing and heparin bridge. she was brought to the operating room on where she underwent mitral valve repair and tricuspid valve repair with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition on neo and propofol for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. she was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. chest tubes and pacing wires were discontinued without complication. coumadin was resumed for atrial fibrillation. she was diuresed toward her preoperative weight and beta-blockade was initiated. she does have a history of chronic pleural effusions, and this was closely followed by cxr following removal of chest tubes. diuresis was adjusted accordingly for pleural effusions and significant lower extremity edema. she will follow up in one week with a chest x-ray. the patient progressed without complication, and was cleared by dr. for discharge to **** on pod ******. medications on admission: cardizem cd 120mg qd lasix 40mg 5x/day synthroid 75mcg qd metformin 500mg qd metoprolol xl 100mg qd kcl 10meq qd simvastatin 20mg qd diovan 80mg qd coumadin 2.5mg qd- last dose levaquin 750mg daily- started at - unknown infectious process discharge medications: 1. warfarin 2.5 mg tablet sig: one (1) tablet po once a day: dose will change daily for goal inr 2-2.5, dr. to manage. disp:*30 tablet(s)* refills:*2* 2. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 7. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 8. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 9. metformin 500 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. furosemide 40 mg tablet sig: one (1) tablet po four times a day. disp:*120 tablet(s)* refills:*2* 11. 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: extended care facility: life care center of discharge diagnosis: mitral regurgitation congestive heart failure, recurrent effusions s/p thoracentesis x 4 moderate pulmonary hypertension atrial fibrillation (on coumadin) diabetes mellitus hypertension hyperlipidemia hypothyroidism ?copd colon cancer s/p resection 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments surgeon dr. thursday, 1:15pm primary care dr. in weeks cardiologist dr. in weeks cxr to follow up on pleural effusions, with film emailed to , for dr. procedure: extracorporeal circulation auxiliary to open heart surgery annuloplasty open heart valvuloplasty of mitral valve without replacement open heart valvuloplasty of tricuspid valve without replacement diagnoses: mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atrial fibrillation acute on chronic diastolic heart failure other chronic pulmonary heart diseases other and unspecified hyperlipidemia long-term (current) use of anticoagulants personal history of malignant neoplasm of large intestine diseases of tricuspid valve long-term (current) use of aspirin 

Answer: The patient is high likely exposed to