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: erythromycin base / amoxicillin / hydrochlorothiazide attending: chief complaint: shortness of breath major surgical or invasive procedure: mitral valve replacement (st. #27 tissue valve) history of present illness: 66 yo f with known mitral regurgitation with worsening symptoms, referred for cardiac catheterization. she complains that her dyspnea on exertion has progressively worsened and she is now experiencing dyspnea while lying in bed. dr. is asked to see her for evaluation for mitral valve replacement. past medical history: mitral regurgitation hypertension hypercholesterolemia spinal stenosis-undergoing eval for surgery degenerative disc disease breast cancer treated with chemo, xrt and surgery depression past surgical history: s/p right lumpectomy s/p tonsillectomy s/p myomectomy s/p total hysterectomy s/p knee surgery social history: race:african american last dental exam:2 months ago lives with:alone occupation:part-time receptionist tobacco:quit etoh:1 glass of wine per night family history: father died age 30 ?cad, uncle died cad age 42 physical exam: pulse: 87 resp:20 o2 sat:97%ra b/p right:121/66 left:116/65 height:5'2" weight:145 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur-i/vi soft systolic murmur at 4 lics 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: +2 left:+2 pt : +2 left:+2 radial right: +2 left:+2 carotid bruit right: none left:none pertinent results: echo: pre-bypass: the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened with bileaflet retractions. the posterior leaflet is more severely retracted than the anterior leaflet. an eccentric, posteriorly-directed jet of severe (4+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). there is a trivial/physiologic pericardial effusion. post-bypass: the patient is receiving no inotropic support post-cpb. there is a well-seated bioprosthetic valve in the mitral position with good leaflet excursion. there is no transvalvular or paravalvular regurgitation. the mean transvalvular pressure gradient is 3 mm hg at a cardiac output of 6 l/min. the left ventricular systolic function is borderline normal (lvef 50%). tricuspid regurgitation is moderate (2+). the tv diameter at end diastole was 3.5cm all other findings are consistent with pre-bypass findings. the aorta is intact post-decannulation. all findings were discussed with the surgeon intraoperatively. 05:45am blood wbc-10.6 rbc-2.94* hgb-9.3* hct-28.3* mcv-96 mch-31.5 mchc-32.8 rdw-13.2 plt ct-176 10:12am blood wbc-10.4 rbc-2.85*# hgb-9.2*# hct-26.8*# mcv-94 mch-32.3* mchc-34.3 rdw-13.1 plt ct-150 11:34am blood pt-14.0* ptt-38.2* inr(pt)-1.2* 10:12am blood pt-13.3 ptt-35.2* inr(pt)-1.1 05:45am blood glucose-98 urean-22* creat-0.6 na-134 k-4.7 cl-101 hco3-25 angap-13 brief hospital course: ms. was a same day admit after undergoing preoperative work-up as an outpatient. on she was brought directly to the operating room where she underwent a mitral valve replacement. please see operative report for surgical details. she tolerated the procedure well and was transferred to the cvicu intubated, sedated, requiring pressors to optimize her cardiac function. she was in critical but stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated without difficulty. chest tubes and epicardial pacing wires were removed per protocol. beta-blocker and diuresis was initiated. she continued to progress and she was transferred to the step down unit on post-op day #1. beta blockers were kept at a lower dose due to a sbp 90's. physical therapy was consulted for evaluation of strength and mobility. the remainder of her hospital course was essentially uneventful. she was cleared by dr. for discharge to home on pod#4. all follow up appointments were advised. medications on admission: amphetamine-dextroamphetamine 10mg po tid bimatopropst (not taking) citalopram 40mg po daily fexofenadine 180mg po daily prn allergies hydrocodone-acetaminophen 7.5mg-750mg, 1 tablet po q 6 hrs indomethacin 75 mg po bid prn lisinopril 10mg po daily simvastatin 20mg po daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po every twenty-four(24) hours. disp:*30 tablet(s)* refills:*0* 4. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 5. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po every twenty-four(24) hours for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 7. vicodin 5-500 mg tablet sig: one (1) tablet po four times a day as needed for pain for 7 days. disp:*20 tablet(s)* refills:*0* 8. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: caregroup vna discharge diagnosis: mitral regurgitation s/p mitral valve replacement past medical history: hypertension hypercholesterolemia spinal stenosis-undergoing eval for surgery degenerative disc disease breast cancer treated with chemo, xrt and surgery depression past surgical history: s/p right lumpectomy s/p tonsillectomy s/p myomectomy s/p total hysterectomy s/p knee surgery 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: surgeon dr. in 4 weeks at 1:15 pm please call to schedule appointments 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 and other replacement of mitral valve with tissue graft diagnoses: pure hypercholesterolemia mitral valve disorders unspecified essential hypertension other chronic pulmonary heart diseases personal history of malignant neoplasm of breast hematuria, unspecified personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health displacement of lumbar intervertebral disc without myelopathy 

Answer: The patient is high likely exposed to