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: no known allergies / adverse drug reactions attending: chief complaint: fever endocarditis major surgical or invasive procedure: redo sternotomy, mitral valve replacement history of present illness: 27m with a history of ivda and endocarditis in and . he is s/p mechanical avr and mvr in . he presented to on with fever, malaise, weakness, vomiting and diarrhea. he developed diplopia and strabismus in the ed. he does have a history of intracranial hemorrhage, however ct was negative for acute pathology at this time. he is anti-coagulated for his mechanical valves, and inr became supra-therapeutic at 8. he was treated with ffp and vitamin k. id was consulted and he was empirically given vancomycin, gentamicin and zosyn. per report his blood cultures have grown methicillin sensitive staph aureus. gentamicin has since been discontinued due to elevated level of 4.7. trans-thoracic echo revealed a peri-valvular leak of the prosthetic mitral. prosthetic aortic valve is well seated without ai. the patient was transferred to the icu and subsequently became increasingly tachypneic, tachycardic and agitated. he was intubated and transiently required levophed for hypotension but was able to be weaned off with fluid recussitation but has been progressively more oliguric with rising creatinine. initial blood cultures grew methicillin sensitive staph aureus and his antibiotics were changed to nafcillin/rifampin/gentamycin. of note, creatinine rose from 0.6 to 1.3 to 2.9 on . he is turned down for redo sternotomy, avr/mvr at due to his continued iv drug abuse and transferred to for further evaluation. at the time of transfer he is hemodynamically stable, without pressor support. past medical history: past medical history endocarditis , h/o cva related to endocarditis without deficit ivda-patient denied current use on admission but osh felt he was continuing to use s/p avr, mvr intracranial hemorrhage and cavernous malformation seizures-currently off medications morbid obesity hypertension hepatitis c treated w interferon septic emboli secondary to endocarditis past surgical history: avr(st. mechanical), mvr(st. mechanical) past cardiac procedures surgery:avr/mvr date: type of valve:st. mechanical size: company: social history: -pt currently lives at home with his -ivdu (active per family). -tobacco: 1ppd x 10 yrs -denies etoh family history: mother: htn h/o aneurysm in family physical exam: t on admission 102.4 pulse:110 st resp:30s-40s, labored o2 sat: 98% b/p right:115/48 left: 112/44 height:188 cm weight:176.5 general:sedated on propofol, tachypnic, not folllowing commands skin: dry intact heent: perrla eomi neck: supple chest: lungs clear bilaterally heart: rrr irregular murmur heard at r sternal border and apex, only 1 valve click heard on second heart sound abdomen: soft obese, non-distended absent 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:1+ carotid bruit right:unable to assess d/t rij left:none extremities: areas of necrosis/?septic emboli on r 1, 2 and 3rd digits. ? areas of emboli on soles of feet. petechiae on r upper arm medial surface chest with miltiple fawn colored oval patches with slightly scaly appearance, larger on area over abdomen and smaller patches over shoulders. area under panus with erythema/excoriations, scrotum edematous and excoriate pertinent results: cardiac echocardiogram: tte ef 50% mechanical mitral valve- perivalvular leak pasp 50-55mmhg mechanical aortic valve- mean gradient 32mmhg, no ai tee lvef 65%, hyperdynamic lv aortic valve with vegetations on both the lvot and the aortic side. the area posterior to the aortic root appears to be edematous and with lucent areas whic is suspicious for absess formation, no obvious fistula. av mean gradiant 70mmhg. the mechanical mitral valve has moderate paravalvular regurgitation in the lateral and anterolateral annulus with dehiscense. therre are multiple vegetations on the valve towards the atrial side. the gradients across the mitral valve are significantly elevated. mv mean gradient 12mmhg. brief hospital course: after transfer to the patient remained sedated and intubated. he was tachypneic and failed sbt. he underwent mri brain which showed several new infarcts (likely septic) and neurology was consulted. he was also in renal failure on admission with rising creatinine, acidosis and hyperkalemia. renal was consulted and he was started on cvvh. given his history of ich with previous episodes of endocarditis, he underwent mri-brain which showed several new infarcts (likely from septic emboli). he was seen by id and they are recommending continuing the same antibiotics. it was agreed that he would need surgical intervention, but given the risk of the procedure extensive discussions were had between the surgical team, cvicu team and the family. an ethics consult was also obtained. a family meeting was held with the pt.'s brother and and they would like him to have surgery and understand the extreme high risk of the procedure. on the he was taken to the or. the family understood the high risk of surgery. unfortunately in the or he remained profoundly acidotic. during the case acute care surgery was consulted intra-operatively to explore the abdomen for possible ischemic gi contents given the persistent acidosis and elevated lactate. there was no obvious source for this and the abdomen was closed. another discussion was had with the family and the attending cardiac surgeon and it was decided that he would be taken off cardiopulmonary bypass despite his acidosis. he had no heart function after being taken off bypass and expired thereafter. time of death 1719. medications on admission: :metoprolol 50 , coumadin 15mg daily, methadone 55mg daily discharge medications: expired discharge disposition: expired discharge diagnosis: endocarditis discharge condition: expired discharge instructions: none followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery hemodialysis closed (percutaneous) [needle] biopsy of liver venous catheterization for renal dialysis exploratory laparotomy open and other replacement of aortic valve open and other replacement of mitral valve diagnoses: acidosis hyperpotassemia hypocalcemia tobacco use disorder acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified essential hypertension chronic hepatitis c without mention of hepatic coma severe sepsis personal history of other infectious and parasitic diseases methicillin susceptible staphylococcus aureus septicemia intracerebral hemorrhage opioid type dependence, continuous acute respiratory failure mechanical complication due to heart valve prosthesis septic shock morbid obesity acute and subacute bacterial endocarditis epilepsy, unspecified, without mention of intractable epilepsy personal history of venous thrombosis and embolism other ascites personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation cerebral embolism with cerebral infarction infection and inflammatory reaction due to cardiac device, implant, and graft septic arterial embolism body mass index 45.0-49.9, adult 

Answer: The patient is high likely exposed to