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: shortness of breath major surgical or invasive procedure: aortic valve replacement with a . medical biocor tissue valve. xenograft reconstruction of pericardium with core matrix patch. history of present illness: 44 year old male with history of mssa aortic valve enodcarditis. he completed his 6 week course of iv oxacillin in . follow up echocardiogram showed mod-severe aortic stenosis with mild aortic insufficiency. his aortic valve is likely bicuspid and findings showed a 2-4mm vegetation on the posterior av leaflet in . in preperation for aortic valve replacement, he underwent cardiac catheterization which revealed single vessel coronary artery disease of the right coronary/pda. he was evaluated by dr. in for surgery and returns today for surgery. past medical history: aortic valve enodcarditis, aortic stenosis and insufficiency, probable bicuspid av coronary artery disease with evidence of prior mi congestive heart failure history of mrsa hand infection, diabetes mellitus, on insulin pump tia obesity adhd asthma acute renal failure bipolar disorder chronic low back pain history of kidney infections psoriasis gastroesophageal reflux disease past surgical history: left hand surgery x 2 vasectomy adenoidectomy social history: occupation: still disabled lives with: friends (), he is divorced with 3 kids tobacco: 30pyh, smokes 4 cigs/day currently etoh: 2 drinks per week family history: noncontributory physical exam: pulse: 76 sr resp: 14 b/p right: 118/80 left: 106/70 height: 72 inches weight: 265 lbs general: wdwn in nad skin: dry intact no c/c/e. multiple areas of psoriasis. ?ringworm on back. heent: perrla eomi op benign neck: supple full rom chest: lungs clear bilaterally heart: rrr, iii/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema pt has fungal infection in both groins (left much worse than right) varicosities: none neuro: grossly intact pulses: femoral right: 1 left: 1 dp right: trace left: trace pt : 1 left: 1 radial right: 2 left: 2 carotid bruit murmur radiates to (b) carotids pertinent results: echo: pre bypass: the left atrium is elongated. no spontaneous echo contrast is seen in the body of the left atrium. there are focal calcifications in the aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets, although the right and non coronary cusps appear partially fused. there is a large mass on the non coronary cusp with some mobile components. there is mild aortic valve stenosis (valve area 1.2-1.9cm2). moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are structurally normal. no mitral regurgitation is seen. there is no pericardial effusion. post bypass: preserved biventricular function lvef 55%. a bioprosthetic aortic valve is insitu with no ai or perivalvular leaks. peak graident 19, mean 11 mm hg. aortic contours intact. remainging exam is unchanged. all findings discussed surgeons at the time of the exam. 05:40am blood wbc-5.9 rbc-3.09* hgb-9.5* hct-28.2* mcv-91 mch-30.6 mchc-33.6 rdw-13.3 plt ct-113* 09:15am blood wbc-6.9 rbc-5.13 hgb-15.8 hct-44.5 mcv-87 mch-30.8 mchc-35.6* rdw-13.5 plt ct-212 04:40am blood plt ct-156 05:40am blood pt-11.8 ptt-23.6 inr(pt)-1.0 01:07pm blood pt-13.3 ptt-23.3 inr(pt)-1.1 09:15am blood plt ct-212 10:35am blood k-5.1 04:40am blood glucose-162* urean-27* creat-1.2 na-141 k-5.2* cl-104 hco3-29 angap-13 09:15am blood glucose-150* urean-20 creat-1.0 na-134 k-3.8 cl-97 hco3-25 angap-16 04:40am blood calcium-8.3* phos-5.1* mg-2.3 ] 11:30 am tissue aortic valve. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. tissue (final ): no growth. anaerobic culture (preliminary): no growth. brief hospital course: admitted same day surgery and brought directly to the operating room where he underwent a aortic valve replacement. please see operative report for surgical details. he received cefazolin for perioperative antibiotics. postoperatively he was transferred to the intensive care unit for hemodynamic management. in the first twenty four hours he was weaned from sedation, awoke neurologically intact and was extubated without complications. he was noted for apnea and was placed on autocpap and sleep was consulted ith plan for him to follow up in sleep clinic. was consulted due to elevated hgba1c on insulin pump, insulin was adjusted and he was started on lantus. he remained in the intensive care unit an extra day to manage his blood glucose. post operative day two he was transferred to the floor for the remainder of his care. physical therapy worked with him on strength and mobility. psychiatry was consulted in relation to his medications due to him stopping lithium preoperatively. plan for follow up with outpatient psychiatrist and do not restart lithium at this time. he was ready for discharge to rehab on postoperative day five. medications on admission: humalog insulin pump lipitor 80 mg qhs protonix 40mg daily lithium 300mg three times day currently weaning off and has not taken in >1 week. adderall 30mg daily neurontin 600mg three times daily seroquel 100mg daily cymbalta 90mg daily aspirin 325mg daily xanax 2mg twice daily colace 100mg twice daily advair 500/50 twice daily albuterol 2 puffs twice daily vicodin 10mg three times daily fish oil l1200mg daily vitamin b complex daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). capsule(s) 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 3. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 4. quetiapine 100 mg tablet sig: one (1) tablet po daily (daily). 5. duloxetine 30 mg capsule, delayed release(e.c.) sig: three (3) capsule, delayed release(e.c.) po daily (daily). 6. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day). 7. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. alprazolam 1 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 11. insulin glargine 100 unit/ml solution sig: one hundred (100) units subcutaneous once a day. 12. insulin sliding scale humalog sliding scale insulin sc sliding scale breakfast lunch dinner bedtime 0-65 mg/dl 4 oz. juice 4 oz. juice 4 oz. juice 4 oz. juice 66-80 mg/dl 0 units 0 units 0 units 0 units 81-160 mg/dl 10 units 10 units 10 units 0 units 161-280 mg/dl 22 units 22 units 22 units 6 units 281-319 mg/dl 26 units 26 units 26 units 7 units 320-359 mg/dl 28 units 28 units 28 units 8 units 360-400 mg/dl 30 units 30 units 30 units 10 units instructons for npo patients: use bedtime scale when npo discharge disposition: extended care facility: healthcare center discharge diagnosis: aortic stenosis and insufficiency s/p aortic valve replacement av endocarditis(mssa)- probable bicuspid av coronary artery disease with evidence of prior mi history of mrsa hand infection diabetes mellitus tia obesity adhd asthma acute renal failure bipolar disorder chronic low back pain history of kidney infections psoriasis gastroesophageal reflux disease past surgical history: left hand surgery x 2 vasectomy adenoidectomy discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. please report any and all wound issues to your surgeon at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) please wash incision with soap and water daily and gently pat dry. no lotions, creams or powders to incisions until they have healed. no bathing or submerging incisions for 1 month. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month. 7) please call with any questions or concerns 8) please follow up with outpatient psychiatrist 9) please continue with sliding scale insulin and lantus no further insulin pump diabetes recommendations 10) autocpap for apnea - follow up with sleep clinic followup instructions: please call to schedule appointments sleep clinic in weeks ( dr. in weeks at heart center dr. after discharge from rehab dr. after discharge from rehab please follow up with outpatient psychiatrist procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft application or administration of an adhesion barrier substance diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery esophageal reflux tobacco use disorder congestive heart failure, unspecified aortic valve disorders obesity, unspecified congenital insufficiency of aortic valve diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled bipolar disorder, unspecified attention deficit disorder with hyperactivity diastolic heart failure, unspecified other psoriasis delirium due to conditions classified elsewhere dermatophytosis of groin and perianal area insulin pump status 

Answer: The patient is high likely exposed to