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: history of present illness: mrs. is an eighty-five-year-old woman admitted to an outside hospital with an mi, recent increase in dyspnea on exertion and fatigue and occasional chest pain at rest times one day. she was transferred for cardiac catheterization back in . catheterization at that time revealed moderate cad and severe as with an aortic valve area of 0.61. she was then referred to cardiac surgery for aortic valve replacement plus or minus cabg. past medical history: past medical history is significant for hypertension, hypercholesterolemia, hypothyroidism, irritable bowel syndrome, syncope and rectal prolapse. past surgical history: past surgical history is significant for hysterectomy and colostomy. medications: medications prior to admission include, levoxyl 50 mg every day, univasc 15 mg every day, lipitor 10 mg every day, atenolol 25 mg every day, detrol 4 mg every day, aspirin 325 mg every day. allergies: she is allergic to penicillin, which causes a rash. social history: widowed, lives alone, very active, no tobacco and no alcohol use. physical examination: neurologic, grossly intact. pulmonary, bibasilar crackles. cardiac, regular rate and rhythm with a grade iv/vi systolic ejection murmur. abdomen is well healed surgical scar, colostomy and soft, nontender with positive bowel sounds. extremities are warm with no edema and equal pulses bilaterally. laboratory data: carotid ultrasound showed tortuous bilateral carotids with 60% to 69% occlusions and normal antegrade vertebrals. echo showed an ejection fraction of 40% with an aortic valve area of 0.7, peak gradient of 84 and 1 to 2+ mr. laboratory data, white blood cell count 6.1, hematocrit 30.8, platelets 161,000. inr 2.0, ptt 140.4. sodium 140, potassium 4.6, chloride 105, co2 29, bun 25, creatinine 0.8, glucose 96, ast 99. cpk 916. alt 33. alkaline phosphatase 47. total bilirubin 0.7. chest x-ray showed small bilateral effusions. hospital course: the patient was discharged to home following her cardiac catheterization and returned to for aortic valve replacement on , as a postoperative admission. as stated, the patient was directly admitted to the operating room where she underwent an aortic valve replacement. please see the or report for full details and summary as she had an avr with a number 19 pericardial valve. her bypass time was 79 minutes and the cross clamp time was 53 minutes. the patient tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient had neo-synephrine infusion. her mean arterial pressure was 65 and she was a paced at a rate of 86 beats per minute. the patient did well in the immediate postoperative period. her anesthesia was reversed and she was weaned from the ventilator, however, she failed her initial attempt at extubation. she therefore, was placed back on the ventilator for a short period of rest and was reweaned and successfully extubated four hours later. on postoperative day number, the patient remained hemodynamically stable without any cardioactive iv medications. her chest tubes and central venous lines were removed and she was transferred to the floor. over the next several days, the patient had an uneventful postoperative course. she worked with the nursing staff and physical therapy staff to increase her activity level and on postoperative day number three, it was decided that the patient would be stable and ready to be transferred to rehabilitation on the following morning for continued postoperative care. at the time of this dictation, the patient's physical examination is as follows, vital signs, temperature 99.0 f, heart rate 79 sinus rhythm, blood pressure 130/70, respiratory rate 20, o2 saturation 97% on room air. weight preoperatively, 63.4 kilos, at discharge 69.6 kilos. laboratory data, white blood cell count 13.2, hematocrit 34.8, platelets 71,000. sodium 137, potassium of 3.4, chloride 98, co2 32, bun 15, creatinine 0.7, glucose 89. physical examination, alert and oriented times three. moves all extremities. follows commands. respiratory, diminished breath sounds in the bases, otherwise, clear to auscultation. cardiac, regular rate and rhythm. sternum is stable. incision with steri strips, open to air, clean and dry. abdomen is soft, nontender with positive bowel sounds. colostomy is intact. extremities are warm and well perfused with no edema. discharge medications: the patient's discharge medications include, lasix 20 mg every day times ten days, potassium 20 milliequivalents every day times ten days, colace 100 mg twice a day, enteric coated aspirin 325 every day, levothyroxine 50 mcg every day, atorvastatin 10 mg every day, tolterodine 2 mg twice a day, antiprotozoal 40 mg every day, metoprolol 50 mg twice a day, levofloxacin 500 mg every twenty-four hours times two days, percocet 5/325 one to two tablets every six hours prn. condition at discharge: good. discharge diagnoses: 1) as, status post aortic valve replacement with a number 19 pericardial valve. 2) hypertension. 3) hypercholesterolemia. 4) hypothyroidism. 5) irritable bowel syndrome. 6) syncope. 7) rectal prolapse. 8) status post hysterectomy. 9) status post colostomy. the patient is to be discharged to rehabilitation. she is to have follow-up with her primary care provider, . in three weeks and follow-up with dr. in six weeks. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances open and other replacement of aortic valve other lysis of peritoneal adhesions pulmonary artery wedge monitoring open and other sigmoidectomy repair of other hernia of anterior abdominal wall repair of pericolostomy hernia removal of other device from thorax other revision of stoma of large intestine diagnoses: pure hypercholesterolemia unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation aortic valve disorders peritoneal adhesions (postoperative) (postinfection) diverticulosis of colon (without mention of hemorrhage) other ventral hernia without mention of obstruction or gangrene other colostomy and enterostomy complication 

Answer: The patient is high likely exposed to