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: penicillins attending: chief complaint: dyspnea on exertion/angina major surgical or invasive procedure: aortic valve replacement, . ` medical biocor epic tissue valve. history of present illness: this is a 65 year old male with known aortic stenosis and coronary artery disease. over the last several months, he has experienced worsening dyspnea on exertion. serial echocardiograms have shown progression of his aortic valve disease and recent catheterization showed only mild, non-obstructive coronary artery disease. given his ongoing symptoms, he has been referred for cardiac surgical intervention. past medical history: aortic stenosis coronary artery disease, s/p rca drug eluting stent in type ii diabetes mellitus dyslipidemia obesity sleep apnea gerd psoriasis anxiety/depression hearing loss l ear osteoarthritis left knee bil. great toe neuropathy social history: lives: alone, has nearby girlfriend and son lives downstairs occupation:retired office worker tobacco: quit , 60 pyh etoh: rare family history: father with cad, died at 86 physical exam: pulse:62 resp: 18 o2 sat: 98% b/p right: 168/83 left: 147/81 height: 5'" weight:219# general:nad, well-appearing skin: warm dry intact heent: ncat eomi anicteric sclera neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur- 4/6 sem radiates throughout precordium to carotids abdomen: soft obese,non-distended non-tender bowel sounds + no hsm extremities: warm , well-perfused edema -none varicosities: none neuro: grossly intact, nonfocal exam, mae strengths pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit - murmur radiates to b carotids pertinent results: 04:35am blood wbc-9.2 rbc-4.18* hgb-12.0* hct-36.3* mcv-87 mch-28.7 mchc-33.0 rdw-15.1 plt ct-261 05:10am blood wbc-8.5 rbc-4.36* hgb-12.6* hct-37.9* mcv-87 mch-29.0 mchc-33.3 rdw-15.3 plt ct-224 04:35am blood glucose-147* urean-18 creat-1.1 na-139 k-4.1 cl-101 hco3-31 angap-11 05:10am blood glucose-118* urean-21* creat-0.9 na-140 k-4.3 cl-99 hco3-29 angap-16 intra-op tee regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. a bioprosthetic aortic valve prosthesis is present. the aortic valve prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. trivial mitral regurgitation is seen. there is no pericardial effusion. impression: no pericardial effusion seen. grossly normal biventricular systolic function. brief hospital course: the patient was brought to the operating room on where the patient underwent avr (23mm st. tissue) with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. plavix was resumed for drug eluting stents. pacing wires were discontinued and the patient immediately had a large amount of bloody chest tube output. he did remain hemodynamically stable. he had a drop in hematocrit from 28% to 22.9%. he received 4 units of packed red blood cells. he developed hypotension with fever and was worked up for transfusion reaction. pathology determined that this was not an actual transfusion reaction. he was treated with benadryl and steroids. echo did not reveal tamponade. he remained hemodynamically stable. chest tubes were discontinued without complication. the patient was transferred to the telemetry floor for further recovery. lisinopril, norvasc and lopressor were titrated for hypertension. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 6 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with vna services in good condition with appropriate follow up instructions. medications on admission: plavix 75 mg daily pepcid 20 mg fish oil mg daily rosuvastatin 40 mg qhs lisinopril 10 mg daily atenolol 25 mg daily aspirin 325 mg daily glypizide 5 mg metformin 500 mg daily sl ntg prn mvi daily discharge medications: 1. pepcid 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 2. fish oil 1,000 mg capsule sig: two (2) capsule po once a day. disp:*60 capsule(s)* refills:*0* 3. rosuvastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. norvasc 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 8. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 11. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 12. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) as needed for des . disp:*30 tablet(s)* refills:*0* 13. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po bid (2 times a day) for 3 days. disp:*6 tablet(s)* refills:*0* 14. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 15. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 5 days. disp:*5 capsule, sustained release(s)* refills:*0* 16. lopressor 100 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: aortic stenosis s/p avr hypertension coronary artery disease s/p rca drug eluting stent in type ii diabetes mellitus dyslipidemia obesity sleep apnea gastroesophageal reflux disease psoriasis anxiety/depression hearing loss left ear osteoarthritis left knee bilateral great toe neuropathy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid and tylenol incisions: sternal - healing well, no erythema or drainage edema trace bilateral lower extremities discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns please monitor blood glucose closely - goal to maintain bg < 150 - please follow up with pcp if bg > 200 x2 as hyperglycemia can increase risk of infection **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr at 2:30pm cardiologist: dr. at 10:30 please call to schedule appointments with your primary care dr in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation aortic valve disorders diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of tobacco use percutaneous transluminal coronary angioplasty status pulmonary collapse dysthymic disorder other and unspecified hyperlipidemia hypotension, unspecified unspecified hearing loss obesity, unspecified other psoriasis osteoarthrosis, localized, not specified whether primary or secondary, lower leg fever presenting with conditions classified elsewhere 

Answer: The patient is high likely exposed to