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: tetanus attending: chief complaint: chest pain major surgical or invasive procedure: left lower extremity fasciotomy - urgent coronary artery bypass graft x5(lima-lad, svg-om1,svg-om2,svg-dg,svg-pda) left heart catheterization, coronary angiogram history of present illness: this 70 year old male presented to the ed with complaints of tightness in his chest. he woke up this morning feeling normal and then after moving around the house developed substernal chest pressure that radiated to his left arm. he took 3 nitroglycerin and waited one hour and called the paramedics. on arrival they obtained an ekg that suggested an inferior stemi. they gave more nitroglycerin and brought him to . he was brought to the cardiac catheterization lab and was found to have three vessel disease and is now being referred to cardiac surgery for revascularization. past medical history: coronary artery disease myocardial infarction asthma anxiety h/o stroke(),residual left sided weakness upper and lower extremity hypertension social history: -tobacco history: smoked 1 ppd for 40 years, quit 4 yrs prior. -etoh: < 1 drink/week -illicit drugs: denies contact: (wife) phone c, daughter () pation: retired, former truck driver. family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: adm: vs: afebrile bp 140/74 hr 89 rr 18 o2 sat 93% on ra general: nad. oriented x3. mood, affect appropriate. breathing comfortably with pursed lips. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, jvp difficult to assess given body habitus. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, but patient with obvious pursed lip breathing. scattered wheezing with ausculation of anterior chest. no crackles/rhonchi. abdomen: soft, ntnd. no hsm or tenderness. no abdominial bruits. extremities: no c/c/e. has known pre-cath femoral bruit. skin: no stasis dermatitis, ulcers, scars, or xanthomas. neuro: aaox3, cnii-xii intact, 5/5 strength on ue and le on right, 3+/5 strength on left (pt reported this was baseline). pulses: right: dp 2+ pt 2+ left: dp 2+ pt 2+ pertinent results: cardiac cath: 1. selective coronary angiography of this right dominant system demonstrated a three vessel disease. the lmca had a 40% stenosis. the lad had a 95% stenosis at bifurcation of major diagonal. the lcx had a 100% stenosis at the origin with excellent left to left collaterals to two large oms. the rca had a 90% proximal with possible thrombus. there was also a 60% stenosis as well. 2. resting hemodynamics demonstrated mildly elevated biventricular filling pressures with an rvedp of 10 mmhg and lvedp 23mmhg. there was mild pulmonary hypertension with pasp 34mmhg. the pcw was 10mmhg. the cardiac output was low normal with ci of 2.34 l/min/m2 (using an assumed oxygen consumption). there was no gradient across the aortic valve upon pullback. 3. left ventriculography was deferred. carotid u/s: right ica <40% stenosis. left ica 60-69% stenosis. . intra-op echo, conclusions: pre bypass no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricle displays normal free wall contractility. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study. post bypass there is normal biventricular systolic function. valvular function appears unchanged. the thoracic aorta is intact after decannulation. . 05:31am blood wbc-18.2* rbc-3.09* hgb-9.0* hct-28.8* mcv-93 mch-29.0 mchc-31.2 rdw-13.9 plt ct-549* 05:29am blood wbc-17.0* rbc-3.28* hgb-9.2* hct-29.9* mcv-91 mch-28.0 mchc-30.8* rdw-13.3 plt ct-535* 05:00am blood wbc-16.5* rbc-2.49* hgb-7.4* hct-23.2* mcv-93 mch-29.7 mchc-32.0 rdw-13.8 plt ct-275 12:56pm blood wbc-20.6* rbc-2.59* hgb-7.8* hct-24.1* mcv-93 mch-30.0 mchc-32.3 rdw-13.7 plt ct-234 04:22am blood wbc-19.7* rbc-2.59* hgb-7.4* hct-24.3* mcv-94 mch-28.7 mchc-30.6* rdw-13.4 plt ct-242 03:21am blood wbc-15.9*# rbc-3.17* hgb-9.4* hct-29.6* mcv-94 mch-29.7 mchc-31.7 rdw-13.5 plt ct-200 08:40am blood wbc-9.6 rbc-4.68 hgb-14.0 hct-43.4 mcv-93 mch-29.9 mchc-32.2 rdw-13.1 plt ct-374 05:31am blood na-136 k-4.1 cl-101 05:29am blood glucose-96 urean-25* creat-1.1 na-140 k-4.6 cl-105 hco3-25 angap-15 04:22am blood glucose-113* urean-46* creat-1.2 na-139 k-4.5 cl-105 hco3-27 angap-12 08:40am blood urean-14 creat-1.1 05:00am blood alt-47* ast-240* ld(ldh)-491* ck(cpk)-4912* alkphos-56 amylase-104* totbili-0.9 09:27pm blood ck-mb-61* mb indx-8.9* ctropnt-1.58* 09:45am blood %hba1c-5.9 eag-123 brief hospital course: mr. was admitted to the on for further management of his chest pain and myocardial infarction. he underwent a cardiac catheterization which revealed severe three vessel disease. the cardiac surgical service was consulted and mr. was worked-up in the usual preoperative manner. a carotid ultrasound showed right ica <40% stenosis and left ica 60-69% stenosis. the patient was brought to the operating room on where he underwent coronary artery bypass x 5. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. on pod 1 the patient was weaned from the ventilator on precedex for agitation. the patient was weaned from inotropic and vasopressor support over the following days. he had delirium initially, zyprexa was started and narcotics were held. this cleared and he was alert and oriented prior to discharge. he developed h flu pneumonia and was started on vancomycin, cefepime and cipro which was tapered down per the sensitivities. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he developed compartment syndrome in the left lower extremity several days postoperatively and was taken to the operating room on by dr. for fasciotomy. he has a pre-existent left foot drop from his stroke and an afo splint at home. which he does not use. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 10 the patient was ambulating with a walker, the wound was healing and pain was controlled with oral analgesics. sutures from the fasciotomy are to be removed on . he developed a mild leukocytosis to 18,000 at discharge, but cxr, urine culture and us of the left leg were negative as to a source. he was afebrile and wounds were clean and healing well. the patient was discharged to rehab in good condition with appropriate follow up instructions. medications on admission: (confirmed by wife) *lisinopril 20mg *prilosec 20mg daily *simvastatin 40mg daily *flomax 0.4mg qhs *aspirin 81mg daily *diltiazem 120 mg daily *citalopram 40mg daily *lasix 20mg daily *magnesium 400mg *advair 250/50 *albuterol neb qid and inhaler prn *lorazepam 0.5 prn, not on regular basis *slntg discharge medications: 1. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 5. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): until fully ambulatory. 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 8. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 10. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po twice a day for 7 days. 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 12. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain for 4 weeks. 13. citalopram 40 mg tablet sig: one (1) tablet po once a day. 14. simvastatin 80 mg tablet sig: one (1) tablet po once a day. 15. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation four times a day as needed for shortness of breath or wheezing. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts x 5 compartment syndrome s/p fasciotomy of left lower leg past medical history: myocardial infarction asthma anxiety s/p stroke (), residual left sided weakness upper and lower extremity hypertension discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with ultram incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage, left fasiotomy site sutures intact. +1edema discharge instructions: 1) 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. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns **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. () on at 1:45pm cardiologist: dr. on at 11:30 am (-) vascular: dr. on at 10:15 am ( ., ) 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** md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of four or more coronary arteries fasciotomy diagnoses: acidosis coronary atherosclerosis of native coronary artery acute kidney failure, unspecified hematoma complicating a procedure acute myocardial infarction of other inferior wall, initial episode of care old myocardial infarction cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure paralytic ileus late effects of cerebrovascular disease, hemiplegia affecting unspecified side accidents occurring in other specified places obesity, unspecified other specified complications of procedures not elsewhere classified chronic obstructive asthma, unspecified delirium due to conditions classified elsewhere pneumonia due to hemophilus influenzae [h. influenzae] nontraumatic compartment syndrome of lower extremity other digestive system complications 

Answer: The patient is high likely exposed to