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: bactrim ds / dapsone / delavirdine / abacavir sulfate / amoxicillin attending: chief complaint: chest pain major surgical or invasive procedure: off-pump coronary artery bypass graft x 4(lima-lad, svg-rca,svg-ramus,rad art-diag svg-ramus) history of present illness: 52 yo m with h/o coronary artery disease s/p pci who presented with chest pain. past medical history: 1. hiv (cd4 count of 589 ) 2. coronary artery disease status post st elevation mi in , with stenting of the lad. 3. dyslipidemia. 4. peptic ulcer disease. 5. low back pain. 6. gastritis. 7. history of abnormal lfts with repeat normal lfts. 8. depression. social history: previously from , moved to the states after high school; lives in and works as a social worker with the homeless denies tobacco or ivdu drinks etoh occasionally family history: maternal uncle w/ mi at age 28 father w/ mi in his 70s and another uncle with a recent myocardial infarction physical exam: 104/72 64 18 96% on 2l nad rrr no m/r/r. lungs ctab abd soft/nt/nd no c/c/e. 2+ pulses t/o pertinent results: cath: 1. coronary angiography in this right dominant system demonstrated three vessel coronary artery disease. the lmca was a long vessel with mild plaquing, and proximal 30% and distal 20% lesions. the lad had a 30-40% ostial tubular lesion. the lad and the diagonal were calcified. the lad after the takeoff of d1 had a 95% stenosis with timi 2 flow. a previously large d1 was totally occluded with distal filling via lcx collaterals and 40% in-stent restenosis. the lcx had minimal luminal irregularities and supplied the atrial branch, om1, 2 lpl's (proximal 50% stenosis at lpl1), and collaterals to the rpda. the ramus has an ostial 30% and proximal 80% then 50% lesions with diffuse plaquing. multiple distal branches are noted. the rca has a proximal 30% stenosis and a mid 90% stenosis with haziness suggestive of thrombus with timi 1 flow distally. the rpda has a mid 80% lesion at 2 major sidebranches follwed by a 90% stenosi revealed minimally elevated left sided filling pressures with lvedp of 13 mmhg. 3. left ventriculography revealed no mitral regurgitation. the lvef was calculated to be 45-49% with posterobasal, inferior and anterolateral hypokinesis and inferoapical akinesis. echo: pre procedure: the left atrium is mildly dilated. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is normal. 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. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post off pump bypass: wall motion and lv function unchanged. aortic contours preserved. mitral regurgitation appears trace to mild. remaining exam unchanged. all findings discussed with surgeons at the time of the exam. cxr: 1. stable small-to-moderate right apical pneumothorax. 2. persistent bibasilar atelectasis. 3. slight improved aeration of the left lung base. 08:30pm blood wbc-6.3 rbc-5.22 hgb-16.3 hct-45.0 mcv-86 mch-31.3 mchc-36.3* rdw-13.3 plt ct-178 06:00am blood wbc-8.0 rbc-3.77* hgb-11.8* hct-33.2* mcv-88 mch-31.4 mchc-35.7* rdw-13.1 plt ct-127* 06:50am blood wbc-7.2 hct-32.0* plt ct-130* 08:30pm blood pt-11.7 ptt-28.2 inr(pt)-1.0 03:05am blood pt-13.3* ptt-31.7 inr(pt)-1.2* 08:30pm blood glucose-133* urean-22* creat-1.1 na-140 k-4.0 cl-107 hco3-26 angap-11 06:50am blood glucose-94 urean-11 creat-1.0 na-141 k-4.0 cl-102 hco3-29 angap-14 brief hospital course: mr. was admitted following being ruled in for nstemi. he underwent a cardiac catheterization on which showed severe three vessel coronary artery disease. he was referred for surgical revascularization. on he was brought to the operating room, where he underwent an off-pump coronary artery bypass graft x 4. please see operative report for details. following surgery he was transferred to the csru for invasive monitoring in stable condition. later on op he was weaned from sedation, awoke neurologically intact and extubated. he was started on imdur for his radial artery graft and his drips were weaned. on post-op day one he was started on beta blockers and diuretics and gently diuresed towards his pre-op weight. later on post-op day one he was transferred to sdu for further care. on post-op day three his epicardial pacing wires and chest tubes removed. chest x-ray following removal of chest tubes revealed a small apical pneumothorax. chest x-ray the following day showed the pneumothorax to have decreased in size. post-operatively he worked with physical therapy for strength and mobility. he appeared to be doing well on post-op day four and was discharged home with vna services and the appropriate follow-up appointments. medications on admission: asa 325', atenolol 25', protonix 40', pravastatin 80', gemfibrozil 600", kaletra 3 tabs , lexiva 700", viread 300' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 6. 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* 7. fosamprenavir 700 mg tablet sig: two (2) tablet po q12h (every 12 hours). 8. lopinavir-ritonavir 200-50 mg tablet sig: one (1) tablet po bid (2 times a day). 9. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). 10. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 pmh: hiv (cd4 count of 589 ), coronary artery disease status post st elevation mi in , with stenting of the lad, dyslipidemia, peptic ulcer disease, low back pain, gastritis, history of abnormal lfts with repeat normal lfts, depression. discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up qith surgeon. followup instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks already scheduled appointments: provider: , m.d. date/time: 8:30 provider: suite gi rooms date/time: 8:00 provider: , md phone: date/time: 8:00 md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension systolic heart failure, unspecified asymptomatic human immunodeficiency virus [hiv] infection status 

Answer: The patient is high likely exposed to