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: this is a 57-year-old male with a history of seizure disorder and coronary artery disease, who was brought into the emergency room on secondary to confusion. patient was reportedly found on the street in a confused and disoriented state by emergency medical technicians and subsequently brought to for further evaluation and management. in the emergency department, the patient was noted to be disoriented and confused with a cpk of 5712 and a of 20. patient's electrocardiogram demonstrated sinus tachycardia at 112, inferior lead q waves, and mild st depression in lead v5. in addition, the patient was noted to have an white blood cell count of 17.4, but was noted to be afebrile and hemodynamically stable. the patient continued to have waxing and mental status in the emergency department, after which point he received head ct scan which was negative and a lumbar puncture which demonstrated 560 red blood cells and 1 white blood cell. due to the patient's ck and , cardiology consult was obtained in the emergency department. a bedside echocardiogram was performed, which demonstrated hypokinesis with an ejection fraction of approximately 30% and 2+ mitral regurgitation. initial cardiology recommendations advised conservative management with a beta blocker, but no heparinization given the patient's lumbar puncture results. while in the emergency department, the patient's mental status was noted to improve gradually. although the patient reported having no memory of the days events, he did report being under a fair amount of increased stress over the past several days secondary to his car being stolen and him running out of his standard home medications. the patient was subsequently admitted to the medical intensive care unit team for further evaluation and management. past medical history: 1. seizure disorder. 2. parkinson's. 3. coronary artery disease. 4. depression. 5. anxiety. home medications: 1. carbidopa/levodopa. 2. effexor. 3. ............ 4. klonopin. 5. metoprolol. 6. diclofenac. 7. lamictal. 8. lorazepam. allergies: no known drug allergies. social history: lives alone. works as a postal worker. reports a remote history of alcohol abuse, but states the last drink was in . denies any other history of drug abuse. hospital course: the patient was admitted to the medical intensive care unit team under the direction of dr. on . given the patient's presenting symptoms and his lumbar puncture results, a neurosurgical consult was obtained and the patient was referred for head mri/mra which subsequently demonstrated no gross structural abnormalities and no evidence of infarction or intracranial enhancement. over the course of the hospital day #1, the patient's mental status was noted to improve tremendously, and the patient was noted to be fully oriented to person, place, and time. the patient subsequently stated that he would like to be discharged immediately; however, following discussions with case management and primary team, the patient was convinced to remain in-house for the duration of his medical workup. given the patient's negative head scan and markedly improved mental status with little intervention, the leading diagnosis for his acute mental status change was believed to be a postictal state. the patient was subsequently restarted on his outpatient seizure and parkinson's medications to good effect. in addition, a psychiatry consultation was obtained who deemed the patient mentally competent, but described him as exhibiting impaired judgement from his recently altered mental status. the patient was subsequently advised to remain on an one-to-one sitter for risk of elopement, and ativan standing dosage was recommended given the potential for the patient to go into benzodiazepine withdrawal. the patient continued to progress well clinically through hospital day #2, at which point he was cleared for transfer to the regular medical floor, and was admitted to the medical service. while on the floor, the patient demonstrated several episodes of acute shortness of breath and tachypnea subsequently ascribed to transient panic attacks that the patient stated were consistent with his normal baseline. on , the patient underwent a repeat echocardiogram, which demonstrated severe global left ventricular hypokinesis with an estimated ejection fraction of 25% and 4% mitral regurgitation. the patient subsequently recommended for a cardiac catheterization, which he underwent on , which subsequently demonstrated three vessel coronary artery disease with 70% proximal irregular stenosis of the left anterior descending artery, total occlusion of the circumflex, and total occlusion of the proximal right coronary artery. in addition, the patient's cardiac catheterization demonstrated moderate right ventricular diastolic dysfunction, severe left ventricular diastolic dysfunction, moderate primary pulmonary hypertension, and a depressed cardiac index of 1.8. given these findings, a cardiac surgery consultation was obtained. following a discussion of the relative risks and benefits of surgical intervention, the patient subsequently consented to undergo a coronary artery bypass graft and mitral valve repair to take place on . on , the patient therefore underwent a coronary artery bypass graft using anastomosis from the lima to the lad, and a mitral annuloplasty using a 28 mm ring. in addition, an intra-aortic balloon pump was inserted via the patient's right femoral artery. the patient tolerated the procedure well with a bypass time of 122 minutes and a cross-clamp time of 79 minutes. patient's pericardium was left open; lines placed included an arterial line, swan-ganz catheter, cvp catheter, and iavp; both ventricular and atrial wires were placed; mediastinal and right and left pleural tubes were placed intraoperatively. the patient was subsequently transferred to the csru, intubated, further evaluation and management. on transfer, the patient's mean arterial pressure was 80, his cvp was 19, his ......... was 15 and his was 25. the patient was a-v paced at a rate of 100 beats per minute. drips on transfer included milrinone, epi, and propofol. in the csru, the patient's iavp remained in place through postoperative day #2, at which point it was removed without complication. the patient demonstrated a gradual respiratory wean, and was finally successfully extubated on postoperative day #3 without complication. patient was subsequently advanced to regular oral intake, which he tolerated well through the duration of his stay. on postoperative day #4, the patient's pa catheter, pacer wires, and chest tube were removed without complication, and on postoperative day #5, the patient was cleared for transfer to the floor. the patient was subsequently admitted to the cardiothoracic service in the direction of dr. . on the floor, the patient progressed well clinically through the time of his discharge. physical therapy consultation was obtained, and the patient was cleared for discharge to home following resolution of his acute medical issues. the patient demonstrated several additional episodes of anxiety attacks through the course of his time on the regular patient floor, all of which responded well to ativan administration. patient's foley catheter was subsequently removed without complication. he was noted to ............... productive of urine for the duration of his stay. on postoperative day #6, a routine chest radiograph demonstrated evidence of a left basilar infiltrate versus atelectasis; the patient was subsequently begun on levofloxacin for a 10 day course to be completed as an outpatient. on postoperative day #8, , the patient was cleared by physical therapy, full independent ambulation. although physical therapy stated that patient would be likely benefit from short rehab stay, the patient clearly stated his preference to return home. patient was subsequently cleared for discharge to home with home vna services and home physical therapy on postoperative day #7, . condition on discharge: patient is to be discharged to home with services. discharge status: stable. discharge medications: 1. percocet 1-2 tablets po q4-6h prn. 2. colace 100 mg po bid. 3. lamotrigine 115 mg po bid. 4. lopressor 25 mg po bid. 5. carbidopa/levodopa 25/100 one tablet po tid. 6. clonidine 0.1 mg po tid. 7. captopril 6.25 mg po tid. 8. potassium chloride 20 meq po bid x10 days. 9. levofloxacin 500 mg po q day x7 days. 10. lasix 20 mg po bid x10 days. 11. venlafaxine 150 mg po q day. 12. pramipexole dihydrochloride 1 mg tablet po tid. 13. lorazepam 0.5 mg po q4-6h prn. discharge instructions: patient is to maintain his incisions clean and dry at all times. the patient may shower, but should pat dry incisions afterwards; no bathing or swimming until further notice. the patient has been advised to limit his physical activity, no heavy exertion. the patient has been advised to observe a cardiac diet. no driving while taking prescription pain medications. the patient is to receive home vna services for regular wound checks, and home physical therapy for strength and endurance training. the patient is to followup with the provider of his choice at his local hospital within 1-2 weeks following discharge. patient is to followup with dr. four weeks following discharge; the patient is to call to schedule his appointment. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung 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 insertion of endotracheal tube implant of pulsation balloon removal of external heart assist system(s) or device(s) open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders other convulsions paralysis agitans acute myocardial infarction of other inferior wall, initial episode of care primary pulmonary hypertension diastolic heart failure, unspecified delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to