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 / shellfish attending: chief complaint: coronary artery disease major surgical or invasive procedure: cardiac catheterization cabg x 4 history of present illness: patient is a 58 year old male with a history of iddm (x 48 years), htn, hypercholesterolemia, ckd, pvd s/p bypass surgery x2 (right bk/ to dital peroneal with svg; left fem- bypass) and right transmetatarsal amputation who presented to on evening of with symptoms of chest pain radiating to left arm that evolved in the setting of shoveling snow. pain started around 20:00 with associated diaphoresis, nausea, and shortness of breath. ems evaluation was significant for bradycardia in 40s with sbp of 80 for which the patient received atropine. initial ecg on arrival to revealed st depresssion with twi in v3 and small st seg elevation in v6. repeat ecg revealed significant st segment elevation in leads v5,v6 as well as i and avl as well with reciprocal depression in leads v1 and v2. the patient was treated with heparin, asa, slntg, and plavix (300mg) and immediately transferred to for emergent catheterization. past medical history: iddm (x 48 years) htn hypercholesterolemia ckd (baseline creatinine 0.9-1.0, last ) pvd s/p right toe amputation and bypass surgery x2 social history: patient lives in with his wife and son. works currently as an outdoor manager at a golfcourse. he primarily uses a cart and does not walk to much at work. he denies any smoking history and reports previous heavy alcohol use but has been abstinent now x 25 years. denies any illicit drug use ever. family history: patient with strong family history of dm-i with his father and siblings affected at age < 15, most with chronic sequelae of disease. father passed away from mi. physical exam: vitals: bp: 108/58 (69) hr: 76 rr: 16 o2 sat 100% 2l nc gen: patient is a middle aged male, lying in bed in nad heent: ncat, ruddy skin. op: mmm neck: soft bruit right neck, none left. no jvd chest: cta anterior and lateral cor: rrr, no m/r/g abd: obese, soft, nt, nd ext: right groin: dressing intact, c/d. no hematoma or ecchymosis. no audible bruit skin over paper thin and shiny, hairless. trace pedal edema. dp 1+ bilaterally. right foot: s/p transmetatarsal amputation pertinent results: 12:35am blood wbc-9.8 rbc-3.72* hgb-11.6* hct-32.5* mcv-87 mch-31.3 mchc-35.8* rdw-13.0 plt ct-286 06:45am blood wbc-4.7 rbc-3.04* hgb-9.4* hct-27.1* mcv-89 mch-30.9 mchc-34.7 rdw-14.1 plt ct-324 12:35am blood pt-13.5* ptt-145.4* inr(pt)-1.2* 12:35am blood plt ct-286 12:35am blood glucose-192* urean-28* creat-1.4* na-137 k-4.1 cl-107 hco3-21* angap-13 12:35am blood alt-33 ast-63* ck(cpk)-893* alkphos-144* amylase-3 totbili-0.1 03:06am blood albumin-4.1 calcium-8.8 phos-2.5* mg-1.5* brief hospital course: mr. is a 58-year-old male, with severe peripheral vascular disease status post bilateral lower extremity bypasses, who also had carotid disease with an occluded carotid on the left side, and presented with myocardial infarction. cardiac catheterization showed an occluded first marginal branch that was opened with balloon angioplasty without stenting. he had left main disease and severe 3-vessel disease presenting for revascularization urgently. he was taken to the operating room on where he underwent a cabg x3. please see separate operative note for details. the patient tolerated this procedure well. he was extubated the night after surgery and did well from a cardiac standpoint. on postoperative day 1, the patiet was started on lasix and lopressor. his chest tubes were removed, and he was ambulated. the patient required an ongoing insulin drip for persistent hyperglycemia. the patient had been seen by consult prior to surgery, and their input was sought for longterm management. by postoperative day #4, the patient was again off all drips. his foley, cetral line, and pacing wires were removed, and he was transferred to the floor. however, he was transferred back to the icu the same day for an insulin drip for persistent hyperglycemia. he was seen by physical therapy, and was able to ambulate well by postoperative day 5. he was again transferred back to the floor. the patient's insulin therapy was adjusted and discharge planning was initiated. on postoperative day 7, the patient's fixed dose of lantus insulin was increased, as was his beta blockade for a brief episode of atrial fibrillation that was self-limited. the patient was discharged on postoperative day 8 with adequate glycemic control and plans for follow-up with both cardiac surgery and with his endocrinologist at diabetes center. medications on admission: lipitor 20mg po qd diovan 160mg po qd dilt-xr 240mg po qd hctz 12.5mg po qd piroxicam 20mg po qd temazepam 15mg po qhs gabapentin 300mg po qid humulin n 24units qam with humalog sliding scale humalog u-100 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. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*0* 3. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po daily (daily) for 10 days. disp:*20 capsule, sustained release(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. 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:*2* 6. lipitor 20 mg tablet sig: one (1) tablet po once a day. 7. piroxicam 10 mg capsule sig: two (2) capsule po daily (daily). 8. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 10. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 11. temazepam 15 mg capsule sig: one (1) capsule po hs (at bedtime) as needed. 12. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 13. insulin glargine 100 unit/ml solution sig: twenty eight (28) units subcutaneous at bedtime. disp:*1 month* refills:*0* 14. medication please note new humalog sliding scale discharge disposition: home with service facility: vna discharge diagnosis: sleep apnea l carotid occlusion cri(1.4) mi iddm pvd w r tib bypass graft, l fem bypass htn cataracts right toe amputation discharge condition: good discharge instructions: call with fever, redness or draiange from incision or weight gain more than 2 pounds in one day or five in one week shower, wash incision with soap and water and pat dry. no lotions creams or powders to incision. no heavy lifting or driving. followup instructions: dr. 4 weeks dr. 2 weeks will call you within 1 week for a follow-up appointment procedure: (aorto)coronary bypass of three coronary arteries 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 injection or infusion of thrombolytic agent transfusion of packed cells excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute kidney failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care peripheral vascular disease, unspecified chronic kidney disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction other specified cardiac dysrhythmias long-term (current) use of insulin diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled foot amputation status 

Answer: The patient is high likely exposed to