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: no known allergies / adverse drug reactions attending: chief complaint: exertional chest pain major surgical or invasive procedure: cardiac catheterization coronary artery bypass grafting x5 with the left internal mammary artery to left anterior descending artery and sequential reverse saphenous vein graft to the posterior left ventricular branch artery and the posterior descending artery and reverse saphenous vein graft to the obtuse marginal artery and the ramus intermedius artery history of present illness: mr is a 51 year old man with htn, hl, cad, s/p des to rca in now presents with exertional cp and a positive stress test here for cath. mr began having chest pain about 6 weeks ago. comes with exertion to mile walking. he says that it may be slowly increasing in frequency. he does not have sob or nv with cp. he has not had cp at rest. he saw his cardiologist abut 1 week ago who scheduled a stress test. during the stress test today he was noted to have 3mm depressions in ii,iii,and avf after 4 mins on protocol and stopped for cp. he was given sl ntg and was started on a heparin gtt and was transferred to for cath. on arrival to the floor his vitals were t 98 hr 74 124/73 98% ra. he reports being cp free since the stress test. he aslo denies sob nv. past medical history: coronary artery disease s/p des to rca in hypertension hypercholesterolemia gerd social history: -tobacco history: 10 pack years, quit 1.5 years ago -etoh: social -illicit drugs: none lives in with his wife and 2 daughters family history: father mi , brother mi otherwise non-contributory physical exam: admission exam: vs: t=97.9 bp= 125/82 hr= 65 rr= 18 o2 sat= 98% general: wdwn man in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8 cm. cardiac: distant heart sounds. rrr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: dp 2+ pt 2+ left: dp 2+ pt 2+ pertinent results: 04:22am blood wbc-9.5 rbc-3.67* hgb-11.0* hct-31.4* mcv-86 mch-29.9 mchc-34.9 rdw-13.6 plt ct-174 04:22am blood glucose-103* urean-13 creat-1.0 na-139 k-4.9 cl-99 hco3-31 angap-14 intra-op tee: 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. 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) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). dr. was notified in person of the results in the operating room at the time of the procedure. post bypass normal biventricular systolic function. the thoracic aorta is intact after decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:33 ?????? caregroup is. all rights reserved brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 5 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. 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 3 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna in good condition with appropriate follow up instructions. medications on admission: albuterol 2puffs clopidogrel 75 mg daily advair 1 puff lisinopril 5mg daily lorazepam 1mg metoprolol sa 50 mg daily ntg sl prn ranitidine 150 mg aspirin 325 mg mvi discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours) as needed for sob. 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. lorazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety/sleep. 5. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for cp. 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 9. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 12. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 13. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 14. furosemide 20 mg tablet sig: two (2) tablet po once a day for 7 days. disp:*14 tablet(s)* refills:*0* 15. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 7 days. disp:*14 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 past medical history: hypertension hypercholesterolemia gerd discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema- 1+ 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 date/time: 1:00 wound care nurse phone: date/time: 10:00, at dr. office cardiologist/pcp: . (for dr. , w.) , , 3:30pm **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension asthma, unspecified type, unspecified personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia anxiety state, unspecified family history of ischemic heart disease long-term (current) use of antiplatelet/antithrombotic 

Answer: The patient is high likely exposed to