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: past medical history: 1. coronary artery disease, aortic stenosis, diabetes mellitus type 2 for 20 years, hypercholesterolemia status post right hip replacement , revision in , cholecystectomy, prostate cancer, status post prostatectomy, xrt, and ureteral stents, hypertension, copd, chronic renal insufficiency with baseline creatinine around 2.0. allergies: no known drug allergies. medications: 1. allopurinol 150 mg q.d. 2. captopril 50 mg b.i.d. 3. insulin 70/30, 20 units b.i.d. 4. metformin 150 mg b.i.d. 5. folate 1 mg q.d. 6. triamterene/hctz 25/37.5. 7. lipitor 20 mg q.d. 8. atenolol 25 mg q.d. 9. norvasc 2.5 mg q.d. social history: the patient is married and lives in a house with his wife. quit smoking in and he does not drink alcohol. physical examination: examination on admission revealed the following: temperature 100.6, heart rate 81, blood pressure 114/56, oxygen saturation 100% on assist-controlled ventilation. volume: 750. rate: 12. fio2 0.8. peep 12.5. general: intubated man in no distress. heent: moist oral mucosa, no jvd, brisk carotid upstroke. carotid murmurs bilaterally. lungs: crackles 75% of the way up bilaterally. heart: regular rate and rhythm, 2/6 systolic ejection murmur at the right upper sternal border and holosystolic murmur at the apex, radiating to the axilla. abdomen: right nephrostomy tube, suprapubic tube clear, soft, nontender, nondistended, normoactive bowel sounds. extremities: no edema; 2+ dorsalis pedis pulses. right femoral sheath in place. neurological: the patient was sedated, moving four extremities spontaneously. laboratory data: laboratory data revealed the following: peak ck 1158, peak mb 36, peak troponin i greater than 58. white blood count 12.0, hematocrit 30.8, platelet count 137,000, sodium 137, potassium 4.6, chloride 105, total co2 18, bun 62, creatinine 3.2, glucose 269, inr 1.1, ptt 30.1. liver function tests were within normal limits. ekg: normal sinus rhythm at 71. right axis deviation. new st depression v3 through v6. right bundle branch block. chest x-ray: pulmonary edema bilaterally. hospital course: by system. cardiovascular: coronaries. after the lad stent, the patient was continued on aspirin, plavix, and lipitor for treatment of coronary artery disease. he did not have further chest pain or shortness of breath throughout the admission. pump: the patient presented in heart failure. swan-ganz catheter was placed. he responded well to lasix diuresis with decreased wedge pressure and increased cardiac index. echocardiogram on , revealed mildly decreased left ventricular systolic function with left ventricular ejection fraction approximately 45% to 50% and inferior wall hypokinesis. the patient was restarted on metoprolol and hydralazine when the blood pressure could tolerate it. these medications were titrated up to their maximum doses after the patient became hypertensive post extubation on . by the time of discharge, the patient's blood pressures had decreased to be in the range of systolics of 100 to 130 and diastolics 50 to 70. bowels: the patient was noted to have severe aortic stenosis. the echocardiogram on revealed aortic valve area of approximately 0.6 cm squared and a mean aortic valve gradient of 60 mmhg. during the course of his afterload reduction, the patient's mean arterial pressures were monitored and maintained over 60 mmhg. prior to discharge, he was evaluated by the cardiothoracic surgery service for future aortic valve replacement. this is planned for six to eight weeks post discharge. rhythm: the patient remained in normal sinus rhythm throughout admission. the patient had occasional pvcs and short runs of nsvt within 72 hours post catheterization. pulmonary: the patient was maintained on a ventilator for the first several days of stay in the icu. the oxygenation improved with diuresis and the ventilator was weaned and discontinued on . the patient had interstitial markings on the chest x-ray. the patient received a bal after he spiked a temperature. the bal was consistent with possible pneumonia. the patient was treated for the pneumonia with a course of ceftazidime and vancomycin, which was changed to iv levofloxacin and the cultures did not grow organisms. post extubation, the patient had good oxygen saturation and at the time of discharge, the patient was doing well on room air. renal: the patient was noted, prior to admission, to have baseline renal insufficiency and baseline creatinine of approximately 2.0. after the catheterization, the patient's creatinine increased to a level over 3.5. he was noted by urine electrolytes to be prerenal. he also had casts in his urine suggestive of atn. this was felt to be possibly secondary to a die load or to the hypotension that the patient had experienced. renal ultrasound was obtained to rule out obstruction in the ureters and bladder. the ultrasound revealed no obstruction. he was noted to drain preferentially out of his right nephrostomy tube, but that he did drain out of the suprapubic tube as well. on the days, prior to discharge, the patient's creatinine remained in the range between 2.5 and 3. he was seen by the renal consultation service and a workup for cause of acute renal insufficiency on top of the chronic renal insufficiency was in progress at the time of discharge. infectious disease: the patient was noted to have "mrse" urinary tract infection at the outside hospital prior to admission. he had been started on vancomycin and a ten-day course of this was completed at . the patient also completed a course of ceftazidime/levofloxacin for possible ventilator-associated pneumonia as above. nutrition: while the patient was intubated, he received orogastric tube feedings. post extubation, the patient initially was not capable of swallowing and the tube feeds were continued. when the patient's swallowing function improved, he was advanced on a diet and at the time of discharge, the patient was tolerating full solids. hematology: the patient was transfused two units of red cells for hematocrit that reached nadir of 22.6 on . the hematocrit increased to over 30 and remained over 30 throughout the remainder of his admission. he was noted to have guaiac-negative stools. endocrine: the patient was initially maintained on an insulin drip for blood sugar control in the ccu. post extubation, the patient was placed on nph and regular insulin sliding scales. the nph insulin was titrated up to doses of 50 units q.a.m. and 25 units q.p.m. for improved sugar control. prophylaxis: the patient received a proton pump inhibitor and subcutaneous heparin for prophylaxis throughout the stay in the hospital. at the time of discharge, the patient was ambulating well. the patient was not discharged on subcutaneous heparin. neurological: the patient was noted to be delirious for approximately 48 hours after extubation. he received several doses of zyprexa with reduced agitation. after this period of time, the patient's mental status cleared and he became oriented to his location and situation. discharge diagnoses: 1. coronary artery disease status post lad stent, post non st elevation mi. 2. hypertension. 4. diabetes mellitus type 2. 5. prostate cancer status post ureteral reimplantation and suprapubic tube placement. 6. chronic renal insufficiency. 7. anemia. condition on discharge: fair. discharge medications: 1. metoprolol 100 mg po t.i.d. 2. imdur 30 mg po q.d. 3. aspirin 325 mg po q.d. 4. lipitor 10 mg q.d. 5. plavix 75 mg po q.d. until . 6. insulin nph 25 units q.a.m.; 25 units q.p.m. 7. folic acid 1 mg po q.d. 8. tylenol p.r.n. discharge status: the patient is discharged to a rehabilitation facility to be determined. the patient is to followup with dr. , two weeks post discharge. the patient is to have a possible avr six to eight weeks post discharge. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care chronic airway obstruction, not elsewhere classified aortic valve disorders acute respiratory failure 

Answer: The patient is high likely exposed to