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: shellfish derived / nut flavor / monosodium glutamate / hayfever attending: chief complaint: chest pain major surgical or invasive procedure: - coronary artery bypass grafting x4, left internal mammary artery graft, left anterior descending, reverse saphenous vein graft to the marginal branch, diagonal branch, posterior descending artery. history of present illness: stupendous 71 year old gentleman with known ischemic heart disease who has had recent intermittent throat and jaw discomfort consistent with his anginial symptoms. an exercise tolerance test was performed which revealed inferoposterior and lateral wall ischemia. a cardiac catheterization was performed which showed severe three vessel disease. given the severity of his disease, he has been referred for surgical revascularization. past medical history: past medical history: cad metabolic syndrome dyslipidemia htn obesity sleep apnea hayfever asthma as child past surgical history: deviated septum repair t+a at age 6 basal cell carcinoma s/p resection on face prostate biopsy social history: occupation: singer in choir last dental exam: every three months lives with: wife in : caucasian tobacco: never etoh: 1 glass of wine/day family history: father with cabgx4 in early 70's. mother with mi, brother with mi. physical exam: pulse: 82 sr resp: 20 o2 sat: 98% ra b/p right: 158/91 left: 160/82 height: 68" weight: 236lbs general: wdwn in nad skin: dry intact well healed left upper lip/nare incision heent: perrla, eomi, sclera anicteric, op benign neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr, nl s1-s2, no m/r/g abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: lle - distal calf varicosity vs. lipoma. gsv otherwise appears suitable. neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 2 left: 2 pt : 2 left: 2 radial right: 2 left: 2 carotid bruit right: none left: none pertinent results: echo pre-bypass: the left atrium and right atrium are normal in cavity size. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. there is mild (non-obstructive) focal hypertrophy of the basal septum. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef=50 %). right ventricular chamber size and free wall motion are normal. 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. the mitral valve leaflets are structurally normal. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post-bypass: the patient is not receiving inotropic support post-cpb. biventricular systolic function is preserved. all findings are consistent with the pre-bypass findings. the aorta is intact post-decannulation. all findings communicated to the surgeon. 07:20am blood wbc-9.7 rbc-3.41* hgb-10.4* hct-30.8* mcv-90 mch-30.4 mchc-33.6 rdw-12.4 plt ct-158 03:03pm blood pt-13.0 ptt-32.7 inr(pt)-1.1 07:20am blood glucose-125* urean-20 creat-0.6 na-135 k-4.1 cl-99 hco3-29 angap-11 05:10am blood mg-2.2 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. over the next 24 hours, mr. neurologically intact and was extubated. chest tubes and pacing wires were removed per cardiac surgery protocol. he did have a temperature to 101.9 with an elevated white blood cell count. his central line was pulled and the patient remained afebrile for the remainder of his hospital course with a normalized white blood cell count. he was transferred to the step down unit in stable condition. he continue to work with physical therapy for increased strength and endurance. it was felt that he was stable to be discharged home on post operative day # 4 with vna services. medications on admission: atorvastatin - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth once a day folic acid - (prescribed by other provider) - 1 mg tablet - 1 tablet(s) by mouth once a day lisinopril - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth twice a day metoprolol tartrate - (prescribed by other provider) - 50 mg tablet - 1 tablet(s) by mouth once a day triamterene-hydrochlorothiazid - (prescribed by other provider) - 50 mg-25 mg capsule - 1 capsule(s) by mouth once a day medications - otc ascorbic acid - (prescribed by other provider) - 1,000 mg tablet - 1 tablet(s) by mouth once a day aspirin - (prescribed by other provider) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day b complex vitamins - (prescribed by other provider) - capsule - 1 capsule(s) by mouth once a day coenzyme q10 - (prescribed by other provider) - 200 mg capsule - 1 capsule(s) by mouth once a day ergocalciferol (vitamin d2) - (prescribed by other provider) - 1,000 unit capsule - 1 capsule(s) by mouth once a day flaxseed oil - (prescribed by other provider) - 1,000 mg capsule - 1 capsule(s) by mouth once a day multivits with min-fa-lycopene - (prescribed by other provider) - 0.4 mg-600 mcg tablet - 1 tablet(s) by mouth once a day omega-3 fatty acids - (prescribed by other provider) - 1,200 mg-144 mg capsule - 1 capsule(s) by mouth twice a day vitamin e - (prescribed by other provider) - 400 unit capsule - 1 capsule(s) by mouth once a day discharge medications: 1. 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* 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*1* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. disp:*30 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad metabolic syndrome dyslipidemia htn obesity sleep apnea discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments surgeon dr. in 4 weeks at 1:15 pm primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia obesity, unspecified dysmetabolic syndrome x postprocedural fever 

Answer: The patient is high likely exposed to