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. hypertension. 2. hyperlipidemia. 3. alcohol use, approximately 15 drinks per week. 4. esophagogastroduodenoscopy. 5. diverticulitis. 6. hiatus hernia. 7. arthritis. past surgical history: the patient denied any past surgeries. medications on transfer from the outside hospital: 1. nitroglycerin drip. 2. heparin drip. 3. aspirin 325 mg once per day. 4. lipitor 10 mg once per day. 5. prilosec 20 mg twice per day. 6. lopressor 25 mg twice per day. 7. captopril 12.5 mg three times per day. 8. plavix 300 mg times one in the morning. 9. celebrex 200 mg once per day. allergies: the patient reports no known drug allergies. social history: the patient lives with his wife and has an essentially sedentary lifestyle. he reports having approximately 15 alcoholic drinks per week. review of systems: the patient denied claudication, melena, symptoms of transient ischemic attack or cerebrovascular attack, and reports scant hemorrhoidal bleeding. physical examination on admission: height: 5' 11". weight: 188 pounds. general: mr. is a 59-year-old male in no apparent distress. at the time of preliminary physical examination, he denied any chest pain, abdominal pain, or shortness of breath. vital signs: his heart rate was found to be 78, in sinus rhythm with a blood pressure of 148/77. heent: his pupils were equally reactive to light and accommodation. the extraocular muscles were intact. the neck was supple with 2+ palpable carotid pulses and no bruits. heart: regular rate and rhythm with normal s1, s2, and a grade i-ii/vi septal murmur. lungs: clear to auscultation bilaterally. abdomen: round, soft, slightly tender in the upper abdomen with positive bowel sounds, no hepatosplenomegaly or other palpable masses. there were no abdominal bruits auscultated. extremities: warm and well perfuse but with no apparent edema. pulse: on the right side, he was found to have a 1+ palpable femoral, 2+ palpable dorsalis pedis, and 1+ palpable posterior tibial. on the left side, he was found to have 1+ palpable femoral, dorsalis pedis, and posterior tibial pulses. neurologic: his gross cranial nerve examination was normal, and gross motor and sensory systems were found to be intact. laboratory data/studies on admission: white count 13.5, hematocrit 48, platelet count 267,000. sodium 136, potassium 2.8, chloride 99, bicarbonate 24, bun and creatinine of 12 and 1.1, blood glucose 130. an electrocardiogram was done which showed sinus rhythm with q waves in leads ii, iii, and avf, and slight st depressions in leads v4 and v5. hospital course: mr. was admitted to the hospital where he underwent cardiac catheterization which demonstrated a heavily calcified left anterior descending coronary artery with a proximal ulcerate plaque and a 60% stenosis. he was also found to have an 80% mid left anterior descending lesion at a very large d1, which also had an ostial 80% stenosis. the right coronary artery was found to have an 80% stenosis at the ostial plb. left ventricular ejection fraction was found to be normal with an estimate at 59%. due to these results and continued unstable abdominal pain and angina, the patient was admitted to the operating room on where he underwent a coronary artery bypass graft times two. please refer to the dictated operative note for full details of this procedure. the patient tolerated the procedure well and was transferred to the cardiac surgical intensive care unit. at the time of transfer, the patient was on a propofol drip at 50 micrograms per kilogram per minute, as well as a neo-synephrine drip at 1 microgram per kilogram per minute. later on the day of surgery, the patient was weaned from the ventilator to cpap of 5 and 5 and was found to have an adequate arterial blood gas. he was subsequently extubated without difficulty, and his oxygen saturation remained stable. he was concurrently monitored for withdrawal from ethanol due to his reported use, and an ethanol drip was started. he was also maintained on a presidex drip throughout the day of operation. on postoperative day number one, he was weaned off his presidex drip, but unable to be weaned off of his neo-synephrine drip as his blood pressures continued to be labile. later on postoperative day number one, his chest tubes and arterial line were discontinued with no complication. in the afternoon of postoperative day number one, a rash was noticed over the patient's upper body, chest and back. the rash was pink with no hives noted. the skin was slightly pruritic. regular postoperative antibiotics were discontinued at this time presumptively. on postoperative day number three, the patient was transfused 1 unit of packed red blood cells for a hematocrit of 24.5. later during that day, atrial flutter was noted on his cardiac monitor while the patient was sitting up in his chair. his blood pressure remained stable at this time and the patient reported no symptoms or other distress. his heart rate remained in the rate of 140 with no response to lopressor. an amiodarone bolus was given intravenously and a drip was initiated at 1 mg per minute. there was no slowing of the heart rate despite repeat of this bolus. cardizem was given intravenously, with a brief response of the heart rate slowing to the 90s, but it increased back to the 140s, and a diltiazem drip was initiated. his rate became better controlled at this time with a heart rate ranging from 100-106; however, the patient's rhythm remained in atrial flutter. in addition, the patient's aforementioned rash had spread to his inner legs and arms, and continued to remain over his trunk and back. the patient at this time had been weaned from his neo-synephrine drip. on postoperative day number four, the patient continued to remain in atrial flutter with a heart rate between 80 and 130. he demonstrated no ventricular ectopy, and his systolic blood pressure remained stable. he remained on a diltiazem drip at 15 mg per hour, and was on an amiodarone drip 0.5 mg per minute. at this time, his oral lopressor dose was also increased to 75 mg three times per day. due to mr. persistence in atrial flutter and atrial fibrillation with the necessity of diltiazem and amiodarone drips to control heart rate, it was decided that he would undergo cardioversion. on postoperative day number five, the patient was cardioverted from atrial fibrillation and flutter to a normal sinus rhythm in the 80s to 90s. his systolic blood pressure remained stable in the 120-130 range, and he was taken off of the diltiazem drip, but remained on amiodarone drip. the patient continued to suffer from his pruritic rash, but had been taken off of the postoperative vancomycin. he had, however, been started on clindamycin as one blood culture bottle from had shown coagulase-negative staphylococcus. on postoperative day number six, the patient had remained stable and was deemed ready for transfer to the regular floor. he was feeling better by postoperative day number seven, and remained in normal sinus rhythm at 80. there appeared at the time to have been some improvement of his rash with a decrease of erythema; however, over the prior previous couple of days he had developed bullae which were increasing in number and slowly beginning to burst. it was at this time, that it was decided to obtain a dermatology consult. following dermatological examination, it was believed that the rash was secondary to vancomycin use, and was highly suggestive of a vancomycin-induced linear iga bullous dermatosis. it was deemed at this time that the patient should no longer receive vancomycin, and steroid cream was prescribed to help resolve the erythematous and pruritic reaction. on postoperative day number eight, the patient spiked a temperature to 101.4. there had been subjective improvement in his rash and symptoms of burning and itching. of concern, however, was his white blood cell count which had increased from 9,000 to 19,000 on . his lungs at the time were slightly coarse at both bases. his sternal incision was healing nicely with no erythema, drainage, or other sign of infection. a chest x-ray and urinalysis were checked, and incentive spirometry and pulmonary toilet were encouraged. the patient at this time was off of all antibiotics due to potential cause of his rash and potential drug fever. throughout the rest of postoperative day number eight and into postoperative day number nine, the patient remained afebrile with continued improvement of his rash. his studies, chest x-ray, urinalysis, were found to be within normal limits. on postoperative day number nine, the patient was deemed stable and ready for discharge from the hospital. physical examination at the time of discharge: the patient was found to be afebrile with a heart rate of 90 in sinus rhythm and a stable blood pressure. his heart showed a regular rate and rhythm. his lungs were clear to auscultation bilaterally. his abdomen was soft, nontender, nondistended. the sternal incision was healing nicely with no erythema or drainage. he continued to have some significant lower extremity edema. his skin rash showed decreased erythema with decrease in size and number of his bullae. medications on discharge: 1. lopressor 75 mg twice per day. 2. lasix 40 mg twice per day times ten days. 3. potassium chloride 20 meq twice per day for ten days. 4. zantac 150 mg twice per day. 5. aspirin 325 mg once per day. 6. colace 100 mg twice per day. 7. percocet one to two tablets every four hours as needed for pain. 8. thiamine 100 mg once per day. 9. folic acid 1 mg once per day. 10. multivitamin one caplet once per day. 11. amiodarone 400 mg once per day for one month. 12. fluocinonide 0.05% cream one application twice per day. 13. sarna cream one application four times per day. 14. bactroban ointment 2% one application twice per day. condition on discharge: stable. discharge diagnosis: 1. coronary artery disease, status post myocardial infarction. 2. coronary artery bypass graft times two. 3. hypertension. 4. hyperlipidemia. 5. alcohol use. 6. gastroesophageal reflux disease. 7. diverticulitis. 8. hiatus hernia. 9. arthritis. follow-up: the patient was told to follow-up in the clinic in approximately two weeks time, with his cardiologist in three to four weeks time, and with dr. in one month. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia tobacco use disorder unspecified essential hypertension diaphragmatic hernia without mention of obstruction or gangrene diverticulosis of colon (without mention of hemorrhage) other specified bullous dermatoses 

Answer: The patient is high likely exposed to