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 attending: chief complaint: coronary artery disease major surgical or invasive procedure: - coronary artery bypass grafts x4(lima-lad,svg-dg,svg-om,svg-pda),placement of iabp left heart catheterization, coronary angiogram history of present illness: this is a 76 year old man with chronic atrial fibrillation and recently diagnosed cardiomyopathy (ef 25%). he presented this admission for scheduled catheterization. he initially presented in with fatigue and dys showed severe systolic dysfunction with an ef of 20-25%. he was seen by cardiology who started him on lasix. he then underwent adenosine stress perfusion imaging which showed a medium defect of moderate intensity in the mid-inferolateral, apical - lateral, apical-inferior walls with mild partial reversibility at rest. there was a small defect of mild-moderate intensity in the apical anterior, apical-septal and true apical walls with minimal reversibility at rest. he was then scheduled for elective catheterization. past medical history: chronic atrial fibrillation s/p stroke x2 lv dysfunction diagnosed peripheral arterial disease systolic heart failure noninsulin dependent diabetes mellitus gout h/o rheumatic fever hypertension glaucoma social history: tobacco history: none x 20 years. prior 40 year 2ppd etoh: none illicit drugs: none family history: mother cva at 86 father chf at 83 brother dm early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission exam: general: wdwn man in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera mildly icteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. mild l lower facial droop neck: supple cardiac: rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: 2+ edema b/l l>r skin: +stasis dermatitis, no ulcers. pulses: radial pulses 2+ b/l, dp pulses + on doppler b/l brief hospital course: cardiac catheterization revealed triple vessel disease. cardiac surgical consultation was obtained for revascularization. the usual preopeartive workup was undertaken. on he was taken to the operating room where quadruple bypass grafting was performed. an intraaortic balloon pump was placed to augment hemodynamics given his severely impaired left ventricle. milrinone and levophed were given to achieve adequate hemodynamics. he was taken to the intensive care unit. he subsequently had a rising lactate and tee revealed lv hypokinesis with overdistention. a lasix infusion was started with good results and the balloon pump was removed due to leg ischemia the next morning. he stabilized and was extubated on pod 3. pressors were gradually weaned. he was anticoagulated for his chronic atrial fibrillation. on postoperative day five he was transferred to the step down unit for further recovery. diuresis was continued. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he was noticed to have jaundice and a total bilirubin was elevated. a gi consult was obtained and a liver/gallbladder ultrasound was recommended. this study showed no obstructions or gallstones. his total bilirubin trended downward over a week from a high of 13. on the day of discharge his total bilirubin rose again to 6 from 3 and on the recommendation of the liver team another ultrasound was obtained which was again unremarkable. he was advised to follow-up with dr. with hepatology as an out-patient. duoderm dressiongs were placed for a stage 2 ulcer. levofloxacin was started for a urinary tract infection. given his low ejection fraction, coreg was increased as tolerated and an ace inhibitor was started. mr. continued to make steady progress and was disharged to of . medications on admission: enoxaparin 100 mg/ml sc 100 mg sc twice a day as directed potassium chloride 20 meq one tab daily furosemide 40 mg oral tablet 1 tablet twice daily lisinopril 40 mg oral tablet take 1 tablet daily metformin 500 mg oral tablet 2 tabs twice daily. warfarin 2.5 mg oral tablet take once daily metoprolol succinate 100 mg oral tablet allopurinol 300 mg oral tablet 1 tab po qd timolol maleate 0.5 % eye drops instill 1 drop left eye twice daily brimonidine 0.2 % eye drops instill 1 drop left eye twice daily aspirin tablet dr 81mg po discharge medications: 1. outpatient lab work labs: pt/inr for coumadin ?????? indication -atrial fibrillation goal inr 2-2.5 first draw then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by md 2. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 9. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 10. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 11. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). 12. furosemide 40 mg tablet sig: one (1) tablet po twice a day. 13. potassium chloride 10 meq tablet extended release sig: four (4) tablet extended release po daily (daily). 14. metformin 500 mg tablet sig: one (1) tablet po twice a day: titrate to home dose 1000mg as tolerated. 15. warfarin 1 mg tablet sig: one (1) tablet po daily (daily): md to dose daily for goal inr 2-2.5, afib. 16. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. 17. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic (2 times a day). 18. lasix 40 mg tablet sig: one (1) tablet po once a day. 19. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day. discharge disposition: extended care facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts chronic atrial fibrillation s/p stroke x2 left ventricular dysfunction peripheral arterial disease noninsulin dependent diabetes mellitus gout h/o rheumatic fever hypertension glaucoma discharge condition: jaundiced alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg ,left - healing well, serous drainage from distal stab incision, no erythema edema: + stage 2 saccral coccyx discharge instructions: 1) 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. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns **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 1:15 cardiologist:dr. () on at 12:10pm in office liver: dr. ( on at suite 8e 9:20 please call to schedule appointments with: primary care dr. () in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication -atrial fibrillation goal inr 2-2.5 first draw then please do inr checks monday, wednesday, and friday for 2 previously by dr. () and care should resume upon discharge from rehab. procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart implant of pulsation balloon diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified atrial fibrillation systolic heart failure, unspecified other and unspecified angina pectoris cardiogenic shock other late effects of cerebrovascular disease long-term (current) use of anticoagulants pressure ulcer, lower back other malaise and fatigue pressure ulcer, stage ii jaundice, unspecified, not of newborn late effects of cerebrovascular disease, speech and language deficit, unspecified 

Answer: The patient is high likely exposed to