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: history of present illness: this is a 47 year old male patient with a known history of coronary artery disease who had been medically managed for the past few years. he recently had a positive exercise tolerance test in of this year due to increasing dyspnea on exertion. he was then admitted to the on , due to shortness of breath and palpitations accompanied by lightheadedness. he was ruled out for myocardial infarction and underwent cardiac catheterization on , which revealed significant three vessel coronary artery disease with a left ventricular ejection fraction of 50%. he was transferred to the for a possible coronary artery bypass graft. the patient has a known right femoral arteriovenous fistula which was found at the . past medical history: 1. known coronary artery disease. 2. poorly controlled type 2 diabetes mellitus. 3. gastroesophageal reflux disease. 4. hypertension. 5. hypercholesterolemia. 6. asthma. 7. diabetic retinopathy; diabetic neuropathy. 8. obesity. 9. former smoker. social history: the patient denies alcohol use. he is married and lives with his wife. past surgical history: he is status post right vitrectomy and laser surgery both eyes. allergies: the patient states and allergy to hydrochlorothiazide. medications: 1. lantus insulin 20 units q. a.m.; 120 units q. h.s. 2. humalog sliding scale insulin six times per day. 3. glucophage sr 1500 mg q. p.m. 4. norvasc 10 mg q. day. 5. atenolol 50 mg q. h.s. 6. lipitor 10 mg q. day. 7. tricor 160 mg q. day. 8. covera 240 mg q. h.s. 9. pepcid 20 mg twice a day. 10. singulair. 11. prednisolone eye drops to the right eye six times a day. laboratory: upon admission, white blood cell count 4,600, hematocrit 32.9, platelet count 201. sodium 134, potassium 4.5, chloride 101, co2 27, bun 10, creatinine 1.7, glucose 339 and hemoglobin a1c of 10.2%. physical examination: on admission, neurologically he was grossly intact. his lungs were clear to auscultation bilaterally. coronary examination was regular rate and rhythm. abdomen was soft, obese, nontender. extremities were warm and well perfused. hospital course: the patient had a vascular surgical consultation the following day due to the arteriovenous fistula in the patient's right groin and since the patient was not symptomatic with that and his examination was not remarkable, it was their recommendation to evaluate him once he had recovered from his cardiac surgery and to be followed in the vascular surgery clinic. the patient was taken to the operating room on , by dr. , where he underwent coronary artery bypass graft times four with a left internal mammary artery to the left anterior descending, saphenous vein graft to the pda, saphenous vein graft to the obtuse marginal; saphenous vein graft to the ramus. postoperatively, the patient was on propofol, insulin and neo-synephrine intravenous drips and he required a temporary epicardial pacing at that time. he was transported from the operating room to the cardiac surgery recovery unit in good condition. on the morning of postoperative day one, it was noted that the patient had spontaneously dislodged his endotracheal tube and was ultimately reintubated by the anesthesia service. over the next two to three days in the intensive care unit, the patient was maintained on neo-synephrine, insulin and propofol drips. he remains intubated, on a ventilator. he had some significant problems with restlessness and agitation, requiring continued sedation at that time. the patient was noted to have elevated temperatures in the 101.0 to 102.0 f. range, and infectious disease consult was obtained on and the patient was pan cultured as well at that time. it was their recommendation to empirically treat him with board spectrum antibiotics and he was placed on vancomycin and zosyn at that time. he was also fully cultured. the patient had multiple attempts at weaning from mechanical ventilation through the course of the next few days. he self extubated a few times as well and failed, requiring urgent reintubation and he has ultimately undergone tracheostomy performed by dr. on . initial cultures from the fever spikes postoperatively were negative. he did, however, wind up having methicillin resistant staphylococcus aureus in his sputum, although when that was ultimately found he did not have a fever or white count at the time. he was placed on intravenous vancomycin for an approximately two week period when that was initially discovered. the patient had been started on tube feeds which he had been tolerating quite well and was increased to goal. the clinic service was following him for diabetes mellitus management throughout his intensive care unit stay. the patient was begun on beta blockers increased and has been tolerating those well. on , the skin care nursing service was consulted because the patient had a progressively increasing coccygeal decubitus ulcer. he started with some redness prior to going to the operating room but this progressed throughout his postoperative course. it was their recommendation to cleanse the wound and to place an aquagel dressing over the open area and to cover that with a tegaderm over that. the patient has progressed with ventilator weaning. he tolerated cpap with minimal levels of pressure support for prolonged periods. he also tolerates tracheostomy collar for varying lengths of time without getting tired, anywhere from two to six hours at a time. the patient has also progressed well from a physical therapy standpoint. he does ambulate. with some assistance, he ambulated approximately 100 feet. the patient underwent a bedside swallow evaluation approximately a week ago which he passed very well and his tube feeds have been discontinued. he underwent a calorie count and he is taking in an adequate amount of calories orally without the need for tube feed. he is, however, receiving supplements of boost plus three times a day to meet his caloric needs. the patient has remained afebrile. he has remained hemodynamically stable and he is ready to be transferred to a rehabilitation facility to progress with his physical therapy and ventilator weaning needs. his physical examination today, , is as follows: his weight today is 108.2 kilograms; his preoperative weight was 112. his vital signs include a temperature of 97.2 f.; pulse of 82 in normal sinus rhythm; blood pressure 110/47; respiratory rate 24; oxygen saturation 99%. most recent laboratory values include a white blood cell count of 9,200, hematocrit of 32.7 and a platelet count of 371. sodium 138, potassium 4.6, chloride 99, co2 31, bun 24, creatinine 0.9, glucose 121. the patient is neurologically alert and oriented. he moves all extremities well and he follows commands appropriately. on his respiratory examination, his lungs are clear to auscultation bilaterally. coronary examination is regular rate and rhythm. his sternum is stable. his incision is healing well. his abdomen is obese, soft, nontender, with positive bowel sounds. extremities are warm and well perfused. the right leg saphenous vein harvest site is also healing well and he has no peripheral edema. the patient has a #8 shiley tracheostomy in place and he is varying between the ventilator cpap with pressure support mode and a tracheostomy collar. discharge medications: 1. prednisolone acetate 1% eye drops to the right eye four times a day. 2. hydralazine 20 mg p.o. four times a day. 3. clonazepam 1 mg three times a day. 4. colace 100 mg twice a day. 5. zantac 150 mg twice a day. 6. aspirin 325 mg q. day. 7. heparin 5000 units subcutaneously q. eight hours. 8. metoprolol 100 mg q. eight hours. 9. lasix 80 mg q. day. 10. zinc 220 mg q. day. 11. vitamin c 500 mg twice a day. 12. multivitamin one p.o. q. day. 13. lantus insulin 100 units subcutaneously at bed time q. h.s. 14. sliding scale humalog coverage as follows: for coverage for breakfast and lunch are as follows: glucose 100 to 150, 4 units; 151 to 200 8 units; 201 to 250, 14 units; 251 to 300, 18 units; 301 to 400, 20 units; greater than 400, 24 units. coverage before dinner is: glucose 150 to 200, 4 units; 201 to 250, 6 units; 251 to 300, 8 units; 301 to 400, 10 units; greater than 400, 12 units. coverage at bed time is: glucose of 150 to 200, 2 units; 200 to 250, 3 units; 250 to 300, 4 units; 300 to 400, 5 units and greater than 400, 6 units. 15. atrovent and albuterol metered-dose inhalers on a p.r.n. basis. condition at discharge: good. discharge diagnoses: 1. coronary artery disease status post coronary artery bypass graft. 2. respiratory failure status post tracheostomy placement. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery enteral infusion of concentrated nutritional substances other bronchoscopy non-invasive mechanical ventilation temporary tracheostomy diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome cardiac complications, not elsewhere classified other specified complications of procedures not elsewhere classified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to