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 61 year old diabetic male who reported in passing that the patient noticed exertional left-sided heartburn symptoms associated with mild shortness of breath. the patient stated it could occur after walking for ten minutes while pushing his grandson in the stroller or walking quickly up the stairs. on , the patient underwent stress echocardiogram, 10.5 minutes of modified protocol with 99% maximal phr and stopped for fatigue. the patient had positive anterior chest burning with exercise. electrocardiogram with 1 to depression inferiorly in v4 to v6. there is ............ into recovery. the echocardiogram showed that there is ejection fraction of 65 to 70% with 1+ aortic insufficiency and trivial mitral regurgitation with exercise. there was new hypokinesis in the distal septum and apex. review of systems: the patient denied coarctation, orthopnea, edema, paroxysmal nocturnal dyspnea and lightheadedness. past medical history: diabetes, hypertension, hyperlipidemia, remote wisdom tooth extraction, transient ischemic attack. allergies: no known drug allergies. medications at home: aspirin 81 mg p.o. q. day, glipizide 10 mg p.o. q. day, metformin 1000 mg p.o. b.i.d., tylenol 75 mg p.o. q. day, periostat 20 mg t.i.d., lipitor 5 mg p.o. q. day, folic acid 100 mcg p.o. q. day, chromium 2 pills a day, vitamin c 500 mg p.o. b.i.d., multivitamins, vitamin e 800 iu q. day, calcium plus vitamin d once a day. laboratory data: laboratory data on admission revealed white count 5.7, hematocrit 44.2, platelets 268, sodium 135, potassium 4.7, chloride 96, bicarbonate 29, bun 23, creatinine 1.3, inr 1.0. social history: the patient is divorced and lives with his daughter. the patient works in sales. hospital course: the patient was admitted to the cardiology service. the patient underwent cardiac catheterization which showed that the patient had a 90% occlusion in the left anterior descending, 90% in the mid circumflex and 90% in the distal right coronary artery. with this in mind, the patient underwent echocardiogram which results are as stated previously. the patient underwent a four vessel, saphenous vein graft to left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to pl to posterior descending artery on . the patient in the operating room had stable atrial fibrillation which was treated with an amiodarone bolus and he cardioverted times two. the patient on admission to cardiac surgery recovery unit was off of propofol and had stable cardiovascular signs. the patient was continued to be intubated. in terms of the patient's kidneys the patient produced brisk urine output. potassium was repleted. the patient was afebrile and was continued on vancomycin perioperatively. the patient was kept npo and was given ranitidine and carafate with insulin drip and the patient overall was improving. on postoperative day #1, the patient was extubated and had decreased pressure support, the patient was on neo 1.5 and continued on insulin drip. the patient's intensive care unit stay was complicated by need for reintubation for unknown cause. the patient developed respiratory distress. the patient was intubated without any difficulty and required some pressure support. during this stay the patient had no evidence of pneumonia or heart failure. the patient was continued to be intubated until the patient was successfully extubated on postoperative day #3. otherwise the patient's pain was well controlled throughout the stay. in the intensive care unit the patient was continued on amiodarone. the patient was initially atrial paced in the intensive care unit and then the patient was subsequently put on dopamine which was weaned off. the patient's blood sugar was continued to be monitored and treated using sliding scale and the patient was on reglan and kept npo while he was intubated. afterwards the patient's diet was advanced. the patient has a poor appetite. on postoperative day #6, the patient was transferred to the floor. on postoperative day #7 the patient complained of some sore throat. the patient was afebrile with stable vital signs. the patient took in good p.o. and made good urine. the patient's wires were removed, the ........... was stopped and the patient was started on captopril and levofloxacin was stopped which was treatment for presumed infiltrate. physical therapy continued to work with the patient. on postoperative day #8 the patient complained of some cough and continued sore throat. the patient remained febrile with stable vital signs, taking in good p.o. and with good urine output. blood pressure was somewhat elevated, thus the patient's lopressor was increased and chest x-ray was obtained which showed a left lower lobe atelectasis. the patient also was complaining of difficulty swallowing. we obtained a bedside swallow evaluation. the initial impression was that the patient may be aspirating thin liquids. the patient was kept npo, per recommendation to use thick liquids and medications with nectar for the night and to obtain a video swallow the next day and also obtain an otorhinolaryngology consult. on postoperative day #9, the patient continued to remain afebrile with stable vital signs. we obtained a video swallow which showed that the patient was not aspirating and thus the patient was put on a regular diet. otorhinolaryngology consult revealed that the patient had esophagitis. the patient was put on fluconazole and the patient's metoprolol was increased to 75 b.i.d. for a pressure of 170s/60s. on postoperative day #9, the patient spiked a temperature up to 101.3. the patient was pancultured, obtained urine culture and urinalysis which was negative. sputum gram stain revealed oropharyngeal flora organisms. chest x-ray revealed an atelectasis of the left lower lobe. complete blood count revealed that the patient had a white count of 19.1. the patient had a slight drainage from the sternal wound. the patient was put on ancef 1 gm q. 8 and to do betadine and sterile dressing changes to the site. the patient, on postoperative day #11, had improvement in his foley catheter improved. he had a low-grade temperature of 100.1 with stable vital signs. one of the three bottles grew out gram positive cocci. the patient was put on vancomycin and levofloxacin and ancef was stopped. the patient's lopressor was also increased to 100 mg t.i.d. for the blood pressure of 150s/70s. on postoperative day #12, the patient had a low-grade temperature of 100.1, otherwise stable vital signs. blood pressure was better controlled. the patient was continued on antibiotics. the patient's white count was decreased to 13.8 and the sputum grew out gram positive cocci and gram negative rods as well as the oropharyngeal organisms. on postoperative day #13 the patient remained afebrile with stable vital signs. blood pressure was under better control, and the patient's white count had been stable. the patient was discharged to rehabilitation in stable condition. condition on discharge: good. discharge status: rehabilitation. discharge diagnosis: 1. status post coronary artery bypass graft. 2. coronary artery disease. 3. esophagitis. 4. insulin dependent diabetes mellitus. 5. hypertension. 6. hypercholesterolemia. 7. transient ischemic attack. 8. periodontal disease. discharge medications: 1. colace 100 mg p.o. b.i.d. 2. aspirin 325 mg p.o. q. day 3. percocet 1 to 2 tablets p.o. q. 4 hours prn pain. 4. glipizide 10 mg p.o. b.i.d. 5. plavix 75 mg p.o. q. day 6. amiodarone 400 mg p.o. q. day 7. lipitor 10 mg p.o. q. day 8. sliding scale insulin 9. captopril 50 mg p.o. t.i.d. 10. fluconazole 200 mg p.o. q. day for seven days 11. levofloxacin 500 mg p.o. q. day for seven days 12. lopressor 100 mg p.o. t.i.d. 13. metformin 1000 mg p.o. b.i.d. 14. potassium 20 meq p.o. q. day for two weeks, please check potassium levels and adjust the dose accordingly. 15. lasix 40 mg p.o. q. day for two weeks, please check creatinine twice a week and adjust the dose accordingly. follow up plans: please follow up with dr. in four weeks. please follow up with primary care physician and cardiologist in one to two weeks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization insertion of endotracheal tube (aorto)coronary bypass of four or more coronary arteries implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation other and unspecified angina pectoris urinary complications, not elsewhere classified candidal esophagitis 

Answer: The patient is high likely exposed to