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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain/ indigestion major surgical or invasive procedure: off pump cabg x 2 (lima > lad, svg > om) on history of present illness: 68 yo male with pmh dm2, htn, hyperlipidemia, ckd recent admission to osh w/chf exacerbation (), was readmitted to osh today with n/v/cp, which pt described as indigestion. found to have a new lbbb. cardiac enzymes were positive (peak: ck 404, mb 46, index 11, tn t 0.46)). of note, adenosine myoview from last admission showed inferior wall defect; at that time, pt refused adenosine stress portion. cath showed 40-50% left main, 70-80% mid lad, 90% prox lcx, occluded rca. pt evaluated for cabg. past medical history: diabetes mellitus, hypertension, hyperlipidemia, chronic renal insufficiency, depression, interstitial lung disease social history: widowed. has one son. quit smoking 15 years ago; 12.5 pk-yr hx. rare etoh family history: mother died in 50s of cad; had dm2. father died of alcoholic liver cirrhosis. one sister passed away with lung cancer. physical exam: vs: p89 (80-113), 115/49 (115-160s/49-79), rr18, 91% 2l gen: overweight, sedated gentleman, lying in bed post sheath pull, drowsy but arousable. heent: peerl, eomi, sclera anicteric. mmm. neck: jvd difficult to assess. + bruit right, absent on left lungs: cta anteriorly. cv: regular with no mrg appreciated abd: obese, soft, nt, nd. ext: no edema. 1+ dp and pt pulses bilaterally. pertinent results: carotid ultrasound : <40% on right, 40-59% on left, normal vertebral arteries cxr : mild congestive heart failure: increased interstitial prominence consistent with mild chf. echo : ef 30-35%. the left atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy. overall left ventricular systolic function is moderately depressed. resting regional wall motion abnormalities include akinesis of the basal and mid inferior, basal inferoseptal wall akinesis with inferolateral and basal lateral wall hypokinesis. no aortic regurgitation is seen. moderate (2+) mitral regurgitation is seen.. renal ultrasound : right kidney measures 9.6cm and left kidney measures 12.9 cm. no hydronephrosis. headt ct : new hypodensity in left temporal lobe, representing acute left mca infarction with small amount of hemorrhage, with mass effect. 07:20pm blood wbc-14.2* rbc-4.13* hgb-11.2* hct-34.6* mcv-84 mch-27.1 mchc-32.4 rdw-15.3 plt ct-393 09:40am blood wbc-12.8* rbc-4.26* hgb-11.6* hct-37.5* mcv-88 mch-27.2 mchc-30.9* rdw-16.0* plt ct-547* 07:20pm blood pt-14.6* ptt-76.0* inr(pt)-1.3* 03:01am blood pt-16.1* inr(pt)-1.5* 07:20pm blood glucose-228* urean-72* creat-2.1* na-136 k-3.6 cl-101 hco3-23 angap-16 09:40am blood glucose-147* urean-23* creat-1.5* na-145 k-4.3 cl-112* hco3-21* angap-16 03:01am blood calcium-8.3* phos-3.1 mg-1.9 01:10pm blood wbc-11.4* rbc-4.49* hgb-12.2* hct-38.8* mcv-87 mch-27.1 mchc-31.4 rdw-16.6* plt ct-453* 07:00am blood urean-21* creat-1.5* k-4.5 09:40am blood glucose-147* urean-23* creat-1.5* na-145 k-4.3 cl-112* hco3-21* angap-16 brief hospital course: as mentioned in the hpi, mr. was transferred from osh after being ruled in for a myocardial infarction. he underwent a cardiac catheterization which revealed three vessel coronary artery disease. he underwent usual pre-operative work-up along with carotid u/s, echocardiogram, and pulmonary function tests. renal was consulted secondary to his h/o renal insufficiency and possible contrast nephropathy. over the next several days he underwent above test and renal continued to evaluate and surgery was delayed pending creatinine to decrease. he was brought to the operating room on where he underwent a off-pump coronary artery bypass graft x 2. please see operative report for surgical details. surgery was uneventful and he was transferred in stable condition to the csru for invasive monitoring. he remained intubated for several days and unable to wean off sedation secondary to patient becoming restless and agitated. he also remained on multiple pressors and was started on amiodarone for atrial fibrillation on post-op day three. his wbc was elevated and vancomycin was continued and he was started on ceftriaxone. multiple cultures were taken (urine, sputum, blood, stool) throughout post-op course. chest tubes and epicardial pacing wires were removed per protocol. on post-op day three he underwent a head ct to evaluate for a stroke which showed no evidence of intracranial hemorrhage or shift of normally midline structures. neurology and psychology were consulted. felt agitation was related to delerium. on post-op day five he had another head ct secondary to continued agitation when weaned from sedation and failure to respond to stimuli/followe commands. ct again revealed no cva. he was eventually weaned off all pressors and was started on beta blockers and diuretics. on post-op day six a dobbhoff feeding tube was placed. it was found on post-op day eight the feeding tube was in mid-esophagus and eventually - feeding tube was placed via fluoro. finally on this day sedation was weaned, he made more purposeful movements and was extubated. following extubation though he had more agitation events and wasn't following commnds. over the next several days he remained stable, still was agitated at times but was more alert and oriented. he did require a patient observer throughout post-op course. post-op day nine he had a speech and swallow study. he started to tolerate liquids by mouth and his diet was slowly advanced. on post-op day fourteen he appeared to be improving and was finally transferred to the cardaic surgery step down floor. but on post-op day fifteen he was transferred back to the csru following patient found to be disoriented, lethargic w/ flat affect. he also developed aphasia and right side hemiparesis. head ct was performed which again revealed no cva. blood culture taken on this day revealed staphylococcus coag negative bacteria. his mental status appeared to be improving on post-op day fifteen. he underwent another head ct on post-op day seventeen which revealed a new hypodensity in left temporal lobe, representing acute left mca infarction with small amount of hemorrhage, with mass effect. carotid u/s was performed which revealed 40-59% stenosis in both and . he also had an eeg done which suggests deep midline subcortical dysfunction consistent with a mild encephalopathy and superimposed fast activity which is suggestive of a medication effect. he remained stable though, slowly improving and was eventually transferred back to the cardaic surgery step down floor on post-op day nineteen. on post-op day twenty-one a picc line was placed for long-term total parenteral nutrition. physical therapy followed patient during post-op course for strength and mobility. on post-op day twenty-two mr. aphasia was still present but slightly improving. hecontinued to improve and was discharged to rehab facility on post-op day 25. medications on admission: medications on transfer: isosorbide mononitrate sr 30mg qd folic acid 1mgd qd lisinopril 40mg qd fluoxetine 20mg qd potassium 20meq qd lithium 300mg qd ativan 1mg qhs spiriva qd lipitor 20mg qd zetia 10mg qd insulin maalox nitro sl plavix 300mg x1 () asa 325mg x1 () heparin 6000u iv bolus () . home meds: 1. atenolol/chlorathiadone 50/25 qd 2. folic acid 1mg qd 3. fluoxetine 20mg qd 4. lisinopril 40mg qd 5. avandia 4mg qd 6. metformin 1000mg 7. vytorin 10/40 qd 8 lithium 300mg qd discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. lasix 20 mg tablet sig: one (1) tablet po twice a day. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 8. dipyridamole-aspirin 200-25 mg cap, multiphasic release 12 hr sig: one (1) cap po bid (2 times a day). 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours). 10. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. discharge disposition: extended care facility: & rehab center - discharge diagnosis: coronary artery disease s/p off-pump coronary artery bypass graft x 2 post-op cva post-op delerium post-op bacteremia pmh: diabetes mellitus, hypertension, hyperlipidemia, chronic renal insufficiency, depression, interstitial lung disease discharge condition: good discharge instructions: no lifting > 10 # for 10 weeks no creams, lotions, or ointments to any incisons no driving for 1 month may shower, no bathing or swimming for 1 month please call office if you develop a fever or notice drainage from any incision followup instructions: with dr. (renal medicine) upon discharge from rehab, will need mri of kidneys with dr. in weeks with dr. upon discahrge from rehab with dr. upon discharge from rehab procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances (aorto)coronary bypass of one coronary artery transfusion of packed cells infusion of vasopressor agent diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified toxic encephalopathy atherosclerosis of aorta atrial fibrillation depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia postinflammatory pulmonary fibrosis cerebral embolism with cerebral infarction delirium due to conditions classified elsewhere late effects of cerebrovascular disease, aphasia diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled nonspecific (abnormal) findings on radiological and other examination of genitourinary organs iatrogenic cerebrovascular infarction or hemorrhage staphylococcus infection in conditions classified elsewhere and of unspecified site, staphylococcus, unspecified 

Answer: The patient is high likely exposed to