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: shortness of breath major surgical or invasive procedure: cardiac catheterization redo-sternotomy, coronary artery bypass graft x 4 history of present illness: 62 y/o male with increased shortness of breath and fatigue for the past 12-18 months. has had pnd for the past few months and poor exercise tolerance. was admitted for evalutaion of chf exacerbation. he has not been cathed since his cabg in . past medical history: coronary artery disease s/p coronary artery bypass graft x 4 ,congestive heart failure, hypertension, chronic renal insufficiency, diabetes mellitus wut bilate retinopathy, myocardial infarction, glaucoma, cardiomyopathy, r eye cataract, pneumonia , bilat collarbone fx, l foot fx, neuropathy, s/p l eye cataract , s/p bilat laser eye social history: quit smoking in after 40pk/yr hx. denies etoh use past 20 years. family history: father died from mi in 40's mother with cabg brother with mi and stents at 55 physical exam: vs: 80 18 112/60 5'" 231# gen: sob with any activity skin: unremarkable with well-healed sternotomy incision heent: perrl, eomi, anicteric, op benign neck: supple, fropm, -carotid bruit chest: bilat rales at bases heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused, 1+lle edema, no rle edema, lle svg harvest sire well-healed, mild le spider veins, swollen left ankle/foot from recent fx neuro: mae, non-focal, a&o x 3 pertinent results: cath: 1. selective coronary angiography of this right dominant system reveals severe native 3 vessel disease. the lmca has diffuse disease. the lad, lcx, and rca are all occluded proximally. 2. arterial conduit angiography revealed the lima to be widely patent. there is diffuse disease in the mid-distal lad distal to the anastamosis. the is left to rigth collaterals to the distal pda. the svg to om is thrombotically occluded in its proximal segment. the svg to pda has a distal 90% stenosis. 3. resting hemodynamic measurement reveals moderately elevated biventricular filling pressure (with rvedp of 18mmhg and mean pcwp of 22mmhg) with moderate pulmonary hypertension (56/25mmhg). the cardiac output is decreased at 2.2l/min/m2. 4. left ventriculography was deferred given the patient's history of renal insufficiency. chest ct: 1. prior sternotomy and cabg. atherosclerotic calcification of the thoracic aorta, most prominent at the top of the arch, with minimal calcification of the ascending aorta. 2. mild pulmonary edema. 3. two tiny sub- 4 mm pulmonary nodules. in the absence of a known primary malignancy, 1 year followup with ct could be performed if the patient has a history of smoking or other risk factors for lung cancer. echo: prebypass: there is severe global left ventricular hypokinesis. overall left ventricular systolic function is severely depressed. lvef <20%. there is severe global right ventricular free wall hypokinesis which improved somewhat after pericardial stripping.. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the abdominal aorta is moderately dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the pericardium appears thickened. postbypass: patient on epil, milranone, norepi, phenylehphrine. lv function is unchanged with an lvef 20%. there is improved function in the anterior wall, which is mild to moderately hypokinetic. the remaing walls are severely hypokinetic. the right ventricle appears mild to moderately hypokinetic. aortic contours are intact. iabp is seen with its tip 2 cm below the left subclavian. remaining exam is unchanged. le art dup: findings consistent with acute occlusion of the common femoral artery and most of the superficial femoral artery, reconstitution of the distal sfa with low flows, however. 03:45pm blood wbc-8.4 rbc-4.44* hgb-13.3* hct-40.6 mcv-92 mch-29.9 mchc-32.7 rdw-15.8* plt ct-262 10:00am blood wbc-15.2* rbc-3.54* hgb-10.9* hct-31.0* mcv-88 mch-30.9 mchc-35.2* rdw-15.9* plt ct-113* 03:16am blood wbc-21.1* rbc-3.88* hgb-11.4* hct-36.5* mcv-94 mch-29.3 mchc-31.2 rdw-15.9* plt ct-318 04:42am blood wbc-13.0* rbc-3.57* hgb-10.5* hct-33.1* mcv-93 mch-29.4 mchc-31.7 rdw-16.3* plt ct-322 03:45pm blood pt-14.8* ptt-26.5 inr(pt)-1.3* 09:58pm blood pt-16.0* ptt-45.1* inr(pt)-1.5* 04:18am blood pt-22.0* ptt-32.8 inr(pt)-2.2* 03:45pm blood glucose-196* urean-66* creat-2.7* na-138 k-3.3 cl-90* hco3-36* angap-15 03:07am blood urean-65* creat-2.8* na-142 k-3.7 cl-103 hco3-29 angap-14 04:42am blood glucose-100 urean-67* creat-2.6* na-139 k-3.8 cl-100 hco3-29 angap-14 05:32am blood alt-51* ast-47* ld(ldh)-383* alkphos-126* amylase-254* totbili-3.4* 04:42am blood calcium-7.2* phos-3.9 mg-3.2* 12:44am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-neg brief hospital course: as mentioned in the hpi, mr. was seen in the cardiac surgery office and was transferred over to where he was admitted. on he was brought for a cardiac cath which revealed severe three vessel disease and occluded vein grafts. over the next couple days he received medical management and was the taken to the operating room on . the patient on induction had a bradycardic cardiac arrest and had to be resuscitated by chest compressions and a bolus of epinephrine to resuscitate him. before starting the surgery, in view of the arrest, an intra-aortic balloon pump was placed through the right femoral artery. after a period of resuscitation, the patient stabilized and surgery was commenced. he underwent a redo-sternotomy, coronary artery bypass graft x 4. please see operative report for details. in view of the poor cardiac function, cardiac arrest, and multiple drips, the decision was made to leave the chest open. following surgery he was transferred to the csru for invasive monitoring on multiple inotropes in critical condition. on post-op day one he was taken back to the operating room where he underwent closure of his sternotomy. please see operative report for details. he was then transferred back to the csru for invasive monitoring. he remained intubated on multiple vasoactive drips and with a balloon pump. his iabp was weaned successfully and dc'd on pod #3. he was seen by vascular surgery for a loss of dp/and pt signals after the iabp was removed, and a heparin gtt was recommended. he was taken to the operating room by vascular surgery on where he underwent a right femoral thrombectomy and patch angioplasty. as such, he will require 3 months of coumadin. he went into afib on with a drop in bp/svo2 and co, and required cardioversion which was unsuccessful, he was started on amiodarone. he was seen by infectious diseases for persistent fever, rising whiwte count and increase in ett secretions. bronchoscopy revealed pneumonia in rul and lll, sputum culture showed gram + cocci and gram negative rods, and was started on vacomycin and zosyn.he was also found to have a gram positive bacteremia and rising lfts. abdominal ultrasound was negative. he was extubated on . bedside swallow evaluation showed aspiration and the patient remained npo. tube feeds were started. his creatinine rose but improved with discontinuation of his lasix gtt. he continued to be followed by at times requiring an insulin drip, his lantus and sliding scale were increased. he was transferred to the floor on . repeat swallow evaluation on , diet was advanced to regular with thin liquids. he was seen again by id on for his groin wound, recommendations were to continue vancomycin for at least seven days after discharge depending on the state of his groin. by he was ready for discharge to a rehabilitation facility medications on admission: lasix 40mg , metolazone 2.5mg qd, mag sulfate 400mg , kcl 20meq , synthroid 100mcg qd, norvasc 5mg qd, aspirin 325mg qd, insulin (novolog), ntg patch prn, motrin prn, trusopt 2% 1gtt ou tid, alphagan 1gtt ou tid, lumigen 1gtt ou qhs discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). disp:*30 * refills:*1* 3. atorvastatin 20 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. carvedilol 6.25 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 5. levothyroxine 100 mcg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. bimatoprost 0.03 % drops : one (1) ophthalmic qhs (). 7. brimonidine 0.15 % drops : one (1) drop ophthalmic q8h (every 8 hours). 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*0* 9. vancomycin in dextrose 1 g/200 ml piggyback : one (1) intravenous q 24h (every 24 hours) for 7 days. disp:*7 bags* refills:*0* 10. furosemide 40 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. levothyroxine 100 mcg tablet : one (1) tablet po daily (daily). disp:*40 tablet(s)* refills:*0* 12. zolpidem 5 mg tablet : one (1) tablet po hs (at bedtime) as needed. disp:*30 tablet(s)* refills:*0* 13. ranitidine hcl 150 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 14. potassium chloride 10 meq tablet sustained release : four (4) tablet sustained release po once a day. disp:*120 tablet sustained release(s)* refills:*0* 15. metolazone 5 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 16. miconazole nitrate 2 % powder : one (1) appl topical tid (3 times a day): place to groin. disp:*90 * refills:*0* discharge disposition: extended care facility: discharge diagnosis: coronary artery disease s/p redo-sternotomy, coronary artery bypass graft pmh: congestive heart failure, hypertension, chronic renal insufficiency, diabetes mellitus wut bilate retinopathy, myocardial infarction, s/p coronary artery bypass graft x 4, glaucoma, cardiomyopathy, r eye cataract, pneumonia , bilat collarbone fx, l foot fx, neuropathy, s/p l eye cataract , s/p bilat laser eye discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting greater than 10 pounds for 10 weeks. no driving for one month. followup instructions: dr. in 4 weeks dr. in 2 weeks md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnostic ultrasound of heart diagnostic ultrasound of heart other and unspecified coronary arteriography enteral infusion of concentrated nutritional substances (aorto)coronary bypass of four or more coronary arteries other electric countershock of heart other repair of chest wall closed [endoscopic] biopsy of bronchus implant of pulsation balloon incision of vessel, lower limb arteries transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified transfusion of other serum transfusion of platelets nonoperative removal of heart assist system injection or infusion of nesiritide infusion of vasopressor agent diagnoses: pneumonia, organism unspecified other primary cardiomyopathies subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute kidney failure, unspecified coronary atherosclerosis of autologous vein bypass graft atherosclerosis of native arteries of the extremities with intermittent claudication hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation cardiac arrest bacteremia cardiogenic shock long-term (current) use of insulin old myocardial infarction other complications due to other vascular device, implant, and graft arterial embolism and thrombosis of lower extremity diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to