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: metoprolol / heparin agents attending: chief complaint: doe and angina major surgical or invasive procedure: cabg x4/cryo maze/ pfo closure/mv repair (lima to lad, svg to pda, svg to diag sequenced to om, 28 ce physioring) exploratory laparotomy/placement of gj tube/ fasciotomy of right leg history of present illness: 64 yo male with increasing anginal symptoms, s/p pci, presenting for cadriac cath. this revealed lm 60%, lad 100%, cx 80%, patent om1 stent, rca diffuse disease. referred for surgical evaluation. past medical history: cad with om1 stent imi intermittent sleep apnea copd venous insufficiency with ble edema porphyria anemia thrombocytopenia a fib hep c left leg ellulitis gout hemochromatosis social history: director of public works lives with wife no tobacco or etoh family history: father with first mi at 35, died at 75 physical exam: 6'0" 107.5 kg hr 74 rr 18 right 134/90 left 139/71 wd/wnm stasis changes to lower extremities with pigment changes heent unremarkable neck wupple with full rom ctab no m/r/g abd soft, nt, nd +bs extrems warm, well-perfused no varicosities neuro grossly intact 2+ bil. fem/dp/pt/radials pertinent results: 11:00am blood wbc-18.9* rbc-3.04* hgb-9.5* hct-27.6* mcv-91 mch-31.4 mchc-34.6 rdw-17.8* plt ct-26* 03:03am blood plt ct-30* 11:00am blood pt-29.0* inr(pt)-3.0* 11:00am blood plt ct-26* 05:34pm blood fibrino-740*# 03:03am blood urean-78* creat-3.0* hco3-26 11:00am blood ast-1052* ld(ldh)-619* alkphos-168* amylase-111* totbili-8.7* 11:00am blood lipase-56 11:00am blood albumin-1.7* mg-2.1 07:28pm blood cortsol-78.6* 07:22pm blood hbsab-positive hbcab-negative hav ab-negative echocardiography report , (complete) done at 1:46:11 pm final referring physician information , , status: inpatient dob: age (years): 64 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: cabg/?pfo icd-9 codes: 428.0, 402.90, 427.31, 786.05, 786.51, 440.0, 424.0 test information date/time: at 13:46 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2006aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 40% to 45% >= 55% aorta - valve level: 2.2 cm <= 3.6 cm aorta - ascending: 3.3 cm <= 3.4 cm aorta - descending thoracic: 2.2 cm <= 2.5 cm aortic valve - lvot diam: 1.9 cm aortic valve - valve area: 3.3 cm2 >= 3.0 cm2 findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: mild-moderate global left ventricular hypokinesis. right ventricle: moderate global rv free wall hypokinesis. aorta: normal aortic root diameter. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no ar. mitral valve: mildly thickened mitral valve leaflets. moderate to severe (3+) mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient was under general anesthesia throughout the procedure. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. a patent foramen ovale is present. a very small left-to-right shunt across the interatrial septum is seen at rest. there is a prominent eustachian valve. there is moderate global right ventricular free wall hypokinesis. there is mild to moderate global left ventricular hypokinesis. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: good lv systolic fxn. improved though still depressed rv systolic fxn with inotropes running. mitral ring prosthesis in place without leak. gradient of 8 - 9 mmhg. aorta intact. no pfo flow. other parameters as pre-bypass. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician , d: radiology detail - ccc record # final report indication: 64-year-old man with change in mental status, _____ pupils following history of cabg, dic. comparison: ct head dated . technique: non-contrast head ct. findings: there has been interval development of a mass of predominantly left frontal intraparenchymal hemorrhage. more diffusely, there are extensive areas of subarachnoid hemorrhage. there is global focal effacement and loss of -white differentiation. there is marked left to right subfalcine herniation. there is extensive uncal herniation as well as descending transtentorial herniation with inferior displacement of the third ventricle. there is displacement of the thalami and brain stem into the posterior fossa as well as bilateral tonsillar herniation into the cervical canal. a large amount of hemorrhage is also seen extending into the entire ventricular system. the visualized paranasal sinuses and osseous structures are unchanged. impression: interval development of massive left frontal intraparenchymal hemorrhage and diffuse areas of subarachnoid hemorrhage. this is associated with diffuse loss of -white differentiation, suggesting global hypoxia. associated bilateral areas of herniation including tonsillar herniation are compatible with a grave prognosis. the study and the report were reviewed by the staff radiologist. dr. dr. . approved: sat 9:51 pm procedure date: brief hospital course: admitted and underwent cabg x4/cryo maze/pfo closure/mv repair with dr. . transferred to the csru in stable condition on amiodarone, epinephrine, milrinone and propofol drips. remained sedated and ventilated for several days as he developed hyperkalemia and renal failure. he continued to require pressor and inotropic support during these first few days. all lines were changed over the first weekend and he failed weaning from the ventilator. enteral feedings were started and all sedation turned off on pod #5. chest tubes were removed on pod #7. he continued to improve and was more awake. antibiotic coverage continued empirically.he was extubated and had intermittent cpap for support.creatinine continued to rise and he developed respiratory distress on requiring re-intubation. his right lower leg began to become more edematous with the development of pain and passive dorsiflexion. general surgery was consulted and took the patient emergently to the or on for a right le fasciotomy for an apparent fasciitis.an exploratory lap was also done and a gastrojejunostomy tube was placed. abdomen was not completely closed at that time. blood cultures were positive on (pod # 13) for gram negative rods and zosyn, ampiciliin and clindamycin were added for coverage. he continued to develop a floridly septic picture and hd was started for renal failure. he developed liver failure with rising lfts and required cardioversion for not tolerating a fib. abx were changed per id recommendations and vascular surgery was consulted to help evaluate his legs. urosepsis and severe shock ensued over the next few days. per id consultation, xigris was started with known high risk, but other options very limited considering his grave prognosis. pupils became non-reactive without corneal reflexes on the eve of pod #16.ct scan done on showed a catastrophic cerebral bleed with compression of the brainstem per neurology consult. the family was informed of the extremely grave prognosis and they elected to withdraw care. the patient was removed from the ventilator and expired at 17:30 with his family present in the room. medications on admission: plavix 75 mg daily asa 325 mg daily erythropoeitin 60,000 units q week prn allopurinol 300 mg daily spironolactone 20 mg daily lasix 20 mg daily discharge disposition: expired discharge diagnosis: mutiorgan failure sepsis cva renal failure imi cad intermittent sleep apnea anemia porphyria hemochromatosis hep c le cellulitis/necrosis copd a fib discharge condition: expired procedure: venous catheterization, not elsewhere classified 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 other enterostomy diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis exploratory laparotomy excision or destruction of other lesion or tissue of heart, open approach arterial catheterization atrial cardioversion fasciotomy annuloplasty central venous pressure monitoring nonexcisional debridement of wound, infection or burn closed biopsy of skin and subcutaneous tissue infusion of drotrecogin alfa (activated) infusion of vasopressor agent other and unspecified repair of unspecified septal defect of heart diagnoses: acidosis hyperpotassemia coronary atherosclerosis of native coronary artery mitral valve disorders acute kidney failure with lesion of tubular necrosis other postoperative infection acute and subacute necrosis of liver severe sepsis atrial fibrillation myelodysplastic syndrome, unspecified defibrination syndrome other and unspecified angina pectoris ostium secundum type atrial septal defect septic shock septicemia due to escherichia coli [e. coli] urinary complications, not elsewhere classified iatrogenic cerebrovascular infarction or hemorrhage other anomalies of great veins 

Answer: The patient is high likely exposed to