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: lipitor attending: chief complaint: unstable angina major surgical or invasive procedure: 1. emergent coronary artery bypass grafting x4 on intra- aortic balloon pump of the left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from aorta to the first diagonal coronary; reverse saphenous vein single graft from aorta to first obtuse marginal coronary; as well as reverse saphenous vein single graft from aorta to posterior descending coronary artery. 2. endoscopic left greater saphenous vein harvesting. 3. status post percutaneous tracheostomy with #8 portex/peg placement on history of present illness: jaw and right shoulder pain developed at rest night,resolving after few minutes.recurrent pain right shoulder yesterday prompting trip to hospital where troponins were positive (8.4). also new q waves apparant on ecg. stuttering pain through last night led to cath today which revealed severe multivessel coronary disease. past medical history: fatty liver dm social history: occupation:computer tech analyst tobacco:denies etoh:social family history: negative physical exam: pulse: resp:18 o2 sat: 99 on 4 l b/p right:80/50 left:82/50 height:70" weight:220# general:wdwn in nad> c/o rt shoulder pain skin: dry intact macular rash w/scabs from itching dorsum hands heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur n abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right:n left:n pertinent results: 02:02am blood wbc-13.2* rbc-3.80* hgb-10.8* hct-32.0* mcv-84 mch-28.4 mchc-33.7 rdw-14.0 plt ct-420 02:45am blood wbc-10.1 rbc-3.94* hgb-11.2* hct-32.7* mcv-83 mch-28.4 mchc-34.2 rdw-14.1 plt ct-373 02:02am blood pt-23.1* ptt-49.1* inr(pt)-2.2* 02:45am blood pt-18.4* ptt-57.3* inr(pt)-1.7* 01:21am blood pt-16.9* ptt-63.6* inr(pt)-1.5* 08:09am blood pt-15.2* ptt-62.9* inr(pt)-1.3* 02:03am blood pt-14.9* ptt-63.6* inr(pt)-1.3* 08:04pm blood pt-13.8* ptt-60.1* inr(pt)-1.2* 02:02am blood glucose-189* urean-24* creat-0.7 na-137 k-3.8 cl-95* hco3-31 angap-15 02:45am blood glucose-194* urean-18 creat-0.7 na-133 k-3.6 cl-94* hco3-30 angap-13 01:21am blood glucose-201* urean-15 creat-0.7 na-135 k-3.7 cl-97 hco3-27 angap-15 left ventricular wall thicknesses and cavity size are normal. there is moderate to severe regional left ventricular systolic dysfunction with near akinesis of the distal half of the left ventricle and inferior wall with an apical aneurysm and a likely 1cm apical thrombus. .the right ventricular cavity is dilated with free wall hypokinesis. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. there is no pericardial effusion. impression: extensive regional left ventricular systolic dysfunction with apical aneurysm and likely apical 1cm mural thrombus. brief hospital course: the patient arrived on a heparin drip and iabp. he had chest pain en route which was relieved with sl ntg. mr. was consented and taken emergently to the or, where he emergent cabg x 4 as detailed in dr. operative report. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in critical but stable condition requiring milrinone and epinephrine to optimize his cardiac function. vancomycin was used for surgical antibiotic prophylaxis, given his inpatient preoperative stay of greater than 24 hours. was consulted for management of untreated diabetes with a preop hgba1c of 12. he was extubated on pod# 1, and subsequently demonstrated etoh withdrawal. ciwa scale was initiated. he developed weakness and lethargy/unresponsiveness on and was re-intubated. head ct revealed embolic shower with a tee revealing left apical thrombus. an mri on confirmed multiple acute infarcts , compatible with embolic phenomena. heparin drip was initiated. neurology was consulted. heme was consulted for hypercoagulable workup. heme recommended systemic anti-coagulation for months and did not recommend familial/genetic hypercoagulable workup at this time. vancomycin and cefepime were initiated for turbid pericardial fluid/fever/leukocytosis. cefepime was continued for gnr in the sputum. mrsa grew from sputum as well, likely colonized. line tip cx revealed coag negative staph. he was extubated again on . he went into raf and converted to sr with amio gtt. he remained hemodynamically stable. however, his secretions worsened and on he required reintubation for airway protection /bronchial hygiene management prior to repeating a head ct scan. post procedure he was bronched. ultimately due to his difficulty with secretion clearance, mr. a percutaneous tracheostomy and peg placement on . tube feedings were resumed. he was weaned to trach collar trials and was evaluated for pmv trials, which were deemed inappropriate at this time due to increased secretions vs. trach size too large for trachea per the speech language pathologist. his secretions did somewhat improve and all antibiotics were discontinued as infection was no longer an issue. mr. anticoagulation was transitioned to coumadin, for inr goal of for the lv apical thrombus/paroxysmal afib. his inr was therapeutic on day of discharge. his progress remained stable and on pod# 19 mr. was cleared by dr. for discharge to in . all follow up appointments were advised. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. docusate sodium 50 mg/5 ml liquid sig: two (2) po bid (2 times a day). 5. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 7. warfarin 1 mg tablet sig: md to dose tablet po daily (daily): paf/thromboembolic event, inr goal 2-3.0. 8. scopolamine base 1.5 mg patch 72 hr sig: one (1) patch 72 hr transdermal daily (daily). 9. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 10. olanzapine 2.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for aggitation. 11. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 12. warfarin 2.5 mg tablet sig: one (1) tablet po once (once) for 1 doses: *given. 13. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 14. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: four (4) puff inhalation q6h (every 6 hours). 15. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours). 16. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). 17. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 18. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 19. ranitidine hcl 15 mg/ml syrup sig: one (1) po daily (daily). 20. potassium chloride 20 meq / 50 ml sw iv prn k<4.4 and cr<2.0 ** concentrated kcl must be given via central line only ** 21. insulin regular human 100 unit/ml (3 ml) insulin pen sig: one (1) subcutaneous every six (6) hours: per ss protocol. 22. lantus 100 unit/ml cartridge sig: as directed subcutaneous twice a day. 23. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. discharge disposition: extended care discharge diagnosis: 1. acute myocardial infarction refractory to all medical therapy including intra-aortic balloon pump. 2. cardiomyopathy. 3. severe 3-vessel coronary disease. 4. diabetes. 5. diminished left ventricular function. ejection fraction of 30%. pmh: dm, fatty liver discharge condition: alert and oriented x nonfocal deconditioned right shoulder deficit left lid lag sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: provider: , md phone: date/time: 1:00 please call to schedule appointments cardiologist dr. in weeks neurologist dr. # , appointment arranged for , at 12pm **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours 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 diagnostic ultrasound of heart diagnostic ultrasound of heart insertion of endotracheal tube insertion of endotracheal tube other bronchoscopy percutaneous [endoscopic] gastrostomy [peg] cardioplegia arterial catheterization insertion of other (naso-)gastric tube temporary tracheostomy diagnoses: other primary cardiomyopathies subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery toxic encephalopathy diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation candidiasis of mouth unspecified disease of pericardium cerebral embolism with cerebral infarction acute venous embolism and thrombosis of deep vessels of proximal lower extremity other and unspecified alcohol dependence, continuous hemiplegia, unspecified, affecting unspecified side chronic total occlusion of coronary artery alcohol withdrawal delirium certain sequelae of myocardial infarction, not elsewhere classified, other venous embolism and thrombosis of superficial vessels of lower extremity 

Answer: The patient is high likely exposed to