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: tetanus toxoid,adsorbed attending: chief complaint: asymptomatic major surgical or invasive procedure: coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending coronary artery; reversed saphenous vein single graft from the aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the distal right coronary artery. endoscopic left greater saphenous vein harvesting. history of present illness: 64 year old male with failed kidney allograft referred for cardiac catheterization as part of evaluation for kidney transplant. his cardiac catheterization revealed severe three vessel disease. past medical history: hypertension polycystic kidney disease/end-stage renal disease with kidney allograft failure and hemodialysis mwf -> right subclavian tunneled catheter and a non-matured left arm av fistula gout anemia incarcerated hernia as an infant (surgically repaired) skin cancer s/p excision on back social history: he is married to , with 2 adult children who live locally. he works in a sales position in own company. he denies any alcohol, drug use or smoking. family history: mother and son with pkd. physical exam: pulse:77 resp:16 o2 sat: 95%ra b/p right: 119/72 left: no bp height: 5'7" weight:200 lbs general: wdwn in nad skin: dry, warm and intact. right forearm is warm to palpation with mild erythema. it is tender to touch. right radial ecchymosis at puncture site from cath. left wrist av fistula with minimal thrill. heent: ncat, perrla, eomi, sclera anicteric, op benign. neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr, nl s1-s2, no m/r/g abdomen: obese, soft non-distended non-tender bowel sounds + rlq renal transplant incision well healed. no hepatosplenomegaly. extremities: warm , well-perfused trace->1+ edema (b) varicosities: none noted on standing. some minor superficial varicosities noted which don't seem to be related to gsv system. neuro: grossly intact, mae, strength 5/5 pulses: femoral right: 2+ left:2+ dp right: 1+ left:1+ pt : 1+ left:1+ radial right: 1+ left: +thrill carotid bruit: right: + bruit left: question very faint bruit pertinent results: 05:05am blood hct-29.0* 08:00am blood wbc-4.8 rbc-3.06* hgb-8.8* hct-27.8* mcv-91 mch-28.6 mchc-31.5 rdw-16.6* plt ct-174 11:55am blood wbc-5.6 rbc-3.39*# hgb-9.8*# hct-31.1* mcv-92 mch-29.1 mchc-31.7 rdw-16.1* plt ct-125* 05:05am blood pt-17.3* inr(pt)-1.6* 08:00am blood plt ct-174 11:55am blood plt ct-125* 11:55am blood pt-16.0* ptt-29.7 inr(pt)-1.4* 11:55am blood fibrino-501* 05:05am blood urean-37* creat-6.3*# k-4.5 05:22am blood glucose-112* urean-41* creat-7.4*# na-141 k-4.7 cl-102 hco3-27 angap-17 01:32pm blood urean-34* creat-6.8*# cl-110* hco3-24 05:22am blood calcium-8.8 phos-5.5*# mg-2.6 , (complete) done at 11:54:38 am final referring physician information , c. , status: inpatient dob: age (years): 64 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. coronary artery disease. left ventricular function. mitral valve disease. right ventricular function. valvular heart disease. icd-9 codes: 424.1, 424.0 test information date/time: at 11:54 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw02-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.2 cm <= 5.6 cm left ventricle - ejection fraction: 50% to 55% >= 55% aorta - annulus: 2.1 cm <= 3.0 cm aorta - sinus level: 3.2 cm <= 3.6 cm aorta - sinotubular ridge: 2.4 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm findings multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: normal la size. no spontaneous echo contrast or thrombus in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. normal lv cavity size. low normal lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. eccentric ar jet. mitral valve: moderately thickened mitral valve leaflets. mild thickening of mitral valve chordae. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic 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. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. regional left ventricular wall motion: conclusions pre-bypass: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric. the mitral valve leaflets are moderately thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post cpb: 1. preserved -ventricular systolic function. 2. no change in vemvular structure or function electronically signed by , md, interpreting physician 12:26 brief hospital course: he was admitted same day surgery and underwent coronary artery bypass graft surgery. please see operative report for further details. he was transferred to the intensive care unit for post operative management. in the first twenty four hours he was weaned from sedation, awoke neurologically intact and was extubated without complications. on post operative day one he was transferred to the floor for the remainder of his care. renal was consulted for renal disease and dialysis. physical therapy worked with him on strength and mobility. he was ready for discharge home on post operative day five with plan for dialysis at outpatient dialysis. medications on admission: amlodipine 5mg po bid calcium acetate 667mg cap 4 capsules po tid cincalcet 30mg po daily (tx secondary hyperparathyroidism in ckd) colchicine 0.6mg po daily furosemide 80mg po bid leflunomide 20mg po bid metoprolol tartrate 75mg po bid **warfarin 5mg po daily - stopped last week for cath (this was to maintain patency of hd catheter) phoslo 463mg tab, 3 tablets po tid discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. leflunomide 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. amlodipine 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. cinacalcet 30 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. calcium acetate 667 mg capsule sig: four (4) capsule po tid w/meals (3 times a day with meals). disp:*360 capsule(s)* refills:*0* 9. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. colchicine 0.6 mg tablet sig: one (1) tablet po twice a week : monday and thrusday . disp:*10 tablet(s)* refills:*0* 11. warfarin 5 mg tablet sig: one (1) tablet po once a day: dose changes based on inr - please have checked at hd for further dosing . disp:*60 tablet(s)* refills:*0* 12. metoprolol tartrate 100 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 13. lasix 80 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: care discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 hypertension polycystic kidney disease kidney allograft failure hemodialysis mwf -> right subclavian tunneled catheter and a non-matured left arm av fistula - on coumadin for tunnel line gout anemia incarcerated hernia as an infant (surgically repaired) skin cancer s/p excision on back discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with tylenol prn discharge instructions: please wash daily (no shower due to tunnel line per renal) including washing 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 followup instructions: please call to schedule appointments surgeon dr. - tuesday at 1:30pm primary care dr. in weeks cardiologist dr. in weeks nephrology dr ( wound check appointment - 6 () - your nurse will schedule pt/inr for coumadin dosing to be done with dialysis and further lab draws and dosing done at dialysis (dr nephrologist) procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries hemodialysis diagnoses: hyperpotassemia anemia in chronic kidney disease end stage renal disease renal dialysis status anemia, unspecified coronary atherosclerosis of native coronary artery gout, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease personal history of other malignant neoplasm of skin long-term (current) use of anticoagulants surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney polycystic kidney, unspecified type other acute postoperative pain 

Answer: The patient is high likely exposed to