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: rofecoxib / celebrex attending: chief complaint: dyspnea on exertion, chest pain major surgical or invasive procedure: coronary artery bypass x 4 (lima-lad, svg-om, svg-dx, svg-pda) history of present illness: this patient is a 74 year old white male with a history of coronary disease, s/p stents to the rca and lcx in . he continues to have dyspnea on exertion and chest pain, despite the intervention. the patient underwent cardiac catheterization and coronary angiography at heart center which revealed multi-vessel disease. he is transferred to for surgical evaluation. past medical history: coronary artery disease s/p stents (rca-1, cx-2) hypertension narcolepsy obstructive sleep apnea (uses cpap) peripheral neuropathy skin cancer (basal and squamous cell) spinal stenosis social history: lives with: wife occupation: retired biology professor tobacco: 15 pack years, quit in etoh: 1 glass of wine per night family history: father had coronary artery disease died at 66 years of age physical exam: admission: pulse: 76sr resp: 18 o2 sat: 97%ra b/p right: 148/68 left: height: 5'" weight: 166lb general: skin: dry intact no rash heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none no varicosities rle (s/p arterial bypass) pink in color, skin is very taught with trace edema about ankle lle well healed scar s/p ltkr neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : np left: 1+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits pertinent results: 03:06am blood wbc-8.1 rbc-2.75* hgb-8.7* hct-25.7* mcv-93 mch-31.5 mchc-33.8 rdw-14.3 plt ct-122* 03:06am blood glucose-110* urean-20 creat-1.1 na-136 k-4.5 cl-108 hco3-24 angap-9 prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. postbypass biventricular systolic function remains preserved. the study is otherwise unchanged from the prebypass period. 05:50am blood wbc-7.3 rbc-3.30* hgb-9.9* hct-29.3* mcv-89 mch-30.0 mchc-33.8 rdw-16.1* plt ct-135* 07:25pm blood wbc-5.5 rbc-3.95* hgb-11.9* hct-36.7* mcv-93 mch-30.1 mchc-32.4 rdw-14.4 plt ct-200 05:50am blood urean-37* creat-1.7* k-4.2 05:45am blood glucose-106* urean-38* creat-1.6* na-135 k-4.3 cl-103 hco3-24 angap-12 07:25pm blood glucose-106* urean-27* creat-1.3* na-139 k-4.3 cl-106 hco3-25 angap-12 07:25pm blood alt-14 ast-17 ld(ldh)-183 alkphos-107 amylase-54 totbili-0.3 brief hospital course: the patient was transferred for preoperative evaluation and plavix washout. echocardiography revealed an ejection fraction of 60% and no significant valvular abnormalities. carotid ultrasound revealed right ica stenosis of 40-59%, left ica stenosis of 60-69%. the patient was placed on heparin due to his recent drug eluting stents. he developed chest pain on hospital day two which was relieved with nitroglycerin and morphine. ekg did not reveal any ischemic changes. the patient remained on nitro and heparin drips. he was brought to the operating room on where he underwent coronary artery bypass x 4. vancomycin was used for peri-operative prophylaxis as he was inpatient for greater than 24 hours preop. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu on neo synephrine and propofol infusions for further recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker and statin were resumed and the patient was diuresed toward his preoperative weight. cts and temporary pacing wires were removed per protocol. he received several transfusions and his hematocrit remained stable. he was discharged home on a week course of lasix as he remained 8 kilograms over his preoperative weight. wounds were clean and healing well, he was ambulating independently and pain was well controlled on oral analgesics. discharge medications, instructions and precautions , as well as follow up instructions were discussed with him prior to discharge. medications on admission: allopurinol 300', plavix 75', cozaar 100', toprol xl 25', provigil 400', colchicine 0.6', doxazosin 2'', nifedipine er 90', gabapentin 400', simvastatin 40', asa 325', vit d 1000'' discharge medications: 1. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 4 weeks. disp:*30 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. allopurinol 100 mg tablet sig: 1.5 tablets po daily (daily). 9. modafinil 100 mg tablet sig: four (4) tablet po daily (). 10. gabapentin 400 mg capsule sig: one (1) capsule po daily (daily). 11. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass hypertension narcolepsy obstructive sleep apnea (uses cpap) peripheral neuropathy discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily 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: dr. . 9am at for wound check and post-op follow-up please call for appointments: dr. at (please see same day as dr. dr. () in 2 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension percutaneous transluminal coronary angioplasty status personal history of other malignant neoplasm of skin unspecified hereditary and idiopathic peripheral neuropathy knee joint replacement long-term (current) use of aspirin spinal stenosis, lumbar region, without neurogenic claudication narcolepsy in conditions classified elsewhere, without cataplexy 

Answer: The patient is high likely exposed to