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: coronary artery disease and chronicatrial fibrillation, unstable angina. bladder neck contracture, status post radical prostatectomy. pericardial effusion with suspected pericardial tamponade. major surgical or invasive procedure: coronary artery bypass grafting times five with the left internal mammary coronary artery grafted to the left anterior descending coronary artery and reversed saphenous vein graft to the left ventricular branch, posterior descending branch of the right coronary, diagonal branch, and first marginal branch. flexible cystoscopy and urethral dilatation with complex foley catheter placement. emergent pericardial exploration with evacuation of pericardial fluid and hematoma. history of present illness: 71 y/o gentleman with coronary artery disease s/p mi presented to osh with intermittent l arm pain for 2-3 weeks. he did not have ekg changes or cardiac enzyme elevation. he was transferred to where a cardiac cath showed 3 vessel disease. he agreed to undergo coronary artery bypass surgery with dr. . past medical history: cad, s/p mi , angioplasties in ', ', ', ' chf, chronic afib mild cri htn dm 2 peripheral neuropathy prostate cancer s/p xrt ' skin cancer, s/p multiple excisions anxiety, depression restless leg syndrome gout ingiunal hernia repair s/p cardiac arrest (hyperkalemia) social history: lives in with wife, retired, drives himself, quit smoking more than 40 years ago (<20ppy hx), no etoh family history: mother died of "cad" in physical exam: vs 98.2 95.2 114/65 87 af rr 28 95% 2l nc nad, follows commands, moves all extremities, alert , b cta abd soft, nt/nd, bs + b le wwp, no edema pertinent results: 03:46am blood wbc-10.9 rbc-3.17* hgb-10.2* hct-31.6* mcv-100* mch-32.2* mchc-32.3 rdw-18.3* plt ct-120* 03:46am blood plt ct-120* 03:46am blood pt-15.4* ptt-32.4 inr(pt)-1.5 title: bedside swallow follow up pt seen for follow up re: swallowing. pt was seen for video swallow eval on , and was cleared for p.o.'s of nectar thick liquids, pureed solids, meds whole in puree, alternate b/t liquids and solids, and no straws (impulsive). by chart review and rn report, pt has been tolerating this recommended diet well without overt s/s aspiration. he still has an ng tube in place. i gave him cup of custard and about 2 ounces of nectar thick water by cup with one episode of cough/throat clear, but overall felt to tolerate this modified consistency well. continue diet of nectar thick liquids and pureed solids as outlined above. brief hospital course: after admission to , mr. a cardiac catheterization study by the cardiology service on . this showed 1. three vessel coronary artery disease 2. normal ventricular function. comments: 1. selective coronary angiography revealed a right dominant circulation with three vessel coronary artery disease. the lmca did not have any angiographically apparent cad. the lad had a 90% ostial stenosis and serial 70% stenoses in the proximal and mid segments. the lcx had a 60% stenosis in a large om1 branch. the rca had a 90% proximal stenosis and a 60% mid-vessel stenosis. 2. left ventriculography revealed an ejection fraction of 45%, there was no evidence of mitral regurgitation. 3. limited hemodynamics revealed significant systemic hypertension. the lvedp was normal. on the next day, he following procedure in the operating room: coronary artery bypass grafting times five with the left internal mammary coronary artery grafted to the left anterior descending coronary artery and reversed saphenous vein graft to the left ventricular branch, posterior descending branch of the right coronary, diagonal branch, and first marginal branch. a urology consult was obtained preop since it was impossible to place a foley catheter. they found bladder neck contracture s/p radical prostatectomy and performed a flexible cystoscopy with urethral dilatation complex placement of a 6 french tip foley catheter over a wire. postoperatively, he was admitted to the csru intubated and on pressors. his cardiac index ranged just above 2 and was supported on milrinone. his immediate postoperative course was challenging because of a history of chronic atrial fibrillation in the presence of severe diastolic dysfunction and ventricular hypertrophy. the patient had a transient elevation in his creatinine and was maintained on inotropes and was doing well. he was started on a heparin drip for his chrinic a fib. in the morning of , he had good cardiac output and indices, was making good urine and his swan ganz catheter was discontinued. a little bit later that day, he had a decrease in his blood pressure and urine output. a swan ganz catheter was promptly reintroduced and showed marginal hemodynamics. a stat transesophageal echocardiogram was obtained that showed a large pericardial effusion that was not there a couple of days earlier. it was decided to take him back to the operating room for exploration and evacuation of what appeared to be a good size effusion with fibrinous strands and clots. on it was noted that he did not follow commands. a head ct and neurology consult was obtained. the ct was negative for hemorrhagic stroke and showed just chronic changes. his mental status improved over the next days and he soon could be extubated. his nutrition was optimized using tube feedings via a catheter. however, he remained in the intensive care unit for aggressive pulmonary toilet and mild confusion with intermittent agitation. his home antidepresant medication was restarted and his mental status improved. bilateral pulmonary effusions were tapped with consecutive improvement of his respiratory status. he received physical therapy with special intensity on his r arm where he developped a large hematoma after an arterial blood gas draw from his brachial artery. a duplex u/s excluded a pseudoaneurysm. the hematoma was resolving and the mechanical function of his left arm improving. he failed several (video) swallow evaluation but finally passed his exam on . he was allowed to take po with consistency of pureed solids, nectar thick liquids, po meds may be given whole with thick liquids. he did well with this po diet in addition to his tube feedings. at discharge, he is in a good condition with stable and improving respiratory as well as nutritional parameters. his incisions were well healed without sign of infection. medications on admission: coumadin 2.5mg qd digoxin 0.125 qd allopurinol 100 qd lasix 20mg qd kcl 60 meq qd amitriptyline 25mg qd procardia 30mg qd indural 40mg neurontin 100mg lovenox 60mg darvocet 4 pils qhs klonopin 0.5mg q6h discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day). 4. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 5. insulin lispro (human) 100 unit/ml solution sig: one (1) subcutaneous asdir (as directed). 6. albuterol sulfate 0.083 % solution sig: inhalation q6h (every 6 hours) as needed. 7. labetalol hcl 200 mg tablet sig: one (1) tablet po bid (2 times a day). 8. amlodipine besylate 5 mg tablet sig: two (2) tablet po daily (daily). 9. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 10. amitriptyline hcl 10 mg tablet sig: one (1) tablet po hs (at bedtime). 11. potassium chloride 20 meq packet sig: two (2) packet po prn (as needed) as needed for k < 4.0. 12. potassium chloride 10 meq capsule, sustained release sig: four (4) capsule, sustained release po daily (daily). 13. warfarin sodium 1 mg tablet sig: three (3) tablet po hs (at bedtime). 14. digoxin 250 mcg/ml solution sig: one (1) injection every other day (every other day). discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease and chronic atrial fibrillation, unstable angina. discharge condition: good. discharge instructions: continue current medications. physical and pulmonary rehab. advance po as tolerated. followup instructions: f/u with dr. , please call his office for appointment. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries thoracentesis other cystoscopy pericardiotomy dilation of urethra injection or infusion of nesiritide diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation hematoma complicating a procedure unspecified disease of pericardium bladder neck obstruction 

Answer: The patient is high likely exposed to