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: no known allergies / adverse drug reactions attending: chief complaint: shortness of breath major surgical or invasive procedure: coronary artery bypass grafting x3 -- left internal mammary artery graft to left anterior descending and reversed saphenous vein grafts to the marginal branch and the posterior descending artery history of present illness: this 65 year old male hyperlipidemia who was seen for the evaluation of his coronary artery disease in early . at that time a cardiac catheterization revealed three vessel disease with depressed left ventricular function. he has been scheduled for coronary artery bypass surgery on and returns today for preadmission testing. in the interim he has felt well without chest pain or significant dyspnea. his chronic edema has been very mild. past medical history: diabetes mellitus type 1 2. coronary artery disease hypertension hyperlipidemia chronic anemia h/o bursitis chronic kidney diease (baseline cr 1.7) gastroesophageal reflux disease s/p carpal tunnel repair s/p trigger finger sugery s/p lipoma resection s/p bilateral foot surgery social history: race: caucasian last dental exam:edentulous lives with: wife occupation: disability tobacco: he is a former smoker, 1ppd for 30 years. quit 12 years ago. etoh: drinks alcohol socially. family history: cad in father. died at 55. mother died at the age in at age of 88 secondary to mi. physical exam: admission: pulse: 72 resp:15 o2 sat:99% ra b/p right: 132/54 left 130/54 height: 5'8" weight:221 pounds general: wdwn in nad skin: warm, dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr very quiet i/vi systolic murmur at left mid sternal border abdomen: soft non-distended non-tender bowel sounds + small, well healed incisions over left mid/upper quadrant. extremities: warm , well-perfused trace edema varicosities: none neuro: grossly intact pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 1+ left: 1+ carotid bruit right:- left:- pertinent results: echo: pre-cpb: poor image quality. the left atrium is markedly dilated. in limited views of laa, there is no apparent thrombus is seen. a patent foramen ovale is present with left to right shunt. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is severely depressed (lvef= 15-20 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. no thoracic aortic dissection is seen. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened with focal calcifications. there is no as. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post-cpb: the lv remains mildly hypertrophied and moderately dilated with severely depressed ef, estimated at 15-20%. the interatrial septum is hypermobile, but no shunt is seen at rest. there is no dissection. 06:30am blood wbc-8.5 rbc-3.03* hgb-8.8* hct-26.4* mcv-87 mch-29.2 mchc-33.4 rdw-13.6 plt ct-283 04:45am blood wbc-10.2 rbc-2.84* hgb-8.5* hct-24.3* mcv-86 mch-30.0 mchc-35.1* rdw-13.4 plt ct-248 06:30am blood glucose-120* urean-82* creat-2.1* na-132* k-5.4* cl-97 hco3-27 angap-13 04:45am blood glucose-114* urean-84* creat-2.2* na-128* k-4.6 cl-92* hco3-25 angap-16 09:33am blood urean-72* creat-2.1* na-128* k-4.5 cl-91* 04:00pm blood urean-33* creat-1.4* na-138 k-3.9 cl-106 hco3-24 angap-12 03:27am blood urean-36* creat-1.8* na-137 k-4.7 cl-106 hco3-25 angap-11 brief hospital course: mr. was a same day admit after undergoing pre-operative work-up prior to admission. on he was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one, beta-blockade, diuretics and aspirin were started and he was gently diuresed towards his pre-op weight. followed patient post-op regarding diabetes and insulin pump management. on post-op day two he chest tubes were removed and he was transferred to the stepdown unit for further care. epicardial pacing wires were removed on post-op day three. he continued to make good progress while working with physical therapy for strength and mobility during his post-op course. he had an acute flare of gout for which the rheumatology service was consulted. his uric acid level was noted to be 11. colchicine was started with some improvement of his symptoms along with a single dose of intravenous solumedrol. arthocentesis of his right wrist was performed by the orthopedic service however no fluid was obtained. maintenance colchicine was recommended after resolution of his acute flare. on post-op day eight he was discharged to home with vna services and the appropriate follow-up appointments. medications on admission: 1. pantoprazole 40 mg daily 2. aspirin 81 mg daily 3. lisinopril 10 mg daily 4. pravachol 40mg daily 5. toprol xl 75 mg daily 6. hctz 50 mg daily 7. lasix 40 mg every other day 8. insulin pump 9. vitamin d 10. folic acid 11. lisinopril 5mg daily 12. alpha lipoic acid 13. lasix 40mg daily discharge medications: 1. insulin pump sc (self administering medication) continue as per prior to surgery 2. pravachol 40 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 3. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. colchicine 0.6 mg tablet sig: one (1) tablet po as directed: 1 tablet twice daily for 7 adys, then 1 tablet daily for 7 days, then one tablet evry other day. disp:*100 tablet(s)* refills:*2* 8. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*4* 10. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. influenza vaccine tr-s 10 (pf) 45 mcg (15 mcg x 3)/0.5 ml syringe sig: one (1) ml intramuscular now x1 (now times one dose) for 1 doses. 12. pneumococcal 23-valps vaccine 25 mcg/0.5 ml injectable sig: one (1) ml injection now x1 (now times one dose). 13. pravastatin 40 mg tablet sig: one (1) tablet po once a day. 14. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/temp. 15. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 16. insulin pump syringe miscellaneous 17. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 2 weeks. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: vna, discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 acute gouty arthritis diabetes mellitus type 1 hypertension hyperlipidemia chronic anemia h/o bursitis chronic kidney diease (baseline cr 1.7) gastroesophageal reflux disease s/p carpal tunnel repair s/p trigger finger sugery s/p lipoma resection s/p bilateral foot surgery discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg right,- healing well, no erythema or drainage. 1+ edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. () on at 1pm cardiologist: dr. on at 1:40pm please call to schedule appointments with: primary care dr. in weeks () endocrinologist dr. in weeks. nephrologist dr. in weeks. **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries arthrocentesis diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified polyneuropathy in diabetes personal history of tobacco use chronic kidney disease, unspecified diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia anxiety state, unspecified other and unspecified angina pectoris long-term (current) use of insulin family history of ischemic heart disease acute on chronic systolic heart failure diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled acute gouty arthropathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled personal history, urinary (tract) infection insulin pump status 

Answer: The patient is high likely exposed to