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: penicillins attending: chief complaint: chest pain major surgical or invasive procedure: 3.26 cabg x 2 (lima->lad, svg->ramus) history of present illness: 57 yo m went to er with c/o chest pain. known cad since . past medical history: iddm, htn, mi, hyperchol, r fibula fracture treated now with pt, obesity social history: disabled, used to work in school maintenance - tob - etoh family history: mother deceased at age 68 from " severe htn" physical exam: nad, hr 56, rr 18 b/p right 115/78 lungs ctab ant/lat cv rrr abd soft/nt/ obese extrem with 1+le edema pertinent results: 05:19pm glucose-175* urea n-12 creat-0.8 sodium-142 potassium-3.8 chloride-103 total co2-28 anion gap-15 05:19pm alt(sgpt)-27 ast(sgot)-25 ld(ldh)-232 alk phos-95 amylase-38 tot bili-0.4 10:58pm urine color-yellow appear-clear sp -1.031 10:58pm urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 05:19pm pt-12.0 ptt-24.8 inr(pt)-1.0 05:19pm plt count-265 05:19pm wbc-15.0* rbc-4.72 hgb-12.8* hct-38.7* mcv-82 mch-27.1 mchc-33.1 rdw-15.4 echo the left and right atrium are moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a fat pad. impression: mild symmetric left ventricular hypertrophy with preserved global biventricular systolic function. chest ct 1. post-surgical changes are seen from recent cabg, including a clean sternotomy defect and subcutaneous air. there is a small fluid collection posterior to the sternotomy defect, without associated findings concerning for superimposed infection. 2. pericardial effusion and small bilateral pleural effusions. 3. small left apical pneumothorax. chest ct 1. typical postoperative appearance with moderate pericardial effusion and small amount of retrosternal fluid without clear abscess identified. there is a prevascular lymph node measuring 1.2 cm in short axis as well as scattered subcentimeter mediastinal lymph nodes. 2. air is identified within the lumen of the bladder. please correlate with recent instrumentation. cxr the patient is status post sternotomy. there is cardio megaly. there is blunting of the left costophrenic angles consistent with the pleural effusion. the lungs are clear with no evidence of any consolidation. right picc catheter is in situ, the tip of which is in the svc. brief hospital course: mr. was admitted to cardiac surgery preoperatively, he was taken to the operating room on where he underwent a cabg x 2 (lima->lad, svg->ramus). he was transferred to the icu in critical but stable condition. he was extubated later that same day. he was seen in consultation by for his history of diabetes and high preop hemoglobin a1c. he was restarted on his lantus and avandia. he was transferred to the floor on pod #1. he went into rapid afib and was started on amiodarone and eventually heparin and coumadin. he was found to have some sternal drainage and was started on vancomycin and cipro. his blood sugars continued to be high and he was followed closely by who continued to increase his lantus and humalog insulin. ct scan of his chest showed no evidence of infection. strict sternal precautions were maintained. cultures of his sternal drainage were negative however given the amount of drainage, antibiotics were continued. the drainage subsided, and at the time of discharge he had no sternal drainage for four days, he will take levofloxacin for 2 weeks. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. atorvastatin 40 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. rosiglitazone 8 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. 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* 6. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 8. acetaminophen-codeine 300-30 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 9. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day): 200 mg for 6 days, then 200 mg daily ongoing. disp:*60 tablet(s)* refills:*0* 10. lantus 100 unit/ml cartridge sig: 56 qam/52 qpm units subcutaneous once a day: 56 units lantus qam 52 units lantus qpm. disp:*qs 1 month* refills:*0* 11. humalog 100 unit/ml cartridge sig: per sliding scale subcutaneous four times a day. disp:*qs 1 month* refills:*0* 12. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* 13. warfarin 1 mg tablet sig: two (2) tablet po at bedtime for 2 doses. disp:*60 tablet(s)* refills:*0* 14. lasix 40 mg tablet sig: one (1) tablet po twice a day for 10 days: 40 x 10 days then 20 mg daily as prior to surgery. disp:*30 tablet(s)* refills:*0* 15. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 10 days. disp:*20 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: cad iddm htn mi lipids right fibula fracture obesity discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. no lifting more than 10 pounds or driving. shower, no baths, no lotions, creams or powders to incisions. followup instructions: dr. 4 weeks dr. 2 weeks dr. 2 weeks wound check 1 week coumadin to be followed by dr. . procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension unspecified disease of pericardium iatrogenic pneumothorax other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation obesity, unspecified accidents occurring in residential institution diabetes with unspecified complication, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to