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: sulfa(sulfonamide antibiotics) attending: chief complaint: exertional dyspnea major surgical or invasive procedure: coronary bypass graft surgery x 4 with left internal mammory artery -> left anterior artery, reverse saphenous vein graft-> diagonal, posterior descending artery and posterior lateral branch history of present illness: mr. is a 69 year old male with multiple cardiac risk factors including family history who has undergone extensive workup for worsening exertional dyspnea. recent cardiac catheterization at mwmc showed 2v cad. he presents today for cardiac surgical evaluation.pmh also notable for ascending aortic aneurysm measuring approximately 4.0 cm on echocardiogram. there is no record of an outside ct scan. he was referred for coronary revascularization. past medical history: coronary artery disease pmh: - aortic aneurysm - type ii diabetes mellitus - obesity - dyslipidemia - hypertension - mild pulmonary htn - diverticular disease, h/o perforation past surgical history: - bilateral knee replacement complicated by infection requiring redo operation - total hip replacement - colon surgery for perforation social history: lives with:wife ( rn) contact: same phone # occupation: works at state board of retirement cigarettes: never etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: father mi at age 55, died at age 64 rupture aaa mother died at age 68 from mi, heavy smoker physical exam: pulse:77 resp:18 o2 sat: 98% b/p right:115/81 left: 126/85 height: 5'" weight: 245 five meter walk test #1_______ #2 _________ #3_________ general:nad, obese skin: dry intact heent: perrla eomi anicteric sclera,op unremarkable neck: supple full rom no jvd appreciated chest: lungs clear bilaterally heart: rrr irregular murmur-none abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: b spider veins; mild varicosities r>l neuro: grossly intact;nonfocal exam, mae strengths pulses: femoral right:2+ left:2+ dp right:np left:np pt :1+ left:1+ radial right:2+ left:2+ carotid bruit right: none left:none pertinent results: 04:56am blood wbc-10.2 rbc-3.14* hgb-9.7* hct-28.2* mcv-90 mch-30.8 mchc-34.3 rdw-13.0 plt ct-162 04:45am blood wbc-10.1 rbc-3.48* hgb-10.9* hct-32.1* mcv-92 mch-31.5 mchc-34.1 rdw-13.2 plt ct-160 02:03am blood wbc-10.8 rbc-3.75* hgb-12.0* hct-34.6* mcv-92 mch-31.8 mchc-34.6 rdw-13.3 plt ct-181 04:56am blood glucose-137* urean-20 creat-0.7 na-138 k-3.9 cl-105 hco3-27 angap-10 04:45am blood glucose-195* urean-18 creat-0.8 na-134 k-4.0 cl-103 hco3-25 angap-10 02:03am blood glucose-141* urean-14 creat-0.7 na-137 k-3.9 cl-106 hco3-25 angap-10 echo pre-bypass: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. 08:00am blood wbc-8.9 rbc-3.40* hgb-10.4* hct-30.9* mcv-91 mch-30.5 mchc-33.6 rdw-12.9 plt ct-256# 08:00am blood glucose-144* urean-17 creat-0.8 na-135 k-4.2 cl-100 hco3-25 angap-14 brief hospital course: the patient was brought to the operating room on where the patient underwent coronary bypass graft surgery x 4 with left internal mammory artery -> left anterior artery, reverse saphenous vein graft-> diagonal, posterior descending artery and posterior lateral branch. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and increased for hypertension. the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. oral hyperglycemic medications were initiated with high blood sugars, which were well controlled at the time of discharge. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna in good condition with appropriate follow up instructions. medications on admission: amlodipine 10mg daily metformin 1000 glipizide 5 daily losartan-hctz 100-25 daily pravastatin 40mg daily niacin 500mg daily aspirin 81mg daily vitamin d mv omega 3 fluticasone nasal spray urea 40% cream rogaine 2% cream amoxicillin prn invasive procedures ( prior staph infection as above) discharge medications: 1. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 2. niacin 500 mg capsule, extended release sig: one (1) capsule, extended release po daily (daily). 3. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 6. glipizide 5 mg tablet sig: one (1) tablet po once a day. 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 8. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 9. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 10. furosemide 40 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 11. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 1 weeks. disp:*14 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: vna of greater / discharge diagnosis: coronary artery disease pmh: - aortic aneurysm - type ii diabetes mellitus - obesity - dyslipidemia - hypertension - mild pulmonary htn - diverticular disease, h/o perforation past surgical history: - bilateral knee replacement complicated by infection requiring redo operation - total hip replacement - colon surgery for perforation discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage left leg incision clean, dry intact with 2+ left le edema 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 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 **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: wound check at cardiac surgery office on 10:30a surgeon dr. on at 1:30p cardiologist: dr at 3:30p please call to schedule the following: primary care dr. , a. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases other and unspecified hyperlipidemia other and unspecified angina pectoris obesity, unspecified knee joint replacement hip joint replacement body mass index 34.0-34.9, adult 

Answer: The patient is high likely exposed to