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: codeine / valium / morphine / penicillins / ace inhibitors attending: chief complaint: shortness of breath/chest pain major surgical or invasive procedure: - cabgx1 (saphenous vein graft->obtuse marginal artery) history of present illness: 82 year old who presented to hospital with sob on . he was found to be in chf with a troponin leak of 0.1. transferred to in where a cardiac cath revealed complicated single vessel disease. he was thus referred for surgical revascularization. past medical history: diabetes type ii hyperlipidemia ischemic cardiomyopathy ef 45% secondary to old inferior mi advanced copd/asthma bph shoulder surgery h/o dvt gerd djd s/p l hip replacement s/p c1 laminectomy and suboccipital craniectomy s/p colostomy and colectomy for colon cancer in h/o benign tumor at base of spine -removed social history: patient is widowed. lives alone in . non smoker since , no etoh. former heavy smoker. two daughters who are actively involved in his care. family history: non-contributory physical exam: admission vs - bp 144/44 (122-140)/(44-86) hr 86-90 rr 20 o2 99% gen: wdwn elderly male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with no evidence of jvd. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. diffuse wheezes throughout bilaterally. abd: soft, ntnd. no hsm or tenderness. ext: warm, well perfused. 3+ pitting edema. cath site: c/d/i. no hematoma. no bruits. good femoral and distal pulses. skin: no stasis dermatitis, ulcers, scars, or xanthomas. discharge vs t 98 bp 104/60 hr 63sr rr 18 o2sat 96%-ra gen nad neuro a&ox3, mae, nonfocal exam cv rrr, no m/r/g. sternum stable, incision cdi pulm clear but diminished in bases bilat abdm soft, nt/nd/+bs ext warm, trace pedal edema bilat pertinent results: 12:18pm glucose-90 na+-134* k+-3.8 12:12pm urea n-32* creat-1.1 chloride-102 total co2-28 12:12pm wbc-4.4# rbc-2.72* hgb-9.2* hct-25.0* mcv-92 mch-33.9* mchc-36.9* rdw-13.7 12:12pm plt count-257 12:12pm pt-13.8* ptt-37.9* inr(pt)-1.2* 07:10am blood wbc-6.2 rbc-3.00* hgb-10.0* hct-27.6* mcv-92 mch-33.4* mchc-36.3* rdw-13.7 plt ct-226 05:30am blood pt-12.4 inr(pt)-1.0 07:10am blood plt ct-226 07:10am blood glucose-159* urean-22* creat-1.1 na-131* k-4.1 cl-97 hco3-27 angap-11 echo pre bypass: the left atrium and right atrium are normal in cavity size. there is moderate to severe global left ventricular hypokinesis. overall left ventricular systolic function is severely depressed (lvef=20 %). right ventricular chamber size is normal. with borderline normal free wall function. the ascending aorta is mildly dilated. there are simple atheroma in the ascending and descending aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post bypass: left ventricular function is improved. the ef is now around 30%. the motion of the lateral and anterolateral walls is improved. mild mr and mild ai remain. the calculated aortic valve area is similar. the aorta is intact. , m 82 radiology report chest (pa & lat) study date of 3:18 pm , fa6a sched chest (pa & lat) clip # reason: f/u medical condition: 82 year old man with s/p cabg final report study: pa and lateral chest . history: 82-year-old man status post cabg. findings: the cardiac silhouette is enlarged but stable. there has been removal of the right ij central venous catheter. median sternotomy wires are seen. there are no pneumothoraces. there is no focal consolidation or pulmonary edema. small bilateral pleural effusions are seen best on the lateral view. dr. approved: sun 7:44 pm brief hospital course: mr. was admitted to the on for elective surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to one vessel (svg-om). please see or report for details. he tolerated the operation well and postoperatively he was taken to the intenisve care unit. within 24 hours he had awoke neurologically intact and was extubated. on pod 1 he was transferred to the step down floor for continuing post-operative management. his heart failure regime was reinstituted, as was his diabetes medications with the addition of sliding scale insulin. on the floor he had an uneventful post-operative course with the exception of intermittent atrial fibrillation for which anticoagulation was started. on pod 4 it was decided he was ready for discharge to rehabilitation at snai in . medications on admission: theophylline 300'', singulair 10', advair 500", metformin 500", asa 160', flomax 0.4', proscar 5', protonix 40', glyburide 2.5', simvastatin 20', fosamax 70 q week, mvi', januvia 100'. allergies: codeine/valium/morphine/oxycodone-n&v, pcn-rash, ace-^k+, vicryl sutures, mycins-rash. discharge medications: 1. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. carvedilol 3.125 mg tablet sig: two (2) tablet po bid (2 times a day). 6. propoxyphene n-acetaminophen 100-650 mg tablet sig: tablets po every 4-6 hours as needed. 7. insulin lispro 100 unit/ml solution sig: sliding scale subcutaneous qac&hs. 8. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 9. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 10. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 11. theophylline 100 mg tablet sustained release 12 hr sig: three (3) tablet sustained release 12 hr po bid (2 times a day). 12. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 13. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 14. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). 15. glyburide 2.5 mg tablet sig: one (1) tablet po once a day. 16. januvia 100 mg tablet sig: one (1) tablet po once a day. 17. amiodarone 200 mg tablet sig: as directed below tablet po bid (2 times a day): 400mg x5 days then 400mg qd x1 wk then 200mg qd. 18. warfarin 1 mg tablet sig: as directed tablet po once daily at 4 pm: target inr 2.0 patient to receive 5mg coumadin on . 19. warfarin 5 mg tablet sig: one (1) tablet po once (once) for 1 doses: dose. 20. lasix 20 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: - discharge diagnosis: cad s/p cabgx1(saphenous vein graft->obtuse marginal artery) htn colon cancer diabetes asthma bph dvt gerd ckd ischemic cardiomyopathy chronicsystolic hf lvef 30% discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. please follow-up with dr. 2 weeks after released from rehab. procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia personal history of malignant neoplasm of large intestine chronic obstructive asthma, unspecified hip joint replacement colostomy status hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to