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: ampicillin / typhoid vaccine attending: chief complaint: sub-sternal chect pain worsening with deep inspirations and movement. major surgical or invasive procedure: s/p sternal debridment and pec flap advancement s/p picc line insertion history of present illness: mr. is s/p cabg with dr. and discharge home . on the morning of he reports waking up with sharp sscp worse with deep breathing and movement. he presented to the ed and was admitted to the service for r/o mi. past medical history: diabetes type 2. hypertension. silent mi. depression. anxiety. migraines. sleep apnea. diverticulitis s/p gi bleed in . hyperlipidemia. strabismus, s/p many surgeries. elbow surgery. tonsillectomy. penile implant. social history: lives with wife and three children in , ma. works as credit collection manager.tobacco: quit 12 years ago -- ppd prior. denies etoh use. pertinent results: 06:14am blood wbc-5.2 rbc-2.93* hgb-8.7* hct-26.0* mcv-89 mch-29.7 mchc-33.6 rdw-13.6 plt ct-514* 06:14am blood plt ct-514* 04:54am blood pt-13.5 ptt-21.4* inr(pt)-1.2 06:14am blood glucose-114* urean-14 creat-1.6* na-138 k-4.6 cl-103 hco3-29 angap-11 06:25am blood alt-26 ast-26 ld(ldh)-206 alkphos-81 totbili-0.4 06:14am blood calcium-8.2* phos-4.1 mg-1.7 09:15am blood vanco-21.6* brief hospital course: mr. is s/p cabg with dr. and discharge home . on the morning of he reports waking up with sharp sscp worse with deep breathing and movement. he presented to the ed and was admitted to the service for r/o mi. his initial cks were negative. on the evening of his his admission, he spiked a fever to 101.8. exam at that time noted erythema and warmth at incision site with tenderness to palpation and purulent drainage. at that time the cardiac surgery service was consulted and pt was started on vancomycin and levofloxacin with betadine paint and dsd to incision prn. on , a bedside incision and drainage of the sternal incision revealed infection extending down to bone and patient was taken to the operating room for i&d of sternal wound secondary to dehisience. (please see op note for full details.) post-op he was transferred to the csru with an open chest and a plastic surgery consult was obtained for flap closure. on pod one he remained intubated in the icu and was successfully weened and extubated on pod two. on pod four he proceeded to the or with the plastic surgery team for flap closure. on pods two and six his creatinine was noted to be elevated; his lasix was held with plans to monitor creatinine closely (no further increase throughout stay). he was transferred to the inpatient floor. on pods four and eight pt was noted to be irritable, tearful, and with suicidal ideation -- a psychiaty consult was obtained. his percocet was discontinued and alternate pain medication initiated including neurontin for neuropathic pain; his celexa was increased to his pre-op dose; haldol was ordered prn; and a 1:1 sitter was initiated for continuous monitoring for pt safety. on pods six and ten he was mentally much clearer and his 1:1 sitter was discontinued. his jp drains continued to be follow by the plastic surgery team. and a picc was placed by interventional radiology for continued iv antibiotic administration. he continued to be stable for the next week with ongoing evaluation by plastic surgery. two of his three jp drains were discontinued over this time. on pods , it was decided that he was okay to be discharged home with his one remaining jp drain with visiting nurses to follow him closely and follow-up with plastic surgery in one week's time. medications on admission: aspirin 81 mg daily. lopressor 75 . valsartan 320 daily. pioglitazone 45 daily. citalopram 40 daily. omeprazole 40 daily. hydromorphone 2 mg tabs q 4-6 hours prn. colace 100 . glyburide/metformin 2.5/500 daily. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. 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:*2* 3. pantoprazole sodium 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 5. pioglitazone hcl 45 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. citalopram hydrobromide 20 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*0* 7. valsartan 160 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 10. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 11. tramadol hcl 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 13. amlodipine besylate 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 14. vancomycin hcl 10 g recon soln sig: 1 gram recon soln intravenous q12h (every 12 hours): thru . disp:*60 recon soln(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: s/p sternal debridement and pec flap advancement pmh:cabg(),dm2,htn,depression,sleep apnea, diverticulitis, discharge condition: good discharge instructions: keep wounds clean and dry. take all medications as prescribed call for any fever or drainage from wounds followup instructions: dr in 1 week or when jp output is less than 30 cc per day. dr in weeks. dr. in weeks. weekly blood draws: cbc, lfts, and vanco level, results to dr. . procedure: venous catheterization, not elsewhere classified local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] graft of muscle or fascia attachment of pedicle or flap graft to other sites diagnoses: hyperpotassemia other postoperative infection unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified aortocoronary bypass status unspecified osteomyelitis, other specified sites surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation mediastinitis 

Answer: The patient is high likely exposed to