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: past medical history: 1. peripheral vascular disease. 2. carotid stenosis. 90% left internal carotid artery, 80% right internal carotid artery. patent right vertebral, left vertebral no visualization. 3. history of coronary artery disease. 4. chronic obstructive pulmonary disease. 5. alcohol abuse. 6. asai. 7. hypertension. medications: 1. lopressor. 2. cardizem. 3. isordil. 4. folate. 5. thiamin. 6. multi vitamins. 7. zocor. 8. inderal. 9. trental 400 milligrams po four times a day. physical examination: he is a well appearing white male in no apparent distress. neck - 1+ carotids. there is a iii/vi systolic ejection murmur heard. lungs are clear. cor - rate, regular rhythm, iii/vi systolic ejection murmur at the right upper sternal border. abdomen is benign. extremities - no cyanosis, clubbing or edema. neuro is nonfocal. hospital course: preoperatively the patient underwent a stent on to his rcia. the patient was on the cardiac service. at this time the work up between cardiac and vascular continues. dr. saw the patient and discussed it with dr. and the patient agreed to combined carotid coronary artery bypass graft procedure. on the patient went to the operating room and underwent a left carotid artery endarterectomy by dr. and a coronary artery bypass graft surgery times three; lima to lad, saphenous vein to om, saphenous vein to rpl by dr. . the patient tolerated the procedure well and was transferred to the csiu in satisfactory, hemodynamically stable condition. the patient was extubated that night and was doing well. vascular surgery saw him and felt he was doing well. from cardiac surgery point of view he was doing excellent. he was then transferred to the .................... floor. he had his large chest tube discontinued as scheduled. however on the patient developed respiratory insufficiency at the same time the patient was being worked up for an ischemic leg. because the patient was acidotic the patient was intubated by anesthesia. at this point though vascular surgery turned their attention to his ischemic right leg. the patient was taken to the operating room and underwent fem fem bypass operation. the patient also had a head ct scan which showed a large right .................... infarct with a small left para .................... infarct. at this point gi was involved because they thought he had some infarct of his bowel due to persistent acidosis. ct scan of his abdomen showed some little contrast and hepatic artery but no defects to the or the sma of bowel infarcts could be determined. the patient continued to do poorly. he had developed acute renal failure, arf. he was seen by renal. he was also seen by hematology for what was thought to be possibly a platelet dysfunction. hematology felt that giving him platelets and fresh frozen plasma for any bleeding would be appropriate. at this point he continued to be intubated. he was seen daily by renal and had not yet at this point started on dialysis. at this point the patient was consulted to the sicu service for long term care. infectious disease was consulted and felt at the present time his abdominal exam was benign. however it would be possible that gram negative rods may end up being an enteric organism and they felt that starting him on cipro ceftazidine today and vancomycin would be okay and also continue flagyl and in the ensuing days they would be able to get a definite organism out of a culture. the patient from renal received a left femoral venous dialysis catheter. this was placed by cardiothoracic surgery nurse practitioner. the patient continued to do poorly in the ctvsiu he however was on the sicu service being seen every day by the sicu team as well as renal, infectious disease. he was then seen by critical nutrition for nutritional support. he was on cvvh. renal was following him for that. despite all intensive measures the patient continued to do poorly. the patient's abdomen continued to do poorly. they had a ct scan of his abdomen which showed no free fluid but he still underwent an exploratory laparoscopy. at that point he underwent the exploratory laparoscopy for questionable ischemic bowel, gangrene in his gallbladder. postoperative diagnosis was ischemic small bowel. exploratory laparotomy, sma exploration, cecotomy, jejunostomy, mucous fistula with mesh closure. the findings show small bowel ischemia, lot to ti in cecum, normal gallbladder, stomach and colon. sma had a water .................... applicable explored and demonstrated flow in it. small bowel demarcation at 8 cm from lot to cecum. the patient was then returned to recovery room. however he continued to do poorly hemodynamically. he developed acidosis. the family at this point felt that they would not like any extraordinary measures and eventually the patient on underwent a permacath placement and a tracheostomy. the patient continued with dialysis. he was in atn. the prognosis was poor at this point. despite all intensive measures the patient became more and more acidotic over the ensuing days and on at 12:45 despite all aggressive measures mr. continued to have severe, persistent acidosis and became asystolic. atropine and sodium bicarb were administered with no response. he was pronounced dead at 12:43 a.m. family was informed. dr. was informed. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization (aorto)coronary bypass of two coronary arteries other partial resection of small intestine temporary ileostomy temporary tracheostomy fasciotomy endarterectomy, other vessels of head and neck endarterectomy, lower limb arteries diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction other shock without mention of trauma bacteremia hemorrhage of gastrointestinal tract, unspecified acute cholecystitis 

Answer: The patient is high likely exposed to