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: history of present illness: mr. is a 44-year-old man with a history of type 1 diabetes times 33 years, coronary artery disease, hypertension, status post coronary artery bypass grafting in who presented initially to following 24 hours of epigastric pain and nausea, which he described as intermittent and relieved with antacids. there was associated vomiting on the morning of admission. there was no chest pain or shortness of breath. the patient stated that he was febrile at home to a temperature of 100.5. he describes the abdominal discomfort as different from his usual anginal pain. at the outside hospital, patient was noted to have elevations in leads iii and avf and elevations in leads ii and v4 through v6. ck was elevated at 658 with an mb fraction of 48.3 and a troponin i of 1.18. he remained free of chest pain. he was given aspirin, heparin drip, lopressor, nitropasted, sublingual nitroglycerin and transferred to for emergency cardiac catheterization. in the catheterization laboratory, patient was found to have diffuse three vessel disease with a saphenous vein graft to posterior descending artery graft with a 100% proximal occlusion, a saphenous vein graft to om2 vein 99% occlusion, left internal mammary artery to left anterior descending graft which was patent. he received percutaneous transluminal coronary angioplasty of the right coronary artery with stenting as well as a stent of the saphenous vein graft to om2. he was started on integrilin and admitted to the coronary care unit. at the time of admission he was without complaint. review of systems: positive for intermittent diarrhea times two weeks. past medical history: 1. coronary artery disease, status post coronary artery bypass graft times three vessels: left internal mammary artery to left anterior descending; saphenous vein graft to om1; saphenous vein graft to posterior descending artery. 2. insulin dependent diabetes mellitus, with q.i.d. fingersticks and dosing. 3. hypertension. 4. status post laser surgery to his eyes. 5. hypercholesterolemia. allergies: patient states no known drug allergies. medications on admission: humulin n 36 units q.a.m., 12 units q.p.m., humalog sliding scale, lopressor 25 mg po b.i.d., iron sulfate 325 mg po t.i.d., enteric coated aspirin 325 mg po q.d. family history: the patient is status post coronary artery bypass grafting at the age of 60. his brother is status post myocardial infarction at the age of 46. social history: the patient is a bookkeeper for a truck firm. he denies tobacco and occasionally uses alcohol. he denies street drugs. physical examination: patient's temperature was 99. heart rate 95. respiratory rate 22. blood pressure 148/70. in general, he was alert, lying flat following catheterization in no acute distress. head, eyes, ears, nose and throat exam: indicated normocephalic, atraumatic. extraocular muscles were intact. pupils equal, round and reactive to light. sclera were anicteric. oral mucosa were moist. the neck was supple without jugular venous distention. the chest was clear to auscultation bilaterally. cardiovascular exam indicated a regular rhythm, normal s1, s2, no murmurs, rubs or gallops. the abdomen was soft, nontender, nondistended with normal bowel sounds. extremity exam: the patient had 2+ peripheral pulses with no cyanosis, clubbing or edema. his right groin was without hematoma or bruit. laboratory studies: initially indicated a white blood cell count of 14.2, hematocrit of 37.7, platelets 386,000. coagulation studies were within normal limits. chem-7 was normal with the exception of a creatinine of 1.3, which is the patient's baseline. electrocardiogram from the outside hospital indicated normal sinus rhythm at a rate of 92, normal axis, depression in lead ii and avf and elevations in lead iii with depressions in lead avl. poor r wave progression and t wave inversions in lead v6. cardiac catheterization results indicated a cardiac output of 4.4. cardiac index of 2.53, wedge pressure of 13. pulmonary artery pressure of 29/15. catheterization results are as follows: left main normal, left anterior descending 60%, mid at 90% distal stenosis, left circumflex artery 80% proximal and 80% mid stenosis, right coronary artery 30% proximal and mid stenosis with a 99% posterior descending artery stenosis and a 90% stenosis of the distal segment beyond the posterior descending artery. saphenous vein graft to om2 indicated 99% stenosis. saphenous vein graft to posterior descending artery indicated 100% proximal stenosis. left internal mammary artery to left anterior descending was patent. hospital course: the patient was admitted to the coronary intensive care unit for follow-up of cardiac catheterization and hemodynamic monitoring on telemetry. the following is the hospital course by system: 1. cardiovascular: patient remained hemodynamically stable. his enzymes peaked at a ck of 767, mb of 43 and a troponin of greater than 50. he remained free of chest pain during his hospital course with no further electrocardiogram changes. lipid panel indicated total cholesterol of 143, hdl of 29, ldl of 97 and triglycerides of 83. echocardiogram indicated a 60-65% ejection fraction with mild left ventricular hypertrophy and mildly dilated aortic root and 1+ mitral regurgitation. the patient was started on metoprolol and titrated up. he was also started on lipitor 40 mg po q.h.s., plavix, aspirin and folic acid, as well as an ace inhibitor. as patient remained stable for the four days following cardiac catheterization, and was cleared for discharge home by physical therapy, he was sent home on hospital day number four with cardiology follow-up with dr. at 4:45 p.m. on . he was to have a repeat catheterization with possible brachytherapy in two to three months. 2. infectious disease: on hospital day number two, the patient spiked a temperature overnight. cultures were drawn which were negative. the patient had no symptoms. his nausea, vomiting and diarrhea resolved during his hospital course and was thought to be secondary to a possible viral gastroenteritis. 3. endocrine: the patient was restarted on his outpatient regimen of humulin and humalog sliding scale in order to achieve maximal glycemic control during this post myocardial infarction period. on hospital day number three, sugars began to be elevated in a 200-300 range. this was corrected by increasing the insulin dose. at the time of discharge, the patient had been setup with a follow-up appointment in the clinic. he was to see dr. on at 9:30 a.m. 4. neurologic: the patient was noted to have a bilateral peripheral neuropathy involving loss of sensation in his thumb, second and third digits bilaterally. this was thought to be possibly secondary to his coronary artery bypass graft surgery. patient would be followed in the clinic by dr. on at 10:30 a.m. medications on discharge: 1. atenolol 100 mg po q.d. 2. lisinopril 2.5 mg po q.d. 3. enteric coated aspirin 325 mg po q.d. 4. plavix 75 mg po q.d. times 30 days. 5. folic acid 1 mg po q.d. 6. lipitor 40 mg po q.h.s. 7. humulin n 36 units q.a.m., 12 units q.p.m. 8. humalog sliding scale. discharge diagnoses: 1. acute inferolateral myocardial infarction. 2. coronary artery disease. 3. insulin dependent diabetes mellitus. 4. hypertension. 5. hypercholesterolemia. discharge disposition: the patient was discharged to home in good condition. , m.d. dictated by: medquist36 d: 18:06 t: 18:06 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute kidney failure, unspecified coronary atherosclerosis of autologous vein bypass graft acute myocardial infarction of other inferior wall, initial episode of care urinary complications, not elsewhere classified diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled other drugs and medicinal substances causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to