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: penicillins / iodine attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypas graft x 5 (left internal mammary to left anterior descending, saphenous vein graft to diagonal, saphenous vein graft to ramus, saphenous vein graft to obtuse marginal, saphenous vein graft to left posterior descending artery) cardiac cath with iabp insertion history of present illness: 67 yo dm with history of type 2 diabetes, coronary disease, status post renal transplant, sciatica, atrial fibrillation, and chronic renal insufficiency and previous des in the lad presents with cp and stemi. pt had a cardiac cath with reopening of lad. he has 60% lm and 3 vessel cad and had iabp placed at the cath lab. past medical history: coronary artery disease, s/p non-st elevation myocardial infartcion, s/p atherectomy lad in , s/p 2.5 x 13 mm cypher des to mid lad in , s/p 2.75 x 28 mm taxus des for isr in , s/p poba for isr in 2/. end-stage renal disease s/p renal transplant in hypertension hyperlipidemia gastroesophageal reflux disease gout diabetes-type ii hsv meningitis in cardiomyopathy-ef 35-40% spinal stenosis sciatica chronic back pain and left hip pain s/p av fistula for hd in the past tonsillectomy as a child social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. he is a semi-retired yaught charter organizer. he lives in with his wife. is married with 4 children. family history: father died of mi in early 60s, brother died of mi age 53. mother with diabetes. physical exam: weight is 198 pounds, blood pressure is 140/60,pulse is 70 general: gait is stable. heent: perrla, eomi, oropharynx is clear neck: supple, full range of motion heart: rrr, s1, s2, no gallop chest: clear to auscultation, no rales or wheezes abdomen: soft and nontender, non-distended extremities: he does have a large ecchymosis, which is improving by his report in the left hip. extremities, mild peripheral edema.no varicosities neuro: non-focal, alert and oriented x 3 pertinent results: cath: 1. selective coronary angiography of this left dominant system with known occluded right coronary artery revealed three vessel disease. the lmca had a 60% calcified stenosis. the lad had a total occlusion in the mid segment at the previously placed stents (taxus within a cypher). there were no collaterals supplying the lad territory. the lcx had a 40% stenosis at the proximal segment and the origin of the om1 had a 70% stenosis. the om@ had mild disease. the om3 had a proximal 50% stenosis. the om4 had a 70% stenosis at its origin, which was focal in nature. the lpda had mild disease. 2. angiography of the lima revealed a patent vessel. this was done in anticipation of likely upcoming surgery. 3. resting hemodynamics demonstrated systolic arterial hypertension with central aortic pressure of 163/78 mm hg. ct: 1. no evidence of retroperitoneal bleed. 2. stable splenic and lung calcifications likely represent the sequela of prior granulomatous disease. 3. extensive atherosclerotic calcifications are similar to . 4. cholelithiasis without evidence of cholecystitis. carotid u/s: there is less than 40% stenosis within the internal carotid arteries bilaterally. echo: pre-bypass: the left atrium is dilated. 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. the interatrial septum is aneurysmal. no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque to 40 cm from the incisors. 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. no mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on mr. at 8am. post_bypass: normal rv systolic function. mild improved in the mid and apical anterior walls of lv. lvef 40% to 45% intact thoracic aorta. trivial mr . iabp is in place approx 4 cm below the left subclavian artery. cxr: ng tube, et tube, left chest tube, and mediastinal drains have been removed. the swan-ganz catheter was replaced by right internal jugular line with its tip being at the level of mid svc. there is no pneumothorax, pulmonary edema, or increased pleural effusion. the left retrocardiac atelectasis is unchanged. 04:15pm blood wbc-8.7 rbc-3.82* hgb-10.4* hct-32.9* mcv-86 mch-27.3 mchc-31.7 rdw-17.2* plt ct-220 05:40am blood wbc-10.3 rbc-2.82* hgb-8.3* hct-24.8* mcv-88 mch-29.6 mchc-33.6 rdw-17.5* plt ct-161 04:15pm blood pt-20.9* ptt-27.6 inr(pt)-2.0* 05:40am blood pt-14.7* inr(pt)-1.3* 04:15pm blood glucose-131* urean-46* creat-1.7* na-138 k-4.3 cl-104 hco3-25 angap-13 05:40am blood glucose-65* urean-86* creat-2.1* na-136 k-4.1 cl-104 hco3-26 angap-10 01:04am blood calcium-8.4 phos-5.2* mg-2.6 04:10am blood %hba1c-6.3* brief hospital course: as mentioned in the history of present illness, mr. presented to with chest pain. he was ruled in for st segment myocardial infarction and was brought for a cardiac cath. cath revealed occluded lad at previous stent placement along with 60% left main disease. balloon angioplasty was performed to lad and a intra-aortic balloon pump was placed. post-cath he was brought to the icu for further management. hematocrit dropped after cath and he received a blood transfusion along with ct to rule-out retroperitoneal bleed (ct was negative). he remained stable in the icu while awaiting surgery and required other diagnostic studies prior to bypass surgery. on he was brought to the operating room where he underwent a coronary artery bypass graft x 5. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. on post-op day one the balloon pump was removed and he was weaned from sedation, awoke neurologically intact and extubated. on post-op day two he was transferred to the telemetry for further care. chest tubes and epicardial pacing wires were removed per protocol. physical therapy followed patient during his post-op course and at time of discharge felt he would require additional rehab due to weakness and history of falls. on post-op day four he was discharged to rehab with appropriate medications and follow-up appointments. medications on admission: alendronate 5 mg daily, allopurinol 100 mg daily, atorvastatin 40 mg daily, calcitriol 0.25 mcg daily, carvedilol 3.125 mg tablet twice daily, ergocalciferol (vitamin d2) - 50,000 unit capsule monthly x 6, fentanyl - 25 mcg/hour patch 72 hr - apply transdermally q72 hours, furosemide 40 mg tablet - 1 tablet(s) by mouth qd and takes at hs prn, glipizide 2.5 mg tablet extended rel 24 hr (2) - 1 tab(s) by mouth twice a day , lisinopril 5 mg daily, oxycodone - 5 mg tablet - take tablet(s) by mouth three times a day as needed for pain (28 day supply), prednisone 5 mg daily, quinine sulfate - 324 mg nightly as needed for as needed for cramps, tacrolimus 0.5 mg twice a day per transplant clinic, trimethoprim-sulfamethoxazole - 80-400 mg 3 times per week per transplant clinic, warfarin 1 mg - 4 tablet(s) by mouth daily as directed by coumadin clinic, aspirin 81 mg daily, colace 100mg capsule daily as needed, isulin regular human inject subcutaneously per sliding scale as needed, omeprazole magnesium 20 mg twice a day plavix - last dose:600mg discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. tacrolimus 1 mg capsule sig: one (1) capsule po q12h (every 12 hours). 9. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 10. glipizide 5 mg tablet sig: 0.5 tablet po bid (2 times a day). 11. fentanyl 25 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 12. alendronate 5 mg tablet sig: one (1) tablet po daily (daily). 13. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 14. furosemide 40 mg tablet sig: one (1) tablet po twice a day: tablet (20mg) qpm. 15. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 16. warfarin 4 mg tablet sig: one (1) tablet po once a day: resume coumadin per pre-op dose (4mg qd) and adjust for goal inr around 2. please check inr routinely. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 myocardial infarction diabetes mellitus hypertension hyperlipidemia atrial fibrillation chronic renal insufficiency s/p renal transplant gastroesophageal reflux disease spinal stenosis and sciatica - chronic back pain hsv meningitis in gout s/p left av fistula s/p tonisllectomy discharge condition: good discharge instructions: 1)no driving for one month 2)no lifting more than 10 lbs for at least 10 weeks from the date of surgery 3)please shower daily. wash surgical incisions with soap and water only. 4)do not apply lotions, creams or ointments to any surgical incision. 5)please call cardiac surgeon immediately if you experience fever, excessive weight gain and/or signs of a wound infection(erythema, drainage, etc...). office number is . 6)call with any additional questions or concerns. followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter (aorto)coronary bypass of four or more coronary arteries implant of pulsation balloon angiocardiography of right heart structures excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: sciatica other chronic pain 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 acute myocardial infarction of other anterior wall, initial episode of care hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia old myocardial infarction chronic systolic heart failure other complications due to other cardiac device, implant, and graft spinal stenosis, unspecified region kidney replaced by transplant chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to