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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x3 (left internal mammary artery > left anterior descending, saphenous vein graft > obtuse marginal, saphenous vein graft > posterior descending artery) and aortic valve replacement ( 25 mm tissue valve) cardiac catherization history of present illness: mr. is a 76 year old male who presented to outside hospital on for revision of left hip prosthesis and underwent surgery. he was doing well post-operatively, ambulated with physical therapy today without symptoms, however when he returned to bed he developed crushing substernal chest pain with radiation to bilateral arms and the back of his neck. he had never experienced pain like this before. it was associated with shortness of breath and diaphoresis. he did not have nausea. he was treated with nitro paste, morphine, aspirin, and iv metoprolol. he believes the morphine relieved the chest pain. cxr reportedly showed pulmonary vascular congestion. labs returned with ck 771, trop 3.63, hct 27.7. he has been pain free since the original episode aside from a 20 second period of shortness of breath which occurred at 4pm and resolved on its own. he is transferred for further evaluation. past medical history: hypertension aortic stenosis aortic insufficiency thr left - developed recurrent pain in . failed medications, pt. thr right degenerative joint disease benign prostatic hypertrophy social history: mr. social history is significant for the absence of current tobacco use. he quit smoking 50 years ago. he smokes an occasional cigar. there is no history of alcohol abuse. he drinks two times per week, two drinks at a time. he is a classical ballet dancer, teaches, and lives alone. family history: noncontributory physical exam: vs bp 112/61, hr 89, rr 12, o2sat 96% on 2l gen: wdwn older 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 jvp of 7cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. decrescendo diastolic murmur and systolic ejection murmur. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 1+ pt 1+ left: carotid 2+ femoral 2+ popliteal 2+ dp 1+ pt 1+ pertinent results: 04:38am blood wbc-10.4 hct-29.5* plt ct-391 04:30am blood pt-16.3* inr(pt)-1.5* 04:38am blood glucose-109* urean-32* creat-1.3* k-4.3 cl-96 hco3-30 07:15pm blood glucose-125* lactate-1.2 na-130* k-5.1 cl-100 brief hospital course: transferred from after ruling in for non st elevation myocardial infarction. he was found to have epitaxis with integrilin and ent was consulted, nose was packed and no further occurence with intergrilin stopping. was also noted to have hematoma at left hip and orthopedic surgery was consulted, it remained stable, required no surgical intervention and no evidence of sciatic nerve dysfunction. he underwent cardiac catheterization which demonstrated extensive three vessel disease as well as aortic stenosis. he underwent surgical evaluation for cardiac surgery. on he was brought to the operating room and underwent coronary artery bypass graft surgery and aortic valve replacement. see operative report for further details. he received vancomycin for perioperative antibiotics. he was transferred to the intensive care unit for hemodynamic monitoring. he required inotropes due to systolic heart failure but were weaned off in the first twenty four hours postoperatively. he was also weaned from sedation, awoke neurologically intact, and was extubated. he remained in the intensive care unit for hemodynamic monitoring, and had atrial fibrillation post operative day one at night, treated with betablockers and amidarone which after a few hours converted to normal sinus rhythm. he was transferred to the floor for the remainder of his care. he had intermittent episodes of atrial fibrillation and was started on coumadin for anticoagulation. on post-operative day three he was found to have a right forearm phlebitis. further, there was a small amount of sero-sanguinous drainage from his mediastinal incision. he was placed on vancomycin and ciprofloxacin. on the following day the sternal drainage abated. the forearm had improved, but because mr. has a new aortic valve, a picc was placed and a plan was set for 2 weeks of iv vancomycin and oral ciprofloxacin. vanco troughs should accordlingly be followd along with the progress of these wounds. on the physical therapy worked with him on strength and mobility. he continued to progress and was ready for discharge to rehab on post operative day four. medications on admission: multivitamin lisinopril 10mg daily terazosin 2mg daily glucosamine plavix 75 mg daily, 300 mg on asa 325 mg daily 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. terazosin 2 mg capsule sig: one (1) capsule po once a day. 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 8. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours) for 2 weeks. 9. amiodarone 200 mg tablet sig: one (1) tablet po once a day. 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. 11. carvedilol 3.125 mg tablet sig: two (2) tablet po bid (2 times a day). 12. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 13. lasix 40 mg tablet sig: one (1) tablet po twice a day for 7 days: or until at pre-op weight. 14. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 15. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. 16. warfarin 1 mg tablet sig: two (2) tablet po once daily at 4 pm: goal inr 2-2.5 for post-operative atrial fibrillation, resolved. disp:*60 tablet(s)* refills:*2* discharge disposition: extended care facility: health care center discharge diagnosis: aortic stenosis s/p aortic valve replacement coronary artery disease s/p coronary artery bypass graft surgery acute on chronic systolic heart failure post operative atrial fibrillation post operative - non st elevation myocardial infarction at nebh epitaxis hypertension degenerative joint disease benign prostatic hypertrophy s/p left hip revision at nebh s/p left total hip repl. s/p right total hip repl. s/p left knee scope discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain monitor right arm phlebitic area for increasing redness or lack of improvement. place warm packs to site four times per day. complete 2 week course of intravenous vancomycin and oral ciprofloxacin started on . vanco troughs should be checked weekly. picc in place, flush with normal saline two times per day. report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule all appointments dr. after discharge from rehab dr. after discharge from rehab dr. in 4 weeks dr appointment - at 1200 - ( labs: pt/inr for coumadin dosing - indication atrial fibrillation with goal inr 2.0-2.5 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft control of epistaxis by other means rhinoscopy diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation hematoma complicating a procedure aortic valve disorders other chronic pulmonary heart diseases hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) 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 osteoarthrosis, unspecified whether generalized or localized, site unspecified acute on chronic systolic heart failure phlebitis and thrombophlebitis of upper extremities, unspecified epistaxis hip joint replacement chronic total occlusion of coronary artery other agents affecting blood constituents causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to