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: the patient is a 67-year-old male with diabetes mellitus, hypertension, and three-vessel disease diagnosed by catheterization in , who also has poor pulmonary function, and was transferred here for further evaluation of coronary artery disease and options for intervention. the patient reported that he has had severe chronic obstructive pulmonary disease for several years and unstable angina with exercise times five years. he was also admitted to center for evaluation of his coronary arteries. catheterization results are unknown at this time. the patient was reported to have had three-vessel disease and was told that this is inoperable due to his pulmonary status. the patient and his primary care physician were unsatisfied with this evaluation, and he was transferred to for further work-up. past medical history: 1. obesity. 2. obstructive sleep apnea. 3. chronic obstructive pulmonary disease. 4. benign prostatic hypertrophy. 5. diabetes mellitus. 6. chronic lower extremity cellulitis. 7. history of inferior myocardial infarction. 8. status post catheterization with three-vessel disease in . allergies: penicillin and relafen. medications: aspirin 325 mg p.o. q.d., ativan 0.5 mg p.o. p.r.n., plavix 75 mg p.o. q.d., docusate 100 mg p.o. b.i.d., flomax 0.4 mg p.o. q.d., lasix 80 mg p.o. q.d., metformin 1000 mg p.o. b.i.d., glyburide 1 mg p.o. q.d., isosorbide 60 mg p.o. q.d., lovenox 50 mg subcue b.i.d., diovan 180 mg p.o. q.d., metoprolol xl 50 mg p.o. q.d., sliding regular insulin, pravachol 20 mg p.o. q.d., prednisone 5 mg p.o. q.d., albuterol metered dose inhaler, atrovent metered dose inhaler, flovent metered dose inhaler. laboratory data: white count 7.5, hematocrit 40, platelet count 239; chem7 136, 4.5, 90, 42, 23, 1.1, 97. physical examination: vital signs: pulse 52, blood pressure 130/74, respirations 18, oxygen saturation 89% on 1 l nasal cannula. general: he was an obese male in no acute distress. heent: pupils equal, round and reactive to light. neck: supple. no jugular venous distention. chest: decreased breath sounds bilaterally. mild expiratory wheezes. heart: distant heart sounds but regular. abdomen: obese. extremities: there was 2+ edema in his bilateral lower extremities. hospital course: the patient was admitted on , and the hospital records were obtained from the outside hospital. the results of the cardiac catheterization did show severe three-vessel disease. repeat cardiac catheterization on , at did demonstrate three-vessel disease with left main coronary artery diffuse disease up to 60%, left anterior descending calcified and diffusely disease with 70-80% lesions, and left circumflex with 80% ulcerate ostial lesion, right coronary artery totally occluded. cardiothoracic surgery was consulted regarding surgical intervention. pulmonary was called to see the patient to optimize his pulmonary status for surgery. the recommendations from pulmonary were to continue the atrovent and albuterol inhalers and obtain pfts. intraoperative strategies that they suggested included keeping the duration of the surgery to less than three hours and using a shorter acting neuromuscular blockade. on , the patient underwent three-vessel coronary artery bypass grafting with lima to the left anterior descending, saphenous vein graft to posterior descending artery, and saphenous vein graft to om1. the patient did well postoperatively and was transferred to the csru. the patient received a transfusion of 2 u of packed red blood cells on postoperative day #1 for a hematocrit of 23. the patient was started on subcue heparin on postoperative day #1 due to his high risk for dvt. the patient was out of bed to chair on postoperative day #1 and was started on bipap at night for sleep apnea. on postoperative day #2, the patient experienced an episode of atrial fibrillation. he was started on amiodarone drip. on postoperative day #3, the patient's neo-synephrine was weaned to off. the patient was transferred to the floor on the evening of postoperative day #3. on postoperative day #4, the patient's wires were removed as he was in sinus rhythm. the patient was continued on his subcue heparin. the patient's lopressor was increased to 25 mg p.o. b.i.d. on postoperative day #5, the patient experienced some wound drainage. the patient was started on vancomycin 1 g iv q.12 hours for this drainage. on postoperative day #6, the patient's wound drainage slowed considerably, but the patient was continued on the vancomycin. the patient was seen by physical therapy on postoperative day #6, and evaluation was made that he would most likely be discharged to home with services. the patient reached a level iv by postoperative day #6. on postoperative day #7, the patient's sternal wound drainage was quite minimal, and vancomycin was discontinued. the patient was started on keflex 500 mg p.o. q.i.d., and it was decided that he could be discharged to home. discharge diagnosis: status post three-vessel coronary artery bypass grafting on . discharge status: good condition to home. discharge medications: lasix 80 mg p.o. q.d., kcl 20 meq p.o. b.i.d., aspirin 325 mg p.o. q.d., prednisone 5 mg p.o. q.d., amiodarone 400 mg p.o. t.i.d. x 3 days, 400 mg p.o. b.i.d. x 7 days, then 400 mg p.o. q.d. x 7 days, pravachol 20 mg p.o. q.h.s., albuterol metered dose inhaler 4-6 puffs q.4 hours, atrovent metered dose inhaler 4-6 puffs q.4 hours, flovent metered dose inhaler 4 puffs b.i.d., colace 100 mg p.o. b.i.d., zantac 150 mg p.o. b.i.d., glyburide 5 mg p.o. q.d., glucophage 1000 mg p.o. b.i.d., lopressor 25 mg p.o. b.i.d., keflex 500 mg p.o. q.i.d. x 5 days, percocet 5/325 tab p.o. q.4-6 hours p.r.n. diet: the patient was discharged on a cardiac diet. follow-up: the patient is to follow-up with dr. in four weeks. , m.d. dictated by: medquist36 procedure: 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 diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified gout, unspecified atrial fibrillation unspecified sleep apnea 

Answer: The patient is high likely exposed to