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: none major surgical or invasive procedure: - coronary artery bypass grafting x4 with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the first diagonal coronary artery; reverse saphenous vein single graft from the aorta to the posterior descending coronary artery. history of present illness: 41 year old gentleman undergoing evaluation for renal who had an abnormal ett. he was subsequently referred for a cardiac catheterization which three vessel disease. he is now being admitted for surgical revascularization. past medical history: # stage v ckd d/t diabetic nephropathy, followed by dr. , last seen . # congestive heart failure with an ejection fraction of 60-70% in , mod lvh, diastolic dysfunction. # moderate pulmonary hypertension with significant pulmonic regurgitation and markedly dilated right atrium on # diabetes mellitus, type 2, insulin dependent, diagnosed complicated by diabetic neuropathy, retinopathy, nephropathy and vascular insufficiency, s/p toe amputation. # hypertension. # obesity. # hypercholesterolemia. # history of sickle trait. # acid reflux. # secondary hyperparathyroidism # s/p l vitrectomy social history: the patient lives with wife and two children. he is a chef. no tobacco or alcohol use. cat, fish and parrot at home. family history: mother with diabetes physical exam: 64 sr 20 159/85 right left av fistula gen: nad skin: unremarkable neck: supple, from, no jvd lungs: cta. permacath in right upper chest heart: rrr, nl s1-s2 abd: s/nt/nd/nabs ext: warm, well perfused. maturing av fistula. will be ready for use . no varicosities, 2+ pulses neuro: nonfocal pertinent results: 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. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. there is severe symmetric left ventricular hypertrophy. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. mild (1+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post_bypass: preserved biventricular systolic function. lvef 55%. there is a mild ai and mild tr. thoracic aortic contour is intact. cxr improved aeration with improvement in volume status. small persistent bilateral pleural effusions. left internal jugular approach central line exchange apparently without complication. brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the intensive care unit for monitoring. the renal service followed him given his history of end stage renal failure on hemodialysis. cvvh was started for hyperkalemia and acidosis. on postoperative day one, mr. neurologically intact and was extubated. packed red blood cells were transfused for postoperative anemia. he was pancultured for a fever and was started on levofloxacin and vancomycin empirically. results of his cultues were negative. mr. developed atrial flutter and his beta blockade was increased. amiodarone was not used given his baseline elevated hepatic function enzymes. the cardiology service was consulted who recommended cardioversion. on , mr. was taken to the operating room where he underwent a successful cardioversion. on postoperative day five, mr. was transferred to the step down unit for further recovery. he continued his routine hemodialysis. the physical therapy service was consulted for assistance with his postoperative strength and mobility. pt stable for home with vna medications on admission: coreg 25mg tid renagel 800mg aspirin 325mg qd insulin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. sevelamer 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. disp:*30 suppository(s)* refills:*0* 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. insulin insulin sc fixed dose orders breakfast 70 / 30 10 units insulin sc sliding scale breakfast lunch dinner bedtime regular glucose insulin dose 0-60 mg/dl 4 oz. juice 61-120 mg/dl 0 units 0 units 0 units 0 units 121-160 mg/dl 2 units 2 units 2 units 0 units 161-200 mg/dl 4 units 4 units 4 units 2 units 201-240 mg/dl 6 units 6 units 6 units 4 units 241-280 mg/dl 8 units 8 units 8 units 6 units 281-320 mg/dl 10 units 10 units 10 units 8 units 321-360 mg/dl 12 units 12 units 12 units 10 units > 360 mg/dl notify m.d. discharge disposition: home with service facility: vna discharge diagnosis: cad s/p cabg esrd on hd hyperlipidemia htn iddm cardiomyopathy/chf pulmonary htn obesity hyperparathyroidism sickle cell trait discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with cardiologist dr. in 2 weeks. follow-up with pcp . in weeks. currently scheduled appointments: provider: , center - non billing phone: date/time: 2:30 provider: , md phone: date/time: 3:30 provider: imaging phone: date/time: 9:30 procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery hemodialysis atrial cardioversion transfusion of packed cells diagnoses: end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified acute posthemorrhagic anemia other chronic pulmonary heart diseases polyneuropathy in diabetes atrial flutter hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot diastolic heart failure, unspecified background diabetic retinopathy atherosclerosis of native arteries of the extremities with ulceration diabetes with neurological manifestations, type ii or unspecified type, uncontrolled diabetes with renal manifestations, type ii or unspecified type, uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled sickle-cell trait 

Answer: The patient is high likely exposed to