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 64 year old man with a history of hypertension, diabetes, and tobacco use who presented at with chest, jaw, and arm pain. he has had intermittent chest pain x2 months and it has been associated with nausea and vomiting for the past 3 days. chest pain has relieved with sublingual nitroglycerin. on the day of presentation to , he took several subinguinal nitroglycerin tablets prior to presenting to the er. when he arrived, his chest pain had resolved. he was admitted to the ccu at and he underwent cardiac catheterization which revealed a left main 20% distal stenosis, lad with 80-90% proximal ulcerated stenosis, ramus with a 99% stenosis, left circumflex with 70% ostial stenosis, an om with a 90% proximal tubular stenosis and an rca with a 60-65% ulcerated stenosis. his ef is 30% with septal and apical hypokinesis. patient had st depressions in leads ii, iii and v2 through 6 which improved after treatment with iv nitroglycerin. his troponin at was 1.4 with a ck of 353 and an mb of 4.3. following his cardiac catheterization, he was put on integrilin and heparin and was transferred to for surgical evaluation. past medical history: patient's past medical history is significant for non-st mi, hypertension, insulin dependent diabetes mellitus, status post cva in with no residual, prostate ca status post prostatectomy, testicular ca status post orchiectomy, status post left bka, history of skin lesions. medications prior to admission: 1. lisinopril 40 q. d. 2. lopressor 50 t.i.d. 3. hydrochlorothiazide 25 q. d. 4. humalog 80 q. a.m., 6 q. p.m. 5. humulin 30 q. a.m., 16 q. p.m. 6. metformin 1 gram b.i.d. 7. celexa 60 mg q. d. 8. pravachol, no dose specified. 9. heparin 1300 units per hour iv. 10.nitroglycerin 40 mg/kg/hr. 11.integrilin 2 mg/kg/min. allergies: patient states no known drug allergies. social history: lives alone. he is a widower. positive tobacco, 5 packs per day x40 years. alcohol use, 6 beers per night plus 1 quart of hard liquor per week. family history: family history is noncontributory. review of systems: dentures upper and lower. physical examination: elderly man in no acute distress. vital signs: heart rate 72, blood pressure 112/51, respiratory rate 20, weight 112 kg. heent: pupils equally round and reactive to light with extraocular movements intact, anicteric, noninjected. oropharynx is benign. neck is supple, no lymphadenopathy. carotids are 2+ bilaterally without bruits. lungs are clear to auscultation bilaterally with occasional expiratory wheezes. cardiovascular regular rate and rhythm, no murmurs, rubs or gallops. abdomen is obese, soft, nontender, with positive bowel sounds, no masses or hepatosplenomegaly. extremities: pulses are 2+. no posterior tibial or dorsalis pedis pulses palpable. left bka. neuro is nonfocal. laboratory data: white count 7.6, hematocrit 37.4, platelets 219. sodium 138, potassium 3.6, chloride 102, co2 27, bun 15, creatinine 0.9, glucose 205. troponin on hospital day 2 is 0.17 with ck mb of 2. patient was scheduled for carotid ultrasound which showed less than 40% stenosis bilaterally. hospital course: over the next several days, the patient was maintained on the cardiothoracic service on heparin and nitroglycerin and integrilin, giving him a little time to recover from his nst mi and on , he was brought to the operating room where he underwent coronary artery bypass grafting. please see the or report for full details. in summary, he had a cabg x3 with lima to the lad, saphenous vein graft to ramus and saphenous vein graft to the rca. his bypass time was 72 minutes with a crossclamp time of 57 minutes. he was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, he was in a sinus rhythm at 96 beats per minute with a cvp of 19 and a mean arterial pressure of 74. he had insulin at 2 units per hour, epinephrine at 0.02 mcg/kg/min, and neo- synephrine at 0.5 mcg/kg/min, milrinone at 0.25 mcg/kg/min, and propofol at 20 mg/hour. patient did well in the immediate postoperative period. on the day of surgery, he was weaned off his epinephrine drip. over the next 12 hours, he was weaned from his milrinone drip. on postoperative day 1, he was weaned from his sedation. his ventilator was weaned and he was successfully extubated following which he had an uneventful postoperative day. he was, following extubation, weaned from his nitroglycerin, insulin, and amiodarone drips as well. he remained hemodynamically stable throughout these periods. on postoperative day 2, patient's chest tubes were removed. he was begun on diuretics as well as beta blockade and he was transferred from the icu to far-2 for continuing postoperative care and cardiac rehabilitation for further hemodynamic monitoring. over the next several days, the patient had a largely uneventful recovery. however, on postoperative day 3, following the removal of his foley catheter, he failed to void and his catheter was replaced. he was also begun on flomax at that time. his activity level was slowly advanced with the assistance of the nursing staff as well as the physical therapy staff. also on postoperative day 3, the patient was noted to have an erythematous rash, mainly on his back and trunk. he was begun on sarna lotion and benadryl at that time. the rash did not improve over the next several days and on postoperative day 5, a dermatology consult was requested. on dermatology's recommendation, the patient's medications were tailored to eliminate all unnecessary possibilities. his lasix was discontinued. his vancomycin had been stopped for several days and hydralazine. additionally, the patient had a biopsy. by postoperative day 7, the rash appeared to be stable without further progression. the patient's chest x-ray that day showed mild pulmonary edema and the patient was begun on diuril. additionally, he was restarted on a low dose of lisinopril and he was screened for rehabilitation placement with the hopes he could continue his postoperative care in a rehabilitation center. at the time of this dictation, the patient's physical examination is as follows: temperature 98.3, pulse 69 sinus rhythm, blood pressure 150/66, respiratory rate 20, o2 saturation 93% on room air, finger stick blood sugars at 125 to 200. lab data: white 21, hematocrit 28, platelets 570. sodium 140, potassium 5.1, chloride 99, co2 28, bun 15, creatinine 1.1, glucose 140, mag 2.5. physical examination, general, no acute distress, alert and oriented x3, moves all extremities, follows commands. cardiovascular: regular rate and rhythm, s1, s2, with no murmur. sternum is stable. incision clean and dry. lungs clear to auscultation bilaterally. abdomen is soft, nontender, nondistended with normoactive bowel sounds. skin is erythematous rash with some small papules and no mucosal lesions, mainly involving the back, the buttock and the lower trunk. extremities have no cyanosis, clubbing, or edema. medications: 1. amiodarone 400 mg b.i.d. 2. aspirin 81 mg q. d. 3. bactroban ointment. 4. celexa 60 mg q. d. 5. benadryl 25 mg p.r.n. 6. colace 100 mg b.i.d. 7. regular insulin sliding scale. 8. lopressor 75 mg b.i.d. 9. percocet p.r.n. 10.milk of magnesia p.r.n. 11.zocor 40 mg q. d. 12.sarna lotion b.i.d. 13.flomax 0.4 q. d. 14.nph 16 units in the a.m., 8 units in the p.m. is to discharge to rehabilitation. follow up will be with dr. in 4 weeks, with dr. in 2 to 3 weeks following discharge from rehabilitation and with his primary care in 2 to 3 weeks after discharge from rehabilitation. , m.d. dictated by: medquist36 d: 17:53:02 t: 19:10:15 job#: procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries closed biopsy of skin and subcutaneous tissue diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of malignant neoplasm of prostate personal history of malignant neoplasm of testis diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled below knee amputation status contact dermatitis and other eczema, unspecified cause 

Answer: The patient is high likely exposed to