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: progressive dyspnea on exertion. major surgical or invasive procedure: coronary artery bypass graft x 3 . sternal rewiring . history of present illness: this is a 71 yo male patient with known history coronary artery disease who was previously turned down for a cabg in due to obesity and was lost to follow-up. he presented recently with complaints of worsening shortness of breath with exertion and was referred for cath showing 3vd. at that time he was transferred to the for eval for cabg. past medical history: coronary artery disease. hypertension. hyperlipidemia. cva in . social history: lives in with his wife. retired engineer. not very active secondary to severe shortness of breath. reports that he quit smoking 45 years ago afetr a 415 pack year history. reports very rare etoh consumption. family history: father deceased at age 50 with mi. mother deceased at ago 72 with mi but mi in her 50s. pertinent results: 06:00am blood wbc-14.8* rbc-3.45* hgb-10.1* hct-30.7* mcv-89 mch-29.3 mchc-33.0 rdw-14.1 plt ct-232 06:00am blood plt ct-232 09:55am blood pt-16.9* ptt-28.2 inr(pt)-1.9 04:45am blood glucose-80 urean-12 creat-1.1 na-140 k-4.1 cl-103 hco3-29 angap-12 06:30am blood alt-30 ast-19 alkphos-74 amylase-18 totbili-0.5 04:10am blood calcium-7.9* phos-3.0 mg-2.0 brief hospital course: mr. was admitted from an osh on pre-op for cabg. because of his severe 3vd he was started on heparin and nitroglycerine drips for optimal control of his cad. he underwent pre-op workup including pre-op head ct (with hx of cva) and carotid ultrasound. on he proceeded to the or and underwent a cabg x 3 with lima to the lad, svg to the om, and svg to the ramus with patch angioplasty and repair of ramus posterior rupture (subacute). please see op note for full details. he was successfully weened and extubated on his operative evening. on pod one he remained in the icu for ongoing hemodynamic monitoring and on pod two he was transferred to the in-patient telemetry floor for ongoing care. in the early morning hours on pod three, mr. was found to be talking non-sensically and trying to get out of bed. a neuro consult, head ct and mri were obtained for suspected acute cva. he was found to have small right parietal, left cerebellar, and right cerebellar infarcts thought to be embolic with new post-operative atrial fibrillation. over pods four and five mr. continued to wax and waine; he was continued on his heparin and coumadin per neuro recs. on pod six his mental status was noted to be significantly improved with neuro recs only for ongoing anticoagulation for stroke prevention. also on pod six he was noted to have new sternal drainage. his wbc bumped up to 18 (from 13) for which he was pan-cultured. he had continued bursts of atrial fibrillation and was started on amiodarone. on pod seven his sternal drainage significantly increased; due to his elevated inr, he was unable to return immediately to the or. on pod nine () his inr fell below 1.7 and he returned to the or for sternal rewiring. on pod eleven he was found to be c. diff positive with multiple loose stools and on pod thirteen he was noted to have guaiac positive stools. an endoscopy showed bleeding ulcers in the duodenal bulb accounting for the patient's gib and hemostasis was obtained. he was started on iv protonix with serial hcts to monitor progress. he was transfused as necessary and was taken off of his anticoagulation. after two days in the icu for close hemodynamic monitoring in light of gib, he was again transferred to the inpatient floor on pods 16 and 5. he continued to work with the physical therapy team throughout his stay but it was not felt that he was safe for home. he was screened for rehabilitation. on pods 20 and 9, a new rash was noted on trunk and mr. antibiotics were discontinued. the rash resolved and on pods 24 and 13, it was decided that he was safe for transfer to a rehabilitation facility for ongoing management, treatment, and rehabilitation. final recommendations from the neurology service are for coumadin as soon as cleared by gi with 325 mg aspirin daily until then; to follow-up with primary neurologist. gi recommends re-starting coumadin 14 days post bleed: . start coumadin at low dose and keep inr at low-end of theraupetic. medications on admission: aspirin 325 daily. multivitamin daily. lipitor 20 daily. nifidipine xl 30 daily. mirapex 1.5 . reminyl 12 daily. discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day. 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 5. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 6. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 8. galantamine hydrobromide 4 mg tablet sig: three (3) tablet po bid (). 9. pramipexole dihydrochloride 1 mg tablet sig: 1.5 tablets po bid (). 10. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 11. amiodarone hcl 200 mg tablet sig: two (2) tablet po once a day for 7 days: to be followed by 200 mg daily dosing. 12. amiodarone hcl 200 mg tablet sig: one (1) tablet po once a day. tablet(s) 13. metoprolol tartrate 25 mg tablet sig: tablet po twice a day. 14. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). discharge disposition: extended care facility: long term health - discharge diagnosis: coronary artery disease. cerebral vascular accident. sternal wound dehissence. gastrointestinal bleed. discharge condition: stable. discharge instructions: wash incisions daily with soap and water. rinse well. do not apply any creams, lotions, powders, lotions, or ointments. no lifting greater than 10 pounds. strict sternal precations. p instructions: call to schedule appointment with dr. in 4 weeks. call to schedule appointment with dr. in 2 weeks. call to schedule appointment with cardilogist in 2 weeks. call to schedule appointment with primary neurologist in weeks. please check hct one week post-discharge from . low-dose coumadin should be started . procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] endoscopic control of gastric or duodenal bleeding transfusion of packed cells transfusion of other serum diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension atrial fibrillation disruption of internal operation (surgical) wound personal history of other diseases of circulatory system intestinal infection due to clostridium difficile dermatitis due to drugs and medicines taken internally obesity, unspecified cerebral embolism with cerebral infarction anticoagulants causing adverse effects in therapeutic use other specified antibiotics causing adverse effects in therapeutic use iatrogenic cerebrovascular infarction or hemorrhage acute duodenal ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to