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: chlorhexidine attending: chief complaint: chest pain/sob major surgical or invasive procedure: 1. coronary artery bypass grafting x4. left internal mammary artery to the left anterior descending artery. 2. bypass from ascending aorta to diagonal artery branch of the left anterior descending artery using reverse autologous saphenous vein graft. 3. bypass from ascending aorta to the ramus artery using reverse autologous vein graft. 4. bypass from ascending aorta to the posterior descending artery using reverse autologous saphenous vein graft. history of present illness: 74 year-old gentleman transferred from for coronary artery revascularization. he presented with chest pain and shortness of breath. cardiac enzymes were positive for non-st-elevation mi. prior to transfer here today he had an episode of flash pulmonary edema responded to iv lasix and mso4. during this evaluation he denies chest pain, sob, palpitations, or orthopnea. he walks 3 miles a day and recently has had increased chest pain relieved with rest and sl tng. he was seen by his cardiologist at and his stress test showed evidence of ischemia in the anterior wall with a fixed defect. he was started on nitrates for medical management. cardiac surgery was consulted for coronary revascularization. past medical history: coronary artery disease s/p myocardial infarction s/p angioplasty at diabetes mellitus type 2 on insulin hypertension hyperlipidemia gout social history: race: caucasian last dental exam: lives with: self contact:daughter phone # occupation:retired truck driver cigarettes: smoked no yes last cigarette 20 yrs ago hx: 80 pack-year other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week quit 22 years ago illicit drug use: none family history: family history:premature coronary artery disease father mi < 55 mother < 65 physical exam: pulse: 71 sr resp:22 o2 sat: 92 6l nc b/p right:131/77 left: 133/78 height: weight:82 kg general: skin: dry intact rash on face and right forearm heent: perrla eomi neck: supple full rom chest: bilaterally late crackles right lower lobe otherwise clear heart: rrr irregular murmur grade ______ abdomen:soft non-distended non-tender bowel sounds + extremities: warm x, well-perfused edema _none varicosities: none neuro: grossly intact pulses: femoral right:2+ left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right: none left:none pertinent results: echo: prebypass: the left atrium is moderately dilated. no thrombus is seen in the left atrial appendage. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with septal and inferioseptal hypokinesis. there is mild global left ventricular hypokinesis (lvef = 45-50 %). the right ventricular cavity is moderately dilated with normal free wall contractility. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results on at 0930. postbypass: there is preserved left ventricular function that is unchanged from prebypass. there is no evidence of aortic dissection. . cxr: a left-sided chest tube, mediastinal drains, endotracheal tube, and enteric catheter have been removed. there is no pneumothorax status post chest tube removal. the left-sided pleural effusion has decreased. moderate left-sided basal atelectasis is similar. postoperative irregularity of the mediastinal contour is similar to prior. central pulmonary vascular congestion has improved. left-sided internal jugular catheter tip terminates in the low svc. 08:10am blood wbc-8.8 rbc-3.35* hgb-10.5* hct-32.1* mcv-96 mch-31.4 mchc-32.8 rdw-14.1 plt ct-349 05:35pm blood wbc-14.1* rbc-4.68 hgb-14.9 hct-44.2 mcv-94 mch-31.9 mchc-33.8 rdw-14.3 plt ct-279 03:40am blood pt-15.0* inr(pt)-1.4* 05:35pm blood pt-11.6 ptt-25.8 inr(pt)-1.1 08:10am blood glucose-125* urean-21* creat-1.0 na-136 k-4.4 cl-99 05:35pm blood glucose-105* urean-24* creat-1.2 na-142 k-3.5 cl-100 hco3-34* angap-12 brief hospital course: mr. was transferred from outside hospital following a cardiac cath which showed severe three vessel coronary artery disease. upon admission he was medically managed and underwent work-up for surgery. on he was brought to the operating room where he underwent a coronary artery bypass graft x 4. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later this day he was weaned from sedation, awoke neurologically intact and extubated. a dermatology consult was called regarding a bilateral rash in his axillary and brachial areas. he was placed on hydrocortisone cream for a contact believed to be caused by chlorhexadine wash. on post-op day one he was started in beta-blockers and diuretics and diuresed towards his pre-op weight. later this day he was transferred to the floor for further care. chest tubes were removed on post-op day two and his epicardial pacing wires removed on post-op day three. he continued to make good recovery while working with physical therapy for mobility. he failed to void on the first attempt with a post void residual>800cc. the foley was replaced, flomax was initiated, and narcotics were discontinued. pod# 5 his 2nd void trial was successful with minimal post void residual. he was discharged home with vna services on pod#5 with appropriate follow up appointments advised. medications on admission: amlodipine 10 mg daily atenolol 100 mg twice daily aspirin 325 mg daily allopurinol 300 mg daily doxazosin 2 mg hs lisinopril 20 mg daily hydrochlorothiazide 25 mg daily lasix 20 mg daily glipizide 20 mg twice daily metformin 500 mg twice daily januvia daily gemfibrozil 600 mg twice daily ambiem 10 mg hs imdur ? dose prednisone 60 mg taper for poison started but was stopped during his recent hospitalization discharge medications: 1. allopurinol 150 mg po daily rx *allopurinol 300 mg 0.5 (one half) tablet(s) by mouth daily disp #*30 tablet refills:*1 2. amlodipine 5 mg po daily rx *amlodipine 5 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*1 3. aspirin ec 81 mg po daily rx *aspirin 81 mg 1 tablet(s) by mouth once daily disp #*30 tablet refills:*1 4. doxazosin 2 mg po hs rx *doxazosin 2 mg 1 tablet(s) by mouth hs disp #*30 tablet refills:*1 5. gemfibrozil 600 mg po bid rx *gemfibrozil 600 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*1 6. glipizide 20 mg po bid rx *glipizide 10 mg 2 tablet(s) by mouth twice a day disp #*120 tablet refills:*1 7. januvia *nf* (sitagliptin) 100 mg oral daily rx *sitagliptin 100 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*1 8. metformin (glucophage) 1000 mg po bid rx *metformin 1,000 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*1 9. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*1 10. hydromorphone (dilaudid) 2-4 mg po q3h:prn pain 11. rosuvastatin calcium 20 mg po daily rx *rosuvastatin 20 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*1 12. furosemide 20 mg po q12h rx *furosemide 20 mg 1 tablet(s) by mouth x 10 days then decrease to once daily disp #*40 tablet refills:*1 13. potassium chloride 20 meq po q12h hold for k+ > 4.5 rx *potassium chloride 20 meq 1 tablet by mouth x 10 days, then decrease to once daily disp #*40 tablet refills:*1 14. ranitidine 150 mg po daily rx *ranitidine hcl 150 mg 1 tablet(s) by mouth once daily disp #*30 tablet refills:*1 15. tamsulosin 0.4 mg po hs rx *tamsulosin 0.4 mg 1 capsule(s) by mouth once daily disp #*30 capsule refills:*1 16. tramadol (ultram) 50 mg po q6h:prn pain rx *tramadol 50 mg 1 tablet(s) by mouth q4-6h disp #*45 tablet refills:*0 17. atenolol 100 mg po bid rx *atenolol 100 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*1 18. hydrocortisone cream 2.5% 1 appl tp qid to bilateral hand rash/poison rx *hydrocortisone 2.5 % apply to affected areas four times a day disp #*1 tube refills:*0 19. zolpidem tartrate 10 mg po hs rx *zolpidem 10 mg 1 tablet(s) by mouth hs disp #*30 tablet refills:*0 discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 past medical history myocardial infarction s/p angioplasty at diabetes mellitus type 2 on insulin hypertension hyperlipidemia gout discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 1+ discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments wound check on at 10:45am in surgeon: dr. on at 2:45pm cardiologist: please obtain cardiology referral from pcp please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified personal history of tobacco use other opiates and related narcotics causing adverse effects in therapeutic use percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure old myocardial infarction retention of urine, unspecified family history of ischemic heart disease other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities drug-induced delirium long-term (current) use of aspirin contact dermatitis and other eczema due to plants [except food] contact dermatitis and other eczema due to drugs and medicines in contact with skin local anti-infectives and anti-inflammatory drugs causing adverse effects in therapeutic use other dermatitis due to solar radiation 

Answer: The patient is high likely exposed to