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: this is a 56-year-old white male with a history of carotid disease, status post right internal carotid artery stenting in of this year, known coronary artery disease, status post coronary artery bypass graft, who was referred to dr. for "blue toes". he was seen by dr. on . he gives a 10 year history of bilateral calf claudication. at one block, he denies rest pain with onset of blue toes, left greater than right, one week ago. the patient is to undergo arteriogram and then be admitted over night for observation. the patient was evaluated by cardiology prior to discharge. their recommendations were that a p-mibi was optional, given the patient has had recent revascularization and he is asymptomatic and subsequently decreased his amount of smoking. recommendations were to discontinue the plavix five days prior to surgery, follow electrocardiograms and cycle enzymes postoperatively. the patient returns now for elective revascularization. past medical history: 1. coronary artery disease 2. non q wave myocardial infarction in of this year with subsequent coronary artery bypass x5 with a left internal mammary artery to lad and saphenous to the left pda and saphenous to the obtuse marginal and diagonal on . 3. history of carotid stenosis, status post stenting of the right internal carotid artery on with a recently diagnosed subclavian steal syndrome on the right. 4. history of transient ischemic attacks 5. history of congestive heart failure, ejection fraction of 30% 6. history of insulin dependent diabetes 7. history of hypertension 8. history of peripheral vascular disease 9. history of chronic obstructive pulmonary disease 10. history of mild mitral regurgitation 11. history of dyslipidemia 12. history of prostate carcinoma medications: 1. glipizide xl 5 mg qd 2. metoprolol 50 mg 3. pravastatin 10 mg qd 4. plavix 75 mg qd 5. aspirin 325 mg qd 6. ambien 5 mg at hs prn 7. levaquin 500 mg qd preoperative lab work: white count 8.5, hematocrit 39.5, platelets 320,000. inr, ptt, pt were all normal. bun 27, creatinine 1.1, potassium 4.6. cardiac catheterization prior to coronary artery surgery, left main trunk was 60% stenosis with diffuse disease of the left anterior descending with a mid 80% stenosis. the left circumflex was diffuse disease with a proximal stenosis of 50% and distal stenosis of 70%. the left pda had luminal irregularities. the right coronary was non dominant with hepatic vessel. there was elevation of the left ventricular and diastolic pressure. the pa pressure was 26/9. mean pulmonary artery pressure was 11 mm. there was global hypokinesis with an ejection fraction of 39%. there was no segmental ostial disease of the innominate, the left subclavian or left common carotid arteries. abdominal angio did show that the left renal artery was non visualized, but the was occluded with a patent sma and celiac arteries. otherwise, there was no other disease of the infrarenal, the bilateral common iliacs were okay. the patient is now admitted for elective revascularization. hospital course: the patient was admitted to the preoperative holding area on . he underwent aortobifemoral bypass with bilateral femoral popliteal bypasses with dacron. he tolerated the procedure well. he was transferred to the pacu in stable condition. he remained afebrile, hemodynamically stable. blood gases were 7.33, 37, 150, 20 minus 5. he was on an simv of 50%, 700 x10 with 5 of peep. his mv was 70%. the patient continued to do well. he had a faintly palpable right pt with triphasic dopplerable signal on the right and triphasic dopplerable pt on the left. the patient was transferred to the sicu for continued care and respiratory support. he was followed by the acute pain service and analgesic control with an epidural. postoperative day 1, the patient had no overnight events. he did require fluid bolusing and nitroglycerin for afterload reduction. his postoperative hematocrit was 31.6. bun, creatinine and potassium remained stable. the patient was extubated. epidural was continued. postoperative day 2, his hematocrit was 27.0. his troponin was less than 0.3. he remained hemodynamically stable. he had been extubated. his lopressor was increased for afterload reduction. he received 1 unit of packed red blood cells with lasix and he was transferred to the vicu for continued monitoring and care. his epidural infusion was augmented to 10 mg for analgesic control. postoperative day 4, he continued to do well with a low grade temperature though of 100.4??????. hematocrit remained stable at 27.2. bun and creatinine were stable at 14 and 1.0. epidural was discontinued and he was converted to oral analgesics. he was begun on a regular diet. dictation ends abruptly , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnostic ultrasound of heart aorta-iliac-femoral bypass other (peripheral) vascular shunt or bypass insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: acidosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of prostate aortocoronary bypass status atherosclerosis of native arteries of the extremities with rest pain 

Answer: The patient is high likely exposed to