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: chest pain major surgical or invasive procedure: - coronary bypass grafting x5: left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft from aorta to the second obtuse marginal coronary artery; reverse saphenous vein single graft from aorta to the distal right coronary artery; as well as reverse saphenous vein graft from the second obtuse marginal vein graft to the first diagonal as a y-graft from the proximal portion of the graft just after the proximal anastomosis. resection of left atrial appendage. history of present illness: mr. is a 67 yo m h/o afib on coumadin, copd, systolic hf with ef 30%, who presented to an osh on with c/o wks worsening sob , increasing lower extremity edema and orthopnea and a reported 20 lb weight gain. notably, patient reports taking sl nitro daily for chest pain for the past few weeks. . on osh admission, he was initially felt to be having a chf exacerbation with concurrent copd exacerbation and was treated with diuresis and iv steroids/nebs. on patient complained of chest tightness and ecg showed diffuse st depressions. cardiac enzymes flat at the time. he was started on heparin, integrillin gtt and cont on asa. plavix was not given in case surgery needed. on hct noted to drop from 38 at admission to 25. stool was guiac positive. he was transfused two units of prbcs. pt was seen by gi who felt that bleeding likely related to anticoagulation thus asa, heparin and integrillin were all held. ct abdomen to rule out intraperitoneal or retroperitoneal bleed was considered but deferred until transfer. . patient underwent cardiac cath on which severe multivessel disease including 90% focal mid-l main, 60% mid- lad, 80% mid left cx, 80% proximal rca stenosis. given severity of coronary disease he was transferred to the for further management. notably, prior to transfer patient had cp requiring 1 sl nitro despite being on nitro gtt at 40 mcg. . on arrival, patient chest pain free on nitro gtt though developed 4/10 chest pain. ecg cont to show diffuse st depressions which is unchanged previous ecgs over past 24 hours. past medical history: hyperlipidemia chronic obstructive pulmonary disease gi bleed severe pulmonary hypertension atrial fibrillation tobacco abuse-80 pack yr etoh abuse social history: sister: ca mother: dm no hx heart disease or sudden death family history: occupation: retired janitor drugs: none tobacco: 80 pack yr hx alcohol: drinks vodka tonic /night physical exam: vitals: t 98.3 hr 87 bp 127/61 rr 17 o2 96% on 2l nc gen: elderly male, sitting in bed, speaking comfortably, nad heent: nc/at, perrl, eomi, op clear, poor denitition neck: supple, no lad, jvp not elevated heart: irreg, irreg s1/s2 present, +iii/vi diastolic murmur heard best at lusb ctab: diffuse wheezes, exp>insp abd: +bs, soft, nt, nd ext: 1+ le pitting edema, peripheral pulses dopplerable, lower ext skin shiny and hairless neuro: aox3, cn ii-xii, light touch sensation grossly intact, motor strength bilaterally pertinent results: echo () the left atrium is mildly dilated. the estimated right atrial pressure is 0-10mmhg. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with basal to mid anterior wall hypokinesis. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated with borderline normal free wall function. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. impression: mild regional left ventricular systolic dysfunction and overall normal global function. mild to moderate mitral regurgitation. mild aortic regurgitation. moderate pulmonary artery systolic hypertension with borderline normal right ventricular systolic function. . carotid duplex () 1. 60-69% left ica stenosis. 2. 40-59% right ica stenosis. . chest x-ray () the post-cabg appearance of the chest is unremarkable including the sternal wires and surgical clips. the right internal jugular line tip is at the cavoatrial junction. the bilateral pleural effusions are small potentially slightly increased since the prior study, although it may be explained by currently upright position of the patient. there is questionable new left perihilar opacity that might be worrisome for a developing infectious process and close attention to this area is recommended. multiple calcified pulmonary nodules are unchanged. . 07:17pm blood wbc-9.6 rbc-3.07* hgb-9.7* hct-28.3* mcv-92 mch-31.6 mchc-34.2 rdw-15.5 plt ct-243 05:53am blood wbc-14.8* rbc-2.72* hgb-8.5* hct-25.3* mcv-93 mch-31.4 mchc-33.8 rdw-15.9* plt ct-305 07:17pm blood pt-14.4* ptt-20.9* inr(pt)-1.3* 05:49am blood pt-14.7* inr(pt)-1.3* 07:17pm blood glucose-216* urean-39* creat-0.9 na-140 k-3.3 cl-92* hco3-37* angap-14 05:53am blood glucose-84 urean-19 creat-0.6 na-133 k-4.6 cl-99 hco3-31 angap-8 05:53am blood mg-1.7 brief hospital course: mr. was admitted to the on via transfer from for further management of his coronary artery disease. he was worked-up in the usual preoperative manner by the cardiac surgery service including a carotid duplex ultrasound which showed a 60-69% left internal carotid artery stenosis and a 40-59% right internal carotid artery stenosis. he required a transfusion of packed red blood cells for a low hematocrit in the setting of his recent gi bleed. on , he was taken to the operating room where he underwent coronary artery bypass grafting to five vessels and resection of his left atrial appendage(given history of atrial fibrillation). postoperatively he was taken to the intensive care unit for monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. ciprofloxacin was empirically started for chest x-ray findings concerning for worsening left retrocardiac opacity. he required aggressive pulmonary toilet but otherwise maintained stable hemodynamics and transferred to the sdu on postoperative day two. amiodarone was initiated and beta blockade was advanced for better rate control of his atrial fibrillation. given his recent gi bleed, warfarin was not resumed until gi workup was performed. he underwent endoscopy and colonoscopy which revealed...? ciprofloxacin was continued for a sputum culture that grew out haemophilus influenzae. over several days, he continued to make clinical improvements with diuresis. he was eventually cleared for discharge to rehab on postoperative day six. medications on admission: lasix 20mg , dig 0.25mg/d, lopressor 100mg , lipitor 40mg/d, asa 81mg/d, coumadin? dose discharge disposition: extended care facility: long term health - discharge diagnosis: coronary artery disease s/p coronary artery bypas graft x 5 postoperative pneumonia hyperlipidemia chronic obstructive pulmonary disease gi bleed severe pulmonary hypertension atrial fibrillation congestive heart failure discharge condition: good discharge instructions: 1)no driving for one month 2)no lifting more than 10 lbs for at least 10 weeks from the date of surgery 3)please shower daily. wash surgical incisions with soap and water only. 4)do not apply lotions, creams or ointments to any surgical incision. 5)please call cardiac surgeon immediately if you experience fever, excessive weight gain and/or signs of a wound infection(erythema, drainage, etc...). office number is . 6)call with any additional questions or concerns. followup instructions: dr. in weeks ( dr. in weeks follow-up with dr. in 2 weeks. please call all providers for appointments. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery intraoperative cardiac pacemaker (aorto)coronary bypass of four or more coronary arteries transfusion of packed cells excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder mitral valve disorders congestive heart failure, unspecified adrenal cortical steroids causing adverse effects in therapeutic use atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation other chronic pulmonary heart diseases alcohol abuse, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure long-term (current) use of anticoagulants other respiratory complications hemorrhage of gastrointestinal tract, unspecified occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction examination of participant in clinical trial pneumonia due to hemophilus influenzae [h. influenzae] other abnormal glucose tricuspid valve disorders, specified as nonrheumatic secondary cardiomyopathy, unspecified 

Answer: The patient is high likely exposed to