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: mr. is a 67-year-old male with no known medical history, who presented to an outside hospital's emergency room in with complaints of right foot swelling, pain and redness. at that time, he was treated with cephalexin 500 mg by mouth four times a day for ten days and, despite this antibiotic course, had persistent redness and foot pain. he was ultimately seen by a health care associate, dr. , on , and was given a second trial of cephalexin for 14 days, without resolution. due to the lack of resolution, dependent rubor and signs and symptoms consistent with possible rest pain, he was ultimately referred to dr. for possible vascular disease consultation. ultimately the patient received impedance platysmography as well as an arteriogram that showed significant disease that warranted an operation. he was brought to the operating room on , where he underwent a cross-femoral-to-femoral left-to-right bypass including bilateral common femoral artery and endarterectomy and bilateral profundoplasty and then a right cross-femoral-to-posterior tibialis bypass graft utilizing a non-reversed greater saphenous vein with dr. . at the end of the operation, the patient had dopplerable right pulse which was the posterior tibial being monophasic. the patient was cared for in the postoperative surgical intensive care unit due to the complexity of the case and the long length of the patient's intubation, he was maintained on ventilatory support for several days. past medical history: ethanol, which he takes eight to ten beers per day, tobacco greater than 50 pack years of smoking, peripheral vascular disease, onychomycosis. past surgical history: appendectomy, two different aborted intra-abdominal procedures for presumed cancer, as well as herniorrhaphy. allergies: no known drug allergies. medications on admission: keflex, lotrimin. laboratory data: hematocrit 40, bun and creatinine 5 and .7. chest x-ray showed no acute cardiopulmonary disease. electrocardiogram on admission was normal sinus rhythm with occasional premature atrial contractions. heart rate was 88, otherwise normal, no evidence of q wave or st segment change or t wave inversion. hospital course: the patient's postoperative course and overall hospital course were remarkable for failure to extubate. he had respiratory failure on postoperative day one, requiring emergent intubation. he was maintained on full ventilatory support postoperatively. on postoperative day one, his hematocrit was 31. he had a bun and creatinine of 5 and .5. he was noted to be hypotensive and very tachycardic. no electrocardiogram changes were seen, other than sinus tachycardia to the 120s to 140s. his low blood pressures were treated with volume and ultimately he was given lopressor for his tachycardia. he was initially also given delirium tremens prophylaxis with an ativan drip. electrocardiogram just showed sinus tachycardia at 108, normal axis, with normal intervals. by postoperative day number two, he had persistent tachycardia. he was actually started on diuresis, and given increased titration of lopressor. on postoperative day number three, he had enzymes that were sent to rule out a possible myocardial infarction, that showed a cpk of 454 and 395, as well as an mb fraction of 6.9 and 6.6, and a troponin-i greater than 50 x 2. given this, it looked like he had a possible non-q wave postoperative myocardial infarction. chest x-ray at that time additionally showed evidence of congestive failure. he was ultimately referred to the cardiology service, who recommended a bedside transthoracic echocardiogram, which showed severe global hypokinesis with an ejection fraction of 25%, and mildly decreased systolic function. it was a relatively poor study, so no regional wall motion abnormalities could be assessed. he was begun on a heparin drip and also given aspirin and beta blockade as needed. lower extremity noninvasives were also performed at that time, that showed no evidence of thrombosis. on , his enzymes peaked. his troponin-is were again greater than 50. electrocardiogram showed sinus rhythm at 33, with normal axis, normal intervals, and he had 1 to 2 mm st segment depressions across the precordial leads v2 through v5. given this, as well as the setting of a temperature spike, he was pancultured, including blood cultures, line cultures, etc. his swan-ganz catheter was changed. he had resiting of all of his line sticks. on postoperative day number six from the femoral-femoral bypass, etc., he was noted to have a hematocrit of 29, a white count of 10, bun and creatinine of 15 and .6. his pulmonary artery pressures were 46/21, with a wedge of 15. cardiac output was 4.5, and an index of 2.5, systemic vascular resistance of 1400. sputum cultures from ultimately revealed moraxella and e. coli that were sensitive to levaquin, and he was therefore treated for a presumptive pneumonia. his white count was 12,000 at this time. on , the cardiology consult service performed a cardiac catheterization showing elevated left ventricular end diastolic pressures, trace mitral regurgitation, an ejection fraction of 30%. a ventriculogram study showed anterolateral, apical, and apical inferior wall motion abnormalities, consistent with a left dominant or left main disease. the left main coronary artery was eccentric and severely calcified, with an 80% lesion as well as the left anterior descending having a 90% proximal lesion. the left circumflex was 80% stenosed. given this severe three vessel disease and left main of approximately 80 to 90% stenosis, the cardiothoracic surgical service was consulted on . cardiac surgery therefore suggested that the patient undergo a coronary artery bypass graft, given the severe three vessel disease and left main disease. he was transferred to the cardiac critical care unit and was ultimately taken to the operating room on , where he underwent a coronary artery bypass graft x 2, including saphenous vein graft to the oblique marginal, and saphenous vein graft to the left anterior descending. the patient came off pump with a mean arterial pressure of 70, cvp of 21, and pulmonary artery pressure of 36. he was in sinus tachycardia at 100, and he was on milrinone drip. postoperatively from the coronary artery bypass graft, he was taken to the cardiac surgical recovery unit, where his postoperative hematocrit was 29. he had a potassium of 4.4, bun and creatinine of 6 and .4. he was still intubated, sedated on propofol, being maintained on neo-synephrine .5 mcg/kg/minute. he was additionally transfused two units of packed red cells and two units of fresh frozen plasma. he was a-paced at 90. he had an arterial blood gas with a gas on 100% of 7.41, 39, 106, 24, -1. chest tube had put out 435 for one, and 280 for a second. as a consequence, his propofol was weaned. he was extubated, and his milrinone was maintained. aspirin was placed. lopressor was held for some hypotension issues. neo-synephrine was removed once a transfusion was complete. on postoperative day number two, he remained in the csru. the milrinone that had been started post-transfusion and post-neo-synephrine removal was ultimately weaned off by postoperative day number two. his hematocrit was noted to be 27, white count went down to 9000. he continued his levaquin. bun and creatinine were 11 and .4. neurological status was intact. lopressor 12.5 mg by mouth twice a day was started. he was given lasix for diuresis. his swan-ganz catheter was removed. ultimately he was given a cardiac diet, and it was recommended that he continue his levaquin for a total of ten day treatment for presumed moraxella and e. coli pneumonia that was picked up post-vascular bypass procedure. by postoperative day number three, the patient was transferred to the floor, where he remained afebrile, in sinus rhythm. he was no longer being paced. he did have problems with postoperative delirium status post coronary artery bypass graft. given his significant vascular history and his complicated hospital course, it was felt that these mental status changes were probably acute delirium superimposed on a chronic vascular dementia. the patient was treated with as needed haldol and restraints. his hematocrit was 32, with a white blood count of 10,000. bun and creatinine were 10 and .4. by postoperative day number four, he was ambulating well with physical therapy. he was given a rehabilitation screening. he was kept on aggressive pulmonary toilet and given incentive spirometry, albuterol and atrovent nebulizers, chest physical therapy. he was continued on levaquin. lopressor was titrated to keep his heart rate under 100. by postoperative day number five, the patient was afebrile, stable. his sternum had no evidence of drainage. he had staples intact. he was ambulating at a level ii, approximately 75 to 200 feet distance using a wheelchair assistance. the left lower extremity showed some evidence of possible erythema, but it was felt that the levaquin should give him adequate coverage. his hematocrit at this time was 32, his bun and creatinine were 10 and .5. he was therefore deemed to go to discharge. chest x-ray showed resolving bilateral pleural effusions, left vascular engorgement, as compared to prior studies during his hospital course, and no evidence of acute pulmonary edema. condition on discharge: stable, afebrile. the sternum is intact. discharge status: he will be discharged to rehabilitation facility. discharge diagnosis: 1. postoperative non-q wave myocardial infarction status post a femoral-femoral, femoral-to-posterior tibial bypass graft on the right lower extremity, as well as status post a coronary artery bypass graft x 2 for significant three vessel coronary artery disease and left main disease 2. postoperative delirium, presumed delirium superimposed on a vascular dementia 3. non-q wave myocardial infarction 4. peripheral vascular disease 5. alcohol abuse 6. 50 pack year smoking history discharge medications: lopressor 100 mg by mouth twice a day, lasix 20 mg by mouth every morning, k-dur 20 meq by mouth once daily, aspirin 325 mg by mouth once daily, levaquin 500 mg by mouth once daily for a total of a ten day course to continue for five more days, albuterol and atrovent metered dose inhaler two puffs every four hours as needed, haldol 2 to 4 mg by mouth every eight hours as needed, protonix 40 mg by mouth once daily. fop: he will see dr. in six weeks from the time of discharge. he should see a primary care physician or cardiologist in three to four weeks. he will have his wound check done at his rehabilitation facility. no heavy lifting over ten pounds for one month, no driving for one month. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization other and unspecified coronary arteriography other (peripheral) vascular shunt or bypass other (peripheral) vascular shunt or bypass repair of blood vessel with tissue patch graft endarterectomy, lower limb arteries diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified cardiac complications, not elsewhere classified pneumonia due to escherichia coli [e. coli] atherosclerosis of native arteries of the extremities, unspecified embolism and thrombosis of iliac artery cellulitis and abscess of foot, except toes 

Answer: The patient is high likely exposed to