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: the patient was an 88-year-old male with a history of cerebrovascular disease who presented with signs and symptoms of peptic ulcer disease, but work-up revealed the fact that the patient had postprandial abdominal pain and was ultimately evaluated for mesenteric ischemia. the patient's symptoms included intermittent abdominal pain, as well as a description of an episode of diffuse abdominal pain and "feeling lousy" after meals for the past several months. the patient discouraged the patient from eating and resulted in an lb weight loss over the prior four months before admission. additionally, the patient noted a drastic ................., as well as an overall abdominal girth. review of systems: he denied nausea or vomiting. he denied diarrhea. no chills. per the patient, he never had a problem "with his heart." he denied history of myocardial infarction. no previous echocardiogram data. no prior catheterization or rhythm disturbances. he did state that he did have stress test long ago and could not remember exactly what the nature or results of that were. after being admitted for the work-up of mesenteric ischemia, he did receive an arteriogram that showed significant mesenteric vessel disease requiring likely operative intervention. prior to him going to the operating room, he did get a cardiac consultation. cardiology had seen the patient, and given his multiple comorbidities, they recommended work-up. past medical history: significant for diabetes times 30 years which is "labile." prior history of stroke and transient ischemic attacks. history of hypoglycemia from his diabetes. coronary artery disease with prior myocardial infarction. history of hypertension. he denied tobacco. he used alcohol occasionally. social history: he lived at home. he worked in a leather factory. he repaired televisions and radios as his prior occupations, but was retired on admission. medications on admission: zestoretic q.d., plavix 75 mg q.d., aspirin 325 mg q.d., humulin n 15 q.a.m., ambien 5 mg q.d. allergies: no known drug allergies. physical examination: vital signs: temperature 97.0??????, pulse 101, respirations 18, blood pressure 150/80, oxygen saturation 95% on room air. general: the patient was in no acute distress. he was a well-developed, well-nourished white male. heent: pupils equal, round and reactive to light and accommodation. extraocular movements intact. normocephalic, atraumatic. conjunctivae normal. oropharynx negative. neck: supple. trachea midline. no palpable lymphadenopathy. lungs: clear to auscultation but decreased throughout. heart: regular, rate and rhythm. normal s1 and s2. abdomen: scaphoid. minimally distended. tympanitic. nontender. rectal: heme negative. normal tone. no masses. musculoskeletal: grossly intact. pulse exam was 2+ femoral, 2+ dorsalis pedis, 2+ posterior tibial bilaterally. no evidence of tissue loss. hospital course: the patient was admitted on , for his mesenteric ischemia work-up. he did receive a preoperative carotid ultrasound that revealed no significant hemodynamic lesions, either on the right or left carotid bifurcation. consultation was obtained for blood sugar management while he was in-house. ultimately he was given prehydration mucomyst for his in-house angiogram which showed significant three-vessel disease. additionally his work-up included not only cardiac work-up but also pft evaluation. on , he was received preoperative work-up, and his labs were notable for a white count of 10.6, hematocrit 39.1, and a platelet count 243, bun and creatinine of 31 and 1.6; coags were with a pt and inr of 13.9 and 1.3, with a ptt of 29.4. he had cardiac clearance. carotid ultrasound as previously stated was negative. chest x-ray showed mild congestive heart failure. recheck showed some worsening failure. urinalysis was negative. he was placed on perioperative beta-blocker. on , the patient went to the operating room where he underwent aorto-sma bypass with an 8 x 40 mm ptfe graft under the assistance of drs. , , and shan. at the time of operation, the findings were a calcified aorta and occluded left cia. the patient's blood loss was 100 cc. he received 2200 cc of crystalloid. urine output was 420 cc for the case. there were no complications. he went to the pacu with palpable popliteals bilaterally, and his feet were warm. he received heparin 500 u/hr, as well as neo-synephrine, and dobutamine. the patient remained intubated. cardiac consultation was required .................. postoperative due to the patient's dobutamine requirement and low cardiac index. initial index was 1.1 intraoperative with a pa pressure of 61/30, and cvp of 14. dobutamine had been started intraoperatively empirically for hemodynamic findings. electrocardiogram postoperatively was unchanged with left bundle branch block. cardiology recommended following cardiac outputs, as well as pa saturations and aortic saturations. echocardiogram was rechecked with a goal wedge stated to be approximately 18. his enzymes were ordered to be cycled accordingly. at the time of postoperative check at 6:30 p.m. on , he was still on dobutamine drip at 2.5, heparin drip at 500 u/hr, and epidural for pain. he remained intubated and sedated. his temperature was 38.1??????c, 80, with frequent apcs, blood pressure 110/50, cvp 15, pa pressure 52/24, wedge 24. fick cardiac output index numbers were 4.07 and 2.31, with an svr of 1179. non-fick output index were 3.89 and 2.21. he was on ................... with an simv, pressure support of 60%, 700 x 10, 5 and 5. arterial blood gases on that were 7.32, 35, 158, 22, and 98%. he had a mixed mean of 70. he received a total 2700 cc of fluids. immediately postoperatively he received 1 u packed red blood cells. his postoperative hematocrit was 29.2, with a creatinine of 1.8, and ptt of 85 on heparin drip as noted. his ck was 90, troponin less than 0.3. postoperative chest x-ray showed mild congestive heart failure. swan-ganz catheter was in good position. there was no evidence of pneumothorax. electrocardiogram showed no acute ischemia. no changes. echocardiogram postoperatively demonstrated an ejection fraction of 25%, with decreased right ventricular motion, which was a new finding. overall echocardiogram findings showed global hypokinesis which drove the service to rule the patient out for myocardial infarction. adequate oxygenation had to be ensured. the plan was to keep the patient intubated over night, rule him out serially, and support him hemodynamically. the patient was therefore admitted to the for postoperative management. by postoperative day #1, he was doing well hemodynamically, although he did have a temperature to 101.3??????. he was in sinus rhythm at 93, with a blood pressure of 111/49. cvp was 9, pa pressure 48/20, output index of 6.1 and 3.49, with an svr of 630. he remained vented and supported. he was doing otherwise satisfactory. he was noted to have a postoperative creatinine at this time of 2.5 which was markedly elevated. again this was thought to be secondary to his recent contrast load and intraoperative fluid shift and questionable transient hypotension and low index output. over the next several days, the patient was weaned from the vent on postoperative day #3. he was reintubated for respiratory distress. he was noted to have a troponin leak as well. at this time, his hematocrit was 29.9, and his bun and creatinine were up to 112 and 4.3, falling into acute postoperative renal failure. he remained intubated and sedated. he was noted to have some cool cyanotic toes. he had a left posterior tibialis present by doppler. he was being supported with dobutamine and being diuresed with natrecor for his pulmonary edema which had occurred postoperatively from fluid shifts. he had a lactate of 1.8 at this time. he was continued on heparin drip. he was on broad-spectrum antibiotics of vancomycin and flagyl. renal was consulted shortly thereafter for his management of acute renal failure. he continued to have fevers and ultimately developed thrombocytopenia. a combination of thrombocytopenia, fevers, respiratory failure, and acute renal failure, metabolic acidosis was ominous at best. he ultimately ruled in for myocardial infarction postoperatively. his .................. was decreased serially. he was supported. his dobutamine was switched to milrinone and natrecor, and he was started on amiodarone for ventricular ectopy/atrial fibrillation. by , the patient continued to be managed for his congestive heart failure. cardiology at this time had noted that he was begun on amiodarone for supraventricular tachycardia. his blood pressure was 108/57, pulse ranging 90-120 for supraventricular tachycardia. he was continued on vancomycin, levofloxacin, and flagyl, with lopressor 2.5 .................., natrecor, milrinone drip 0.5, versed drip, and protonix. his hematocrit was 30. his platelet count was down to 44, and his bun and creatinine were 119/4.1. his natrecor was increased serially to assist with his heart failure, and he continued to go into renal failure. ultimately he developed, on postoperative day #6, some new wide complex tachycardia with stable blood pressure. he was continued on amiodarone drip, and he was changed to milrinone earlier. his natrecor was increased serially. he was noted to have a cold cyanotic right lower extremity with decreased pulses. his index at this time remained to be 2. the patient was being covered by dr. , as dr. was out of time. overall his cardiac parameters improved. although his right leg was worrisome, there was nothing they could do in light of the situation except for heparinization. there was nothing that could be done in terms of revascularization. this was all thought to be due to his overall hypoperfused state. over the ensuing days, the patient's clinical status deteriorated; renal function was worse. the family at this time had discussed on , that the patient be made dnr. he was given a 48-hour trial. the patient clearly had a poor prognosis. cardiology at this time recommended instead of continuing with milrinone, to try to introduce hydralazine for afterload reduction to stop his natrecor drip, as it had no affect on his pulmonary edema management. his antibiotics were continued accordingly. by postoperative day #9, the patient continued on vancomycin, levofloxacin, and flagyl. at this time, the day was . he was on lopressor, protonix, levaquin, aspirin, flagyl, milrinone, amiodarone, and vancomycin. his weight was up 16 kg, and he was being supported with total parenteral nutrition. he remained intubated on full ventilatory support. overall his outlook was grim. a family discussion was held, and the patient was cmo. shortly after the removal of support, the patient expired at approximately 3:30 p.m. on . the family was accordingly notified. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube pulmonary artery wedge monitoring repair of blood vessel with synthetic patch graft other intra-abdominal vascular shunt or bypass diagnoses: acidosis congestive heart failure, unspecified acute kidney failure, unspecified unspecified protein-calorie malnutrition atrial fibrillation acute respiratory failure acute myocardial infarction of unspecified site, initial episode of care chronic vascular insufficiency of intestine 

Answer: The patient is high likely exposed to