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: sulfonamides / lipitor / naprosyn / penicillins / amoxicillin / chocolate flavor / crestor / morphine / ativan / vancomycin attending: chief complaint: left carotid stenosis major surgical or invasive procedure: left cea history of present illness: this 75-year-old gentleman has been followed for a number of years with left carotid stenosis, progressively worsening over time without associated symptoms and now in a very critical greater than 90% range past medical history: 1 cad - s/p lad and om1 stent in , s/p rca ptca in ' 2. niddm 3. htn 4. pvd s/p bilat le bypass surgeries (dr.) 5. esrd on hd mwf 6. cataracts 7. gout 8. bph 9. abd hernia 10. s/p ccy, ex-lap w/abd hernia resulting 11. incarcerated ventral hernia containing strangulated small bowel and requiring small bowel resection. this was complicated by a leak leading to re-operation and intubation. social history: worked as head . hx etoh abuse x 20 yrs, but quit . 86 ppy tob. multiple family memebrs live nearby. family history: fa: died secondary to colon ca mo: died secondary to pna siblings: etoh abuse, htn physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness ext: rle - palp fem, , pt, dp lle - palp fem, , pt, dp pertinent results: 04:03am blood wbc-7.0 rbc-3.05* hgb-9.5* hct-29.2* mcv-96 mch-31.0 mchc-32.5 rdw-14.9 plt ct-191 04:03am blood pt-13.8* ptt-25.5 inr(pt)-1.2* 04:03am blood glucose-109* urean-49* creat-7.9*# na-138 k-4.3 cl-91* hco3-32 angap-19 04:03am blood calcium-8.9 phos-6.1* mg-1.8 uricacd-7.1* brief hospital course: mr. , was admitted on with left carotid artery stenosis. he agreed to have an elective surgery. pre-operatively, he was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preperations were made. it was decided that she would undergo a left carotid artery endarectomy. he was prepped, and brought down to the operating room for surgery. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. post-operatively, she was extubated and transferred to the pacu for further stabilization and monitoring. he was then transferred to the vicu for further recovery. while in the vicu he recieved monitered care. when stable he was delined. his diet was advanced. a pt consult was obtained. when he was stabalized from the acute setting of post operative care, he was transfered to floor status on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve her strength and mobility. he continues to make steady progress without any incidents. he was discharged home in stable condition. to note pt was on iv nitro for bp control. he denied ha at this time. on dc his sbp is less then 140. pt staples were taken out from neck wound. he was clipped and stripped. he has an follow-up appointment with arterial duplex in 4 weeks with dr . medications on admission: amlodipine 10', lisinopril 40', colchicine 0.6', prilosec 40'', pravastatin 60', zoloft 25', renagel 1600''', asa 81' discharge medications: 1. colchicine 0.6 mg tablet : one (1) tablet po daily (daily). 2. aspirin 81 mg tablet : one (1) tablet po daily (daily). 3. pravastatin 20 mg tablet : three (3) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) : two (2) capsule, delayed release(e.c.) po bid (2 times a day). 5. sertraline 50 mg tablet : 0.5 tablet po daily (daily). 6. sevelamer hcl 400 mg tablet : four (4) tablet po tid w/meals (3 times a day with meals). 7. amlodipine 5 mg tablet : two (2) tablet po daily (daily). 8. polyvinyl alcohol-povidone 1.4-0.6 % dropperette : drops ophthalmic prn (as needed). 9. lisinopril 20 mg tablet : one (1) tablet po daily (daily). 10. lisinopril 10 mg tablet : one (1) tablet po qpm (once a day (in the evening)). 11. percocet 5-325 mg tablet : 1-2 tablets po four times a day for 10 days: prn. disp:*20 tablet(s)* refills:*0* 12. b complex-vitamin c-folic acid 1 mg capsule : one (1) cap po daily (daily). 13. sertraline 25 mg tablet : one (1) tablet po once a day. discharge disposition: home discharge diagnosis: asymptomatic left carotid stenosis (pre-op) pmh: esrd on hd complete heart block (paced) chf (ef 45%) htn gout chol niddm gerd mrsa bacteremia discharge condition: stable discharge instructions: division of and endovascular surgery carotid endarterectomy surgery discharge instructions what to expect when you go home: 1. surgical incision: ?????? it is normal to have some swelling and feel a firm ridge along the incision ?????? your incision may be slightly red and raised, it may feel irritated from the staples 2. you may have a sore throat and/or mild hoarseness ?????? try warm tea, throat lozenges or cool/cold beverages 3. you may have a mild headache, especially on the side of your surgery ?????? try ibuprofen, acetaminophen, or your discharge pain medication ?????? if headache worsens, is associated with visual changes or lasts longer than 2 hours- call surgeon??????s office 4. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 5. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? no excessive head turning, lifting, pushing or pulling (greater than 5 lbs) until your post op visit ?????? you may shower (no direct spray on incision, let the soapy water run over incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? temperature greater than 101.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: followup instructions: provider: clinic phone: date/time: 10:00 provider: lab phone: date/time: 1:30 provider: , md phone: date/time: 2:00 procedure: hemodialysis endarterectomy, other vessels of head and neck procedure on single vessel diagnoses: end stage renal disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified hematoma complicating a procedure peripheral vascular disease, unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease atrioventricular block, complete other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure cardiac pacemaker in situ unspecified cataract 

Answer: The patient is high likely exposed to