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 artery bypass grafting x5. (lima>lad,svg>diag y>om1,svg>om2,svg>plb) history of present illness: 55 yo m who presented to his pcp's office in early with chest pain and ekg changes. pt was sent to the ed at , subsequently admitted, and transferred to for cardiac catheterization which revealed severe three vessel coronary artery disease. surgery was delayed secondary to persistent fevers. he was found to c. diff and was treated with flagyl. workup at that time was also notable for multiple pulmonary emboli and he has been placed on lovenox until his surgery. he returns today for evaluation and rescheduling of surgery. he has felt very well since discharge and denies any symptoms of fever, chest pain or dyspnea. past medical history: coronary artery disease, ischemic cardiomyopathy hypertension hyperlipidemia history of mi 6 years ago pulmonary emboli social history: -tobacco history: none -etoh: none -illicit drugs: none works as a cook. family history: father died at 69 with mi, mother died at 72 from mi. physical exam: pulse:58sb resp:18 o2 sat: 99% b/p right: 148/76 left:140/70 height:5'5" weight:81.6 kg, 180 lbs general: middle aged male in no acute distress skin: dry intact . healed burn on l hand, no surrounding erythema, a few maculopapular lesions/petechiae in r and l antecubital fossae. a few erythematous small (1-2mm) papules on r anterior chest.blanching erythematous patch mid sternal line. heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular no murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - none varicosities: none neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 2 left: 2 pt : 2 left: 2 radial right: 2 left: 2 carotid bruit right/left: none discharge: vs: t: 98.0 hr: 62 sr bp: 120/70 sats: 95% ra general: sitting in chair no apparent distress heent: normocephalic, mucus membranes moist neck: supple card: rrr normal s1,s2 no murmur resp: bilateral crackles 1/4 up otherwise clear gi: benign extr: warm tr edema incision: sternal and lle clean dry intact neuro: non-focal pertinent results: echo pre-bypass: no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with anterior, anteroseptal and apical hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 45 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. mild to moderate (+) mitral regurgitation is seen. a very eccentric posterior directed mr was seen. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is in sinus rhythm 1. biventricular function is normal 2. eccentric mr still present 3. aorta is unchanged post decannulation 4. other findings are unchanged bc-17.0* rbc-3.27* hgb-9.7* hct-28.2 lt ct-211 wbc-12.4*# rbc-2.92*# hgb-8.8*# hct-25.4* pt 188 pt-15.9* inr(pt)-1.4* pt-14.6* ptt-29.7 inr(pt)-1.3* pt-14.4* inr(pt)-1.2* pt-16.6* ptt-35.3* inr(pt)-1.4* glucose-97 urean-22* creat-1.2 na-142 k-4.4 cl-103 hco3-30 mg-2.1 cxr : marked cardiomegaly is unchanged. postoperative mediastinal widening is stable. there is no pneumothorax. small bilateral pleural effusions are associated with adjacent bibasilar atelectases. standard wires are aligned. patient is post cabg. small left pneumothorax has decreased in size. there is mild vascular congestion. 07:10am blood wbc-13.4* rbc-3.02* hgb-8.9* hct-27.1* mcv-90 mch-29.6 mchc-33.0 rdw-15.7* plt ct-190 03:40pm blood wbc-12.4*# rbc-2.92*# hgb-8.8*# hct-25.4*# mcv-87 mch-30.2 mchc-34.8 rdw-15.4 plt ct-188 06:05am blood pt-17.4* inr(pt)-1.6* 03:40pm blood pt-16.6* ptt-35.3* inr(pt)-1.4* 07:10am blood glucose-97 urean-22* creat-1.2 na-142 k-4.4 cl-103 hco3-30 angap-13 01:57am blood glucose-111* urean-10 creat-0.9 na-140 k-3.8 cl-109* hco3-26 angap-9 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to five vessels(left internal mammary artery >left anterior descending artery ,saphenous vein grafted >diag y>obtuse marginal 1,>om2,svg>plb). please refer to dr operative report for further details. postoperatively he was transferred to the intensive care unit for monitoring. over the next several hours, he awoke neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed.all lines and drains were discontinued in a timely fashion. on postoperative day one, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. his electrolytes were repleted as needed. he was started on coumadin for a history of pe. on pod2 he experienced rapid atrial fibrillation converted to sinus rhythm with amiodarone iv converted to po. the ace was restarted. physical therapy was consulted for evaluation of increasing mobility and strength and cleared him for discharge to home. pod4 he had a brief episode of atrial fibrillation with spontaneous conversion to sinus rhythm. the remainder of his postoperative course was essentially uneventful. he continued to progress and was cleared by dr. for discharge to home with vna on pod# 5. dr. will follow the coumadin dosing, with first inr draw to be done on thurs. . all follow up appointments were advised. medications on admission: lovenox 70", lisinopril 20', lopressor 150", simvastatin 80', asa 325', colace 100' discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 3. carvedilol 6.25 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 7 days: then 200 mg daily. disp:*60 tablet(s)* refills:*1* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. warfarin 2.5 mg tablet sig: one (1) tablet po once daily at 4 pm: inr goal 2.0-3.0. disp:*30 tablet(s)* refills:*2* 8. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 9. potassium chloride 10 meq tablet sustained release sig: one (1) tablet sustained release po once a day for 5 days. disp:*5 tablet sustained release(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad s/p cabg ischemic cardiomyopathy hypertension hyperlipidemia history of mi 6 years ago pulmonary emboli discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: -please follow-up with dr. in 1 month. ( -please follow-up dr. in weeks. ***-coumadin dosing/inr draws will be followed by dr. , first inr draw to be done via vna on thursday , with results called to dr. #. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia 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 old myocardial infarction chronic systolic heart failure long-term (current) use of anticoagulants personal history of venous thrombosis and embolism 

Answer: The patient is high likely exposed to