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 64 year old man with a past medical history of coronary artery disease, status post coronary artery bypass grafting times two with mitral valve replacement with a st. jude valve in , who presented to the emergency room on complaining of abdominal pain which he had been having since his heart surgery in . the patient reported that his abdominal pain was increasing in severity, persisting for a longer amount of time and was more intense. it was postprandial. he reported diarrhea. he reported that the pain was associated with bowel movements. physical examination: on physical examination, the patient had a temperature of 97.9, heart rate 77, blood pressure 144/78, respiratory rate 18 and oxygen saturation 99%. head, eyes, ears, nose and throat: unremarkable. neck: supple without lymphadenopathy. cardiovascular: irregular with a loud s1 and ii/vi systolic ejection murmur. lungs: clear to auscultation bilaterally. abdomen: diffusely tender with diminished bowel sounds. neurologic: nonfocal. past medical history: 1. atrial fibrillation for years, resistant to cardioversion. 2. , inferior myocardial infarction with angioplasty time two. 3. , cerebrovascular accident times two. 4. congestive heart failure. 5. asthma. 6. , myocardial infarction, congestive heart failure and rib fractures. 7. , coronary artery bypass grafting times two, mitral valve replacement with st. jude valve and dual pacemaker. 8. , cardioversion. 9. , cholecystectomy. 10. , patient found to have a solitary lung nodule. allergies: the patient is allergic to benzodiazepines, which cause a paradoxical reaction. medications on admission: aspirin 81 mg p.o.q.d., lisinopril 10 mg p.o.q.d., lopressor 12.5 mg p.o.b.i.d., amiodarone 200 mg p.o.q.d., coumadin 2.5 alternating with 5 mg p.o.q.h.s., ambien p.o.q.h.s.p.r.n., albuterol meter dose inhaler two puffs b.i.d. laboratory data: a kub demonstrated dilated loops of bowel. an abdominal ct showed no bowel wall thickening; it did show dilated loops of bowel and no diverticulosis. hospital course: the patient was admitted to the vascular service with a presumptive diagnosis of mesenteric ischemia. he underwent an abdomen angiogram on and had angioplasty of his superior mesenteric artery, with decreased abdominal pain. on , the patient was seen by the thoracic surgery service because he had been previously noted to have a left upper lobe lesion by chest x-ray in . a ct scan revealed a t2n2 left upper lobe lesion and possible right rib metastases on recent bone scan. thoracic surgery recommended consulting medical oncology. on , the patient complained of increasing abdominal pain and was found to have evidence of obstruction. he underwent an by dr. on , with pathology results confirming a carcinoid tumor. on postoperative days two through four, the patient was noted to be doing well, with an oxygen saturation of 99% on three liters nasal cannula. however, some rales were noted on examination. on , the patient was noted to have an increased respiratory rate to 30 and rales on examination, which was treated with albuterol nebulizers with some relief. a chest x-ray revealed mild congestive heart failure. his oxygen saturation decreased to 87% to 91% on three liters and respiratory rate was in the 30s to 40s. he was treated with lasix with some improvement. he was ruled out with cyclic cardiac enzymes. on and 20, , the patient was not noted to improve. he was transferred to the surgical intensive care unit on and treated with clindamycin and ciprofloxacin as per infectious disease on . on , the patient was started on vancomycin and, by , the patient was noted to be much improved, feeling well, with decreased shortness of breath. he still had a cough which was productive of clear sputum. he denied fever, chills, chest pain, nausea, vomiting or diarrhea. he was tolerating a small amount of oral intake, but this was limited secondary to his oxygen needs. on a 15 liter nonrebreather mask, the patient's oxygen saturations were 91% to 96%. please note that the transfer to the surgical intensive care unit was in order to allow utilizing continuous positive airway pressure to improve oxygenation and gain alveolar recruitment. on , the patient was found to have a systolic blood pressure in the 70s to 80s. this responded to gentle hydration and return to 104/40. his oxygen saturation was 92% to 96% on high flow humidified oxygen at 15 liters per minute. his heart rate was 85 in atrial fibrillation. at this time, the patient was transferred to the vascular intensive care unit. on , the patient was postoperative day 12, hospital day 16. he reported that he felt okay, although he appeared to be in mild respiratory distress. he was able to speak in full sentences. he was afebrile with stable vital signs. his oxygen saturation was 86% to 94% on 15 liters high flow humidified oxygen. cardiology was consulted regarding the pulmonary consultation's recommendation of discontinuing amiodarone. this was recommended secondary to a rare occurrence of amiodarone causing pulmonary infiltrates in an acute manner. on , the patient was postoperative day 13 and hospital day 17. he reported that he had had a good previous night, with no complaints. his oxygen saturation was 95% on 60% oxygen by face mask. his blood pressure range was 88/46 to 110/56. his examination demonstrated an irregularly irregular heart rhythm with an s1 present. his lungs were clear on the right with some end-expiratory rhonchi on the left. his sputum culture had grown out hemophilus influenzae, beta lactamase negative. it was decided to continue the amiodarone at this time. the patient's liver function tests, which had been previously elevated, were trending down, with his ast at 124, down from 352, alt 148, down from 265, alkaline phosphatase 161, down from 177 and total bilirubin 0.4, down from 1.1. his pneumonia appeared to be clinically improving and he had a decreased oxygen requirement. on , postoperative day 15 and hospital day 19, the patient was doing very well, with no complaints. he was afebrile and his vital signs were stable. his oxygen saturation was 95% on three to four liters by nasal cannula. his lungs were clear to auscultation bilaterally. on , the patient's antibiotic regimen was changed to oral levaquin 500 mg daily after pulmonary recommended this change. on postoperative day 17, hospital day 21, the patient was doing well, with no complaints. he was able to walk with assistance. he was afebrile with stable vital signs. his respiratory rate was 18 and he was breathing at 97% on three liters nasal cannula. his prothrombin time was 13.3, partial thromboplastin time 58.8, inr 1.2, sodium 134, potassium 4.6, chloride 102, bicarbonate 25, bun 15, creatinine 0.8 and glucose 118. his heparin drip was increased at this time to 1,200 units/hour. his coumadin dose was increased to 7.5 mg at bedtime. on , the patient was doing well, with no complaints. he was postoperative day 18, levaquin day four. he was afebrile with stable vital signs. his oxygen saturation was 98% on two liters per nasal cannula. his heart was irregular. his lungs had an occasional crackle but were otherwise clear. his abdomen was soft, nontender, nondistended, with normal active bowel sounds. his incision was clean, dry and intact with steri-strips. his appropriate was 13.8, partial thromboplastin time 79.2 on 1,200 units/hour of heparin and inr was 1.3. discharge medications: levaquin 500 mg p.o.q.d. times nine days. lopressor 12.5 mg p.o.b.i.d. zantac 150 mg p.o.b.i.d. coumadin 7.5 mg p.o.q.h.s. heparin 1,200 units/hour. enteric coated aspirin 325 mg p.o.q.d. percocet one to two tablets p.o.q.4-6h.p.r.n. pain. discharge diet: low sodium with three cans of boost plus per day. condition at discharge: fair. discharge status: to rehabilitation. discharge diagnosis: status post , , of carcinoid tumor. pneumonia, resolving. coronary artery disease, status post coronary artery bypass grafting times two and st. mitral valve replacement in . atrial fibrillation, chronic, with pacemaker. cerebrovascular accident times two in , symptoms have resolved. asthma. mild chronic obstructive pulmonary disease. , m.d. dictated by: medquist36 procedure: angioplasty of other non-coronary vessel(s) open and other right hemicolectomy other small-to-large intestinal anastomosis diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified atrial fibrillation aortocoronary bypass status malignant neoplasm of other parts of bronchus or lung chronic obstructive asthma, unspecified stricture of artery unspecified intestinal obstruction malignant neoplasm of ileum 

Answer: The patient is high likely exposed to