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 78 year old man with a history of coronary artery disease, congestive heart failure, with ejection fraction of 25%, hypertension, and hypercholesterolemia, who presented to an outside hospital on , after sudden onset of shortness of breath and chest pressure while walking. his cardiac enzymes were slightly elevated while in the hospital and he was also diagnosed with congestive heart failure. an echocardiogram revealed an ejection fraction of 20% with global hypokinesis. he was transferred then to for cardiac catheterization. past medical history: 1. coronary artery disease: status post inferior myocardial infarction ten years ago. 2. congestive heart failure, with ejection fraction of 25%. 3. hypertension. 4. hypercholesterolemia. 5. status post tonsillectomy 50 years ago. allergies: none known. outpatient medications: 1. bumex 2 mg p.o. q. day. 2. celexa 20 mg q. day. 3. zestril 10 mg q. day. 4. atenolol 50 mg twice a day. 5. lipitor 10 mg q. day. 6. vitamin e. 7. aspirin 81 mg q. day. 8. nitroglycerin patch 0.2 mg q. a.m.; off q. p.m. hospital course: the patient was admitted to the cardiac medicine service and underwent a catheterization which revealed severe left main and three-vessel coronary artery disease with a severely depressed ejection fraction of 24%. on , he underwent a coronary artery bypass graft times three, with left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to pda. he was transferred to the cardiac care unit postoperatively. he had an intra-aortic balloon pump at the time and was on pressors. the vasopressors were slowly weaned off over the next couple of days. he was extubated on postoperative day one. on postoperative day two, his intra-aortic balloon pump was weaned and discontinued. on postoperative day three, he was noted to have an expiratory wheeze while lying down which would disappear when he sat up. he was treated with albuterol mdi. he continued to have episodic shortness of breath with wheezing and tachycardia, which mainly would resolve with albuterol nebulizers. a chest x-ray was done which showed bilateral lower lobe atelectasis. the patient had chest physiotherapy at this point. on , a pulmonary consultation was obtained for the episodes of shortness of breath and wheezing. the pulmonary consult suspected and upper airway pathology which could become audible during the rapid breathing phase of - respiration. they recommended an ent evaluation, steroids, plus/minus racemic epinephrine. an ent consultation was obtained was obtained at that time and a fiberoptic examination showed a normal nasopharynx, hypopharynx and larynx with no granulation tissue or edema, normal vocal cord appearance and mobility. the impression was that he had normal vocal cords and a wide open glottis and they suggested evaluating for dynamic upper airway obstruction below the level of the vocal cords. over the next few days, he continued to have episodes of audible expiratory wheeze. he was also slightly confused at this point. on , he underwent a bronchoscopy which showed a normal oropharynx, normal larynx, no endobronchial lesions, mild dynamic clots at the level of the main stem. he continued to be treated with metered-dose inhalers and racemic epinephrine. a cardiology consultation was also obtained and they recommended to continue diuresis and give bronchodilators. on , the patient had an episode of rigors accompanied by hypertension, tachycardia and mottled lower extremities and expiratory wheezes bilaterally. the patient was treated with two doses of benadryl intravenously. the episode resolved after 25 minutes. he had a ct scan of his torso which was negative. blood cultures were sent and he was started on levofloxacin. on , he was transferred out of the coronary care unit. at this point, neurologically, he was having episodes of agitation and confusion. this was treated with haldol. over the next few days, his pulmonary status gradually improved; the wheezing episodes decreased. his confusion started dissolving. on , he was transferred out to the regular floor. on , postoperative day 14, his condition was stable. neurologically, he was oriented and appropriately responsive. his pacing wires were discontinued. rehabilitation screening was started as it was felt that he was stable enough to go to rehabilitation at this point. medications on discharge: 1. captopril 37.5 mg three times a day. 2. protonix 40 mg p.o. q. day. 3. albuterol one to two puffs q. four to six hours p.r.n. 4. haldol 2 mg p.o. q. eight hours p.r.n. 5. lopressor 12.5 mg p.o. twice a day. 6. lasix 20 mg q. day times one week. 7. 20 meq q. day times one week. 8. colace 100 mg p.o. twice a day. 9. enteric coated aspirin 325 mg p.o. q. day. 10. carvedilol 3.125 mg twice a day. 11. celexa 20 mg q. day. 12. ciprofloxacin 500 mg q. 12 hours times one week. 13. tylenol 650 mg p.o. q. four to six hours p.r.n. condition at discharge: stable. disposition: discharge to rehabilitation facility. discharge instructions: 1. follow-up with dr. in four weeks. 2. follow-up with primary care physician, . , in two weeks. 3. suggestion is also made to the primary care physician to test for urinary metabolites for a pheochromocytoma. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery congestive heart failure, unspecified accidental puncture or laceration during a procedure, not elsewhere classified pulmonary collapse acute myocardial infarction of other inferior wall, initial episode of care other emphysema 

Answer: The patient is high likely exposed to