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: shortness of breath major surgical or invasive procedure: cabgx1(lima-lad) mv repair history of present illness: 77 yo male with worsening sob and fatigue. cath with 1 vessel disease, echo with 3+ mr. past medical history: dm, htn, ^chol, chronic af, cri, psoriasis, s/p sigmoid resection ', s/p polypectomy, s/p ex lap/loa ' social history: retired engineer denies tobacco etoh/day family history: no premature cad physical exam: hr 60 rr 16 bp 100/60 elderly male in nad non-healing wound left shin, very mild cellulitis teeth in poor repair lungs ctab heart rrr, sem abdomen soft, nt, ventral hernia extrem 2+ edema pulses 2+ t/o bilat carotid bruits pertinent results: 03:26am blood wbc-9.2 rbc-3.05* hgb-9.9* hct-29.4* mcv-96 mch-32.4* mchc-33.7 rdw-16.6* plt ct-182# 01:05am blood wbc-17.0* rbc-2.99* hgb-9.6* hct-29.4* mcv-98 mch-32.2* mchc-32.8 rdw-17.0* plt ct-105* 03:26am blood plt ct-182# 03:26am blood pt-15.3* inr(pt)-1.3* 03:26am blood glucose-66* urean-46* creat-1.2 na-146* k-3.6 cl-108 hco3-29 angap-13 chest (portable ap) 3:58 pm chest (portable ap) reason: s/p ct pull medical condition: 77 year old man with reason for this examination: s/p ct pull upright chest x-ray comparison to , the swan-ganz catheter as well as the chest tubes are in the left hemithorax, and the nasogastric tube and endotracheal tube have been withdrawn. the cardiac silhouette is still slightly enlarged. no pleural effusion. retrocardiac atelectasis. no signs of overhydration. echocardiography report , (complete) done at 10:09:38 am final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 77 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. atrial fibrillation. congestive heart failure. coronary artery disease. hypertension. mitral valve disease. palpitations. shortness of breath. icd-9 codes: 402.90, 427.31, 786.05, 440.0, 424.0 test information date/time: at 10:09 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw1-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: *6.4 cm <= 4.0 cm left atrium - four chamber length: *5.4 cm <= 5.2 cm left ventricle - ejection fraction: 55% to 60% >= 55% aorta - ascending: 2.7 cm <= 3.4 cm aortic valve - peak gradient: 12 mm hg < 20 mm hg aortic valve - mean gradient: 8 mm hg pericardium - effusion size: 0.3 cm findings left atrium: moderate la enlargement. cannot exclude laa thrombus. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. mildly dilated lv cavity. overall normal lvef (>55%). right ventricle: rv hypertrophy. normal rv chamber size. normal rv systolic function. aorta: normal aortic diameter at the sinus level. simple atheroma in aortic root. normal ascending aorta diameter. simple atheroma in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no valvular as. the increased transaortic velocity is related to high cardiac output. no ar. mitral valve: moderately thickened mitral valve leaflets. moderate mitral annular calcification. calcified tips of papillary muscles. no ms. moderate (2+) mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is moderately dilated. a left atrial appendage thrombus cannot be excluded. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. overall left ventricular systolic function is normal (lvef>55%). 3. the right ventricular free wall is hypertrophied. right ventricular chamber size is normal. right ventricular systolic function is normal. 4. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no valvular aortic stenosis. the increased transaortic velocity is likely related to high cardiac output. no aortic regurgitation is seen. 6. the mitral valve leaflets are moderately thickened. moderate (2+) mitral regurgitation is seen. the vena contracta measures .45 cm. there is both anterior and posterior leaflet retraction with a dynamic central to posteriorly-directed jet. there is dilation of the mitral annulus which measures 3.4 cm. 7. there is a trivial/physiologic pericardial effusion. post-cpb: on infusion of phenylephrine. well-seated annuloplasty ring in the mitral position. no mr. normal lv systolic fiunction. lvef now 60%. aortic contour normal post decannulation. brief hospital course: he was admitted preoperatively. he was seen by electrophysiology for bradycardia/atrial fibrillation on admission and his digoxin and atenolol were discontinued. he was also seen by sleep medicine after periods of apnea were noted preoperatively, and he will need outpatient follow up approximately four weeks after discharge. he was taken to the operating room on where he underwent a cabg x 1 and mv repair. he was transferred to the icu in critical but stable condition. he was extubated on pod #1. he was given 48 hours fo vancomycin as he was in the hospital preoperatively. he was seen by for hyperglycemia, and was started on lantus. his chest tubes and wires were pulled without incident. he remained in the icu because there were no beds on the floor. he was ready for discharge to rehab on pod #5. medications on admission: coumadin, cozaar 100', atenolol 50', felodipine 10', dig .125', zocor 10', bumex 3', hytrin 5', tekturn(?)300', proscar 5', nph70/30 30a/25p discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. terazosin 5 mg capsule sig: one (1) capsule po hs (at bedtime). 6. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. bumetanide 2 mg tablet sig: 1.5 tablets po bid (2 times a day). 10. warfarin 1 mg tablet sig: three (3) tablet po once (once) for 1 doses: check inr and dose accordingly. goal inr for a fib. 11. insulin glargine 100 unit/ml solution sig: fifty (50) units subcutaneous once a day. 12. insulin lispro 100 unit/ml solution sig: liding scale units subcutaneous every six (6) hours. discharge disposition: extended care facility: - discharge diagnosis: cad, mr s/p cabg/mvr dm, htn, ^chol, chronic af, cri, psoriasis, s/p sigmoid resection ', s/p polypectomy, s/p ex lap/loa ' discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 4 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart cardioplegia annuloplasty transfusion of packed cells diagnoses: anemia in chronic kidney disease coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes chronic kidney disease, unspecified other specified cardiac dysrhythmias cellulitis and abscess of leg, except foot unspecified sleep apnea 

Answer: The patient is high likely exposed to