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: aspirin attending: chief complaint: shortness of breath major surgical or invasive procedure: mitral valve repair with a 28-mm annuloplasty cg future ring & coronary artery bypass grafting x 1 with reverse saphenous vein graft to the posterior descending artery exploratory laparoscopy history of present illness: mr. is a 71 year old male with a complaint of shortness of breath with exertion and was followed by his cardiology and primary care physician. was admitted for "heart problems" and underwent cardiac catheterization showing a total right coronary occlusion and left ventricular function 40% with severe mitral valve insufficiency. he was discharged home with plan to follow up with cardiologist. for the past week he has been feeling more short of breath and not feeling great. he started to feel acutely short of breath, not resolved with inhalers and presented to the emergency department at an outside hospital. he was transferred to for surgical evaluation. past medical history: coronary artery disease chronic obstructive pulmonary disease hypertension rheumatic mitral valve insufficiency depression hypercholesterolemia cerevascular accident myocardial infarction atrial fibrillation degenerative joint disease s/p left inguinal hernia repair s/p thoracic surgery in past due to gun shot wound s/p right knee surgery social history: lives with: alone tobacco: currently smoking cigarettes daily; 80-120 pky etoh: occassional family history: non-contributory physical exam: admission: pulse:82 resp: 14 o2 sat: 97 on ra general:nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs scattered rhonchi, crackles at bases heart: rrr irregular murmur 2/6 sem 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:none left:none pertinent results: heparin dependent antibodies negative 05:52am blood wbc-14.6* rbc-3.36* hgb-9.6* hct-30.4* mcv-91 mch-28.7 mchc-31.7 rdw-16.9* plt ct-502* 06:15am blood wbc-17.2* rbc-3.26* hgb-9.7* hct-29.7* mcv-91 mch-29.8 mchc-32.8 rdw-16.9* plt ct-420 05:52am blood pt-29.4* inr(pt)-2.9* 06:15am blood pt-23.2* inr(pt)-2.2* 01:59am blood pt-24.3* ptt-36.6* inr(pt)-2.3* 07:06pm blood pt-25.2* ptt-31.6 inr(pt)-2.4* 08:30pm blood pt-28.8* inr(pt)-2.8* 09:00am blood pt-15.5* ptt-25.5 inr(pt)-1.4* 06:15am blood glucose-83 urean-19 creat-0.8 na-137 k-4.1 cl-104 hco3-23 angap-14 01:59am blood glucose-92 urean-23* creat-0.7 na-137 k-4.4 cl-105 hco3-24 angap-12 04:05am blood glucose-129* urean-31* creat-1.0 na-137 k-4.2 cl-102 hco3-26 angap-13 brief hospital course: he underwent cardiac catheterization on , was seen by cardiac surgery and had theusual preoperative workup including pft's and dental clearance. on he was brought to the operating room where mitral valve repair with a 28-mm annuloplasty cg future ring and coronary artery bypass grafting x 1 with reverse saphenous vein graft to the posterior descending artery were performed. he tolerated the operation well and was transferred to the cardiac surgery icu in stable condition. he was stable in the immediate post-operative period, anesthesia was reversed and he woke neurologically intact and was extubated. he continued to do well and was transferred to the cardiac surgery stepdown floor on pod2. all tubes lines and drains were removed per cardiac surgery protocol. on pod3 his lab work revealed an elevated creatinine and platelet count down to 34k. all nephrotoxic meds were stopped and urine electrolytes were checked and his creatinine gradually returned to . a hit screen was checked and was negative. over the next several days he had increasing abdominal distention with tenderness and nausea, lfts/amylase and lipase were checked and found to be elevated as was the wbc. he was made npo, an abdominal ct was done, general surgery was consulted. on he returned to the operating room with dr for an exploratory laparoscopy that was essentially negative. his abdominal exam gradually improved and over several days his diet was advanced. all lab values trended back toward normal. the remainder of his hospital stay was uneventful. his activity was advanced with the assistance of physical therapy and nursing staff. coumadin was resumed for his chronic atrial fibrillation. he was tolerating a heart healthy diet at discharge and his exam was benign. diuretics were continued after discharge as he remained 8kgs above his preoperative weight. on pod 14 he was discharged home with visiting nurses. dr. () will follow his inr and adjust coumadin dosing upon discharge. medications on admission: medications at home: spiriva 18 micrograms inhaled daily advair 100/50 micrograms one puff twice a day norvasc 10 mg daily coumadin 2.5 mg daily-not compliant per records toprol xl 200 mg once a day enalapril 20 mg daily lipitor 80 mg daily aspirin 81 mg daily lasix 20 mg daily medications on transfer: albuterol nebs as needed duoneb three times per day norvasc 10mg daily aspirin 81mg daily atorvastatin 80mg daily enoxaparin 60mg daily flovent 1 puff twice per day lasix 20mg iv daily lisinopril 20mg daily toprolol xl 200mg daily nicotine patch 14mg daily discharge medications: 1. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 3. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q 3-4 hrs as needed for pain. disp:*50 tablet(s)* refills:*0* 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. metoprolol tartrate 50 mg tablet sig: 2.5 tablets po tid (3 times a day). disp:*225 tablet(s)* refills:*2* 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 8. hydrocortisone acetate 1 % ointment sig: one (1) appl rectal qid (4 times a day). disp:*qs 2* refills:*2* 9. outpatient lab work please draw inr/pt on and then prn and fax results to dr. at . 10. coumadin 2.5 mg tablet sig: as directed tablet po once a day: take daily as oredered by dr. . disp:*50 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: mitral regurgitation coronary artery disease s/p mitral valve repair,coronary artery bypass s/p exploratory laparoscopy potoperative pancreatitis chronic obstructive pulmonary disease hypertension rheumatic mitral valve insufficiency depression hypercholesterolemia h/o cerebrovascular accident atrial fibrillation degenerative joint disease discharge condition: alert and oriented x3 nonfocal exam ambulating, gait steady sternal pain managed with dilaudid sternal incision - healing well, no erythema or drainage abdominal wound cdi discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: surgeon dr. on at 3:45 please call to schedule appointments with: primary care: dr. in weeks () cardiologist: dr. in weeks please schedule follow up with dr. (general surgeon) in weeks () **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** inr to be followed by the office of dr. fax:. first inr to be drawn and then qod. inr goal for afib 2-2.5. first blood draw at on procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization laparoscopy (aorto)coronary bypass of one coronary artery cardioplegia annuloplasty diagnoses: thrombocytopenia, unspecified abdominal pain, unspecified site coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) chronic airway obstruction, not elsewhere classified atrial fibrillation depressive disorder, not elsewhere classified old myocardial infarction paralytic ileus late effects of cerebrovascular disease, hemiplegia affecting unspecified side acute pancreatitis rheumatic mitral insufficiency nonspecific abnormal results of function study of liver 

Answer: The patient is high likely exposed to