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: penicillins attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: mitral valve repair(30mm band) and three vessel coronary artery bypass grafting utilizing the lima to lad, and saphenous vein grafts to om and pda. history of present illness: mr. is a 57 year old male with known coronary artery disease. he had recent complaints of increasing dyspnea on exertion and chest discomfort. recent stress echo was "abnormal" showing an lvef of 30% with anteroapical and inferobasal hypokinesis along with moderate to severe mitral regurgitation. he subsequently underwent cardiac catheterization which revealed worsening three vessel coronary artery disease. based upon the above, he underwent routine preoperative evaluation and was eventually cleared for cardiac surgical intervention. past medical history: ischemic cardiomyopathy coronary artery disease, history of mi prior pci/stenting - bms to lcx in , des to lad history of brachytherapy in mitral regurgitation hypertension elevated cholesterol type ii diabetes mellitus gout history of rheumatic fever as child vasectomy tonsillectomy prior abdominal surgery/hernia repair social history: approximate 20 pack year history of tobacco, quit 14 years ago. admits to etoh drinks per day. married and works as an electrical engineer. family history: mother suffered mi at age 51 physical exam: preop exam vitals: 120/85, 100, 16 general: wdwn male in no acute distress heent: oropharynx benign, eomi neck: supple, no jvd lungs: cta bilaterally heart: regular rate and rhythm, normal s1s2, no murmur or rub abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted pertinent results: intraop tee: pre cpb - the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a patent foramen ovale is present. the left ventricular cavity is moderately dilated. there is severe global left ventricular hypokinesis (lvef = 20-25 %). there is some septal hypokinesis and the anterior wall is close to being akinetic. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are focal calcifications in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate to severe (3+) mitral regurgitation is seen. it is centrally directed and likely due to mitral annular dilitation. post cpb - the patient is receiving epinephrine, norepinephrine, and milrinone by infusion. an intra-aortic balloon pump has been placed with its tip 2 cm below the distal aortic arch. there is normal right ventricular systolic function. the right ventricle, initially, appears underfilled. the left ventricle displays more septal dyskinesis than in the pre-cpb study. there is inferior and inferolateral severe hypokinesis. the anterior wall function is improved. overall ef is still about 20-25%. a mitral valve annuloplasty ring is in situ. it appears well seated. there is trivial mitral regurgitation. the peak gradient across the mitral valve is 11.5 mm hg with a mean of 8 mm hg. chest (pa & lat) 9:33 am chest (pa & lat) reason: ? infiltrate medical condition: 57 year old man with s/p cabg mv repair reason for this examination: ? infiltrate history: cabg and mv repair. findings: in comparison with the study of , the right ij catheter has been removed. again there is enlargement of the cardiac silhouette and intact multiple midline sternotomy wires. mild blunting of the left costophrenic angle persists. 04:34am blood wbc-7.5 rbc-3.09* hgb-8.7* hct-25.8* mcv-84 mch-28.3 mchc-33.8 rdw-14.1 plt ct-249 05:30am blood pt-17.0* inr(pt)-1.5* 04:34am blood pt-14.8* ptt-24.7 inr(pt)-1.3* 05:30am blood urean-22* creat-0.7 k-4.1 brief hospital course: mr. was admitted and taken directly to the operating room where dr. performed coronary artery bypass grafting and a mitral valve repair. operative course was notable for prophylactic placement of an iabp given his very poor ejection fraction and severe mitral regurgitation. in addition, he required multiple inotropes to wean from cardiopulmonary bypass. for additional surgical details, please see seperate dictated operative note. following the operation, he was brought to the cvicu in critical condition. he remained pressor dependent and remained intubated for several days. he maintained good urine output while on a lasix drip. around postoperative day 2 to 3, developed atrial fibrillation for which he was started on amiodarone. also started on broad spectrum antibiotics for postoperative fevers associated with copious, yellow respiratory secretions. he continued to experience paroxysmal atrial fibrillation, but over several days, his heart rate and hemodynamics improved. the iabp was eventually removed without complication and pressors were gradually weaned. once off all inotropic support, he was extubated on postoperative five. sputum cultures eventually grew out moraxella catarrhalis for which antibiotics were titrated accordingly. he was also noted to have a lower extremity cellulitis and started on warm compresses. he will need a 7 day course of ciprofloxacin for both. he transferred to the sdu on postoperative day six. given postoperative atrial fibrillation, he was started on warfarin anticoagulation. he did well and was ready for discharge home on pod #8. medications on admission: aspirin 81 qd, crestor 40 qd, diovan 160 qd, glucophage 1000 , plavix 75 qd(stopped 1 week prior), zetia 10 qd, lasix 20 discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. outpatient work pt/inr for coumadin dosing goal inr 2-2.5 for atrial fibrillation first draw with results to dr office # fax # 7. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 8. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 6 days. disp:*12 tablet(s)* refills:*0* 10. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): take 400mg twice a day for 5 days then decrease to 400mg daily for 7 days, then decrease to 200mg daily and follow up with dr . disp:*90 tablet(s)* refills:*0* 11. furosemide 40 mg tablet sig: one (1) tablet po once a day for 2 weeks: follow up with dr prior to completing lasix. disp:*14 tablet(s)* refills:*0* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 2 weeks. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 13. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 14. warfarin 2 mg tablet sig: two (2) tablet po once (once) for 2 doses: please take 4mg daily and with inr check with further dosing by dr . disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna inc discharge diagnosis: chronic systolic congestive heart failure/ischemic cardiomyopathy mitral regurgitation coronary artery disease, history of mi hypertension elevated cholesterol type ii diabetes mellitus postoperative atrial fibrillation postoperative ventilator associated bacterial pneumonia(moraxella) postoperative lower extremity cellulitis discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt pt/inr for coumadin dosing goal inr 2-2.5 for atrial fibrillation first draw with results to dr office # fax # procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries insertion of endotracheal tube open and other replacement of aortic valve implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery pneumonia due to other gram-negative bacteria pure hypercholesterolemia mitral valve disorders other postoperative infection congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation cellulitis and abscess of leg, except foot 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 acute on chronic systolic heart failure other and unspecified complications of medical care, not elsewhere classified 

Answer: The patient is high likely exposed to