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: burping/luq pain w/ positive stress test major surgical or invasive procedure: coronary artery bypass graft x 4 (lima to lad, svg to , , pda) cardiac catheterization history of present illness: the pt is a 58 yo m with a h/o htn, hypercholesterolemia who presented to this hospital as a transfer from for cardiac cath. pt had visited his pcp last week, /o frequent eructation and nausea x 2 weeks along with luq pressure. he also previously had a postitve ett and was referred for a cardiac cath. cath done on revealed 3 vessel disease. he was then referred for cabg. past medical history: hypertension hypercholesterolemia diabetes mellitus hearing loss h/o benign prostatic hypertrophy s/p t&a s/p kidney contusion social history: occ etoh (approx 4 drinks/wk) remote tobacco (smoked pipe for approx 6 years, quit >25 yrs ago) works as delivery man lives with wife family history: father deceased mi @ 49 mother ?cardiac physical exam: gen: pleasant man in nad, lying supine on stretcher in cath recovery vs: afebrile 63 18 161/83 100 2l nc heent: perrl, eomi, nl sclera cor: s1s2 rrr no m/r/g lungs: ctab anteriorly, laterally abd: nabs, soft, nt/nd gu: foley to gravity ext: minimal eccymosis at r groin, no hematoma, no thrill; dp palpable, pt by doppler (baseline) skin: pink, warm, dry neuro: a&o x 3, cn grossly intact pertinent results: cath : selective coronary angiography of this right dominant system revealed three vessel coronary artery disease. the lmca had no angiographically apparent disease. the lad had 70% proximal, 80% mid, and 90% proximal d1 stenoses. the lcx had 80% diffuse proximal stenosis with total occlusion of om2. the rca had ostial occlusion with extensive left coronary collaterals to distal vessel. limited hemodynamics demonstrated elevated lvedp (23mmhg) and systemic pressures. calculated ejection fraction was 63%. tte : the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). no regional wall motion abnormality is seen. gb u/s /13: the gallbladder again contains extensive sludge. there is some gallbladder wall thickening to approximately 4 mm. no pericholecystic fluid is identified, but there is some mild edema seen there is no intra-or extra-hepatic biliary dilatation. the findings are nonspecific. while not definitive for acute cholecystitis, the findings are at least somewhat suspicious. given the patient's upcoming bypass surgery, consideration towards cholecystectomy should be made. again, hida scan may be useful to aid diagnostic certainty hida : normal study. no evidence of cholecystitis. 11:30am blood wbc-5.9 rbc-4.39* hgb-13.5* hct-37.2* mcv-85 mch-30.7 mchc-36.3* rdw-12.1 plt ct-272 02:09am blood wbc-14.6* rbc-3.22* hgb-10.2* hct-27.7* mcv-86 mch-31.7 mchc-36.8* rdw-12.3 plt ct-310 06:10am blood wbc-8.4 rbc-3.63* hgb-10.9* hct-30.9* mcv-85 mch-30.1 mchc-35.3* rdw-13.7 plt ct-268 02:16am blood pt-13.3* ptt-30.2 inr(pt)-1.2* 11:30am blood glucose-153* urean-23* creat-1.2 na-135 k-3.8 cl-104 hco3-22 angap-13 06:10am blood glucose-89 urean-18 creat-1.1 na-138 k-3.9 cl-99 hco3-29 angap-14 06:10am blood calcium-8.2* phos-3.5 mg-2.0 11:30am blood %hba1c-5.7 -done -done 11:45am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-8.0 leuks-neg brief hospital course: the patient was admitted s/p positive cath, consulted by ct and scheduled for cabg. he underwent the usual pre-operative work-up for cabg, but continued to complain of intermittent eructation/discomfort in abd. gi was consulted and pt had a ruq u/s which showed sludge but this study was post-prandial and repeated after being npo. lfts wnl. the repeat u/s was again concerning for possible cholecystitis. gi was consulted and an egd was performed which revealed gastritis. a hida scan was performed which revealed no evidence for cholecystitis. following entire gi work-up, mr. seemed suitable/stable for bypass surgery and on hosptital day seven, , he was brought to the operating room where he underwent coronary artery bypass surgery x 4. he tolerated the procedure well with no complications. please see operative note for surgical details. afterward he was transferred to the cardiac surgery recovery unit in stable condition and awakened neurologically intake. he was weaned from ventilator support, extubated, and pressors were weaned. on pod 2 he was then transferred to the stepdown unit for further recovery. his chest tubes were removed without complication. he was gently diuresed to his preoperative weight, beta blockade and aspirin therapy were resumed, and physical therapy service was consulted to assist with his postoperative strength and mobility. electrolytes were repleted as needed. on pod 3 his epicardial pacing wires were removed without complication, he continued to improve his ability to ambulate including climbing stairs without respiratory distress or chest pain. on pod 4 there was some evidence of sternal drainage that was nonpurulent. iv vancomycin was empirically started. mr. was slow to progress in his ability to ambulate and was complaining of musculoskeletal chest pain frequently. serial ecg's and telemetry did not reveal any st changes. his pain was relieved with narcotics. on pod 5 mr. was 5kg his preop weight with good exercise tolerance, no sob, or chest pain. his blood pressure was stable. his sternotomy and leg incision were clean, minimal serosanguinous drainage present at his sternotomy, and intact without evidence of infection. he was discharged home on pod 6 with services in good condition, cardiac diet, sternal precautions, and instructed to follow up with his pcp/cardiologist in weeks. he will come to 2 for a wound check in three days. he will follow up with dr. in four weeks. medications on admission: 1. mvi 2. lisinopril 10mg qd 3. zantac started after ett: 4. asa 81mg qd 5. lipitor 20mg qd 6. toprol xl 50mg qd 7. plavix 75mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 6. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 10 days. disp:*40 capsule, sustained release(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*20 tablet(s)* refills:*0* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 10. cipro 500 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 hypercholesterolemia hypertension diabetes mellitus gastritis discharge condition: good discharge instructions: take shower. wash incisions with water and gentle soap. gently pat dry. do not take bath. do not apply lotions, creams, ointments or powders to incisions. do not drive for 1 month. do not lift more than 10 pounds for 2 months. please contact office immediately with any chest/sternal drainage or if you experience a fever more than 101.5. followup instructions: dr. in 4 weeks. dr. (pcp) in weeks. dr. (cardiologist) in weeks. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures other endoscopy of small intestine left heart cardiac catheterization diagnostic ultrasound of heart transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia other and unspecified angina pectoris unspecified hearing loss other nonspecific abnormal results of function study of cardiovascular system acute gastritis, without mention of hemorrhage nonspecific (abnormal) findings on radiological and other examination of biliary tract 

Answer: The patient is high likely exposed to