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: vicodin attending: chief complaint: shortness of breath major surgical or invasive procedure: difficult intubation operating coronary artery bypass graft surgery x5 (left internal mammary artery > left anterior descending, saphenous vein graft > diagonal, saphenous vein graft > obtuse marginal 1, saphenous vein graft > obtuse marginal 3, saphenous vein graft > right coronary artery) history of present illness: 59 year old male was recently seen by a new pcp for routine physical and was noted to have some new changes on his ekg. he was referred to dr. for evaluation and had a stress echo. the official report is not available, however according to verbal report from dr. , this was significant for shortnes of breath during exercise and inferolateral hypokinesis on the post exercise echo images. he reports having dyspnea with exertion which is new over the last year. he reports dyspnea and fatigue after walking about of a mile. he has particularly noticed this walking through the airport while carrying his bags. he denies any chest pain. he does report pillow orthopnea which he relates to his sinuses. he does report chronic lower extremity edema over the last 2 years. he also reports some leg pain when he walks for prolonged periods. he was referred for a cariac catheterization and was found to have coronary artery disease and is now being referred to cardiac surgery for revascularization. past medical history: hypertension chronic rhinitis, sinusitis morbid obesity poor dentition peripheral edema peripheral venous insufficiency insomnia obstructive sleep apnea- undiagnosed- does not use cpap anemia hypercholesterolemia dental infection- s/p 2 teeth extraction on amoxicillin for the past week intubated 2 yrs ago r/t respiratory distress r/t oral/dental infection-in icu x 4 days facial surgery r/t mva tonsillectomy social history: lives with:wife occupation: as a marketing manager tobacco:currently smokes 1 ppd for the last yrs etoh:occasional family history: father has cad s/p stents in his 70s physical exam: pulse:74 resp:13 o2 sat: b/p right:157/82 left: 144/88 height:6' weight:312 lbs general: awake alert oriented skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur: very soft diastolic murmur w/o radiation abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused 1+ pitting edema; + small varicosities bilaterally. neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: echo pre-cpb: the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. there is moderate symmetric left ventricular hypertrophy. overall left ventricular systolic function is moderately depressed (lvef= 30-40 %). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. no thoracic aortic dissection is seen. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. post-cpb: the lv systolic function remains moderately depressed, estimated ef=30-40%. (the patient is on nitroglycerin infusion.) the mr appears to be mild. there is no evidence of aortic dissection. cxr: there are persistent low lung volumes. moderate cardiomegaly is stable. widened mediastinum has improved. pulmonary congestion has resolved. bibasilar atelectases have improved, right greater than left. there is no evident pneumothorax. bilateral pleural effusions are small. sternal wires are aligned. 12:54pm blood wbc-7.5 rbc-4.46* hgb-12.7* hct-37.8* mcv-85 mch-28.6 mchc-33.7 rdw-13.4 plt ct-236 01:57am blood wbc-12.3* rbc-3.95* hgb-11.3* hct-33.0* mcv-84 mch-28.7 mchc-34.3 rdw-13.6 plt ct-158 05:10am blood wbc-9.2 rbc-4.04* hgb-11.6* hct-34.5* mcv-85 mch-28.8 mchc-33.8 rdw-13.7 plt ct-363 12:54pm blood pt-14.3* ptt-25.1 inr(pt)-1.2* 01:57am blood pt-14.2* ptt-24.6 inr(pt)-1.2* 12:54pm blood glucose-122* urean-11 creat-1.0 na-142 k-3.2* cl-102 hco3-31 angap-12 04:40am blood glucose-112* urean-18 creat-0.9 na-139 k-4.0 cl-104 hco3-26 angap-13 05:10am blood urean-15 creat-1.0 na-138 k-4.2 cl-104 12:54pm blood calcium-8.8 phos-3.2 mg-2.0 04:40am blood calcium-8.5 phos-2.7 mg-2.4 05:10am blood wbc-9.2 rbc-4.04* hgb-11.6* hct-34.5* mcv-85 mch-28.8 mchc-33.8 rdw-13.7 plt ct-363 01:57am blood pt-14.2* ptt-24.6 inr(pt)-1.2* 05:10am blood urean-15 creat-1.0 na-138 k-4.2 cl-104 brief hospital course: admitted same day surgery and was brought to the operating room. however due to difficulty with intubation, he was intubated and brought to the intensive care unit. see anesthesia note for further details. he remained intubated and sedated overnight and was brought to the operating and underwent coronary artery bypass graft surgery. see operative report for further details. he received vancomycin and cefazolin for periop antibiotics. post operatively he was transferred to the intensive care unit for management. he remained intubated overnight and in the morning of post operative day one, he was weaned from propofol and placed on precedex. also was started on steroids for potential laryngeal edema in plan for extubation. he was weaned from ventilator and cook catheter was placed for access with extubation with intensivist at bedside. he remained extubated without complications and steroids were stopped. he was started on lasix for diuresis requiring lasix drip due to volume overload. over the next few days he was aggressively diuresed and started on beta blockers and ace inhibitor for blood pressure and heart rate management. he continued to progress and was transitioned to bolus dosing of lasix. on postoperative day four he was ready for transfer to the floor. chest tubes and epicardial pacing wires were removed per protocol. physical therapy worked with him on strength and mobility. antibiotics and warm packs were started for right upper extremity phlebitis. he continued to make steady progress and on post-op day seven he was discharged to rehab facility ( in ). he received the appropriate medications and follow-up appointments. medications on admission: lisinopril-hydrochlorothiazide 20 mg-25 mg daily metoprolol succinate 25 mg extended release 24 hr daily aspirin 325 mg tablet daily nasal spray discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 5. metoprolol succinate 100 mg tablet extended release 24 hr sig: two (2) tablet extended release 24 hr po daily (daily). 6. furosemide 40 mg tablet sig: one (1) tablet po twice a day: after 10 days, please take 40mg daily. 7. potassium chloride 20 meq tablet, er particles/crystals sig: two (2) tablet, er particles/crystals po once a day. 8. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day): continue until thrush resolved. 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): continue until pt is ambulating more. 11. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 12. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for indigestion. 13. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 14. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for fever or pain. 15. temazepam 15 mg capsule sig: one (1) capsule po hs (at bedtime) as needed for insomnia. 16. cefazolin in dextrose (iso-os) 1 gram/50 ml piggyback sig: one (1) piggyback intravenous q8h (every 8 hours) as needed for phlebitis/cord: x 10 day course (started . indication:rue plebitis/cord. 17. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 acute on chronic systolic heart failure difficult intubation right upper extremity cellulitis past medical history: hypertension chronic rhinitis, sinusitis morbid obesity poor dentition peripheral edema peripheral venous insufficiency insomnia obstructive sleep apnea- undiagnosed- does not use cpap anemia hypercholesterolemia dental infection- s/p 2 teeth extraction on amoxicillin for the past week intubated 2 yrs ago r/t respiratory distress r/t oral/dental infection-in icu x 4 days facial surgery r/t mva tonsillectomy discharge condition: alert and oriented x3 nonfocal ambulating with assistance incisional pain managed with dilaudid as needed incisions: sternal - healing well, no erythema or drainage leg left evh - healing well, no erythema or drainage. edema trace right upper extremity cellulitis with decreasing erythema and warmth. discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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: you are scheduled for the following appointments surgeon: dr. on at 1pm cardiologist: dr. on at 12:30pm sleep consult with dr. at 9am please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery insertion of endotracheal tube (aorto)coronary bypass of four or more coronary arteries diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other and unspecified angina pectoris cellulitis and abscess of upper arm and forearm morbid obesity infection and inflammatory reaction due to other vascular device, implant, and graft phlebitis and thrombophlebitis of superficial veins of upper extremities acute on chronic systolic heart failure edema of larynx 

Answer: The patient is high likely exposed to