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 / erythromycin base / naprosyn attending: chief complaint: chest pain major surgical or invasive procedure: cabgx4 (lima>lad, svg>ramus, svg>om, svg>pda) history of present illness: 84m with cad s/p ptca in , positive stress test in at osh, cath showing 3vd in , who was scheduled to undergo cabg next week, presented to osh tuesday evening with substernal chest pain. he was sitting in his living room, watching the celtics game, when he experienced onset of crushing substernal pain, similar to previous episodes of angina, that was not relieved by ntg. at osh, received ntg sl and then iv, and morphine, and was then chest pain free. he was transferred here on heparin and ntg gtt. ntg was d/c'd in ed to change over lines/pumps, and not restarted because pt remained cp free. additionally given aspirin, metoprolol, and admitted for further management. ct surgery was notified of his admission past medical history: acute on chronic diastolic heart failure htn, djd of knees b/l, af, pvd, hyperlipidemia, pe, cad, r popliteal artery aneurism s/p bypass grafting with saphenous vein, hemerhoids, hernia cardiac risk factors: - diabetes, + dyslipidemia, + hypertension social history: he is divorced and lives with his daughter who is also his primary caregiver. does not smoke and drinks minimally. family history: n/c physical exam: vs - 96.0 162/85 68 18 100% 2l gen: thin elderly male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. ii/vi midsystolic murmur at llsb. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. palpable cord on l antecubital vein, non erythematous, nontender skin: no stasis dermatitis, ulcers, scars, or xanthomas. numerous sks esp around neck pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 05:50am blood wbc-9.0 rbc-3.38* hgb-9.7* hct-29.0* mcv-86 mch-28.6 mchc-33.3 rdw-15.6* plt ct-158 05:50am blood pt-13.2 inr(pt)-1.1 05:50am blood pt-14.9* inr(pt)-1.3* 01:40pm blood pt-13.7* ptt-62.5* inr(pt)-1.2* 05:50am blood glucose-101 urean-23* creat-1.1 na-131* k-4.1 cl-95* hco3-28 angap-12 radiology report chest (pa & lat) study date of 9:32 am , r. csurg fa6a sched chest (pa & lat) clip # reason: ? effusion medical condition: 84 year old man with s/p cabg reason for this examination: ? effusion final report history: status post cabg. findings: in comparison with the study of , there is evidence of bilateral pleural effusions, more marked on the left. streaks of atelectasis are seen in the left mid and lower lung zones. intact sternal sutures persist. impression: bilateral pleural effusions, more prominent on the left. echocardiography report , (complete) done at 11:28:14 am final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 84 m hgt (in): 68 bp (mm hg): 137/87 wgt (lb): 78 hr (bpm): 72 bsa (m2): 1.37 m2 indication: intra-op tee for cabg icd-9 codes: 427.31, 440.0, 424.1, 424.0 test information date/time: at 11:28 interpret md: , 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 #: 2008aw01-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.7 cm 0.6 - 1.1 cm left ventricle - ejection fraction: 55% >= 55% findings left atrium: moderate la enlargement. right atrium/interatrial septum: mildly dilated ra. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: moderately dilated aortic sinus. focal calcifications in aortic root. mildly dilated ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. mildly dilated descending aorta. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. moderate mitral annular calcification. no ms. moderate (2+) mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. 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. no tee related complications. the rhythm appears to be atrial fibrillation. results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions pre-bypass: 1. the left atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. 2. aymmetric hypertrophy of the septum near the lvot is seen. however no gradient across the lvot is seen.the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. mild (1+) aortic regurgitation is seen. aortic sclerosis is seen with a valve area of about 2.2 cm2 6. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. two jets are seen, one extremely anterior directed and a second smaller central jet. prolapse of the p3 scallop is seen. mild is seen with no gradient across the lvot and valve. dr. was notified in person of the results. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is being v paced. 1. biventricular function is preserved. 2. mr . 3. aorta is intact post decannulation. 4. other findings are brief hospital course: he ruled out for mi with ces and had no ecg changes. his surgery was moved up because of his symptoms and on he was taken to the operating room where he underwent a cabg x 4. he was transferred to the icu in stable condition. he was extubated later that same day. he was started on vasopressin for ? of sirs. he was weaned from his vasoactive drips on pod#2. he was transferred to the floor on pod #3. he required aggressive diuresis. he was restarted on coumadin with a lovenox bridge for his recent history of pe. he was ready for discharge to rehab on pod #5, medications on admission: aspirin 81mg metoprolol succinate 50mg daily atorvastatin 80mg daily lisinopril 5mg daily mvi discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po three times a day. 8. metoclopramide 10 mg tablet sig: 0.5 tablet po qidachs (4 times a day (before meals and at bedtime)). 9. warfarin 2 mg tablet sig: two (2) tablet po once (once) for 1 doses: then check inr daily and continue lovenox until inr > 2, then check prn. dose coumadin accordingly. 10. enoxaparin 80 mg/0.8 ml syringe sig: one (1) syringe subcutaneous q12h (every 12 hours): until inr > 2.0. 11. lasix 40 mg tablet sig: one (1) tablet po twice a day for 1 weeks: then please reassess need for diuresis. 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours): while on lasix. discharge disposition: extended care facility: rehabilitation and nursing center - discharge diagnosis: cad s/p cabg acute on chronic diastolic heart failure pmh: htn, hyperlipidemia, pvd, postop pe (coumadin), l popliteal aneurysm, af/flutter, arthritis, djd, ? old mi, wide complex tachycardia psh: s/p r fem-tib bypass , appendectomy, r hernia repair, umbilical hernia repair, hemorrhoidectomy + rectal polyp removed, l cataract surgery 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 for 10 weeks. no driving until follow up with surgeon followup instructions: provider: lab phone: date/time: 1:45 provider: , md phone: date/time: 2:15 dr. , m. 2 weeks dr. 4 weeks dr. 2 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation acute on chronic diastolic heart failure peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status constipation, unspecified other and unspecified hyperlipidemia hypotension, unspecified osteoarthrosis, localized, not specified whether primary or secondary, lower leg personal history of allergy to penicillin 

Answer: The patient is high likely exposed to