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: ibuprofen attending: chief complaint: angina major surgical or invasive procedure: left heart catheterization, coronary angiogram off-pump coronary artery bypass graft x 2(lima-lad,svg-dg) history of present illness: 50 yo man 2 weeks s/p bms stent placement to om2 on for nstemi at (admitted ) now here with left chest pain radiating to left jaw, left eye, with associated with sweatiness and sob.h as been taking his plavix and all his meds. positive stress at on . cardiac enzymes negative, no ekg changes per report. cp free with morphine. per report patient refused cabg at choosing medical management. patient now amendable to surgical revascularization. past medical history: coronary artery disease s/p coronary stent (bms to om2 ) hypertension diabetes mellitus type 2 (insulin 72/25) poor control due to non compliance polysubstance abuse myocardial infartcion hypercholesterolemia multiple hospital admissions for ileus gastroesophageal reflux disease rt shoulder slap tear s/p steroid injection rib fracture pancreatitis secondary to etoh abuse mrsa bacteremia/pna c4/5 fusion rotator cuff surgery social history: reports that he lives in in a shelter. is single and has no children. smokes 0.5-1ppd x 40+ yrs. denies current alcohol use - reports he has not had anything to drink in 5 months, admits to crack use 5 months ago. denies ivdu. of note, patient uses different names in hospitals around and has a history of leaving ama. family history: non-contributory physical exam: pulse:74 reg resp: 18 o2 sat:96% ra b/p: 98.3 height: weight:195lbs general: comfortable skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur - abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact. r handed, moves 4 ext. follows commands pulses: femoral right:palp left:palp dp right:palp left:palp pt : left: radial right:palp left:palp carotid bruit right: - left: - pertinent results: cardiac cath: 1. selective coronary angiography of this right-dominant system revealed two-vessel coronary artery disease. the lmca had no significant stenoses. the lad had a 50-70% stenosis after d1, which itself had a 70% mid-vessel stenosis. the distal lad tapers and had an 80% stenosis. the lcx had a widely patent prior stent in a large om2. the rca had severe diffuse proximal and mid-vessel disease up to its bifurcation. the rpl and rpda branches were small and without significant stenoses, with distal filling via lad collaterals. 2. limited resting hemodynamics demonstrated normal central aortic pressures. echo: off pump cabg:1. the left atrium is mildly dilated. the left atrial appendage emptying velocity is depressed (<0.2m/s). no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. 4. right ventricular chamber size is normal. 5. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve appears structurally normal with trivial mitral regurgitation. 8. there is no pericardial effusion. the lv systolic function was preserved at the end of the case. 11:00am blood wbc-6.1 rbc-3.67* hgb-11.1* hct-34.9* mcv-95 mch-30.3 mchc-31.8 rdw-15.5 plt ct-428 05:10pm blood wbc-6.0 rbc-2.96* hgb-9.6* hct-28.3* mcv-96 mch-32.3* mchc-33.8 rdw-15.3 plt ct-293 05:00am blood wbc-6.3 rbc-2.68* hgb-8.4* hct-25.6* mcv-95 mch-31.3 mchc-32.8 rdw-15.5 plt ct-271 11:00am blood pt-12.1 ptt-25.8 inr(pt)-1.0 11:46am blood pt-13.0 ptt-34.3 inr(pt)-1.1 11:00am blood glucose-95 urean-28* creat-2.0* na-140 k-5.8* cl-105 hco3-27 angap-14 07:15am blood glucose-198* urean-18 creat-1.3* na-140 k-5.1 cl-105 hco3-27 angap-13 06:40am blood glucose-190* urean-27* creat-1.6* na-141 k-4.6 cl-105 hco3-25 angap-16 01:00pm blood alt-13 ast-27 ld(ldh)-277* alkphos-78 amylase-20 totbili-0.4 07:20am blood calcium-8.7 phos-4.2 mg-2.0 brief hospital course: following admission he ruled out for acute infarction. cardiac cath on showed severe left anterior descending coronary disease. having previously refused surgical intervention elsewhere, he now consented to surgery. on he went to the operating room where an off pump bypass was performed. see operative note for details. he tolerated the procedure well and was transferred to the cvicu for invasive monitoring in stable condition. plavix was administered as he was done off pump. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was transferred to the telemetry floor. he was admonished to the necessity of taking medications as prescribed, smoking cessation and compliance with glucose control. beta blockade was resumed and diuresis begun. chest tubes were removed on the first day after surgery. physical therapy was consulted for mobility and strength. insulin was begun, both fixed dose and sliding scale, as this had previously been his regimen when compliant. he was evaluated by the pain service regarding his pain medication regimen due to his history polysubstance abuse. the remainder of his post-op course was uneventful and on post-op day four he appeared suitable for discharge to rehab with the appropriate medications and follow-up appointments. medications on admission: outside: plavix 75mg daily medications in hospital: as of metoprolol xl 100mg in am 50mg hs ranolazine 500mg insulin ssr gabapentin 300mg three times a day tramadol 50mg po q6hr ; prn ntg 0.3mg sl prn ranitidine 150mg po bid aimtriptyline 100mg po at night asa 325mg po daily plavix 75 mg daily discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. 3. aspirin 81 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. outpatient lab work please go to lab to have labs drawn on friday (chem 7). results should be faxed to your primary care physician, at . 5. amitriptyline 50 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* 6. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). disp:*240 tablet(s)* refills:*2* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*120 tablet(s)* refills:*1* 9. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 10. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 11. humalog insulin 75/25 18 units every morning subcutaneously 20 units every evening subcutaneously dispense 2 vials and 2 refills 12. humalog insulin dose according to sliding scale finger sticks dispense 2 vials with 2 refills 13. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*15 patch 24 hr(s)* refills:*2* 14. oxycodone 5 mg tablet sig: 2-4 tablets po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 15. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 16. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease s/p off pump coronary artery bypass x 2 past medical history s/p coronary stent (bms to om2 ) hypertension diabetes mellitus type 2 (insulin 72/25) poor control due to non compliance polysubstance abuse myocardial infartcion hypercholesterolemia multiple hospital admissions for ileus gastroesophageal reflux disease rt shoulder slap tear s/p steroid injection rib fracture pancreatitis secondary to etoh abuse mrsa bacteremia/pna c4/5 fusion rotator cuff surgery discharge condition: ambulatory, normal mental staus. wounds healing well. 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 followup instructions: dr. in 4 weeks () 6 wound clinic ( dr. in weeks () dr. - post clinic date/ time: 1:10pm location: building central suite, phone number: md procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters intraoperative cardiac pacemaker left heart cardiac catheterization diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery cardioplegia diagnoses: hyperpotassemia other chronic pain anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome acute kidney failure with lesion of tubular necrosis alcoholic cirrhosis of liver other, mixed, or unspecified drug abuse, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes percutaneous transluminal coronary angioplasty status diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled long-term (current) use of insulin personal history of noncompliance with medical treatment, presenting hazards to health subendocardial infarction, subsequent episode of care obstructive chronic bronchitis without exacerbation arthrodesis status alcohol abuse, in remission cocaine abuse, in remission 

Answer: The patient is high likely exposed to