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: history of present illness: this is a 63 year old male with a history of diabetes mellitus, hypertension, hypercholesterolemia who presented with substernal chest pain and was ruled in for non-q wave myocardial infarction at an outside hospital with cpks of 298, mb 13.2, troponin 1.42. electrocardiogram changes showed lateral st depression and t wave inversion in 1 and avl. he had an echocardiogram which showed an ejection fraction of 45%, mildly dilated left ventricle with global hypokinesis, mild mitral regurgitation and unremarkable valves. he was treated with nitroglycerin at the outside hospitals and was transferred to for further workup. past medical history: significant for hypertension, insulin dependent diabetes mellitus, hypercholesterolemia, history of atrial fibrillation, renal insufficiency, creatinine 3.7 baseline, benign prostatic hypertrophy, history of myositis on lipitor, status post aberrant artery with gastrointestinal bleed, status post sigmoidectomy, status post gastrointestinal bleed one year ago with endoscopy and colonoscopy negative, status post knee replacement. medications on admission: 1. zestril 20 mg q.d. 2. mevacor 20 mg q.d. 3. verapamil 240 mg q.d. 4. flomax 0.4 mg q.d. 5. testosterone q. 2 weeks 6. vitamins 7. nph q am and q pm physical examination: initial physical examination revealed afebrile, heartrate 80s, blood pressure 134/72, respiratory rate 18, oxygen saturation 98%. general: patient in no apparent distress. head, eyes, ears, nose and throat: normocephalic, atraumatic. extraocular movements intact. neck supple, no jugulovenous distension and no bruits. cardiovascular, regular rate and rhythm, no murmurs. chest, clear to auscultation bilaterally, positive gynecomastia. abdomen was soft, nontender, nondistended with positive bowel sounds. extremities 2+ peripheral pulses, no cyanosis, clubbing or edema. on rectal he was guaiac negative. laboratory data: admission labs revealed hematocrit of 34.6, bun and creatinine 66 and 3.8. hospital course: the patient was admitted with a diagnosis of non-q wave myocardial infarction. he was evaluated by physical therapy over the weekend and scheduled for exercise tolerance test. initially he was treated with conservative medical management on nitroglycerin drip, changed to nitropaste, heparin drip and lopressor. his exercise tolerance test was positive by st segment criteria although the patient remained symptomatic only for shortness of breath. the patient was then sent for cardiac catheterization. on cardiac catheterization he was found to have single vessel and branch vessel coronary artery disease of a right dominant system, left main normal. left anterior descending with discrete 70% stenosis, ramus intermedius of 50% stenosis proximally, second obtuse marginal with discrete 90% stenosis. cardiac surgery was consulted and the patient was scheduled for a coronary artery bypass graft. on , the patient underwent three vessel coronary artery bypass grafting of the following vessels: left internal mammary artery to the left anterior descending, vein to ramus intermedius, vein to obtuse marginal 1 with the indication of unstable angina under general endotracheal anesthesia. he was transferred from the operating room to the cardiac recovery room, being atrially paced at a rate of 75 per minute, sedated on propofol and intubated. he was extubated that same evening and was transferred to the regular floor on postoperative day #1. postoperatively the patient's creatinine had increased from baseline to 4.5 and he had some decreased urine output. as a result he was not put on any lasix and his bun, creatinine and urine output were closely monitored. with a peak in his creatinine to 4.7 on postoperative day #3 and subsequent decrease to 3.7 on postoperative day #5, the day of discharge. his postoperative course was also complicated by some drainage from his chest wall which was initially felt to be from his chest tube sites, however, he was found to have some scant sternotomy wound drainage which eventually decreased and the patient was 24 hours without drainage at the time of discharge. he received a dose of vancomycin and his vancomycin level remained around 14 at the time of discharge. on postoperative day #5, it was deemed that the patient was stable for discharge home. his creatinine was back at baseline at 3.7. his sternum was dry. it had remained stable throughout the entire postoperative course with no click and negative chest x-ray. he was ambulating satisfactorily per physical therapy, tolerating a regular diet with his blood sugars under good control. discharge status: the patient is to be discharged home with visiting nurse. discharge diagnosis: 1. status post coronary artery bypass graft 2. coronary artery disease 3. chronic renal insufficiency 4. acute renal insufficiency resolved 5. insulin dependent diabetes mellitus discharge medications: 1. clindamycin 300 mg q.i.d. times seven days 2. colace 100 mg p.o. b.i.d. 3. zantac 150 mg p.o. q.d. 4. aspirin 81 mg p.o. q.d. 5. mevacor 20 mg p.o. q.d. 6. insulin nph 40 units subcutaneously q. am, 6 units subcutaneously q. pm 7. humalog insulin 40 units q am before breakfast, 40 units q pm before dinner 8. renagel 800 mg p.o. t.i.d. with meals 9. flomax 0.4 mg p.o. q.d. 10. epogen 6000 units subcutaneously 11. lopressor 50 mg p.o. b.i.d. 12. percocet 5/325 one to two p.o. q. 4 to 6 hours prn 13. milk of magnesia 30 cc p.o. q.h.s. prn 14. iron sulfate 325 mg p.o. t.i.d. 15. lasix 20 mg p.o. q.d. times one week 16. nitroglycerin sublingual discharge instructions: discharged to home with . the patient instructed to follow up with dr. in three to four weeks. instructed to follow up with dr. at in one week. instructed to return to for wound check in one week. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation 

Answer: The patient is high likely exposed to