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: the patient is a 79-year-old male with a past medical history of coronary artery disease with angina, severe chronic obstructive pulmonary disease, who was initially admitted to hospital in for shortness of breath, substernal crushing chest pain, and diaphoresis. cardiac catheterization there showed 3-vessel disease (left main 70% occlusion, right coronary artery 100%, left circumflex 90%, left anterior descending artery 80% to 90%), with an ejection fraction of 65%. the patient was subsequently transferred to for possible coronary artery bypass graft. on admission he was noted to have ecchymoses in his left groin area (site of initial catheterization attempt at hospital) and left upper extremity (site where catheterization was finally performed at hospital). on , the patient had an episode of syncope while on the commode with accompanying hypotension and was transferred to the medical intensive care unit for further care. the episode was thought to be secondary to vasovagal syncope. while in the medical intensive care unit service he had another episode of syncope. additionally, he had several episodes of anginal type chest pain relieved by nitroglycerin. an expanding hematoma in the left arm was complicated by superimposed cellulitis, and he was started on oxacillin and then switched to levaquin. the left groin hematoma also continued to expand. he has required several blood transfusions due to a hematocrit drop. cardiothoracic surgery felt the patient was not a good surgical candidate given his severe chronic obstructive pulmonary disease. subsequently, the patient underwent high-risk angioplasty. catheterization showed left main 40% to 50% stenosis, and the left circumflex was stented. his course was complicated by hypotension secondary to cardiac tamponade. a pericardial drain was placed which drained 700 cc of frank blood. his hypotension resolved with dopamine and pericardial drainage. he also sustained a right iliac dissection which was stented at the end of the procedure. following catheterization, the patient was transfused 2 units of packed red blood cells and 2 units of fresh frozen plasma and transferred to the coronary care unit. past medical history: 1. chronic obstructive pulmonary disease. 2. coronary artery disease. 3. peripheral vascular disease with claudication. 4. status post bilateral carotid endarterectomy. 5. peptic ulcer disease. 6. arthritis. medications on transfer: protonix, atrovent, levaquin, beconase, lipitor, nitroglycerin drip, colace, aspirin, lopressor, and atrovent nebulizers. allergies: no known drug allergies. physical examination on presentation: temperature 97, pulse 94, blood pressure 133/50, respiratory rate 20, saturation 93% on 2 liters of oxygen via nasal cannula. drips with dopamine and intravenous fluids. in general, somnolent but arousable. heent revealed pupils were equal, round, and reactive to light and accommodation, but enlarged to 6 mm, dry mucous membranes, sclerae were anicteric, no jugular venous distention. bilateral scars at carotids. cardiovascular had distant heart sounds. pulmonary was clear anteriorly. abdominal examination was nontender and nondistended, positive bowel sounds. extremities had severe ecchymoses of the left upper extremity, right upper extremity, bilateral flanks. skin breakdown on right arm, draining serosanguineous fluid. laboratory data on presentation: white blood cell count 15.1, hematocrit 31.2, platelets 186. sodium 137, potassium 4, chloride 100, bicarbonate 31, bun 25, creatinine 0.9, glucose of 108. inr 1.2, ptt 26.8, pt 13. hospital course by system: 1. cardiovascular: the patient has had a tenuous course from a cardiovascular standpoint. after the catheterization, the patient continued to drain frank blood from the pericardial drain requiring several units of packed red blood cells, fresh frozen plasma, and platelets. his aspirin and plavix were held during this episode. the bleeding eventually stopped as documented by serial echocardiograms, and the pericardial catheter was removed without any complications. he was eventually weaned off the dopamine. he was gradually started on lopressor and diltiazem. he continued to have intermittent chest pain with no electrocardiogram changes and some relief with sublingual nitroglycerin. additionally, he has had episodes of hypotension which have been responsive to fluid boluses. it is likely the result of multiple medications and fluid depletion. in light of his recurrent hypotension, the captopril was discontinued. he continued to be on aspirin and plavix. his last echocardiogram showed an ejection fraction of greater than 55%, and no signs of tamponade. 2. pulmonary: he continued to be on 2 liters of supplemental oxygen with saturations of 92% to 93%. he continued his atrovent nebulizers, atrovent mdi, and medrol. 3. dermatology: on the medical intensive care unit service he was treated with levaquin for possible cellulitis. however, it was discontinued in light of no source of infection. he continued to have severe ecchymoses of his extremities and groin. the effected areas had gotten slightly better over the course of his stay. he has had skin breakdown in his right arm. the wound cultures have been negative. the friable skin is likely secondary to long-term steroid use. 4. genitourinary: the patient's flank hematoma tracked down to his testicular and penile area. the ecchymoses is currently stable and not expanding. the testicular edema was unchanged. he has had a urinary tract infection and being treated with a 10-day course of ciprofloxacin. 5. hematology: his hematocrit has been stable since removal of the pericardial catheter. 6. code status: do not resuscitate/do not intubate. discharge diagnoses: 1. coronary artery disease with 3-vessel disease, status post stent times two to left circumflex artery. 2. urinary tract infection. 3. chronic obstructive pulmonary disease. 4. peripheral vascular disease. 5. arthritis. 6. status post carotid endarterectomy. medications on discharge: 1. lopressor 25 mg p.o. b.i.d. 2. cardizem 30 mg p.o. b.i.d. 3. medrol 4 mg p.o. q.d. 4. atrovent mdi 3 puffs b.i.d. with spacer. 5. protonix 40 mg p.o. q.d. 6. plavix 75 mg p.o. q.d. times 30 days. 7. neutra-phos 1 packet t.i.d. with meals. 8. aspirin 325 mg p.o. q.d. 9. atrovent nebulizers q.4h. 10. lipitor 80 mg p.o. q.d. 11. sublingual nitroglycerin 0.4 mg q.5min. times three for chest pain. 12. ciprofloxacin 250 mg p.o. b.i.d.. 13. heparin 5000 units subcutaneous b.i.d. 14. multivitamin 1 tablet p.o. q.d. 15. tylenol p.r.n. condition at discharge: condition on discharge was guarded. ??????discharge status: to hospital. , m.d. dictated by: medquist36 d: 20:38 t: 09:28 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures intraoperative cardiac pacemaker angioplasty of other non-coronary vessel(s) pericardiocentesis insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome hematoma complicating a procedure accidental puncture or laceration during a procedure, not elsewhere classified cardiogenic shock cellulitis and abscess of upper arm and forearm other emphysema syncope and collapse hemopericardium 

Answer: The patient is high likely exposed to