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: hydrochlorothiazide attending: chief complaint: unstable angina major surgical or invasive procedure: coronary artery bypass grafting times 5(lima-lad, svg-d1,svg-ri,svg-om1,svg-pda) placement of intraaortic balloon pump history of present illness: mr. is a 62 year old gentleman who presented to an outside hospital with mid-sternal chest pain and pressure radiating to his neck. he went to the hosp ed, where nitroglycerine and heparin drips were started. his pain subsided. mr. was taken to cardiac cath and his chest pain re-occurred during catheterization which revealed triple vessel disease and preserved lv function. pain waxed and waned subsequently and he was transfered to for evaluation for revascularization and management of symptoms including iabp placement. upon arrival to , mr. had 2/10 chest pain on .5 ntg and 1000 units/hr of heparin. his bp was greater than 170 and his hr was 100. iv metoprolol was administered with normotension and slower hr ensuing and his pain resolved. he went to the lab where an iabp was placed. he remained painfree and stable. past medical history: hypertension hyperlipidemia allergic rhinitis erectile dysfunction hemorrhoids hearing loss chronic back pain social history: lives with wife/daughter is nurse tobacco:none currently family history: none noted physical exam: admission: pulse: 72 resp:18 o2 sat: b/p right: 142/78 left: height: 180 weight:118 general: 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 pulses: femoral right: femoral line left:+2 dp right: +2 left:+2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit none right: +2 left +2: pertinent results: echo pre bypass the left atrium is markedly dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the left atrium. no thrombus is seen in the left atrial appendage. no mass or thrombus is seen in the right atrium or right atrial appendage. a patent foramen ovale is present. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the descending thoracic aorta is mildly dilated. an intra-aortic balloon is seen. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. the non-coronary cusp is more calcified and moderately immobilized but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (bordering on moderate) (+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post cpb normal biventricular systolic function. mitral regurgitation unchanged. intra-aortic balloon tip approximately 1 cm below the distal arch. thoracic aorta appears intact. ct scan chest 1. no evidence for thoracic aortic aneurysm. iabp terminates in descending thoracic aorta at the level of the left main stem bronchus. 2. moderate left-sided pneumothorax. 3. bibasilar atelectasis in the posterior dependent aspects of bilateral lungs. 4. nonspecific small patchy opacity in left upper and lower lobes may represent areas of patchy consolidation, but follow up chest ct is recommended after treatment to ensure resolution as a nodule cannot be entirely excluded. ct scan head 1. no evidence of acute intracranial abnormalities. 2. fluid in the paranasal sinuses may be related to the endotracheal tube. suggest clinical correlation to exclude acute sinusitis. 06:00am blood wbc-13.3* rbc-3.81* hgb-11.7* hct-35.1* mcv-92 mch-30.8 mchc-33.4 rdw-14.0 plt ct-314 03:37am blood pt-13.5* ptt-25.7 inr(pt)-1.2* 06:00am blood glucose-111* urean-26* creat-1.2 na-141 k-4.1 cl-103 hco3-29 angap-13 06:53pm blood alt-38 ast-63* ld(ldh)-627* alkphos-66 totbili-0.6 brief hospital course: upon arrival to , mr. had 2/10 chest pain on .5 ntg and 1000 units/hr of heparin. his bp was greater than 170 and his hr was 100. iv metoprolol was administered with normotension and slower hr ensuing and his pain resolved. he went to the lab where an iabp was placed. he remained painfree and stable. he was worked-up in the usual preoperative manner. he became quite combative and required sedation and intubation so that he did not remove his balloon pump. as he did manage to stand up with his iabp in place, a ct scan was performed which was negative for dissection or aneurysm. it did, however show, a pneumothorax from line placement attempts. a ct of his head was negative, this done due to his combativeness. on mr. was taken to the operating room where he underwent coronary artery bypass grafting to five vessels. please see operative note for details. postoperatively he was taken to the the intensive care unit for monitoring. within 24 hours, mr. neurologically intact. the iabp was weaned and removed without incident on pod 1. he was then weaned from the ventilator and was extubated. he remained stable. pacing wires and cts were removed according to protocols and beta blockers and diuretics were begun. his hypertension was treated with the aforementioned agents as well as an ace-i. discharge medications, followup and limitations were discussed with the patient prior to discharge. the need for compliance with the medical regimen and sternal precautions was stressed. he was discharged to home on post-operative day 5. medications on admission: meds at home: none discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 3. acetaminophen 650 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. atorvastatin 20 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 7. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 8. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. penicillin v potassium 250 mg tablet sig: one (1) tablet po four times a day for 7 days: for positive sputum culture with streptococcus pneumoniae and negative cxr. disp:*28 tablet(s)* refills:*0* discharge disposition: home with service facility: vna of , discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 hypertension hyperlipidemia allergic rhinitis erectile dysfunction hemorrhoids hearing loss chronic back pain previous tobacco use discharge condition: good discharge instructions: report any redness of, or drainage from incisions report any fever greater then 100.5. report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. no lotions, creams,ointments or powders to incision until it has healed. please shower daily. no bathing or swimming for 1 month. no lifting greater then 10 pounds for 10 weeks from date of surgery. no driving for 1 month or while taking narcotics for pain. take all medications as directed. followup instructions: dr. in 4 weeks () dr. in weeks dr. in weeks () wound check on 6 in 2 weeks procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more 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 closed [endoscopic] biopsy of bronchus implant of pulsation balloon nonoperative removal of heart assist system diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension other and unspecified hyperlipidemia anxiety state, unspecified iatrogenic pneumothorax ostium secundum type atrial septal defect morbid obesity streptococcus infection in conditions classified elsewhere and of unspecified site, other streptococcus unspecified psychosis 

Answer: The patient is high likely exposed to