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: percocet / penicillins / sulfa (sulfonamides) / ertapenem attending: chief complaint: weakness major surgical or invasive procedure: s/p coronary artery bypass graft x 4(lima->lad, svg->om, ramus, pda) s/p pacer lead placement and generator change history of present illness: this is an 86 y/o male with multiple cardiac risk factors and previous mi with evidence of cad on prior cath who felt some generalized weakness for several days. also c/o shortness of breath for one week. at osh his troponin i was 7.4 and ck was 207 with mb 9.2. he then underwent a cardiac cath which revealed three vessel coronary artery disease. he was then transferred to for surgical intervention. past medical history: s/p pci, s/p perm. pacemaker placement, diabetes mellitus, hypertension, dyslipidemia, peripheral vascular disease s/p r fem-distal bpg, s/p r 1st toe amp, benign prostatic hypertrophy, chronic renal insufficiency, anemia social history: lives with wife. . etoh. +tob but quit 50 yrs ago. family history: non-contributory physical exam: general: wd/wn elderly male in nad heent: eomi, perrl, nc/at neck: supple, from, -jvd cardiac: rrr -c/r/m/g lungs: ctab -w/r/r abd: soft, nt/nd, +bs ext: warm, dry -edema neuro: a&o x 3, mae, non-focal pertinent results: cnis/vein mapping : moderate-to-significant plaque with bilateral 60-69% carotid stenosis. duplex evaluation was performed of the left lower extremity venous system. the left lesser saphenous vein is patent, but somewhat calcified at range in diameter from 0.17-0.24 cm. the left greater saphenous vein is also patent with calcification approximately diameters ranges from 0.18-0.24 cm. cta neck : 1. substantial calcification and luminal narrowing within the carotid artery bifurcation bilaterally. 2. diminutive right vertebral artery likely secondary to heavy atherosclerotic disease versus congenital anomoly. 3. small right pleural effusion with bilateral calcification at the lung apices. echo : pre-bypass: overall left ventricular systolic function is mildly depressed. there is an inferobasal left ventricular aneurysm. there is mild regional left ventricular systolic dysfunction with hypokinesis of inferobasal wall. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. the aortic valve leaflets (3)are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. mild to moderate (+) mitral regurgitation is seen. the left atrium is mildly dilated. there are simple atheroma in the descending thoracic aorta. post-bypass: preserved right ventricular systolic function. overall lvef 45%. mild to moderate mitral regurgitation. mild aortic regurgitation. 05:55pm blood wbc-7.1 rbc-4.67 hgb-12.9* hct-38.6* mcv-83 mch-27.5 mchc-33.4 rdw-17.6* plt ct-183 07:00am blood wbc-6.2 rbc-4.04* hgb-11.1* hct-32.7* mcv-81* mch-27.4 mchc-34.0 rdw-17.5* plt ct-174 02:36am blood wbc-18.3* rbc-3.70* hgb-10.5* hct-30.3* mcv-82 mch-28.3 mchc-34.6 rdw-17.7* plt ct-144* 05:40am blood wbc-6.9 hct-30.8* 05:55pm blood pt-13.0 ptt-35.2* inr(pt)-1.1 06:25am blood pt-25.1* inr(pt)-2.5* 05:55pm blood glucose-317* urean-29* creat-1.5* na-134 k-4.5 cl-98 hco3-23 angap-18 06:25am blood glucose-75 urean-46* creat-1.9* na-138 k-5.1 cl-103 hco3-27 angap-13 04:30am blood calcium-7.7* phos-3.6 mg-2.1 05:40am blood hct-30.4* 06:05am blood wbc-8.0 rbc-3.64* hgb-10.2* hct-30.5* mcv-84 mch-28.1 mchc-33.6 rdw-17.2* plt ct-322# 05:40am blood pt-30.0* inr(pt)-3.2* 06:20am blood pt-27.0* inr(pt)-2.8* 06:05am blood pt-25.1* inr(pt)-2.5* 06:25am blood pt-25.1* inr(pt)-2.5* 05:40am blood pt-17.7* inr(pt)-1.6* 05:40am blood k-4.4 06:20am blood glucose-76 urean-44* creat-1.8* na-138 k-4.5 cl-102 hco3-29 angap-12 06:05am blood glucose-57* creat-2.0* k-4.8 brief hospital course: as mentioned in hpi, mr. was transferred from osh for coronary artery bypass surgery. upon admission mr. usual pre-operative work-up along with carotid studies, vein mapping and echocardiogram. vascular surgery was consulted d/t his peripheral vascular disease. he remained in hospital receiving medical management while undergoing diagnostic studies and awaiting plavix washout. he was finally brought to the operating room on where he underwent a coronary artery bypass graft x 4. please see operative report for surgical details. he tolerated the procedure well and was transferred to the csru for invasive monitoring in stable condition. patient received several blood products post-operatively for bleeding. he was weaned from sedation on post-op day two, awoke neurologically intact and was extubated. chest tubes were removed on post-op day two and ep was consulted for pacemaker interrogation. diuretics were initiated and he was gently diuresed towards his pre-op weight. he remained in the csru for several more days needing hemodynamic support with neo-synephrine and epinephrine. once he was weaned from theses beta blockers were started. he also stayed in the csru d/t aggressive pulmonary toilet therapy and confusion/delirium. on post-op day six he was transfused with one unit of prbcs and on post-op day seven he underwent pacemaker lead placement and generator change. there was evidence of underlying atrial fibrillation. later on this day he appeared to be doing quite well and was transferred to the sdu. on post-op day eight his epicardial pacing wires were removed and he was experiencing some right upper extremity edema. he underwent u/s which revealed acute vein thrombus. coumadin was started for both afib and dvt. he will be discharged with coumadin with a goal inr of .5. he remained stable over the next several days receiving physical therapy for strength and mobility. he was discharged to rehab facility on post-op day 14 with the appropriate follow-up appointments. medications on admission: lipitor, norvasc, doxazosin, procrit, aspirin, insulin, heparin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 4. atorvastatin 40 mg tablet sig: one (1) tablet po bid (2 times a day). 5. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 6. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days: then reassess need for diuresis. 8. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous q am. 9. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. warfarin 1 mg tablet sig: 0.5 tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 12. insulin lispro (human) 100 unit/ml cartridge sig: sliding scale subcutaneous four times a day. discharge disposition: extended care facility: senior healthcare - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 pmh: s/p pci, s/p perm. pacemaker placement, diabetes mellitus, hypertension, dyslipidemia, peripheral vascular disease s/p r fem-distal bpg, s/p r 1st toe amp, benign prostatic hypertrophy, chronic renal insufficiency, anemia discharge condition: good discharge instructions: follow medications on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. do not use creams, lotions, or powders on wounds. call our office for temp>101.5, sternal drainage. followup instructions: make an appointment with your primary care provider weeks. make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. appt. at clinic :30 am, 7 procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery revision of lead [electrode] replacement of any type pacemaker device with dual-chamber device diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation chronic kidney disease, unspecified hemorrhage complicating a procedure mechanical complication due to cardiac pacemaker (electrode) 

Answer: The patient is high likely exposed to