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: mr. is a 56-year-old gentleman with known coronary artery disease and insulin dependent diabetes mellitus, who had been previously admitted in with chest pain, congestive heart failure and ruled out for myocardial infarction at that time, but had a positive exercise tolerance test and was brought to cardiac catheterization during that admission. at that time his catheterization showed normal left main, left anterior descending coronary artery 95% occluded, circumflex coronary artery 70% occluded, obtuse marginal #1 70% occluded, right coronary artery 70% occluded, no left ventriculogram was done at that time due to an elevated creatinine, however his ejection fraction by echocardiogram at that time was 40-45%. past medical history: 1. diabetes mellitus with associated neuropathy. 2. hypertension. 3. hypercholesterolemia. 4. chronic renal insufficiency with a baseline creatinine of 2.1 to 2.5. 5. congestive heart failure. 6. anemia. 7. bilateral claudication. 8. peripheral vascular disease. past surgical history: 1. right fifth metatarsal resection. 2. tonsillectomy. 3. left eye vitrectomy. 4. bilateral laser surgery to both eyes. allergies: sulfa, ampicillin and codeine, all of which make him nauseated. medications during last admission: 1. zestril 40 mg q.d. 2. lasix 40 mg q.d. 3. norvasc 10 mg q.d. 4. coreg 6.25 mg b.i.d. 5. glipizide 10 mg b.i.d. 6. digoxin 0.125 mg q.d. 7. lipitor 40 mg q.d. 8. aspirin 81 mg q.d. 9. pepcid ac no dose or frequency provided. 10. insulin 70/30, 21 units in the am and lente 19 units in the pm. 11. iv natrecor. 12. epoetin 5,000 units subcutaneous q. saturday. 13. vitamin b12 1,000 mcg q. day. laboratory data: on his last admission white count was 7.9, hematocrit 34.4, platelet count 211, sodium 140, potassium 4.4, chloride 104, co2 25, bun 41, creatinine 2.3, glucose 191. ekg was sinus rhythm with a rate of 88, st wave changes laterally. physical examination: heart rate 80 and sinus rhythm, blood pressure 168/69, respiratory rate 18, oxygen saturation 97% on room air. lungs: clear to auscultation bilaterally. cardiac: regular rate and rhythm, s1 and s2 with a 2/6 systolic ejection murmur. abdomen: soft, nontender, nondistended, no hepatosplenomegaly, positive bowel sounds. pulses: radial 2+ on the right, 1+ on the left; femoral 2+ bilaterally; dorsalis pedis 1+ bilaterally; posterior tibial 2+ bilaterally. extremities: well perfused, no clubbing, cyanosis or edema, no varicosities. neurological: pupils equally round and reactive to light. extraocular movements intact. cranial nerves ii-xii were grossly intact. hospital course: as stated previously, on the patient was a direct admission to the operating room at which time he underwent coronary artery bypass grafting. please see the operating room report for full details. in summary, the patient had a coronary artery bypass grafting x 4 with a left internal mammary artery to the left anterior descending coronary artery, saphenous vein graft to the posterior descending coronary artery, saphenous vein graft to obtuse marginal #1 and obtuse marginal #2 sequentially. his bypass time was 127 minutes with a cross-clamp time of 112 minutes. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer the patient's mean arterial pressure was 76. he was in sinus rhythm at 95 beats per minute. he had dobutamine at 5 mcg per kg per minute, neo-synephrine at 0.3 mcg per kg per minute and propofol at 10 mcg per kg per minute. the patient did well in the immediate postoperative period. he was noted however to have a mixed metabolic respiratory acidosis. his ventilator was manipulated until the acidosis corrected itself. once the acidosis corrected itself the patient's anesthesia was reversed and he was successfully weaned from the ventilator and extubated. on the first postoperative day the patient remained hemodynamically stable. he was weaned from his dobutamine drip and was scheduled to be transferred to the floor, however check of his electrolytes prior to transfer revealed a rising creatinine as well as some hyperkalemia. the patient was treated with kayexalate and was kept in the intensive care unit to monitor his renal status. additionally a renal consultation was called on the patient. given his tenuous renal status the patient stayed in the intensive care unit for an additional three days waiting for his creatinine to plateau. on postoperative day four the patient's creatinine was back down to his baseline, and on postoperative day five he was transferred to for continuing postoperative care and cardiac rehabilitation. over the next two days the patient's activity level was increased with the assistance of the nursing staff and physical therapy. on postoperative day six it was decided that the patient was stable and ready to be discharged to home. at the time of discharge the patient's physical examination was as follows: vital signs were temperature 98.2, heart rate 75 and sinus rhythm, blood pressure 122/76, respiratory rate 18, oxygen saturation 95% on room air. weight preoperatively was 107.9 kg, at discharge 113.6 kg. laboratory data was white count 8.0, hematocrit 27.4, platelet count 248, sodium 140, potassium 3.8, chloride 102, co2 26, bun 50, creatinine 2.3, glucose 117. physical examination was alert and oriented x 3, moving all extremities, followed commands. lungs had diminished distant breath sounds, no rales appreciated. cardiac was regular rate and rhythm, s1 and s2. sternum was stable. the incision with steri-strips was open to air, clean and dry. the abdomen was soft, nontender, nondistended with normal active bowel sounds. extremities were warm, well perfused, + edema bilaterally. discharge medications: 1. aspirin 325 mg q.d. 2. atorvastatin 40 mg q.d. 3. glipizide 10 mg b.i.d. 4. protonix 40 mg q.d. 5. furosemide 40 mg q.d. 6. norvasc 10 mg q.d. 7. multivitamin 1 q.d. 8. metoprolol 50 mg b.i.d. 9. insulin 70/30, 10 units q.a.m. and lente 10 units q.p.m. 10. dilaudid 2-4 mg q. 4-6 hours p.r.n. 11. regular insulin sliding scale q. 6 hours as needed. discharge diagnoses: 1. coronary artery disease status post coronary artery bypass grafting x 4 with left internal mammary artery to the left anterior descending coronary artery, saphenous vein graft to posterior descending coronary artery, saphenous vein graft to obtuse marginal #1 and obtuse marginal #2 sequentially. 2. hypertension. 3. hypercholesterolemia. 4. chronic renal insufficiency. 5. congestive heart failure. 6. anemia. 7. diabetes mellitus with associated neuropathy. 8. status post right fifth metatarsal resection. 9. status post tonsillectomy. 10. status post left eye vitrectomy. 11. status post bilateral laser surgery of the eye. condition on discharge: good. disposition: discharged to home with services. follow up: he is to be seen in the wound clinic in two weeks; to be seen in dr. office in three to four weeks; and to be seen by his primary care physician, . , in four weeks. , m.d. dictated by: medquist36 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 diagnoses: acidosis hyperpotassemia coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to