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 53-year-old white male with a history of diabetes mellitus type 2, hypertension, with neuropathy who presented with a four day history of chest pain and diaphoresis. of note, one month prior to admission, he had first ever episode of chest pain while walking his dog, characterized as pressure, which did not radiate, without associated symptoms except for diaphoresis. they resolved within ten minutes of lying down. this occurred three more times in the following weeks, until the friday prior to admission. the symptoms began in the morning and did not go away. review of systems: significant for fatigue for the same amount of time, temperature 102.6 on friday, occasional cough, no orthopnea, paroxysmal nocturnal dyspnea or claudication. in the emergency department, his electrocardiogram was noted to have st elevations in ii, iii and avf. he was taken to catheterization and had stenting of the right coronary artery using two overlapping stents. physical examination on admission: temperature 100.8. blood pressure 103/64. pulse 79. respiratory rate 12. he is % on room air. he was alert and oriented in no apparent distress. he had jugular venous pressure at 8 cm. pulmonary: clear to auscultation anteriorly. heart rate: regular rate and rhythm, no murmurs, rubs or gallops. extremities with 1+ pulses. groin without hematoma. laboratories at that time: white blood cell count 11.9, hematocrit 38.8, platelet count 177,000, 85% neutrophils, no bands. chest x-ray showed left ventricular enlargement, no congestive heart failure. cks were 623, 689, mb of 38, troponin of greater than 50. past medical history: 1. diabetes type 2. 2. hypertension. 3. neuropathy. home medications: zestril 10 mg po q.d., glyburide 10 mg q.d., nortriptyline, atenolol and neurontin. allergies: codeine which gives him a rash. social history: no tobacco ever. alcohol: five to six beers per day with occasional binge. no drugs. family history: no history of coronary artery disease. hospital course: post stent, the patient was put on telemetry, started on integrilin for 18 hours, restarted on a beta-blocker. the ace inhibitor was initially held until after the transthoracic echocardiogram. he was started on aspirin 325 mg q.d., plavix 75 mg for 30 days, fasting lipids were checked. his diabetes and other home medications were continued glyburide. he was also put on a regular insulin sliding scale. neuropathy: he was stable and continued on neurontin, as well as his nortriptyline. he was initially admitted to coronary care unit for monitoring due to his three vessel disease found on cardiac catheterization. he was then transferred on the to c med at which time his echocardiogram had been performed on , which showed an ejection fraction of 35-40%, left atrial mild dilatation, inferior, inferolateral, inferoseptal hypokinesis in those regions. the left ventricular systolic function was mildly to moderately decreased. the right ventricular systolic function was moderately to severely decreased. by the 7th, his fasting lipid results had returned showing triglycerides of 101, hdl 41, ldl of 92, total cholesterol of 153. he was on pravachol 20 q.d., with the hopes of increasing that dosage while in house, so his lfts were checked which revealed alt mildly elevated at 71, ast mildly elevated at 62, an ld of 466, alkaline phosphatase of 62, total bilirubin 0.8, thus, he was left on the pravachol 20 q.d. with hopes that the lfts would be followed by primary care physician and increased as tolerated. he continued to do well once transferred. the lopressor was increased from 25 b.i.d. to 37.5 mg b.i.d. captopril was restarted at 12.5 mg t.i.d. on the 7th. on the 7th, course was notable for a febrile episode to 101. chest x-ray, blood cultures and urine cultures were obtained. all were negative for infectious processes. on the 8th, he continued to improve, was working with physical therapy without difficulties, at which time he noticed that he was having left big toe pain, it was noted to be erythematous and extremely tender to touch, thus, an acute gout flare was diagnosed. he was started on colchicine 0.6 mg b.i.d. with improvement of symptoms. the patient was discharged home on with follow-up instructions to see his primary care doctor in seven to ten days, dr. , within one month, as well as an exercise stress mibi was scheduled for at 4:30 p.m. discharge medications: he was discharged home on his: 1. glyburide 10 q.d. 2. neurontin. 3. nortriptyline 50 mg hs. 4. toprol xl 50 mg q.d. 5. colchicine .6 b.i.d. until his acute gout flare had resolved. 6. lisinopril 10 mg po q.d. 7. pravastatin 20 mg q.d. 8. glyburide 10 mg q.d., 9. nitroglycerin sublingual 0.4 mg prn. 10. aspirin 325 mg q.d. 11. plavix 75 mg po q.d. times 30 days. of note, he also had a cough throughout his hospital stay. this improved significantly with incentive spirometer, thus, the patient was discharged home with the incentive spirometer with instructions to continue as needed. discharge status/follow-up: patient discharged home with follow-up with primary care physician, . , stress mibi, and outpatient cardiac rehabilitation. discharge condition: good. discharge diagnosis: acute myocardial infarction. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension gout, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes tachycardia, unspecified 

Answer: The patient is high likely exposed to