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: penicillins / bactrim ds / starlix / biaxin / ibuprofen / zetia / verapamil / aspirin / avandia / lantus attending: chief complaint: rest/exertional angina, palpitations major surgical or invasive procedure: coronary artery bypass (lima-lad, svg-om2, svg-pda) history of present illness: the patient is a 35-year-old gentleman with a history of many years of diabetes mellitus has had associated retinopathy, neuropathy, and atherosclerosis. his main symptoms at this time are continued chest pain syndrome occurring now both with exertion and at rest. he has had a diagnosis of coronary artery disease for a number of years and had two lad bare-metal stents placed in . he has had medical management until recently with continuing chronic chest pain. last week cardiac catheterization revealed severe three- vessel disease and he presents today for evaluation for cabg. cardiac catheterization at on showed an ejection fraction of 45-50%. a right femoral artery perclose device was used. there was a right dominant system, lad has two major lesions of 70% and 90% around the areas of the stent, and a 50% proximal diagonal 1 lesion. in addition, the circumflex has a small om1 with only mild disease, but the ostium of the inferior pole of the om2 has a 70% lesion. right coronary is dominant but relatively small with extensive diffuse disease. there is a 99% subtotal occlusion of the rca. past medical history: tia in chronic obesity, coronary artery disease, non-insulin-dependent diabetes mellitus, elevated lipids, hypertension, asthma, gastroesophageal reflux disease, and chronic back issues with neuropathy down both legs. past surgeries include right eye vitrectomy in , tonsillectomy, myringotomy tubes as a child, and lumbosacral back surgery. social history: mr. works as a phone worker for emergency crisis line. his last dental exam was a few years ago. he never has used tobacco and does not use any alcohol. he is currently living with his father as his mother passed this week. he denies use of any recreational drugs. family history: family history is very significant of both parents having coronary artery disease. his mother had her first myocardial infarction in her 40s and died this past week of heart issues. his father had a myocardial infarction at age 55. physical exam: pleasant, obese gentelman, walks with cane pertinent results: 06:30am blood wbc-6.8 rbc-3.81* hgb-11.6* hct-33.2* mcv-87 mch-30.4 mchc-34.8 rdw-14.2 plt ct-214 05:25am blood wbc-11.0 rbc-3.94* hgb-11.9* hct-34.5* mcv-88 mch-30.2 mchc-34.5 rdw-14.5 plt ct-164 01:51pm blood wbc-12.9*# rbc-3.44*# hgb-10.2*# hct-30.2*# mcv-88 mch-29.8 mchc-33.9 rdw-14.2 plt ct-205 06:30am blood urean-14 creat-0.8 k-3.5 05:25am blood glucose-186* urean-13 creat-0.7 na-139 k-4.1 cl-102 hco3-28 angap-13 06:30am blood mg-2.1 the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion.ef of 55% post bypass lv function is preserved trivial mr no evidence of dissection brief hospital course: mr. was admitted to the hospital and brought to the operating room on where he underwent coronary artery bypass x 3 as detailed in the operative note. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in critical but stable condition for observation and recovery. pod 1 found the patient extubated, alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable, on no inotropic or vasopressor support. he does have a history of diabetes mellitus, and was consulted for assistance with blood glucose management. we appreciate their recommendations. the patient was transferred to telemetry on pod 1. chest tubes and pacing wires were discontinued without complication. the patient progressed through the cardiac surgery pathway without incident. on the day of discharge, he was noted to have minor sternal erythema about the superior 2" of his sternotomy incision. there was no drainage or leukocytosis and the patient was afebrile. he was started on levaquin (multiple antibiotic allergies) for this reason. he was cleared by pt and discharged to home with vna services and appropriate follow up instructions on pod 4. medications on admission: albuterol sulfate - (prescribed by other provider) - dosage uncertain bisoprolol fumarate - (prescribed by other provider) - 10 mg tablet - one tablet(s) by mouth daily clopidogrel - (prescribed by other provider) - 75 mg tablet - one tablet(s) by mouth daily hydrochlorothiazide - (prescribed by other provider) - 25 mg tablet - one tablet(s) by mouth daily insulin lispro - (prescribed by other provider) - dosage uncertain metformin - (prescribed by other provider) - 1,000 mg tablet - one tablet(s) by mouth twice a day nitroglycerin - (prescribed by other provider) - 0.4 mg tablet, sublingual - one tablet(s) sublingually three times a day as needed for for chest pain pantoprazole - (prescribed by other provider) - 40 mg tablet, delayed release (e.c.) - one tablet(s) by mouth twice a day ranexa - (prescribed by other provider) - - 500 mg twice a day rosuvastatin - (prescribed by other provider) - 40 mg tablet - one tablet(s) by mouth daily valsartan - (prescribed by other provider) - 160 mg tablet - one tablet(s) by mouth twice a day medications - otc insulin nph human recomb - (prescribed by other provider) - 100 unit/ml suspension - 60 units qam, 60 units qpm, 30 units qhs three times a day salmon oil-omega-3 fatty acids - (prescribed by other provider) - 1,000 mg-200 mg capsule - 2 capsule(s) by mouth twice a day discharge medications: 1. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 1 weeks: sternal erythema, multiple abx allergies. disp:*7 tablet(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. furosemide 20 mg tablet sig: two (2) tablet po twice a day for 2 weeks. disp:*56 tablet(s)* refills:*0* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 2 weeks. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* 11. insulin lispro 100 unit/ml insulin pen sig: one (1) subcutaneous three times a day: dose per attached sliding scale. 12. insulin nph human recomb 100 unit/ml suspension sig: one (1) subcutaneous twice a day: nph 64 units at breakfast, 50 units at bedtime. discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, s/p coronary artery bypass discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. () within 1 week- keep a log of your blood sugars dr. in 3 weeks at for wound check and post-op follow-up : dr. in 3 weeks dr. in 2 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension asthma, unspecified type, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to