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: ibuprofen / terbinafine attending: chief complaint: sternal dehiscence major surgical or invasive procedure: sternal rewiring/plating/bilateral pectoralis advancement flaps history of present illness: this 50 year old white male underwent coronary artery bypass grafting 6 months ago. he continues to smoke despite multiple admonishments to stop. he felt a popping 48 hours prior to presenting and he presented with an unstable sternum. a ct scan revealed fractured wires and sternal separtion. past medical history: coronary artery disease hypertension insulin dependent diabetes mellitus polysubstance abuse hypercholesterolemia gastroesophageal reflux disease h/o pancreatitis secondary to etoh abuse s/p c4/5 fusion s/p rotator cuff surgery social history: reports that he lives in in a boarding house. is single and has no children. smokes 0.5-1ppd x 40+ yrs. denies current alcohol use - reports he has not had anything to drink in 5 months, admits to crack use 5 months ago. denies ivdu. of note, patient uses different names in hospitals around and has a history of leaving ama. family history: non-contributory physical exam: admission: t 97.7f pulse: 76sr b/p: 122/86 resp: 18 sao2: 97/ra height: weight: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally sternum: incision well-healed without erythema, drainage or fluctuance; (-)click, but obvious (+)sternal instability heart: rrr irregular murmur abdomen: soft, non-distended, non-tender ext: warm, well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: nd left: nd dp right: 2+ left: 2+ pt : nd left: nd radial right: 2+ left: 2+ carotid bruit right: (-) left: (-) pertinent results: 05:31am blood wbc-8.7# rbc-3.73* hgb-10.9* hct-33.3* mcv-89 mch-29.1 mchc-32.6 rdw-15.9* plt ct-324 11:45pm blood wbc-5.1 rbc-4.31* hgb-12.9* hct-39.2* mcv-91 mch-30.0 mchc-32.9 rdw-15.5 plt ct-331 11:45pm blood neuts-60.4 lymphs-29.3 monos-6.4 eos-3.0 baso-0.9 04:45am blood glucose-130* urean-17 creat-1.1 na-141 k-4.6 cl-105 hco3-28 angap-13 11:45pm blood glucose-184* urean-25* creat-1.6* na-141 k-5.3* cl-108 hco3-23 angap-15 04:15pm blood alt-19 ast-21 ld(ldh)-165 alkphos-60 amylase-40 totbili-0.3 brief hospital course: following admission mr. was taken to the operating room on where sternal debridement, synthes plating and myocutaneous flap advancement was performed by the plastic surgical service. there was no evidence of infection. he tolerated the procedure well and was transferred to the cvicu for further monitoring. he remained hemodynamically stable postoperatively, however he had a prolonged stay in the cvicu due to acidosis and visual/auditory hallucinations secondary to narcotics and withdrawal. a narcan drip was utilized and mr. acidosis cleared. pod# 5 he was transferred to the floor for further recovery. the plastics surgery service followed the jp drain/drainage. pod# 8 after several episodes of mr. wanting to leave ama, dr. and dr. cleared mr. for discharge to home with the jp drain in place. antibiotics (keflex po)are to continue until the jp drain is removed by dr.. the picc line was removed prior to discharge. vna arrangements were made with the first visit on . mr. was instructed on caring for the jp drain. a follow up appointment with dr. has been arranged for at 3:45 pm and no further follow up with is required. medications on admission: plavix 75mg daily toprol xl 100 mg daily lisinopril 10mg daily simvastatin 40mg daily actos 30mg daily humalog 75/25 20units am, 28units pm, gabapentin 800mg tramadol 150mg diclofenac 100mg zantac 150mg amitriptyline 100hs asa 81 discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. amitriptyline 50 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 3. pioglitazone 15 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. gabapentin 400 mg capsule sig: two (2) capsule po bid (2 times a day). disp:*120 capsule(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours). disp:*120 capsule(s)* refills:*2* 9. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 10. insulin aspart 100 unit/ml cartridge sig: one (1) subcutaneous twice a day: resume home dosing: 20 units q am/ 28units qpm. disp:*qs * refills:*0* 11. tramadol 50 mg tablet sig: one (1) tablet po once (once) as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: sternal dehiscence s/p sternal rewiring/plating s/p coronary artery bypass grafts hypercholesterolemia hypertension insulin dependent diabetes mellitus gastroesophageal reflux polysubstance abuse discharge condition: alert and oriented x3, nonfocal. ambulating with steady gait. incisional pain managed with **** incisions: sternal - healing well, no erythema or drainage discharge instructions: shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage. no lotions, cream, powder, or ointments to incisions. each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart . no driving for approximately one month, until follow up with surgeon. no lifting more than 10 pounds for 10 weeks. please call with any questions or concerns (). **please call cardiac surgery office with any questions or concerns (). answering service will contact on call person during off hours.** followup instructions: you are scheduled for the following appointments: plastic surgeon: dr. on thursday at 3:45pm dr office: **please call cardiac surgery office with any questions or concerns (). answering service will contact on call person during off hours.** md procedure: venous catheterization, not elsewhere classified other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] attachment of pedicle or flap graft to other sites diagnoses: acidosis other chronic pain anemia, unspecified esophageal reflux pure hypercholesterolemia tobacco use disorder urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status chronic kidney disease, unspecified constipation, unspecified surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of insulin old myocardial infarction other postprocedural status personal history of noncompliance with medical treatment, presenting hazards to health streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] drug withdrawal pain in joint, shoulder region disruption of external operation (surgical) wound presence of cerebrospinal fluid drainage device other specified analgesics and antipyretics causing adverse effects in therapeutic use drug-induced psychotic disorder with hallucinations disruption of traumatic injury wound repair 

Answer: The patient is high likely exposed to