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: vancomycin attending: chief complaint: angina major surgical or invasive procedure: coronary artery bypass graft x 3 (lima to lad, svg to ramus, svg to pda with patch angioplasty), aortic valve replacement w/ 23mm ce magna pericardial tissue valve, iabp placement history of present illness: 70 y/o male with increased chest pain over the past few months. he had a positive stress test and was referred for cardiac cath. cath on day of admission revealed severe 3 vd with 95% prox. lad. referred for surgical revascularization. past medical history: diabetes mellitus, peripheral vascular disease w/ carotid stenosis, peripheral neuropathy, hypertension, sleep apnea, obesity, gout, neurogenic bladder social history: denies tobacco and etoh use. divorced and lives alone. family history: non-contributory physical exam: admission neuro: grossly intact pulm: ctab -w/r/r heart: rrr 2/6 systolic murmur abd: obese, soft, nt/nd, +bs ext: warm, unable to palpate distal pulses discharge vs t 98.5 hr 88sr bp 96/54 rr 18 o2sat 94% ra gen: nad neuro a&ox3 non focal exam pulm: cta bilat cv rrr, open sternal wound w/vac dressing in place. clean margins abdm: soft. nt/nd/+bs ext: no edema, pvd skin color changes pertinent results: cath: 1. selective coronary angiography of this right dominant system revealed multi-vessel disease. the lmca had no significant disease. the lad had a proximal 95% lesion, a 95% first diagonal lesion, and an occluded 2nd diagonal. the lcx had a 50% proximal stenosis. the rca had a 60% mid stenosis and a 60% pda lesion. 2. left ventriculography revealed a calculated ejection fraction of 59%. 3. lvedp was elevated at a 21mmhg. cnis: findings as stated above which indicate an approximately 50-59% ica stenosis bilaterally. echo: pre cpb the left atrium is moderately dilated. the left atrium is elongated. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. mild spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is normal (lvef>55%). right ventricular systolic function is normal. there are simple atheroma in the aortic arch. there are focal calcifications in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. the right coronary cusp displays little mobility. there is moderate aortic valve stenosis (area 1.1 - 1.3 cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post cpb the patient is receiving epinephrine, norepinephrine, and milrinone by infusion. there is borderline normal right ventricular systolic function. there is a left ventricular ef of about 65% but this is in the setting of moderate to moderate to severe mitral regurgitation. no obvious focal wall motion abnormalities are seen. the mitral regurgitation is slightly worse then pre bypass. there is a bioprosthesis located in the aortic position. it appears well seated. the leaflets are very poorly seen. there is trace valvular ai. the poor views prevent ruling out a trace perivalvular jet. the maximum gradient through the aortic valve is about 20 mm hg. there is no aortic stenosis. an intra-aortic balloon pump is located in the descending thoracic aorta. its tip is about 3 cm below the distal arch. cxr: a linear atelectasis is noted in the left base. there is also atelectasis of the lower lobes, bilaterally with moderate bilateral pleural effusions. no infiltrates are noted in the upper poles. the cardiac silhouette is enlarged. the patient is status post cabg with median sternotomy. there is no pneumothorax present. a prosthetic valve is present. there is diffuse ossification of the anterior longitudinal ligament consistent with dish. 09:00am blood wbc-12.0* rbc-4.11* hgb-12.9* hct-36.4* mcv-89 mch-31.3 mchc-35.3*# rdw-14.5 plt ct-248 03:06am blood wbc-23.2* rbc-3.19* hgb-10.1* hct-27.8* mcv-87 mch-31.6 mchc-36.3* rdw-15.4 plt ct-100* 09:00am blood pt-12.8 ptt-28.1 inr(pt)-1.1 02:41am blood pt-13.1 ptt-28.9 inr(pt)-1.1 09:00am blood glucose-124* urean-41* creat-1.1 na-136 k-4.4 cl-104 hco3-23 angap-13 02:41am blood glucose-80 urean-31* creat-0.9 na-138 k-3.8 cl-101 hco3-30 angap-11 07:40am blood wbc-20.5* rbc-3.75* hgb-11.6* hct-34.8* mcv-93 mch-31.0 mchc-33.4 rdw-14.7 plt ct-402# 07:40am blood glucose-65* urean-29* creat-1.2 na-136 k-5.0 cl-99 hco3-28 angap-14 brief hospital course: as mentioned in the hpi, mr. a cardiac cath on day of admission. cath revealed severe three vessel disease and he was admitted to the ccu for urgent cabg. he usual pre-operative work-up and on the following day he was brought to the operating room where he a coronary artery bypass graft x 3. please see operative report for surgical details. following surgery he was transferred to the csru for invasive monitoring with a iabp in serious but stable condition. post-operatively he required multiple blood products for post-op bleeding. over the next couple of days his balloon pump and multiple pressors were slowly weaned off (iabp removed on post-op day two). on post-op day three he was weaned from sedation, awoke neurologically intact and extubated. a swallow evaluation was performed after extubation which found him to swallow thing liquids and regular food without difficulty. beta blockade, aspirin and a statin were started. his chest tubes and epicardial pacing wires were removed per protocol. the wound care nurse for assistance with areas of integrity breakdown and proper precautions were taken. on post-operative day five he was transferred to the telemetry floor for further care. he was gently diuresed towards his preoperative weight. on post-op day seven his upper sternal wound was cultured due to drainage and vancomycin, levofloxacin and flagyl were started for coverage. the plastic surgery service was who suggested a vacuum assisted dressing and it was applied. during his entire post-op course he was followed by physical therapy for strength and mobility. mr. developed a rash and the dermatology service was . a drug rash was suspected and the likely offending agents were discontinued. topical steroids were used on the areas with urticaria and an antifungal was prescribed for his groins. on , mr. developed a period of hypotension without an obvious reason. an echo was performed which showed no signs of tamponade or other abnormalities.he was transferred to the csru for monitoring. no further episodes of hypotension occurred. as longterm intravenous antibiotcs were recommemended, successful placement of a left brachial vein 45 cm double lumen picc line was placed on . id consult on resulted in vanco being discontinued (due to rash) and linezolid was started. his sternal waond is superficially open with a vac dressign in place. this is being managed by the plastic surgery service, and he should follow up with dr. . the vac should be changed every 3rd day. he was transferred back to the floor on . he has remained hemodynamically stable, his wbc has remained wnl, and he is ready to be discharged to rehab. medications on admission: lisinopril 10mg qd, glipizide 50mg qd, metformin 500mg qd, allopurinol 300mg qd, simvastatin 10mg qd, ditropan xl 10mg qd, indocin 50mg qd, aspirin 325mg qd discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 7. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 8. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours): continue until id follow-up on . 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 11. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 12. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours): continue until see in follow-up with id on . 13. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 14. clotrimazole 1 % cream sig: one (1) appl topical (2 times a day). 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 16. heparin (porcine) 5,000 unit/ml solution sig: 5000 units units injection tid (3 times a day): until fully ambulatory. 17. oxybutynin chloride 5 mg tablet sig: one (1) tablet po bid (2 times a day). 18. ranitidine hcl 75 mg tablet sig: one (1) tablet po once a day for 2 weeks. discharge disposition: extended care facility: hospital - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 aortic stenosis s/p aortic valve replacement pmh: diabetes mellitus, peripheral vascular disease w/ carotid stenosis, peripheral neuropathy, hypertension, sleep apnea, obesity, gout, neurogenic bladder discharge condition: stable discharge instructions: patient should shower daily, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call cardiac surgeon if start to experience fevers, sternal drainage and/or wound erythema. followup instructions: make appointments with the following physicians: dr. in 4 weeks ( dr. in weeks dr. in weeks (please ask for follow-up for ? spinal stenosis, pain service vs. neurologist, vs. neurosurgeon) dr. (vascular surgeon) at time of appt. with dr. ( infectious disease clinic phone: date/time: 2:00, dr. (plastic surgery)on @ 2:30pm() procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization non-invasive mechanical ventilation open and other replacement of aortic valve with tissue graft implant of pulsation balloon transfusion of packed cells transfusion of other serum transfusion of platelets nonoperative removal of heart assist system other immobilization, pressure, and attention to wound diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery other postoperative infection unspecified essential hypertension acute kidney failure, unspecified aortic valve disorders polyneuropathy in diabetes peripheral vascular disease, unspecified other and unspecified hyperlipidemia hemorrhage complicating a procedure hypotension, unspecified unspecified sleep apnea family history of ischemic heart disease dermatitis due to drugs and medicines taken internally diarrhea occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction urinary incontinence, unspecified candidiasis of skin and nails diabetes with neurological manifestations, type ii or unspecified type, uncontrolled neurogenic bladder nos 

Answer: The patient is high likely exposed to