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: feldene / naproxen attending: chief complaint: right rest pain and ischemia major surgical or invasive procedure: operations: 1. evacuation of right lower extremity hematoma. 2. right upper extremity cephalic vein harvest. 3. exploration of right lower extremity vein graft with vein patch angioplasty. operations: 1. ultrasound-guided puncture of the left common femoral artery. 2. contralateral third-order catheterization of the right superficial femoral artery. 3. abdominal aortogram. 4. serial arteriogram of the right lower extremity. 5. angiojet thrombectomy of the right superficial femoral artery with embolic protection. stenting of the right superficial femoral artery. 6. perclose closure of left common femoral arteriotomy history of present illness: this is a 47-year-old male with a history of severe upper and lower extremity peripheral vascular disease. he had previous bilateral lower extremity revascularizations for popliteal aneurysms. several weeks ago his right bypass graft thrombosed resulting in ischemia and rest pain. he presents for re-do bypass using arm vein. past medical history: b/l popliteal aneurysms, s/p left sfa to at bypass graft ' & revision ', multiple venous and arterial clotting events with no known etiology, gerd, hiatal hernia, polyarteritis nodosa, hypercoagulopathy workup negative to date, chronic lue pain with a presumptive dx of vasculitis with raynaud's phenomena (pt was formerly on nifedipine xl 30') social history: smoking 1 ppd etoh: three, 6 packs daily family history: nc physical exam: vvs bp 90-100/60's, hr 50-60's, afebrile general: a&ox3, nad cv: rrr pulm: ctab ant abd: soft, nt/nd; no groin hematoma ext: lle dop pt/dp; palpable graft at knee and r dp pertinent results: 03:34am blood wbc-8.2 rbc-2.95* hgb-9.6* hct-27.7* mcv-94 mch-32.7* mchc-34.8 rdw-13.5 plt ct-452* 01:47am blood hct-28.7* 03:34am blood plt ct-452* 03:34am blood pt-16.5* ptt-44.7* inr(pt)-1.5* 03:34am blood glucose-104* urean-9 creat-0.9 na-141 k-3.7 cl-106 hco3-26 angap-13 11:26am blood alt-10 ast-33 ld(ldh)-331* totbili-0.5 03:34am blood calcium-8.5 phos-4.5 mg-1.9 brief hospital course: underwent re-do superficial femoral artery to anterior tibial artery bypass graft with nonreversed right basilic vein for right bypass graft thrombosis resulting in ischemia and rest pain. no complications. extubated and transfered to pacu then . vss. pulses intact. on hepain gtt. during or procedure- discovered a large amount of thrombus within the superficial femoral artery intraoperatively. decided to return to the endo for diagnostic angiogram. overnight, no events. underwent angiojet thrombectomy of the right superficial femoral artery with embolic protection. stenting of the right superficial femoral artery. perclose closure of left common femoral arteriotomy. procedure without complication and he was transfered to the floor in stable condition. however, almost immediately upon arrival to floor-the patient abruptly became agitated at 1pm, trying to remove his foley, his a-line, and his central line. he refused to lie flat and sat up in his bed, threatening to leave ama. due to a concern for his graft and groin, a number of nurses and physicians were called to the patient's room to restrain him. he received 2mg of ativan but became even more agitated, and a code purple was called. he was then put in 4 point leather restraints due to a concern for harm to himself. he was ultimately given 3mg of ativan and 7.5mg of haldol with good effect. at that time, the restraints were switched to soft cuffs. the patient's vital signs remained stable over this time with the exception of some tachycardia. the graft and his dp pulse remained palpable, though the calf became edematous. his foot was warm. there was no groin hematoma. his arm dressing showed some strike-though, but the wound was intact when the dressing was taken down. his foley had been mildly bloody prior to this episode, and he continued to have hematura. the foley was kept in place. post operative assessment: 47m pod0 s/p proximal right sfa angioplasty and stent with acute agitation, likely the result of etoh withdrawal, otherwise stable. ciwa scale was substantially increased to cover withdrawal symptoms per psych nurses. transfered to cvicu for monitoring. . remained in cvicu overnight under heavy sedation for dt/etoh withdrawl. hematoma larger, underwent evacuation of right lower extremity hematoma, right upper extremity cephalic vein harvest, exploration of right lower extremity vein graft with vein patch angioplasty. remained intubated/sedated for etoh withdrawl. transfused. sbp maintained 100-140. overnight, in cvicu. intubated. clonidine patch, valium started. febrile to 102.6- pan cultured, vanco and cefepime started. extubated. continue withdrawl/ciwa and dilaudid for pain. remained to cvicu for close montioring, withdrawl. pulses stable. vss. no events. transfered to vicu/ for continued care. working with pt. psychiatry consulted, following. on heparing gtt. coumadin restarted. sputum + for mssa, hflu. started nafacillin. -vss. no events. pt cleared pt for home with home pt and rolling walker. will discharge on dicloxacillin, lovenox and coumadin. lovenox teaching performed, pt able to administer. resume anticoagulation management by pcp. up office visit arranged with pcp and discharge summary faxed to his office. post op with dr. scheduled. medications on admission: cilostazol 100 mg po bid prn claudication pain, coumadin, citalopram 20 mg po daily, cyclobenzaprine 10 mg prn muscle spasm, lansoprazole 30 mg tablet dr daily, psyllium 1 packet po daily, thiamine hcl 100 mg po daily, folic acid 1 mg po daily, metoprolol tartrate 12.5 mg po bid, simvastatin 20 mg po daily, discharge medications: 1. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 2. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for muscle spasm. 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): 12.5mg twice per day refills from pcp , . :*30 tablet(s)* refills:*0* 8. enoxaparin 80 mg/0.8 ml syringe sig: one (1) subcutaneous q 12h (every 12 hours): continue until inr is >2 and as directed by pcp. :*10 1* refills:*0* 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily): refills per pcp , phone: . :*30 tablet(s)* refills:*0* 10. warfarin 5 mg tablet sig: one (1) tablet po daily (daily): refills by pcp , phone: . :*30 tablet(s)* refills:*0* 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily): while on plavix, then may resume home med- prevacid. :*30 tablet(s)* refills:*0* 12. folic acid 1 mg tablet sig: one (1) tablet po daily (daily): refill per pcp , . :*30 tablet(s)* refills:*0* 13. hydromorphone 2 mg tablet sig: 1-2 tablets po every hours as needed for pain. :*50 tablet(s)* refills:*0* 14. outpatient lab work inr 2x per week and prn as directed by pcp , phone: fax results to dr. 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 16. dicloxacillin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days. :*28 capsule(s)* refills:*0* discharge disposition: home with service facility: all care vna & hospice discharge diagnosis: 47m s/p third redo r sfa-at bpg with r basilic vein , and s/p proximal sfa angioplasty and stent , s/p washout and patch angioplasty with r cephalic vein pmh: b/l popliteal aneurysms, multiple venous and arterial clotting events with no known etiology, gerd, hiatal hernia, polyarteritis nodosa, hypercoagulopathy workup negative to date, chronic lue pain with a presumptive dx of vasculitis with raynaud's phenomena (pt was formerly on nifedipine xl 30') psh: left sfa to at bypass graft ' & revision ' discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). (rolling walker and continued home pt) discharge instructions: division of vascular and endovascular surgery lower extremity angioplasty/stent discharge instructions medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? if instructed, take plavix (clopidogrel) 75mg once daily x 1 month only ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated ?????? it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and ultrasound what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office . if bleeding does not stop, call 911 for transfer to closest emergency room. division of vascular and endovascular surgery lower extremity bypass surgery discharge instructions what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over incision, rinse and pat dry ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 10:30 you have a visit scheduled with your pcp at 1215pm , e phone: continue lovenox/coumadin and inr/lab draws as directed by his office procedure: other revision of vascular procedure angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) other endovascular procedures on other vessels transfusion of packed cells other incision of skin and subcutaneous tissue repair of blood vessel with tissue patch graft cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: pneumonia, organism unspecified anemia, unspecified esophageal reflux tobacco use disorder 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 other complications due to other vascular device, implant, and graft primary hypercoagulable state raynaud's syndrome arterial embolism and thrombosis of lower extremity other and unspecified alcohol dependence, continuous alcohol withdrawal delirium polyarteritis nodosa 

Answer: The patient is high likely exposed to