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: mr. is a 66 year old man with known coronary arteries, status post multiple interventions with the last catheterization on with stents to his proximal and mid right coronary artery as well as his proximal left anterior descending coronary artery. prior to admission the patient complained of shortness of breath with exertion, chest pain with rest and with exertion and palpitations, all worsening over the past year. chest pain is relieved with rest and/or nitroglycerine. a stress test done showed reversible ischemia in the inferior left ventricular wall with an ejection fraction of 56 percent. he was then referred for cardiac catheterization which was done on the day of admission showing three vessel disease and then was referred for coronary artery bypass grafting. as stated, the patient's catheterization showed left main 60 percent, left anterior descending coronary artery with patent stents in the mid vessel, 60 percent stenosis, circumflex with minimal disease and right coronary artery with 80 percent ostial disease. past medical history: is significant for hypertension, hypercholesterolemia, clad, thrombocytopenia, hypothyroidism and gastroesophageal reflux disease. past surgical history: is significant for a transurethral resection of the prostate and a penile implant. allergies: he has no known drug allergies. he is lactose intolerant. medications: include zoloft 75 daily, prilosec 40 daily, carafate 1 gram q.i.d., atenolol 50 daily, aspirin 325 daily, pravachol 40 daily, synthroid 125 b.i.d. and zantac 150 b.i.d. social history: lives with his wife and son, works part-time in a wood flooring company. tobacco - quit in . alcohol rare use. family history: brother had a coronary artery bypass graft at age 60 and father died of a myocardial infarction at 51 years old. review of systems: is noncontributory. physical examination: height 5 feet, 8 inches, weight 200 pounds. vital signs: heart rate 65, sinus rhythm, blood pressure 122/56, respiratory rate 18, o2 saturation 98 percent on room air. general: lying flat in bed in no acute distress. neurologic: alert and oriented times three, moves all extremities, follows commands. nonfocal examination. respiratory: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, s1, s2 with no murmurs, rubs or gallops. gastrointestinal: is firm, taut, nontender, nondistended with normal active bowel sounds. extremities are warm and well perfused with no clubbing, cyanosis or edema. pulses 2 plus throughout. laboratory data: white count 4.9, hematocrit 36.7, platelets 56. sodium 144, potassium 3.2, chloride 111, co2 19, bun 11, creatinine 0.8, glucose 200. pt 15.5, ptt 106.9, inr 1.5, alt 37, ast 36, alkaline phosphatase 57, total bilirubin 1.0, albumin 3.2. patient had bilateral duplex examination, carotid duplex that showed no significant carotid disease. additionally patient was seen by the neurology as well as the hematology service and cleared to proceed surgery and cleared for surgery. the patient was followed by the medical service during these evaluations and was ultimately brought to the operating room on . please see the operating room report for full details. in summary, the patient had an off pump coronary artery bypass grafting times three with a left internal mammary artery to the left anterior descending coronary artery, saphenous vein graft to the right coronary artery, and saphenous vein graft to the obtuse marginal. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer the patient was in sinus rhythm at 74 beats per minutes with a mean arterial pressure of 66 and a cvp of 11. he was on propofol at 20 mcg per kilogram per minute. the patient did well in the immediate postoperative period. he failed his initial attempt at extubation and was begun on apresodex due to agitation. following a second attempt to extubate which failed the patient was sedated throughout the night of operative day one. on postoperative day one the patient was hemodynamically stable. he was successfully weaned from the ventilator and extubated. on postoperative day two the patient continued to be hemodynamically stable. all intravenous medications were converted to oral medications. his chest tubes were removed and he was transferred to the floor for continuing postoperative care and cardiac rehabilitation. on the first two days on the floor the patient remained hemodynamically stable. he was, however, noted to be extremely lethargic but has nonfocal neurological examination at that time. on postoperative day six the patient continued to be lethargic and somnolent with orientation, good attention and intact short term memory but with the need to repeat questions before the patient seemed to be able to verbalize a response. sepsis work up was initiated at that time on postoperative day seven. patient showed increasing agitation and was uncooperative with the medical as well as the surgical as well as the nursing staff and at that time the patient was sent for a head ct scan which revealed hydrocephalus, following which a neurosurgery consult was obtained and a ventriculostomy drain was placed. at that time the patient was transferred to the neurosurgical intensive care unit. additionally the ct scan showed an embolic right sided stroke. patient was followed by the neurosurgery service as well as the cardiac surgery service for the remainder of his hospitalization. he remained in the neurosurgical intensive care unit until at which time the drain was clamped. the patient had a head ct following which he was transferred to the neurosurgical step down unit. the intracranial drain was removed and the patient was transferred to for continuing postoperative care. over the next several days the patient remained hemodynamically stable. he was evaluated by physical therapy, was found to become hypotensive with ambulation. this was felt to be secondary to prolonged inactivity. at that time a decision was made that the patient should be screened for rehabilitation and transferred when a bed became available in order to give the patient adequate time to increase the strength and endurance. on postoperative day 27 it was decided that the patient was stable and ready to be discharged to rehabilitation. at this time the patient's physical examination is as follows. temperature 98.1, heart rate 76, blood pressure 110, 60, respiratory rate 18, rate 85.2 kilos, preoperatively 101 kilos. physical examination: neurologic: alert and oriented times three, moves all extremities. follows commands. nonfocal examination. pulmonary clear to auscultation bilaterally. cardiac: regular rate and rhythm. s1, s2. sternum is stable. incision healing well without drainage or erythema. abdomen is soft, nontender, nondistended with normal active bowel sounds. extremities were warm and well perfused with no edema. left open saphenous vein graft harvest site healing well, no erythema or edema. icp drain excision site with sutures clean and dry, covered with a dry sterile dressing. he also has a foley to gravity due to postoperative failure to void. patient has a history of transurethral resection of the prostate in the past with difficulty voiding after foley removal times two in the past. patient's medications at time of discharge include aspirin 325 daily, synthroid 125 b.i.d., lopressor 25 mg b.i.d., prilosec 40 daily, folate 1 daily, pravastatin 40 daily, zoloft 75 daily, thiamine 100 daily and flomax 0.4 daily. discharge diagnoses: 1. coronary artery disease, status post off pump coronary artery bypass grafting times three with a left internal mammary artery to the left anterior descending coronary artery, saphenous vein graft to the right coronary artery, saphenous vein graft to the right coronary artery, saphenous vein graft to the obtuse marginal. 2. status post right posterior cerebellar embolic stroke. 3. hypertension. 4. hypercholesterolemia. 5. thrombocytopenia. 6. hypothyroidism. 7. gastroesophageal reflux disease. 8. status post transurethral resection of the prostate. 9. status post penile implant. patient is to be discharged to rehabilitation. he is to have follow up with dr. of the neurosurgery service in two weeks. follow up with dr. of the urology service after discharge from rehabilitation and follow up with dr. in four weeks. additionally the patient to have the sutures removed from his icp drainage site on . , m.d. procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart ventricular shunt to extracranial site nec transfusion of platelets injection of rh immune globulin diagnoses: coronary atherosclerosis of native coronary artery obstructive hydrocephalus esophageal reflux intermediate coronary syndrome unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation retention of urine, unspecified cerebral embolism with cerebral infarction 

Answer: The patient is high likely exposed to