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: makrel fish attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x 3 (left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the 1st and 2nd marginal branches of the circumflex coronary artery). history of present illness: 60 year old gentleman who developed chest pain in late . his chest pain was described as exertional in nature and relieved with rest. he was referred to dr. for further work-up. a stress echocardiogram was performed which was markedly positive for inferior and septal ischemia and exercise induced chest pain. he underwent a cardiac catheterization which revealed severe severe three vessel disease. given the severity of his disease, he was referred for surgical management. past medical history: coronary artery disease diabetes mellitus hyperlipidemia hypertension glaucoma facial surgery following bike accident c/b infection (?mrsa) social history: race: indian last dental exam: lives with: wife contact: phone # occupation: owns indian conveniance store cigarettes: smoked no yes last cigarette hx: 10-11pyh other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: + premature coronary artery disease. father and mother deceased in their 60's. one sibling (sister) died of mi at 55. aother sibling with mi. physical exam: vital signs sheet entries for : bp: (r) 128/78. (l) 120/75 heart rate: 72. resp. rate: 16. pain score: 0. o2 saturation%: 100. height: 64" weight: 149 general: wdwn in nad skin: warm, dry and intact. pigment changes of le consistent with venous stasis and pvd. acanthosis nigricans in folds of neck. heent: ncat, perrla, eomi, sclera anicteric, op benign neck: supple full rom chest: wheeze noted at left base heart: rrr, no m/r/g abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: vein small at ankles. bilateral pigment changes and hair loss. neuro: grossly intact pulses: femoral right:2 left:2 dp right:trace left:trace pt :trace left:trace radial right:2 left:2 carotid bruit none noted pertinent results: echo: prebypass: preserved lv systolic function, no lv wall motion abnormalities, lvef > 55%. the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter have mild atherosclerotic plaque. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. intact interatrial septum. no clot in laa, normal coronary sinus. postbypass: essentially unchanged, s/p cabg. 04:55am blood wbc-10.3 rbc-3.65* hgb-10.1* hct-31.3* mcv-86 mch-27.8 mchc-32.4 rdw-14.0 plt ct-285# 03:11pm blood wbc-13.7* rbc-3.49* hgb-9.9*# hct-29.1*# mcv-83 mch-28.4 mchc-34.1 rdw-13.9 plt ct-106*# 03:11pm blood pt-15.7* ptt-38.3* inr(pt)-1.5* 04:55am blood glucose-103* urean-19 creat-0.8 na-138 k-4.0 cl-100 hco3-30 angap-12 03:11pm blood urean-8 creat-0.5 na-139 k-4.1 cl-115* hco3-18* angap-10 brief hospital course: mr. was a same day admit and on he was brought to the operating room where he underwent a coronary artery bypass graft x 3 (left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the 1st and 2nd marginal branches of the circumflex coronary artery) with dr.. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. his chest tubes we removed and he was diuresed. he transferred to the surgical step down floor for further monitoring. his epicardial wires were removed. physical therapy was consulted for evaluation of strength and mobility. he was placed on antibiotics for a positive urine analysis. scant drainage was evident on his sternal incision. no antibiotics initiated. he remained afebrile, with no leukocytosis, and a wound check was arranged for follow up. by post-operative day #6 he was ready for discharge to home with vna services. all follow up appointments were advised. medications on admission: enalapril 5mg daily metoprolol 25mg daily silvadene to scar fish oil 1000mg daily multivitamin metformin 1000mg twice daily humalog if bs <250 40u if 250+ 50u insulin lantus if bs 150+ 50u, if <150 40u timolol 1gtt twice daily aspirin 81mg daily pravachol 80mg daily nitrostat 0.4mg prn discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic (2 times a day). 6. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 7. pravastatin 20 mg tablet sig: four (4) tablet po daily (daily). disp:*120 tablet(s)* refills:*2* 8. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(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. lasix 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 11. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day for 10 days. disp:*10 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: diabetes mellitus hyperlipidemia hypertension glaucoma facial surgery following bike accident c/b infection (?mrsa) discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. discharge instructions: please 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 please 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 surgeon: dr. at 1:30p cardiologist: dr. at 3:30p wound check at 10:30a building please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: acidosis thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified personal history of tobacco use unspecified glaucoma other and unspecified hyperlipidemia other and unspecified angina pectoris long-term (current) use of insulin family history of ischemic heart disease long-term (current) use of aspirin 

Answer: The patient is high likely exposed to