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: this 72-year-old-male, status post coronary artery bypass grafting x4 and vsd closure in using all vein grafts, was transferred in from hospital after ruling in for myocardial infarction with elevated cks to 800 and cardiac cath with the report the patient had 3 or 4 vein grafts occluded and the 4th graft had a 90% stenosis. he was feeling well since his prior operation in until the evening prior to admission when he complained of indigestion which was unrelieved by tums and sublingual nitroglycerin x3. called ems and was transferred to emergency room and then onto for cardiac catheterization this morning. following this cath, he was transferred to dmc for consideration of re-do coronary artery bypass grafting. past medical history: 1. coronary artery disease with status post coronary artery bypass grafting x4 in at and a vsd closure. 2. hypertension. 3. hypercholesterolemia. 4. gout. 5. right hernia repair. allergies: no known drug allergies. medications prior to admission: 1. lipitor 10 mg p.o. once a day. 2. atenolol. 3. diltiazem. 4. aspirin 325 mg p.o. once a day at home. in addition, he was transferred in on nitroglycerin, heparin, and integrilin at 2 mcg/kg per minute. family history: noncontributory. review of systems: negative for claudication, shortness of breath, doe, palpitations, claudication, edema, cancer, stroke, tia, copd, and asthma. no bleeding, hematuria, or hematochezia, or peptic ulcer disease. social history: he lives with his wife, is a retired sales manager. he had remote history of tobacco use which he quit 13 years ago. prior to that, he smoked pack per day for 40 years. he drinks approximately 1-2 drinks per month. no recreational drug use. preoperative laboratory data: his preop lab work were as follows: white count 9.2, hematocrit 45.2, platelet 325,000. ptt 28, 7.5 and inr 0.99. sodium 140, k 4.4, chloride, bicarb 28, bun 26, creatinine 1.0 with blood sugar of 157. alt 21, ast 18. alkaline phosphatase 79. total bilirubin 0.9, albumin 3.9. ekg at hospital showed first-degree av block. there was a heart rate of 56 with q waves in ii, iii and avf and st elevations in ii, iii and avf. physical examination: on exam, he is 5 feet 7 inches tall, 75 kg. vital signs were temperature 98.4, heart rate 76 and first-degree av block, blood pressure 106/48, saturation 98% on 2 liters. he was lying comfortably in bed. he was alert and oriented x3, moving all extremities, following commands, nonfocal exam. his pupils were equally round and reactive to light and accommodation. eoms are intact. he was anicteric. he had normal buccal membranes. no lesions. neck was supple with no lymphadenopathy and no bruits. his lungs were clear bilaterally. heart was regular rate and rhythm with s1, s2, well healed sternal incision. his abdomen was soft, nontender, nondistended with normal bowel sounds and no hepatosplenomegaly. his extremities are warm and well perfused, with no edema. he had bilateral saphenous vein graft harvest incisions which were well healed. he had 2+ bilateral carotid, radial and dp pulses and 2+ left femoral pulse with a sheath in place in his right femoral artery. ho course: he was referred to dr. for consideration of re-do coronary artery bypass grafting and remained on nitroglycerin, heparin and integrilin. he was also seen by the cardiology fellow who pulled his arterial and venous sheaths on the morning of the 29th. his creatinine drifted down slightly to 0.8. his exam was otherwise unremarkable. echocardiogram was planned as well as vein mapping in preparation for his re-do surgery. on , the patient also had an episode of flash pulmonary edema, seen by cardiology, and transferred to their service for preop optimization of his care and also continued to monitor him while the other preoperative studies were done, waiting results of vein mapping and carotid ultrasound. on , he also had episodes of desaturating to 80%, but then would come back into the high 90s. he denied any shortness of breath or chest pain at the time. he continued to metoprolol, ________, aspirin, captopril, and iv heparin. his iv integrilin was turned off. he also had lasix diuresis to help control his congestive heart failure. the patient also spiked a temperature to 101.2 on . he was cultured. his potassium dropped to 3.7 and was repleted. he also had increase in his av block at the level of his av node and cardiology recommended discontinuing his metoprolol and any nodal at the time. all of this was discussed with dr. of the ep service. on , heparin was also restarted. the patient also had enterococcus grow out of his urine culture. the patient was started on levaquin and the foley was discontinued on the . the patient was also seen again by ep and was diagnosed with wenckebach at a 2:1 block. beta blockers continued to be held. the patient also had a right lower lobe infiltrate and was also covered for this with levaquin. preoperatively, the patient had less than 40% stenosis bilaterally on internal carotid arteries and had antegrade vertebral flow. lower extremity vein mapping showed bilateral greater saphenous veins present in both thighs and already harvested from lower extremities which matched his scars. on , the patient underwent re-do coronary artery bypass grafting x2 with vein graft to the ramus, vein graft to the posterolateral branch of the rv, was transferred to the cardiothoracic icu in stable condition on a milrinone drip at 0.5 mcg/kg per minute and propofol drip at 20 mcg/kg per minute. postoperative day 1 was significant for complete heart block. he was hemodynamically stable, though, with blood pressure 115/63, saturations 96%. he had been extubated overnight. he remained on milrinone drip at 0.25 and a neo-synephrine drip at 0.25. weaning of those 2 agents was begun. his urine output dropped off slightly. electrophysiology consult was called again for followup. on postoperative day 2, the patient continued in first-degree av block. his case was reviewed again with ep. he was given lasix for diuresis and continued on insulin and levaquin for coverage of his pneumonia and also began his aspirin therapy. it was determined the patient would probably need a permanent pacemaker, but this could be addressed later in the week. on postoperative day 3, the patient had stable rhythm overnight, maintaining good blood pressure. he had an air leak in his chest tube the day prior. chest tube remained in place. he began plavix therapy and continued on vancomycin and levofloxacin for perioperative antibiotics. he continued his diuresis. beta blocker was held and chest x-ray was taken again on water seal. on postoperative day 4, his chest tubes were discontinued and the plan was to go ahead and bring him back to the cath lab on the following monday. on postoperative day 5, his chest tubes were pulled. he was alert and oriented. his creatinine was 0.9. he was moving all of his extremities and working with nurses and physical therapists. his pacing wires remained in place given his first-degree av block in preparation for possible pacemaker insertion. on , he went back to the cath lab with dr. for planned stenting of his left main with a coated stent and bare-metal stenting of his lad. his new vein grafts to this om and pld were both widely patent. patient was started on plavix which is to remain on indefinitely. his sheaths were pulled successfully later in the day. he remained in av block. on postoperative day 6, he was doing well and his temporary pacing wires were removed. the patient continued to make very good progress with physical therapy and ambulating and was transferred back out to the floor on . incisions were clean, dry, and intact. his right femoral groin incision was free of hematoma or any bruits. post-sheath pull, the patient began to ambulate again. he was medicated with percocet for oral pain meds and was very anxious to be discharged. th was discharged to home with vna services on . he was instructed to follow up with dr. , his surgeon, for his postoperative surgical visit in the office in 4 to 5 weeks. he is to follow up with dr. , his primary care physician, approximately 2 to 3 weeks post-discharge; and to see his cardiologist, dr. or dr. in about 2 weeks post-discharge. discharge diagnoses: 1. status post re-do coronary artery bypass grafting x2. 2. status post left main and left anterior descending stenting with pfeiffer and bare-metal stents. 3. status post coronary artery bypass grafting x4 and ventricular septal defect closure in . 4. hypertension. 5. hypercholesterolemia. 6. gout. 7. status post right herniorrhaphy. discharge medications: 1. toprol xl 25 mg p.o. once daily. 2. percocet 5/325 one to two tabs p.o. p.r.n. q.4 h. for pain. 3. plavix 75 mg p.o. once daily for 6 months and the patient was to follow his cardiologist's instructions about whether plavix would be continued beyond 6 months. 4. lipitor 10 mg p.o. once daily. 5. enteric coated aspirin 81 mg p.o. once daily. discharge physical examination: on postoperative day 7, the day of his discharge, exam was as follows: temp 97.5, sinus rhythm, 74, blood pressure 98/71, respiratory rate 18. his weight was 71.6 kg which was below preoperative weight and saturations 96% on room air. prior to discharge labs were as follows: white count 11.6, hematocrit 30.7, platelet 513,000. k 4.5, bun 15, creatinine 0.9, and blood sugar 101. on exam, he had nonfocal neurologic exam. he had mildly diminished breath sounds at the left base. heart was regular in rate and rhythm. his incisions, both leg and sternal, were clean, dry, and intact with steri-strips in place. his sternum was stable. his abdomen was soft, nontender, nondistended, with positive bowel sounds. his extremities were warm with no peripheral edema. the patient was discharged to home with vna services in stable condition. , m.d. procedure: extracorporeal circulation auxiliary to open heart surgery insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries injection or infusion of platelet inhibitor left heart cardiac catheterization transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: pneumonia, organism unspecified anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft gout, unspecified acute myocardial infarction of other inferior wall, initial episode of care first degree atrioventricular block 

Answer: The patient is high likely exposed to