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: shortness of breath major surgical or invasive procedure: cabgx4(lima->lad, svg->om, pda, distal lcx seq) history of present illness: 44 yo m came to ed with sob and increased cardic enzymes earlier this month, treated for pneumonia. could not get cardiac cath due to elevated creatinine, and was sent home with appointment for cath. again went to pcp with sob. was admitted for cath, was fluid overloaded for awaited diuresis prior to cath on which showed 3vd and he was referred for cabg. past medical history: 1)cad/systolic congestive heart failure/ischemic cardiomyopathy 2)type ii dm - diabetic neuropathy, nephropathy, and retinopathy 3)pvd - s/p bilateral tma, s/p fem bypass, s/p fem ant tibial bypass 4)history of pancreatitis - s/p surgery 5)gout 6)hyperlipidemia 7)history of recurrent le cellulitis social history: active smoker, pack per day. denies etoh. disabled family history: denies premature cad. physical exam: nad hr 81 rr 21 bp 143/70 gen: nad heent: eomi, perrla neck: supple, from lungs ctab heart rrr abd: distended soft, nontender extrem with 2+ edema, bilateral tmas, right dp/pt pulses dopplerable neuro: intact, mae, a&o x 3 pertinent results: cxr: two views. comparison with . a small right pleural effusion and moderate left pleural effusion are again demonstrated. there is consolidation in the left lower lobe as noted previously. the patient is status post median sternotomy and cabg as before. mediastinal structures are unchanged in appearance. the bony thorax is grossly intact. a right internal jugular catheter remains in place. echo : prebypass: 1. no atrial septal defect is seen by 2d or color doppler. there is severe regional left ventricular systolic dysfunction with severe hypokinesia of the inferior and inferoseptal walls.. overall left ventricular systolic function is severely depressed (lvef= 30 %). 2. rv shows mild global free wall hypokinesis. 3. there are simple atheroma in the descending thoracic aorta. 4.the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. 5.the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. post bypass: 1. patient is being a- paced and receiving an infusion of norepinephrine and milrinone. 2. lv function slightly improved. rv function slightly improved. 3. aorta intact post decannulation. carotid ultrasound and vein mapping: 1. no significant right ica stenosis (graded as less than 40%). 2. 40-59% left ica stenosis. 3. bilateral greater saphenous vein harvest, lesser saphenous veins appear patent. aterial upper extremity study: radial artery compression eliminates all waveforms on both the right and the left, i.e., at the first and fifth digit. compression of the ulnar artery on both the left and right failed to have any effect on the waveforms of the first or fifth digit. impression: findings as stated above which indicate bilateral radial artery dominance. 05:48pm blood wbc-9.2 rbc-3.37*# hgb-9.9*# hct-29.9* mcv-89 mch-29.3 mchc-33.1 rdw-15.4 plt ct-340 01:30am blood wbc-13.2* rbc-2.76* hgb-8.1* hct-24.1* mcv-87 mch-29.3 mchc-33.5 rdw-14.8 plt ct-190 05:13am blood wbc-7.6 rbc-3.32* hgb-9.9* hct-28.6* mcv-86 mch-29.9 mchc-34.7 rdw-15.3 plt ct-236 04:50am blood wbc-14.4* rbc-3.30* hgb-9.2* hct-28.4* mcv-86 mch-28.0 mchc-32.6 rdw-14.3 plt ct-538* 05:48pm blood pt-12.1 ptt-27.0 inr(pt)-1.0 05:13am blood pt-12.7 ptt-29.7 inr(pt)-1.1 05:48pm blood glucose-132* urean-41* creat-1.9* na-137 k-4.7 cl-101 hco3-28 angap-13 03:06am blood glucose-101 urean-54* creat-3.3* na-136 k-4.9 cl-103 hco3-22 angap-16 04:50am blood glucose-98 urean-79* creat-2.8* na-134 k-4.9 cl-94* hco3-30 angap-15 06:30am blood calcium-8.7 phos-3.2# mg-1.9 brief hospital course: mr. was admitted under cardiac surgery and underwent preoperative evaluation. carotid ultrasound revealed mild to moderate carotid disease while vein mapping showed patent lesser saphenous vein(see result section). arterial upper extremity study indicated bilateral radial artery dominance. other than his chronic renal insufficiency, preoperative evaluation was otherwise unremarkable and he was cleared for surgery. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see separate dictated operative note. following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. he was intermittently transfused to maintain hematocrit near 30% and was slow to wean from inotropic support. he temporarily required a lasix drip for effective diuresis. he was noted to have episodes of atrial fibrillation and was started amiodarone and beta blockade. he had further decline in renal function. his creatinine peaked to 3.3 on postoperative day three. he otherwise made gradual improvements and eventually transferred to the sdu on postoperative day five. his renal function gradually improved. he remained in a normal sinus rhythm without further episodes of atrial fibrillation. he was started on antibiotics for urinary tract infection on post-op day ten. he appeared to be doing well and on post-op day eleven was discharged home with vna services and the appropriate follow-up appointments. medications on admission: lantus 100 qam, hiss, plavix 75', tricor 145', pletal 100", lipitor 40', asa 325', albuterol prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 7. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take 400mg qd for 1 week. then 200mg qd until stopped by cardiologist. disp:*60 tablet(s)* refills:*1* 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 9. tricor 145 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 11. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 12. insulin glargine 100 unit/ml solution sig: one hundred (100) units subcutaneous once a day. disp:*3000 units* refills:*0* 13. insulin lispro 100 unit/ml solution sig: sliding scale units subcutaneous four times a day. discharge disposition: extended care discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 systolic congestive heart failure postoperative atrial fibrillation carotid disease pmh: chronic renal insufficiency type ii dm - diabetic neuropathy, nephropathy, and retinopathy pvd - s/p bilateral tma, s/p fem bypass, s/p fem ant tibial bypass history of pancreatitis gout discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon or while taking narcotic pain medicine. followup instructions: dr. 2 weeks - call for appt dr. 4 weeks - call for appt provider: lab phone: date/time: 9:00 provider: , md phone: date/time: 10:00 md procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified cardiac complications, not elsewhere classified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes chronic kidney disease, unspecified other and unspecified angina pectoris chronic systolic heart failure pressure ulcer, lower back diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy foot amputation status 

Answer: The patient is high likely exposed to