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: past medical history: 1. coronary artery disease status post coronary artery bypass graft times four. 2. hypertension. 3. hypercholesterolemia. 4. insulin dependent diabetes mellitus. 5. osteoarthritis. 6. status post retinal surgery. 7. status post tna. 8. status post percutaneous transluminal coronary angioplasty times two. 9. morbidly obese. preoperative medications: 1. aspirin 325 mg po q.d. 2. plavix 75 mg po q.d. 3. glucophage 1000 mg po b.i.d. 4. glyburide 10 mg po b.i.d. 5. k-dur 10 mg po q day. 6. lasix 20 mg po q.d. 7. lipitor 80 mg po q.d. 8. univasc 15 mg po q.d. 9. zetia 10 mg po q day. 10. prilosec 20 mg po q.d. 11. paxil 10 mg po q.d. 12. lopresor 50 mg po b.i.d. 13. humalog 75/25 25 units q.a.m. 39 units q.p.m. 14. humulin insulin 15 units q.a.m., humulin sliding scale q.p.m. allergies: penicillin, which gives him hives. social history: the patient has a remote history of a 45 pack year smoking history. quit many years ago. the patient is an accountant. the patient was originally scheduled for surgery on , but when the patient was seen in the preoperative holding area the patient was found to have a significant upper respiratory infection. the patient was given a one week course of antibiotics and surgery was rescheduled for . ho course: the patient was admitted on and taken to the operating room with dr. for a redo sternotomy and an aortic valve replacement with a 25 mm pericardial valve. the patient was transferred to the intensive care unit in stable condition on an epinephrine amiodarone drip. the patient was weaned and extubated from mechanical ventilation on postoperative day number one. the patient had adequate cardiac index on epinephrine. epinephrine was weaned to off. the patient was started on lopressor for control of hypertension and tachycardia. the patient became agitated on the evening of postoperative day number one and started on low dose haldol. postoperative day number two the patient began working with physical therapy. the patient was started on lasix postoperative day number two with adequate diuresis. the patient required a nitroglycerin drip to control his blood pressure. postoperatively, the patient had a continued leukocytosis of unknown origin. the patient was afebrile. on postoperative day number four the patient was able to walk 300 feet with physical therapy. postoperative day number four the patient was noted to have a moderate amount of serosanguinous drainage fro the distal portion of his sternal incision. the patient continued to have drainage. it was decided that the wound would be covered with dermabond. the wound was cleaned and prepped in a sterile fashion. dermabond was applied to the distal portion of the sternal incision. however, the incision continued to drain serosanguinous fluid and required repeat dermabond applications over the next several days. the patient continued to work with physical therapy and was able to achieve a level five. the patient's pacing wires were removed without difficulty. the patient remained hemodynamically stable. the patient had been on antibiotics for prophylaxis of a sternal wound vancomycin and levofloxacin. on postoperative day number seven the vancomycin was stopped. on postoperative day number seven the patient required placement of a picc line as the patient had no further intravenous access. the patient tolerated this procedure well. the patient continued to have drainage from the sternal incision and had difficulty understanding and following the repeat instructions for maintaining strict sternal precautions and not using his arms. however, on postoperative day nine the patient had no drainage from his sternum and was deemed stable for discharge to home. condition on discharge: temperature max 99.3, pulse 85 in sinus rhythm. blood pressure 150/80. respiratory rate 16. room air oxygen saturation 92%. weight on is 156.2 kilograms. preoperatively the patient weighed 153.7 kilograms. white blood cell count 13.1, hematocrit 26.5, platelet count 481, potassium 4.3, bun 16, creatinine 0.8. the patient is awake, alert and oriented times three, pleasant gentleman. heart is regular rate and rhythm. no murmurs, rubs or gallops. respiratory breath sounds with scattered wheezes bilaterally. gastrointestinal, abdomen is obese, positive bowel sounds, soft, nontender, tolerating a regular diet. sternal incision upper part steri-strips are intact. the lower part of dermabond is intact. there is no erythema. there is no drainage. the sternum is stable. discharge medications: 1. lasix 40 mg po b.i.d. times ten days. 2. potassium chloride 20 milliequivalents po b.i.d. times ten days. 3. lipitor 80 mg po q day. 4. plavix 75 mg po q.d. 5. protonix 40 mg po q.d. 6. enteric coated aspirin 325 mg po q.d. 7. colace 100 mg po b.i.d. 8. glucophage 1000 mg po b.i.d. 9. glyburide 10 mg po b.i.d. 10. paxil 5 mg po q day. 11. moexipril 7.5 mg po q.d. 12. levofloxacin 500 mg po q day. 13. lopressor 100 mg po b.i.d. 14. percocet 5/325 one to two tabs po q 4 hours prn. 15. insulin per patient's home regimen, which is 75/25 25 units q.a.m. and 39 units q.p.m. and a humulin insulin sliding scale. th is to return to far two for a wound check. the patient is to follow up with his primary care physician . in two weeks. the patient is to follow up with dr. in one month. discharge diagnoses: 1. status post redo sternotomy with aortic valve replacement with a 25 mm pericardial valve. 2. insulin dependent diabetes. 3. hypertension. 4. postoperative sternal drainage now resolved. the patient is discharged to home in stable condition. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft closure of skin and subcutaneous tissue of other sites hypothermia (systemic) incidental to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders unspecified essential hypertension aortocoronary bypass status primary pulmonary hypertension morbid obesity osteoarthrosis, unspecified whether generalized or localized, site unspecified diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to