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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: four vessel coronary artery bypass grafting(lima to lad, svg to diag, svg to om, svg to plv). history of present illness: mr. is a 60 year old male who presented to osh with chest pain. he ruled out for mi. subsequent stress testing was positive for ischemia. he was transferred to the for cardia catheterization which revealed severe three vessel coronary artery. he underwent preoperative evaluation and was cleared for surgery. he was discharged on medical therapy and returns today for elective cabg. past medical history: coronary artery disease hypertension elevated cholesterol type ii diabetes mellitus history of peptic ulcer disease(h. pylori) eczema prior knee arthroscopies social history: 80 pack year history, quit approx 25 years ago. admits to 4 etoh drinks per week. he is married and works in telecommunications. family history: denies premature coronary artery disease. physical exam: vitals: 162/86, 87, 18 general: wdwn male in no acute distress heent: oropharynx benign, eomi neck: supple, no jvd lungs: cta bilaterally heart: regular rate and rhythm abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally, no carotid or femoral bruits noted neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted pertinent results: intraop tee pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. post-bypass: preserved biventricular systolic function. lvef 55%. intact thoracic aortic contour. trivial mr . brief hospital course: mr. was admitted and underwent coronary artery bypass grafting surgery by dr. . please see seperate 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. his cvicu course was uneventful and he transferred to the sdu on postoperative day one. beta blockade was advanced as tolerated. over several days, he continued to make clinical improvements with diuresis. given his preoperative hgba1c of 10(while on oral agents), the service was consulted to assist in the management of his type ii diabetes mellitus. it was recommended that he begin using nph insulin with sliding scale coverage with humalog as instructed in the printout given ot the patient upon discharge. he should follow-up with the clinic for continued treatment of his diabetes. medications on admission: lisinopril 5qd, zocor 20 qd, glipizide 10 , metformin 500 , metoprolol, aspirin 325 qd, dovenox cream discharge medications: 1. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 7 days. disp:*14 packet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed. disp:*40 tablet(s)* refills:*0* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. 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:*2* 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 8. insulin lispro 100 unit/ml solution sig: one (1) vial subcutaneous four times a day: as directed on flow sheet printout. disp:*1 vial* refills:*6* 9. insulin nph human recomb 100 unit/ml suspension sig: one (1) vial subcutaneous twice a day: 25 u q am, 20 u q hs. disp:*1 vial* refills:*6* 10. syringes sig: one (1) package four times a day: insulin syringes as needed. disp:*1 package* refills:*6* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease - s/p cabg hypertension elevated cholesterol type ii diabetes mellitus discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: dr. in weeks dr. in weeks dr. in weeks with dr. / clinic in weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified angina pectoris contact dermatitis and other eczema, unspecified cause 

Answer: The patient is high likely exposed to