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: keflex / zitofudine / buproprion / abilify / chantix attending: chief complaint: shortness of breath on exertion major surgical or invasive procedure: coronary artery bypass grafting x3 using cardiopulmonary bypass: left internal mammary artery to the left anterior descending artery. reverse saphenous vein graft from the aorta to the obtuse marginal branch of the circumflex artery. bypass from the ascending aorta to the posterior descending artery using reversed saphenous vein graft history of present illness: 52m with abnormal stress test on work-up for cervical spine surgery. cath revealed left main and multi-vessel disease. he is referred for surgical revascularization. he describes chest pressure and dyspnea while carrying groceries upstairs. he was referred for coronary revascularization. past medical history: diabetes mellitus type 2 obstructive sleep apnea uses cpap compartment syndrome right calf s/p 4 surgeries "bulging disk" in neck with surgery pending hiv positive - cd4 1200, viral load undetectable anxiety depression ptsd past surgical history fasciotomies, subsequent skin graft rle laminectomy appendectomy tonsillectomy childhood social history: race: caucasian last dental exam: 2 weeks ago lives with: alone occupation: "disabled" cigarettes: smoked no yes last cigarette __last week__ hx: 1ppd x 40yrs other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week family history: father died of mi at age 56 mother with 1st mi at age 65, died at 77yo physical exam: pulse: 65 resp: 22 o2 sat: 98%ra b/p right: 100/66 left: height: 5'8" weight: 222lb general: nad, overweight skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _none well healed incisions of rle fasciotomies- s/p skin graft right thigh to right lateral site varicosities: none neuro: grossly intact pulses: femoral right: 2+ left:2+ dp right: 1+ left:2+ pt : 1+ left:1+ radial right: 2+ left:2+ carotid bruit right: left: no bruits pertinent results: 04:32am blood wbc-11.9* rbc-3.50* hgb-10.0* hct-31.3* mcv-89 mch-28.6 mchc-32.0 rdw-14.9 plt ct-185 05:01am blood wbc-12.4* rbc-3.60* hgb-10.4* hct-32.2* mcv-90 mch-28.8 mchc-32.2 rdw-15.0 plt ct-180 03:27am blood wbc-12.3* rbc-3.91* hgb-11.1* hct-34.3* mcv-88 mch-28.5 mchc-32.5 rdw-14.9 plt ct-202 04:32am blood glucose-107* urean-14 creat-0.9 na-133 k-3.9 cl-98 hco3-27 angap-12 05:01am blood glucose-114* urean-13 creat-1.0 na-138 k-4.0 cl-101 hco3-31 angap-10 03:27am blood glucose-119* urean-13 creat-0.9 na-134 k-4.3 cl-102 hco3-25 angap-11 tte pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is in sr, on no inotropes. preserved biventricular systolic fxn. trace mr, no ai. aorta intact. brief hospital course: mr. was admitted to the hospital and brought to the operating room on where he underwent coronary artery bypass grafting x3 using cardiopulmonary bypass: left internal mammary artery to the left anterior descending artery, reverse saphenous vein graft from the aorta to the obtuse marginal branch of the circumflex artery, bypass from the ascending aorta to the posterior descending artery using reversed saphenous vein graft with dr.. please refer to operative report for further details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. mr. was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with vna in good condition with appropriate follow up instructions. medications on admission: albuterol inhaler q4-6h prn atenolol 37.5 daily clonazepam 1mg prn codeine/guaifenesin 100mg-10mg/5ml liquid, tsp prn darunavir 400 mg tablet - 2 (two) tablet(s) by mouth once a day with food and ritonavir diphenoxylate-atropine 2.5 mg-0.025 mg tablet - tablet(s) by mouth daily as needed for diarrhea divalproex er 500mg hs emtricitabine-tenofovir 200 mg-300 mg tablet - 1 (one) tablet(s) by mouth once a day fluocinonide 0.05 % ointment - apply sparingly twice a day to affected area avoid face, axilla and groin fluoxetine 60mg daily fluticasone 110 mcg/actuation aerosol - 2 (two) puffs inhaled once a day rinse mouth after use hydroxyzine pamoate 50 mg capsule - 1 (one) capsule(s) by mouth every six (6) hours as needed may take with norgesic forte or alone...no driving metformin er 500mg daily nitroglycerin 0.4mg sl prn omeprazole 20mg daily orphenadrine/asa/caffeine 50/770/60, 1 tab prn headache (limit 3x/week) pravastatin 20mg daily ritonavir 100mg daily trazodone 50-150mg prn insomnia triamcinolone acetonide 0.025 % cream - apply topically as directed twice a day aspirin 81mg daily cetirizine/pseudoephedrine 5/120mg, 1tab prn vit d 3 1000 units discharge medications: 1. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 7 days. disp:*14 tablet extended release(s)* refills:*0* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. darunavir 400 mg tablet sig: two (2) tablet po daily (daily). 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q4h (every 4 hours) as needed for wheezing. 5. ritonavir 100 mg tablet sig: one (1) tablet po daily (daily). 6. fluoxetine 20 mg capsule sig: three (3) capsule po daily (daily). 7. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 8. divalproex 500 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po qhs (once a day (at bedtime)). 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 10. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 12. 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* 13. metformin 500 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 14. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 15. lasix 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: primary diagnosis: coronary artery disease secondary diagnosis: diabetes mellitus type 2 obstructive sleep apnea uses cpap compartment syndrome right calf s/p 4 surgeries "bulging disk" in neck with surgery pending hiv positive anxiety depression ptsd discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 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 **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 phone: date/time: 2:00 wound care nurse phone: date/time: 11:00 cardiologist: dr. at 10:30 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** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization non-invasive mechanical ventilation diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified other and unspecified angina pectoris displacement of cervical intervertebral disc without myelopathy family history of ischemic heart disease headache leukocytosis, unspecified asymptomatic human immunodeficiency virus [hiv] infection status posttraumatic stress disorder 

Answer: The patient is high likely exposed to