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: penicillins / cefazolin attending: chief complaint: shortness of breath major surgical or invasive procedure: coronary artery bypass grafting times four (left internal mammary artery to left, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) history of present illness: is an 85 year old male with a past medical history significant for diabetes, coronary artery disease, peptic ulcer disease with gastrointestinal bleed and ventricular tachycardia status post aicd who presented to an outside hospital emergency department with shortness of breath. his shortness of breath was of sudden onset with no associated symptoms. he was admitted to with an nstemi, troponin of 1.17 on . he a cardiac catheterization at today which revealed severe left main and three vessel coronary artery disease and he was transferred to for a coronary artery bypass grafting. past medical history: cad s/p stent placment, vt s/p aicd, cervical radiculopathy, niddm only on metformin, bph, pud, gi bleeding, esophagitis, hyperlipidemia, cardiomyopathy ef 35-40%, s/p aicd social history: mr. lives in an facility with his wife. family history: non-contributory physical exam: pulse:80s resp:20 o2 sat: 96% ra b/p right: 110/74 left: height: 5'6" weight: 61.6 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: cath site, 2+ left: 2+ carotid bruit right: no left: no pertinent results: echocardiography report , portable tte (complete) done at 9:40:00 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 85 m hgt (in): 65 bp (mm hg): 152/80 wgt (lb): 132 hr (bpm): 72 bsa (m2): 1.66 m2 indication: left ventricular function. preoperative assessment cabg, valvular heart disease. icd-9 codes: 414.8, 424.0, 424.2 test information date/time: at 09:40 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: / 6 contrast: none tech quality: adequate tape #: 2011w013-0:00 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.6 cm <= 4.0 cm left atrium - four chamber length: *5.9 cm <= 5.2 cm left atrium - peak pulm vein s: 0.5 m/s left atrium - peak pulm vein d: 0.5 m/s left atrium - peak pulm vein a: 0.3 m/s < 0.4 m/s right atrium - four chamber length: *5.5 cm <= 5.0 cm left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.1 cm <= 5.6 cm left ventricle - ejection fraction: 35% >= 55% left ventricle - stroke volume: 66 ml/beat left ventricle - cardiac output: 4.75 l/min left ventricle - cardiac index: 2.86 >= 2.0 l/min/m2 left ventricle - lateral peak e': *0.08 m/s > 0.08 m/s left ventricle - septal peak e': *0.04 m/s > 0.08 m/s left ventricle - ratio e/e': 8 < 15 aorta - sinus level: 2.6 cm <= 3.6 cm aorta - ascending: 3.0 cm <= 3.4 cm aortic valve - peak velocity: 1.3 m/sec <= 2.0 m/sec aortic valve - lvot vti: 21 aortic valve - lvot diam: 2.0 cm mitral valve - e wave: 0.5 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 0.71 mitral valve - e wave deceleration time: 243 ms 140-250 ms pulmonic valve - peak velocity: 0.8 m/sec <= 1.5 m/sec findings left atrium: mild la enlargement. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. left ventricle: normal lv wall thickness and cavity size. moderate regional lv systolic dysfunction. no lv mass/thrombus. no resting lvot gradient. no vsd. right ventricle: normal rv chamber size. normal rv systolic function. paradoxic septal motion consistent with conduction abnormality/ventricular pacing. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. no ms. trivial mr. tricuspid valve: mildly thickened tricuspid valve leaflets. no ts. mild tr. indeterminate pa systolic pressure. pulmonic valve/pulmonary artery: no ps. pericardium: no pericardial effusion. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. there is moderate regional left ventricular systolic dysfunction with basal to mid lateral akinesis (including the basal inferior wall) and anterior/antero-septal and apical hypokinesis (suggestive of multivessel cad). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size is normal. with normal free wall contractility. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. brief hospital course: on mr. a coronary artery bypass grafting times four (lima to lad, svg to dx, svg to om, svg to pda). please see the operative note for details. he tolerated the procedure well and was transferred in critical but stable condition to the intensive care unit. his aicd was interrogated by the electrophysiology service. he was weaned from pressors and extubated by post-operative day one. epicardial wires and chest tubes were removed and he was transferred to the step down floor by the following day. he was seen in consultation by the physical therapy service for strength and consitioning and an interim rehab stay was recommended. he was started on betablockers and diuresed toward his preoperative weight. his stain therpay was also resumed. he experienced post-op confusion which cleared when narcotics were discontinued. by post-operative day six he was cleared for discharge to rehab in . all follow-up appointments were advised. medications on admission: trazadone 100 q hs ambien 5 mg hs prn flomax 0.4 mg lasix 10 mg daily protonix 40 daily lipitor 10 daily lisinopril 10 daily metfromin 1 gm avodart 0.5 daily discharge medications: 1. 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* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). disp:*30 capsule, ext release 24 hr(s)* refills:*2* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed for to chest. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 11. lasix 40 mg tablet sig: one (1) tablet po twice a day: when edema resolved decrease to home dose of 10mg. 12. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours). 13. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 14. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 15. avodart 0.5 mg capsule sig: one (1) capsule po daily (). 16. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). discharge disposition: extended care facility: discharge diagnosis: coronary artery disease non indulin dependent diabetes, bph, peptic ulcer disease, esophagitis, hyperlipidemia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 1+ bilaterally 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: provider: , md phone: date/time: 2:00 cardiologist: please all your cardiologist and schedule an appointment for 2 weeks. , md please call to schedule appointments with your in weeks primary care name: ,harveen address: , , phone: fax: **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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: other primary cardiomyopathies subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia chronic systolic heart failure automatic implantable cardiac defibrillator in situ other alteration of consciousness allergic urticaria personal history of allergy to penicillin 

Answer: The patient is high likely exposed to