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: jaw pain major surgical or invasive procedure: coronary artery bypass graft x 3 with left internal mammary artery to the left anterior descending artery and reverse saphenous vein graft to the posterior descending artery and the distal left circumflex artery history of present illness: 66 year old male who presented after having episode of jaw pain lasted 2 minutes. he underwent nuclear stress test that was positive and referred for cardiac catheterization which revealed thre vessel coronary disease. ultimately referred for surgical revascularization. past medical history: hypertension chronic obstructive pulmonary disease asthma myocardial infarction gastric esophageal reflux disease social history: lives with: spouse occupation: retired carpenter tobacco: 60 pack history etoh: none family history: non contributory physical exam: general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally anterior heart: rrr irregular distant no murmur abdomen: soft non-distended non-tender bowel sounds + no palpable masses extremities: warm , well-perfused edema none varicosities: none neuro: alert and oriented x3 non focal pulses: femoral right: cath site left: - right groin mynx closure dp right: +1 left: +1 pt : +1 left: +1 radial right: +2 left: +2 carotid bruit right: no bruit left: no bruit pertinent results: 06:25am blood wbc-13.4* rbc-3.48* hgb-9.8* hct-30.1* mcv-87 mch-28.2 mchc-32.7 rdw-12.8 plt ct-169 06:25am blood glucose-90 urean-14 creat-0.7 na-138 k-3.5 cl-98 hco3-33* angap-11 06:20am blood urean-17 creat-0.8 k-3.7 echo the left ventricle is not well seen. the left ventricular cavity size is normal. overall left ventricular systolic function cannot be reliably assessed. however, the apex appears hypokinetic and the rest of the left ventricle appears to contract somewhat more vigorously. the right ventricular cavity is dilated with depressed free wall contractility. a pericardial effusion may be present, but could not be quantitated due to the technically suboptimal nature of this study. there are no echocardiographic signs of cardiac tamponade present. brief hospital course: the patient was admitted to the hospital on for pre-ooperative workup and brought to the operating room on where the patient underwent urgent coronary artery bypass x 3. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. cefazolin was used for surgical antibiotic prophylaxis, as he experienced urticaria with vancomycin. 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. the patient 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 home in good condition with appropriate follow up instructions. medications on admission: advair 50/50 twice a day aspirin 81 mg daily hctz 25 mg daily metoprolol 25 mg daily mvi daily nitroglycerin sl prn omeprazole 20 mg daily pro neb 3.05mg/3ml prn quinapril 40 mg daily simvastatin 80 mg daily spiriva 18 mcg daily zetia 10 mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. multivitamin tablet sig: one (1) tablet po once a day. 3. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 4. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temp/pain. 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: hypertension chronic obstructive pulmonary disease asthma myocardial infarction gastric esophageal reflux disease discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments surgeon dr. @ 1:00 pm primary care dr. in weeks cardiologist dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension old myocardial infarction chronic obstructive asthma, unspecified 

Answer: The patient is high likely exposed to