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 / vicodin attending: chief complaint: coronary artery disease major surgical or invasive procedure: : coronary artery bypass grafting x4 with a left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the posterior descending artery, obtuse marginal artery, and ramus intermedius artery history of present illness: 63m with h/o hypertension, diabetes and esrd (on pd x 3 yrs). he is undergoing evaluation for renal transplant. stress test was abnormal. he denies chest pain or shortness of breath. cath shows 2 vessel and left main cad. he is referred for surgical evaluation. past medical history: coronary artery disease mild aortic stenosis diabetes (since age 17, on insulin pump) hypertension esrd (pd at night) iron defeciency anemia avm at pyloris (cauterized in ) orthostatic hypotension igg lambda monoclonal gammopathy past surgical history: bilateral hand surgeries for dupuytrens contractures pd catheter laser surgery to retina bilateral cataract surgery social history: smokes 1 ppd for 30 years. rare alcohol use. occasional marijuana use. married. realtor. family history: his mother is alive and well. his father died of a stoke. physical exam: physical exam on admission: pulse: 63sr resp: 12 o2 sat: 99%ra b/p right: left: 209/82 height: 6' weight: 165lb general: nad skin: dry intact heent: perrla eomi s/p cataract surgery- pupils reactive but unequal (l>r) neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade __2/6 syst._ abdomen: soft non-distended non-tender bowel sounds + pd catheter extremities: warm , well-perfused early venous stasis changes edema __trace pedal edema_ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left:2+ dp right: 1+ left:1+ pt : 1+ left:np radial right: cath left: 2+ no carotid bruits pertinent results: 06:00am blood wbc-7.8 rbc-2.96* hgb-9.2* hct-28.5* mcv-96 mch-31.1 mchc-32.3 rdw-13.7 plt ct-316 06:00am blood plt ct-316 05:35am blood glucose-52* urean-58* creat-12.3* na-133 k-5.1 cl-92* hco3-33* angap-13 02:48am blood alt-24 ast-23 alkphos-86 totbili-0.1 brief hospital course: on mr. was taken to the operating room and underwent coronary artery bypass grafting x4 with a left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the posterior descending artery, obtuse marginal artery, and ramus intermedius artery with dr.. please see the operative report for further details. he tolerated the procedure well and was transferred to the cvicu intubated and sedated for invasive monitoring. the renal service was consulted for peritoneal dialysis recommendations. he awoke neurologically intact and weaned to extubate. he required atrial pacing initially to augment his cardiac output. he remained hemodynamically stable and a pacing was stopped. all lines and drains were discontinued per protocol. he was placed on aspirin, statin and beta-blocker was initiated once his blood pressure and heart rate could tolerate it. pd cycles began on postop night. he remained on an insulin drip until transitioning to his pump was accomplished on post-operative day two. he transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of his strength and mobility. he continued to have glucose highs and lows and was consulted. he remained in the hospital for further observation due to his glucose control. on post-operative day six a scant amount of cloudy sternal discharge was expressed. he was placed on prophylaxis antibiotics, renally dosed as discussed with pharmacy. by the time of discharge on post-operative day seven, he was ambulating, his glucose was under tight control, and his sternum without erythema. his sternum was stable. he was discharged to home with vna services. all follow up appointments were advised. medications on admission: 1. fludrocortisone acetate 0.05 mg po daily 2. lactulose 15 ml po daily:prn constipation 3. lisinopril 40 mg po daily 4. temazepam 30 mg po hs:prn insomnia 5. trazodone 50 mg po hs 6. diltiazem extended-release 240 mg po daily:prn htn 7. atenolol 25 mg po daily:prn htn 8. atorvastatin 10 mg po daily 9. cinacalcet 30 mg po daily 10. flaxseed oil *nf* unknown oral daily 11. lanthanum 1000 mg po tid w/meals 12. sevelamer carbonate 2400 mg po tid w/meals 13. sildenafil *nf* unknown oral prn prn 14. aspirin 81 mg po daily 15. folic acid-b complex & c no.10 *nf* 1 mg oral daily 16. doxercalciferol 1.5 mcg po 3x/week (mo,we,fr) discharge medications: 1. aspirin ec 81 mg po daily rx *aspirin 81 mg one tablet(s) by mouth daily disp #*30 tablet refills:*2 2. atorvastatin 10 mg po hs rx *atorvastatin 10 mg one tablet(s) by mouth daily at night disp #*30 tablet refills:*2 3. cinacalcet 30 mg po daily 4. doxercalciferol 1.5 mcg po 3x/week (mo,we,fr) 5. lactulose 15 ml po daily:prn constipation 6. lanthanum 1000 mg po tid w/meals 7. sevelamer carbonate 2400 mg po tid w/meals 8. temazepam 30 mg po hs:prn insomnia 9. trazodone 50 mg po hs 10. docusate sodium 100 mg po bid 11. insulin pump sc (self administering medication)insulin lispro (humalog) basal rate minimum: 0.8 units/hr basal rate maximum: per pt home scale units/hr bolus minimum: per prearranged pt/ plan units bolus maximum: per prearranged pt/ plan units target glucose: 80-180 fingersticks: qac and hs md acknowledges patient competent md has completed competency 12. levofloxacin 250 mg po q24h x 10 days rx *levofloxacin 250 mg one tablet(s) by mouth daily disp #*10 tablet refills:*2 13. metoprolol tartrate 12.5 mg po bid hold hr < 55 sbp < 95 rx *metoprolol tartrate 25 mg 0.5 (one half) tablet(s) by mouth twice a day disp #*30 tablet refills:*2 14. mupirocin cream 2% 1 appl tp daily pd cath site resume pts home regimen 15. nephrocaps 1 cap po daily 16. flaxseed oil *nf* 1 unit oral daily resume home medication 17. fludrocortisone acetate 0.05 mg po daily 18. folic acid-b complex & c no.10 *nf* 1 mg oral daily 19. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain rx *hydromorphone 2 mg tablet(s) by mouth every four hours disp #*40 tablet refills:*0 discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease mild aortic stenosis diabetes (since age 17, on insulin pump) hypertension esrd (pd at night) iron defeciency anemia avm at pyloris (cauterized in ) orthostatic hypotension igg lambda monoclonal gammopathy past surgical history: bilateral hand surgeries for dupuytrens contractures pd catheter laser surgery to retina bilateral cataract surgery discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - 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 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: wound check at cardiac surgery office , at 10:45a surgeon dr. , at 2:15p cardiologist dr. / , : date/time: 11:30 provider: , md phone: date/time: 8:40 provider: , transplant social work date/time: 10:00 provider: , md phone: date/time: 10:30 please call to schedule the following: primary care dr. , c. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery peritoneal dialysis diagnoses: other iatrogenic hypotension end stage renal disease renal dialysis status coronary atherosclerosis of native coronary artery aortic valve disorders hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease iron deficiency anemia, unspecified diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled fitting and adjustment of insulin pump diabetes with other specified manifestations, type i [juvenile type], not stated as uncontrolled monoclonal paraproteinemia 

Answer: The patient is high likely exposed to