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 attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization. cornary artery bypass graft x 3. history of present illness: 56 yo m with history of cad s/p cath showing 3vd undergoing medical managment, chf with ef 20%, dm, and severe pvd presents with intermittent chest pressure/tightness. the patient was in usoh until the morning of admission when he suffered chest tightness, progressive in freuqency over the day. the episode that morning lasted five minutes, then resolved with nitro. the next several episodes were also releived with nitro. he pain was localized to the left size of his chest. he denies associated sob, lhd/dizziness, n/v, diaphoresis, palpitations. pt presented to the er and was pain-free. in the ed, he was afebrile, bp 163/86 hr 82, 99% ra. he was started on heparin gtt and nitro gtt and given lopressor 5mg iv and 25mg po as well as aspirin. cardiac cath showing 3vd and referred for coronary artery bypass grafting. past medical history: 1. cad s/p cardiac catheterization which demonstrated severe 3v cad, apical akinesis and 3+ mr -- treated medically. 2. chf: echo () ef 20%, mild lad, severely dilated lv, severe global lv hypokinesis, left ventricular systolic function is severely depressed, 1+ mr 3. diabetes mellitus type i, has had for over 40 years, on insulin pump. 4. status post kidney transplant in 5. severe pvd, s/p left bka in and right bka in 6. status post left cataract removal in , and now has a significant right cataract social history: lives with wife. denies tobacco. occ alcohol. on disability. prior banker. lives at in with wife, no children. has le prosthesis. family history: m- dm2, alive age 84 f- died 72 from lung cancer 3 brother alive and healthy physical exam: temp 98; bp 157/79; pulse 65; resp 18; o2 sat 100% ra gen - alert, no acute distress heent - perrl, extraocular motions intact, anicteric, mucous membranes moist neck - jvp 9cm, no cervical lymphadenopathy, no bruits chest - clear to auscultation bilaterally cv - normal s1/s2, rrr, distant hs abd - soft, nontender, nondistended, with normoactive bowel sounds, llq kidney palapble with scar c/d/i back - no costovertebral angle tendernes extr - bilateral stums, right side dressed with ace banadage, no edema neuro - non focal skin - no rash pertinent results: 05:18am blood wbc-10.9 rbc-2.54* hgb-8.1* hct-25.1* mcv-99* mch-31.7 mchc-32.1 rdw-15.3 plt ct-505* 05:44pm blood neuts-83.3* lymphs-12.8* monos-3.1 eos-0.4 baso-0.4 05:18am blood plt ct-505* 05:18am blood glucose-91 urean-21* creat-1.1 na-139 k-4.2 cl-103 hco3-30* angap-10 02:58am blood alt-13 ast-19 alkphos-28* amylase-12 totbili-0.3 05:18am blood calcium-8.6 phos-3.8 mg-1.8 05:44pm blood %hba1c-6.3* brief hospital course: mr. is a 56 yo m with history of cad s/p cath showing 3vd undergoing medical managment, chf with ef 20%, dm, and severe pvd. he presented this admission with intermittent chest pressure/tightness. the patient was in usoh until the morning of admission when he suffered chest tightness, progressive in freuqency over the day. the episode that morning lasted five minutes, then resolved with nitro. the next several episodes were also releived with nitro. he pain was localized to the left size of his chest. he denies associated sob, lhd/dizziness, n/v, diaphoresis, palpitations. cardiac cath showing 60% plad, 90% mlad, subtotal occlusion of d1 and d2, 60% d3, 70% om4, 60% om2, small om1 and om2, 80% rca. he was referred for coronary artey bypass grafting at this time. pre-op workup included carotid us (no evidence of stenosis in eother carotid artery), le vein studies, repeat echo (ef 20-25%), renal consult and id consult.it was decide that patient was safe to preceed to the or. he underwent a coronary artey bypass graft x 3 with lima to the lad, svg to the rpl, and svg to the pda on with dr. . please see or report for full details. he was initially slow to from ventilator but was successfully weened and extubated on the morning of post-op day one. consult was also obtained on that day for optimal glucose management. one pod 2, he remained hemodynamically stable. and underwent initial evaluation by physical therpay. pod 3 was significant for sternal drainage and strict sternal precations were initiated as well as iv vancomycin. on pod day 4 he was transferred to the floor for ongoing recovery and rehabilitation. the next several days were uneventful with ongoing physical therapy and monitoring of sternal wound with administration of intravenous vancomycin. he also continued to be closely followed by the team and was restarted on his insulin pump on pod 7. mr. had an open wound on his right bka stump for which vascular was following him and on pod 11 () it was decided that he resume use of prosthesis on that side, allowing for significantly increased ability to ambulate and participate in physical therapy. his last documented sternal drainage was . he was continued in vancomycin for the full 14 day course and it was discontined on . it was felt that mr. would be safe for discharge to rehabilitation at this time but there was some difficulty finding a rehabilitation facility that would accomodate him. on pod 14, following discontinuation of vancomycin and increase in activity with bilateral prostheses in place, mr. is awaiting a rehabilitation bed. medications on admission: lipitor 10 mg daily, digoxin 0.125 mg daily, lopressor 25mg , lasix 20 mg daily, fosamax 70 mg qweek, prednisone 5 mg daily, azothioprine 50mg daily, aspirin 325 mg daily, lisinopril 20 mg a day, and insulin via pump discharge medications: 1. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 2 weeks. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 4. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily) for 3 months. 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 6. prednisone 2.5 mg tablet sig: three (3) tablet po daily (daily). 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). 9. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. 10. polysaccharide iron complex 150 mg capsule sig: one (1) capsule po daily (daily). 11. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 12. multivitamin capsule sig: one (1) cap po daily (daily). 13. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 14. azathioprine 50 mg tablet sig: two (2) tablet po daily (daily). discharge disposition: extended care facility: - discharge diagnosis: 1. cad, s/p coronary artery bypass graft x 3. 2. chf ef 20%/post-op ef 40%. 3. diabetes mellitus type i 4. status post kidney transplant in 5. severe pvd, s/p left bka in and right bka in discharge condition: good discharge instructions: shower daily and wash incisionw with soap and water -- rinse well. do not apply any creams, lotions, powders, or ointments. no swimming or bathing in a tub. no driving for 6 weeks. no lifting greater than 5 pounds. strict sternal precautions -- limited use of upper extremities. followup instructions: schedule appointment with dr. () following discharge from rehab. schedule appointment with dr. in 4 weeks. schedule appointment with dr. in weeks. procedure: venous catheterization, not elsewhere classified 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 transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled below knee amputation status kidney replaced by transplant 

Answer: The patient is high likely exposed to