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: levofloxacin attending: chief complaint: doe with 3 vd by cardiac cath. major surgical or invasive procedure: coronary artery bypass graft x 4. left distal superficial femoral artery to below the knee popliteal bypass with reversed saphenous vein graft. history of present illness: 77 m with 3 v cad, copd, htn, aaa s/p grafting, back pain, who returns to for cabg. pt was recently discharge from for cardiac cath the course of which was complicated by pna and left great blue toe syndrome. pt states he completed a course of abx on (levoquin which was changed to cefpodoxime b/c of rash). pt cont to have a of white prod sputum, no blood, no f/c. in addition, pt's lipitor was stopped since a rash developed at the same time. pt denies any sob since discharge. he was seen by pulmonary consult last admission and was cleared for surgery once his pna was treated. he will need a repeat ct in months to f/u his nodules and emphysema. he also cont to c/o of some left great toe discomfort and 2nd toe discomfort. the toe continued to remain blue and cold. some sensitivitiy but no pain as he had prior when this was first noted post cath. currently, pt pain free, no f/c/d/c/urinary sxs. admitted to for preop observation. meds: guiafenesin prn , 325 mg qd, ramipril 15 mg qd, digoxin 0.25 mg qd, carvedilol 9.375 mg , tiotropium 1 cap qd, advair, serax qhs prn, bowel regimen past medical history: 1. copd 2. palpitations 3. hypertension 4. 10cm aaa w/ bilateral large iliac aneurysms, treated in w/aortobifemoral graft () 5. "bulging discs" in lower back 6. cad social history: the patient is married and lives in . he is currently staying with his sister-in-law in , ma. he is a retired plasterer. he smoked 1 1/2 packs for 60 yrs, but quit six months ago. he denies alcohol or drug use. he is generally ambulatory and active. family history: father died at age 59 of mi. mother died at age of ascending aortic aneurysm. physical exam: temp 98 6 bp 118/67 pulse 76 resp 20 o2 sat 98% ra wt 174.7 lbs gen - alert, no acute distress heent - perrl, extraocular motions intact, anicteric, mucous membranes moist neck - no jvd, no cervical lymphadenopathy chest - distant bs throughout cv - normal s1>>s2, rrr, no murmurs, rubs, or gallops abd - soft, nontender, nondistended, with normoactive bowel sounds back - no costovertebral angle tendernes extr - no clubbing, or edema. 2+ dp pulses bilaterally; 8 sec cap refill on left toes, cyanotic, cold to touch improved from last admission; bruit ++ on left groin, gross motor in tact, sensory dimished on 1st/2nd toe at tips neuro - alert and oriented x 3, cranial nerves intact, upper and lower extremity strength 5/5 bilaterally, sensation grossly intact skin - no rash pertinent results: 11:10pm blood wbc-9.4 rbc-3.14* hgb-9.6* hct-29.1* mcv-93 mch-30.5 mchc-32.9 rdw-15.1 plt ct-267 11:10pm blood plt ct-267 11:10pm blood glucose-87 urean-26* creat-1.0 na-135 k-4.4 cl-102 hco3-29 angap-8 03:49am blood calcium-7.6* phos-3.3 mg-2.2 brief hospital course: mr. is a 77 yo male patient with recent admission with cardiac cath showing 3 vd. he was admitted for completion of pre-op workup for cabg. on he went to the or for cabg x 4 with svg to the lad, svg to the rca, svg to the om1, and svg to the ramus. please see op note for full details. he was transferred to the csru for post-operative care and hemodynamic monitoring. he was weened and extubated on pod one. on pod two he experienced some bursts of atrial fibrillation treated with beta-blockade and intravenous amiodarone. he was also started on iv heparin for anticoagulation. on pod four he was noted to have a small amount of sternal drainage with a stable sternum. he was transferred to the inpatient floor for ongoing care. a picc was placed for iv antibiotics. on pod five he continued with some sternal drainage that was monitored closely. strict sternal precautions were initiated and he was started on po warfarin for anticoagulation with his history of atrial fibrillation. mr. left foot was monitored closely throughout his stay up until this point by the vascular surgery team. the pain in his toes was impeding his physical therapy with inability to weight bear from pain. the vascular surgery team also felt that the toes were worsening and that popliteal bypass would be needed sooner than initially thought. the next several days were uneventful with ongoing sternal drainage. on pod ten, it was agreed that his left toes were continuing to worsening and pre-op testing for probable vascular surgery was initiated. his warfarin was also discontinued with initiation of heparin iv when inr down. on pod 14 () mr. to the operating room with dr. for a left femoral below the knee popliteal bypass. please see op note for full details. post-op he went to the csru for close post-op management and remained under the care of the cardiac surgery team with close monitoring by the vascular service. on pods 15/2 he was again transferred to the inpatient floor for ongoing care. at this point his sternal drainage had completely resolved and his left leg was healing well. the physical therapy team continued to see mr. throughout his hospital stay and recommended rehabilitation placement for safety and ongoing recovery. on pod 18 his vanco was discontinued. on pod 19 he will be transferred to rehab. medications on admission: aspirin 325 daily. ramipril 5 daily. digoxin 250 mcg daily. coreg 3.125 mg daily. tiotropium bromide 18 mcg capsule, inh, daily. fluticasone-salmeterol 250-50 mvg.dose disk, inh, . clotrimazole 10 mg qid. albeterol-ipratropium 1-2 puffs q6h prn. levofloxacin 500 mg daily discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours). 4. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) 5000 unit injection tid (3 times a day). 5. clotrimazole 10 mg troche sig: one (1) troche mucous membrane qid (4 times a day). 6. amiodarone hcl 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 3 days. 7. amiodarone hcl 200 mg tablet sig: one (1) tablet po once a day: to begin after 400 mg daily dose completed. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 10. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 11. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day). 12. hydromorphone hcl 2 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 13. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. discharge disposition: extended care facility: lifecare center of discharge diagnosis: coronary artey disease. left popliteal artery aneurysm. chronic obstructive pulmonary disease. htn. discharge condition: stable. discharge instructions: shower daily and wash incisions with soap and water. rinse well. do not apply any creams, lotions, powders, or ointments. no lifting greater than 10 pounds. no swimming or tub bathing. continue ace wrap to left leg -- foot to thigh. followup instructions: provider: , follow-up appointment should be in 1 week provider: , . follow-up appointment should be in 1 month provider: , follow-appointment should be in 1 3-4 weeks. procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries other (peripheral) vascular shunt or bypass local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation other specified complications of procedures not elsewhere classified aneurysm of artery of lower extremity atheroembolism of lower extremity 

Answer: The patient is high likely exposed to