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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: - sternal wound debridement with partial closure and vacuum-assisted closure dressing placement6/21/12 -coronary bypass grafting x3, with left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the obtuse marginal artery and the diagonal artery. history of present illness: this is a 72 y/o male with significant medical history of hypertension, hyperlipidemia and spinal stenosis. the patient reports a left sided chest pressure radiating to the left shoulder with exertion relieved by rest since . the patient denies shortness of breath, lightheadedness, near syncope, syncope or rest symptoms. the patient does not routinely exercise due to spinal stenosis. underwent at stress test on which was + for ischemia and ekg changes. presented to today for elective cardiac cath which demonstrated lm/2vd. he is being consulted now for evaluation for surgical revascularization. past medical history: coronary artery disease htn hl mild renal impairment l4-l5 disk herniation spinal stenosis (followed by pain clinic) gerd social history: lives with: alone contact: (son) phone # occupation: engineer cigarettes: smoked no never yes other tobacco use: none etoh: < 1 drink/week drinks/week >8 drinks/week family history: non-contrbibutory (mom died at age 86 of an mi, dad natural causes at 92) physical exam: pulse: 52 sb resp: 16 o2 sat: 100% on o2 b/p right: 144/62 height: 66" weight: 200lbs general: nad, well appearing skin: dry intact heent: perrla eomi ncat, mmm neck: supple full rom , no lymphedema chest: lungs clear bilaterally heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + obese extremities: warm , well-perfused edema none _____ varicosities: none neuro: grossly intact pulses: femoral right: +2 left:+2 dp right: +2 left:+2 pt : +2 left:+2 radial right: cath site/pressure dressing left:+2 carotid bruit none pertinent results: intra-op tee conclusions pre bypass: the left atrium is normal in size. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post bypass: patient is a paced on phenylepherine infusion. preseved biventricular function, lvef >55%. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. . 04:36am blood wbc-14.7* rbc-3.01* hgb-9.1* hct-28.0* mcv-93 mch-30.1 mchc-32.4 rdw-13.3 plt ct-487* 04:10pm blood wbc-7.7 rbc-4.37* hgb-13.2* hct-39.6* mcv-91 mch-30.3 mchc-33.5 rdw-13.3 plt ct-253 12:34am blood pt-12.8* ptt-28.1 inr(pt)-1.2* 04:36am blood glucose-91 urean-47* creat-1.5* na-143 k-4.4 cl-103 hco3-32 angap-12 brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 3 with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. post-operative day one found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and 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. cipro was started for uti. he was transferred back to cvicu with low urine output and rising creatinine which peaked at 3.6. renal was consulted for acute kidney injury. reccommendations were appreciated. he was hypotensive, requiring neosynepherine. chest tubes and pacing wires were discontinued without complication. cefazolin was started for sternal drainage, although there was no sign of infection. he weaned off of pressor support. on he transferred to the step down unit for further monitoring and reovery. the patient was evaluated by the physical therapy service for assistance with strength and mobility. while on the step down unit, he developed persistent serous drainage from the inferior sternal incision which did not seem to diminish. this entire time he had no evidence that he had an infection with normal white counts and no fevers. since this drainage persisted despite diuresis, dr. elected to bring him back to the operating for exploration and possible closure of his sternal incision. he was taken to the operating room and partial sternal dehiscence was revealed. he underwent sternal wound debridement with partial closure and vacuum-assisted closure dressing placement. the vac dressing is to be continuous, black foam, witha target presure 125 mm hg. please change the dressing q48. by the time of discharge on pod # the patient was ambulating freely, the wound was healing, on antibiotics until cultures result, and pain was controlled with oral analgesics. the patient failed to void, the foley catheter was re-inserted. he was started on flomax. please plan to discontinue foley catheter and repeat voiding trial. he is being discharged on keflex 500 mg by mouth every 6 hours for 14 days. the patient was discharged to in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from patientwebomr. 1. fexofenadine 60 mg po bid itching 2. metoprolol tartrate 25 mg po bid hold for sbp < 100, hr < 60 3. rosuvastatin calcium 20 mg po daily 4. aspirin 81 mg po daily 5. omeprazole 20 mg po daily 6. lisinopril 40 mg po daily 7. gabapentin 300 mg po qid hold for sedation 8. acetaminophen 1000 mg po tid:prn pain max of 4 grams daily discharge medications: 1. acetaminophen 650 mg po q4h:prn fever, pain rx *8 hour pain reliever 650 mg 1 tablet(s) by mouth q4h prn disp #*60 tablet refills:*0 2. aspirin 81 mg po daily rx *adult low dose aspirin 81 mg 1 tablet(s) by mouth daily disp #*60 tablet refills:*0 3. gabapentin 300 mg po qid hold for sedation rx *gabapentin 300 mg 1 capsule(s) by mouth four times a day disp #*60 tablet refills:*0 4. metoprolol tartrate 12.5 mg po bid hold sbp<110, hr<60 rx *metoprolol tartrate 25 mg 0.5 (one half) tablet(s) by mouth twice a day disp #*60 tablet refills:*0 5. omeprazole 20 mg po daily rx *omeprazole 20 mg 1 capsule(s) by mouth daily disp #*60 tablet refills:*0 6. rosuvastatin calcium 20 mg po daily rx *crestor 20 mg 1 tablet(s) by mouth daily disp #*60 tablet refills:*0 7. albuterol 0.083% neb soln 1 neb ih q6h:prn dyspnea rx *albuterol sulfate 2.5 mg/3 ml (0.083 %) 2.5 mg inhalation q6 prn disp #*1 inhaler refills:*0 8. docusate sodium 100 mg po bid rx *colace 100 mg 1 capsule(s) by mouth twice a day disp #*60 tablet refills:*0 9. ipratropium bromide neb 1 neb ih q6h:prn dyspnea rx *ipratropium bromide 0.2 mg/ml (0.02 %) 0.02 % solution inhalation q6h prn disp #*1 inhaler refills:*0 10. oxycodone-acetaminophen (5mg-325mg) tab po q4h:prn pain rx *oxycodone-acetaminophen 5 mg-325 mg tablet(s) by mouth q4 h prn disp #*45 tablet refills:*0 11. tamsulosin 0.4 mg po hs rx *flomax 0.4 mg 1 capsule(s) by mouth hs disp #*60 tablet refills:*0 12. cephalexin 500 mg po qid duration: 14 days rx *keflex 500 mg 1 capsule(s) by mouth qid x 14 days disp #*56 tablet refills:*0 13. furosemide 40 mg po bid duration: 10 days rx *lasix 40 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*0 14. potassium chloride 20 meq po q12h hold for k+ > 4.5 rx *potassium chloride 20 meq 20 meq by mouth q 12h disp #*60 tablet refills:*0 15. fexofenadine 60 mg po bid prn itching rx *fexofenadine 60 mg 1 tablet(s) by mouth prn disp #*60 tablet refills:*0 discharge disposition: extended care facility: nursing & therapy center - ( center for rehabilitation and sub-acute care) discharge diagnosis: coronary artery disease htn hl mild renal impairment l4-l5 disk herniation spinal stenosis (followed by pain clinic) gerd past surgical history none discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage 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: surgeon dr. 1:15 # cardiologist dr. 12:40 primary care dr. , md phone: date/time: 8:10 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: 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 arterial catheterization other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery esophageal reflux acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified disruption of internal operation (surgical) wound other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) other and unspecified angina pectoris surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other specified complications of procedures not elsewhere classified urinary complications, not elsewhere classified displacement of lumbar intervertebral disc without myelopathy other fluid overload 

Answer: The patient is high likely exposed to