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: lipitor / avapro attending: chief complaint: abnormal ett major surgical or invasive procedure: cabgx4(lima->lad, svg->om, diag, and pda) history of present illness: 64 y/o who had abnormal ekg (st changes) on and underwent cardiac cath on which revealed 3vd and lm disease past medical history: hypertension hypercholesterolemia diabetes mellitus type 2 neuropathy nephropathy retinopathy h/o l foot cellulitis 02 s/p bilat cataract surgery s/p laser eye surgery s/p osteo w/ metatarsal resect. social history: - etoh, -tob family history: non-contributory physical exam: vitals: 71sr 134/61 16 95%ra general: nad, a&o x 3 heent: perrla/eomi neck: -carotid bruits heart: rrr +s1s2, -c/r/m/g lungs: crackles bilat gi: obese, +bs, soft nt/nd ext: -varicosities, chronic venous stasis changes, 2+ edema neuro: cn 2-12 intact, mae pulses: 2+, bpop 1+, rfem 2+, lfem-cath site, bdp 1+, bpt nd pertinent results: pre-op cxr : bibasilar interstitial opacities, which could be secondary to basilar atelectasis or mild chf. cath : 1. three vessel coronary artery disease. 2. mild diastolic ventricular dysfunction. 11:52am blood wbc-4.8 rbc-3.55* hgb-10.2* hct-28.7* mcv-81* mch-28.7 mchc-35.5* rdw-14.3 plt ct-166 04:25am blood wbc-5.2 rbc-2.64* hgb-7.7* hct-23.9* mcv-86 mch-29.1 mchc-33.7 rdw-13.8 plt ct-173 11:52am blood pt-12.1 ptt-30.7 inr(pt)-1.0 03:03am blood pt-13.0 ptt-31.4 inr(pt)-1.1 11:52am blood glucose-174* urean-37* creat-1.6* na-140 k-5.0 cl-109* hco3-23 angap-13 07:45am blood glucose-129* urean-39* creat-1.8* na-140 k-4.5 cl-105 hco3-26 angap-14 04:25am blood glucose-68* urean-39* creat-1.6* na-141 k-4.3 cl-105 hco3-26 angap-14 11:52am blood alt-31 ast-20 alkphos-68 totbili-0.4 11:52am blood triglyc-121 hdl-31 chol/hd-3.2 ldlcalc-45 07:27pm urine color-straw appear-clear sp -1.019 07:27pm urine blood-tr nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg 07:27pm urine rbc-0-2 wbc-0-2 bacteri-occ yeast-none epi-0-2 brief hospital course: as mentioned in the hpi, pt was admitted following his cardiac cath, was consented and scheduled for surgery on . on this day, pt was brought to the operating room and underwent a cabg x 4. pt. tolerated the procedure well and had a total bypass time of 91 minutes and cross-clamp time of 77 minutes. please see op note for full surgical details. pt was transferred to csru in stable condition with a map 92, cvp 18, pad 22, 28, hr 80 nsr and being titrated on neo and propofol. later that day, pt was weaned from mechanical ventilation and sedation and was extubated. he was awake, alert, mae, and following all commands. on pod #1 pt was still on neo for hemodynamic support early in the day, but was weaned off and b-blockade and diuretics were started per protocol. on pod #2, pt was doing well and transferred to telemetry floor. his chest tubes were removed. on pod #3 his epicardial pacing wires were removed and pt was slowly improving (getting oob more and ambulating). on pod #, pt remained stable, medication was fine-tuned and pt slowly improved until he was ambulating at level 5. his hct remained relatively low, but was stable and pt was asymptomatic. his physical exam at time of discharge was benign besides 1+ pedal edema. he was discharged home with vna services and the appropriate follow-up. medications on admission: 1. toprol xl 200mg qd 2. glyburide 5mg 3. asa 81mg qd 4. norvasc 10mg qd 5. zetia 10mg qd 6. minoxidil 5mg qd 7. clonidine 0.1mg 8. lasix 60mg qd 9. fish oil discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 10 days. disp:*20 tab sust.rel. particle/crystal(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*0* 10. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days. disp:*28 capsule(s)* refills:*0* 11. lopressor 50 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*2* 12. insulin glargine 100 unit/ml solution sig: twenty eight (28) units subcutaneous at bedtime. disp:*10 units* refills:*2* discharge disposition: home with service facility: greater vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 on hypertension hypercholesterolemia diabetes mellitus type 2 neuropathy nephropathy retinopathy h/o l foot cellulitis 02 s/p bilat cataract surgery s/p laser eye surgery s/p osteo w/ metatarsal resect. discharge condition: good. discharge instructions: follow medications on dishcarge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower, let water flow over wounds, pat dry with a towel. do not use creams, lotions, or powders on wounds. call our office for sternal drainage, temp>101.5. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 2-3 weeks. make an appointment with dr. for 4 weeks. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization transfusion of packed cells diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes acute myocardial infarction of unspecified site, initial episode of care diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to