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: emergent five vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending, vein grafts to diagonal, first obtuse marginal, second obtuse marginal and posterior descending artery) history of present illness: mr. is a 46 year old male with esrd and known cad. in he underwent placement of drug eluding stent to the circumfex. rca was totally occluded at that time. since , he had self discontinued taking aspirin, plavix, lipitor and lopressor secondary to av fisutla bleeding complications. on the day of admission, he presented to osh with progressive worsening chest pain for several weeks duration. he was started on intravenous therapy and transferred to the for further evaluation and treatment. he did rule in for a myocardial infarction with positive cardiac enzymes. past medical history: -coronary artery disease, s/p pci/stenting(see above) -end stage renal disease, s/p renal transplantation 27 years ago(failure since ), on hemodialysis, left av fistula -hypertension -congestive heart failure -obstructive sleep apnea -hyperphosphotemia social history: married, lives with wife. family history: denies premature coronary artery disease physical exam: vitals: bp 96/60, hr83, rr 30, sat 96% on 3l general: no acute distress, nontoxic heent: oropharynx benign, moist mucous membranes neck: supple, no jvd lungs: tachypneic, crackles noted anteriorly heart: regular rate and rhythm, normal s1s2 abdomen: benign extremeties: warm, no edema, left av fistula with good thrill pulses: 1+ distally neuro: alert and oriented x 3, no focal deficits noted pertinent results: 04:45pm blood wbc-11.5* rbc-3.85* hgb-12.7* hct-37.7* mcv-98 mch-33.1* mchc-33.8 rdw-13.9 plt ct-326 04:45pm blood neuts-73.2* lymphs-20.3 monos-2.4 eos-3.2 baso-0.9 04:45pm blood pt-12.1 ptt-30.6 inr(pt)-1.0 04:45pm blood glucose-122* urean-50* creat-13.8* na-135 k-7.1* cl-91* hco3-26 angap-25* 04:45pm blood alt-16 ast-23 alkphos-101 totbili-0.7 04:45pm blood albumin-3.9 04:45pm blood %hba1c-5.7 cardiac cath: 1. coronary angiography of this right dominant system revealed severe 3 vessel disease. the lmca was angiographically normal. the proximal lad had a 90% stenosis after d1, followed by 80% mid stenosis. d1 had 99% proximal stenosis. the lcx was 100% occluded proximally at the site of prior stent placement in . the rca was 100% occluded proximally with distal filling via left to right collaterals. 2. resting hemodynamics revealed severely elevated right sided filling pressures with rvedp of 30 mmhg. there was severe pulmonary arterial systolic hypertension with pasp of 72 mmhg. pulmonary capillary wedge pressure was severely elevated (a/v/m=44/50/40 mmhg). there was systemic arterial systolic hypotension with aortic systolic pressure of 96 mmhg. cardiac output was compromised at 2.10 l/min/m2. 3. left ventriculograpy was not performed. brief hospital course: mr. was admitted and underwent cardiac catheterization which showed critically severe three vessel coronary artery disease(see result section). he was therefore taken urgently to the operating room where coronary artery bypass grafting was performed by dr. . for surgical details, please see seperate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. given his end stage renal disease, cvvhd was initiated for fluid management with gradual transition to hemodialysis. he has an isolated episode of svt which was successfully treated with adenosine with conversion back to a normal sinus rhythm. he initially remained critically ill and was kept intubated and sedated for several days. tube feedings were eventually initiated for nutritional support. he required placement of a left chest tube for hemothorax on postoperative day four. on postoperative day five, fevers were noted along with a leukocytosis. pan cultures were obtained, and empiric antibiotics were initiated. chest x-ray was suscipious for pneumonia. given persistent agitation, the psychiatry service was consulted which attributed it to postoperative delirium. he intermittenly required haldol and ativan for behavioral control. he was eventually extubated without incident and gradually weaned from inotropic support. his chest tubes and pacing wires were dc'd without incidence, after his csru stay. pt did quite well. he was transfered to the floor. on the floor he made steady progress. he worked with pt. he progressed to a point were he no longer needed rehab. he also recieved hemodialysis while on the floor in his regualr scheduled cirriculum. m / w / f. pt in stable condition medications on admission: transfer meds: intravenous heparin, plavix 300mg(single dose), protonix, aspirin 325 qd, lopressor discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 4. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. loratadine 10 mg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 7. sensipar 60 mg tablet sig: one (1) tablet po twice a day. 8. nephrocaps 1 mg capsule sig: one (1) capsule po once a day. discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease - s/p emergent cabg postop delirium postop hemothorax end stage renal disease - prior renal transplantation(failure ) hypertension congestive heart failure obstructive sleep apnea discharge condition: good discharge instructions: 1)please shower daily, no baths. 2)avoid creams, lotions, ointments to surgical incisions. 3)please call cardiac surgeon if start to experience sternal drainage, or signs of wound infection. 4)no driving for at least one month. 5)no lifting more than 10 lbs for at least 10 weeks. followup instructions: dr. in weeks, call for appt dr. or dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt md procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters hemodialysis (aorto)coronary bypass of four or more coronary arteries venous catheterization for renal dialysis diagnoses: other primary cardiomyopathies hyperpotassemia end stage renal disease obstructive sleep apnea (adult)(pediatric) subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified transient mental disorder in conditions classified elsewhere hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hemorrhage complicating a procedure stricture of artery combined systolic and diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to