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: urgent off pump coronary artery bypass graft x5: left internal mammary artery to left anterior descending artery and saphenous vein grafts to the diagonal 1, diagonal 2, obtuse marginal and posterior descending arteries on . history of present illness: 66 year old non english speaking vietnamese male presents to hospital complaining of chest pressure and heaviness. he has a known cardiac history positive for hypertension, atrial fibrillation, and hyperlipidemia. further cardiac work up revealed left main & multivessel coronary artery disease. he was transferred to the for evaluation of surgical revascularization. past medical history: primary: cad s/p urgent off pump coronary artery bypass graft x5: left internal mammary artery to left anterior descending artery and saphenous vein grafts to the diagonal 1, diagonal 2, obtuse marginal and posterior descending arteries on . past medical history:dvt, tuberculosis,hyperlipidemia,htn, atrial fibrillation past surgical history:(b)cea social history: lives with: wife occupation: retired cigarettes: smoked- yes last cigarette hx:smoked 1ppd x49 years, quit ~2 yrs ago etoh: < 1 drink/week illicit drug use-no family history: family history: unknown per wife physical exam: admission physical exam pulse:69 resp:18 o2 sat:96%ra b/p 122/67 height: 5'2" weight:130 lbs general:nad, pleasant skin: warm dry intact heent: ncat perrla eomi neck: supple full rom (b) well healed cea scars chest: lungs clear bilaterally , slightly diminished (r)ll heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right: left: dp right: left: pt : left: radial right:2+ left:2+ carotid bruit:none right:pulse 2+ left:2+ discharge exam: vs: t 98.5 hr 74 bp 102/59 rr 20 o2sat 100%-ra gen: nad neuro: alert-interactive, vietnamese speaking pulm: cta-bilat cv irreg irreg, no murmur. sternum stable, incision- cdi abdm: soft, nt, nd, +bs ext: warm, well perfused. trace edema bilat. left evh site-cdi pertinent results: echocardiography report conclusions pre-opcabg: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. there are complex (>4mm) atheroma in the ascending aorta, aortic arch, and in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. post-opcabg: left ventricular function is preserved with an estimated ef>55%. there are no apparent wall motion abnormalities. 1+ ai remains. trace mr, mild tr, trace pr are unchanged. there is no echocardiographic evidence of aortic dissection. the remainder of the exam is unchanged. dr was notifed of findings at time of study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 17:03 . 05:30am blood wbc-4.8 rbc-3.42* hgb-10.4* hct-30.7* mcv-90 mch-30.4 mchc-33.8 rdw-14.3 plt ct-326 05:20am blood wbc-4.4 rbc-3.10* hgb-9.6* hct-27.5* mcv-89 mch-31.0 mchc-34.8 rdw-14.2 plt ct-313 06:00am blood wbc-6.6 rbc-3.43* hgb-10.7* hct-31.0* mcv-91 mch-31.2 mchc-34.5 rdw-14.3 plt ct-329 05:30am blood pt-23.1* inr(pt)-2.2* 05:20am blood pt-29.2* ptt-34.8 inr(pt)-2.8* 06:00am blood pt-24.9* ptt-35.6 inr(pt)-2.4* 06:00am blood pt-19.0* inr(pt)-1.8* 04:16am blood pt-19.6* inr(pt)-1.9* 04:17am blood pt-27.9* ptt-39.2* inr(pt)-2.7* 04:22am blood pt-22.8* ptt-37.5* inr(pt)-2.2* 02:42am blood pt-14.6* ptt-38.1* inr(pt)-1.4* 02:40pm blood pt-14.1* ptt-32.4 inr(pt)-1.3* 05:30am blood glucose-116* urean-20 creat-0.9 na-137 k-4.5 cl-101 hco3-27 angap-14 05:20am blood glucose-98 urean-24* creat-1.0 na-137 k-4.2 cl-100 hco3-27 angap-14 06:00am blood glucose-112* urean-27* creat-1.2 na-140 k-4.0 cl-100 hco3-29 angap-15 06:00am blood glucose-109* urean-19 creat-0.9 na-139 k-4.1 cl-102 brief hospital course: mr was transferred from hospital for surgical evaluation after a cardiac catheterization done there revealed left main and 3 vessel coronary disease. on mr. was taken to the operating room and underwent off pump coronary artery bypass graft x5:(left internal mammary artery to left anterior descending artery and saphenous vein grafts to the diagonal 1, diagonal 2, obtuse marginal and posterior descending arteries). he tolerated the procedure well and was transferred to the cvicu for invasive monitoring. he was intubated and sedated, requiring pressor support. pod#1 he awoke neurologically intact and weaned to extubation. his preop rythmol was resumed. he weaned off pressor support and was placed on beta-blocker/statin/aspirin and diuresis. electrophysiology was consulted for conduction disturbances evident on telemetry. per ep recommendation the rythmol was discontinued. all lines and drains were removed per cardiac surgery protocol. on pod#3 he was transferred to the step down unit for further monitoring and recovery. physical therapy was consulted for evaluation of strength and mobility. he continued to have periodic episodes of atrial fibrillation and anticoagulation was started. mr. developed 4 isolated episodes of unexplained rigors with low grade fevers. he was cultured and had a chest ct scan at the recommendation of infectious disease. the ct scan and cultures were not revealing for an infectious process. he was without rigors or fever for 48 hours at the time of his discharge to home on pod 10 with vna services. all follow up appointments were advised. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. atenolol 12.5 mg po daily 2. simvastatin 40 mg po daily 3. aspirin 81 mg po daily 4. digoxin 0.125 mg po daily 5. dabigatran etexilate 75 mg po bid 6. propafenone hcl 150 mg po bid discharge medications: 1. aspirin 81 mg po daily 2. digoxin 0.125 mg po daily 3. simvastatin 40 mg po daily 4. acetaminophen 650 mg po q4h:prn pain, fever 5. clopidogrel 75 mg po daily if off-pump or recent stent rx *clopidogrel 75 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 6. docusate sodium 100 mg po bid 7. furosemide 20 mg po daily duration: 2 weeks rx *furosemide 20 mg 1 tablet(s) by mouth daily disp #*14 tablet refills:*0 8. metoprolol tartrate 50 mg po tid hold for hr < 55 or sbp < 90 and call medical provider. *metoprolol tartrate 50 mg 1 tablet(s) by mouth three times a day disp #*90 tablet refills:*0 9. oxycodone-acetaminophen (5mg-325mg) tab po q4h:prn pain rx *oxycodone-acetaminophen 5 mg-325 mg tablet(s) by mouth every four (4) hours disp #*40 tablet refills:*0 10. pantoprazole 40 mg po q24h duration: 1 months rx *pantoprazole 40 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 11. potassium chloride 20 meq po daily duration: 2 weeks rx *potassium chloride 20 meq 1 packet by mouth daily disp #*14 packet refills:*0 12. warfarin 1 mg po daily16 dr. may change dose daily for goal inr , dx: afib rx *warfarin 1 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 discharge disposition: home with service facility: discharge diagnosis: primary: cad s/p urgent off pump coronary artery bypass graft x5: left internal mammary artery to left anterior descending artery and saphenous vein grafts to the diagonal 1, diagonal 2, obtuse marginal and posterior descending arteries on . past medical history:dvt, tuberculosis,hyperlipidemia,htn, atrial fibrillation past surgical history:(b)cea discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema- trace bilatal lower extremities discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. no lifting more than 10 pounds for 10 weeks **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 wound care clinic phone: date/time: 10:15 in the medical office building, . surgeon: , md phone: date/time: 1:00 in the medical office building, . cardiologist: dr., s. at 12:30pm please call to schedule appointments with dr , your primary care in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication -atrial fibrillation-hx of previous dvt goal inr 2-2.5 first draw day results to clipper cardiology @ attn: md procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass (aorto)coronary bypass of four or more coronary arteries arterial catheterization diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use atrial flutter occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia 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 personal history of venous thrombosis and embolism hypovolemia orthostatic hypotension personal history of tuberculosis postprocedural fever 

Answer: The patient is high likely exposed to