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: history of present illness: the patient is a 69-year-old male with end-stage renal disease, who was three hours into a hemodialysis session when it was stopped secondary to nausea and tightness at his throat. he does have a history of peripheral vascular disease with bilateral renal artery stenosis and had stenting. he also has a history of hypertension and hyperlipidemia. in the emergency department, he was chest pain free and found to be hypertensive with a blood pressure of 194/74. he went to ct scan to rule out pulmonary embolus and on routine, was noted to have depressions on telemetry, but no ekg changes. he did complain of chest pressure, which was treated with sublingual nitroglycerin and a nitroglycerin drip was started. he also received 5 of iv lopressor and 325 mg of aspirin. upon admission, he was chest pain free and without shortness of breath. past medical history: 1. hypertension. 2. peripheral vascular disease status post right iliac stent and left iliac stent with claudication. 3. renal artery stenosis severe bilaterally, and he is status post stents bilaterally. 4. end-stage renal disease on hemodialysis. 5. diabetes mellitus. 6. depression. social history: he lives with his wife. does not smoke and he does not drink. allergies: he has no known drug allergies. medications on admission: 1. aspirin 325 mg p.o. q.d. 2. glipizide 5 mg p.o. q.d. 3. isosorbide mononitrate 30 mg p.o. q.d. 4. labetalol 400 mg p.o. b.i.d. 5. lipitor 20 mg p.o. q.d. 6. norvasc 10 mg p.o. b.i.d. 7. plavix 75 mg p.o. q.d. 8. ramipril one tablet p.o. q.d. 9. fluoxetine 20 mg p.o. q.d. physical examination: on physical exam, his temperature is 97.6, heart rate 74, blood pressure is 148/100. he is alert and oriented times three, pleasant male in no apparent distress. his heent includes perrl. eomi. his pharynx is clear. his neck is supple with no jvd. hemodialysis catheter on the left, this is clean, dry, and intact. his heart is regular, rate, and rhythm without murmurs, rubs, or gallops. his lungs were clear to auscultation bilaterally. his abdomen was soft, nontender, nondistended with positive bowel sounds. he has no hepatosplenomegaly. his extremities are without clubbing, cyanosis, or edema. he has no ulcers and no palpable cords. his neurologic examination shows his cranial nerves to be intact and remainder of his examination to be grossly intact. his chest x-ray showed normal pulmonary vasculature and no evidence of chf. a ct scan showed no sign of pulmonary embolus. his laboratories include a white count of 9.8, hematocrit is 47.4%, platelet count of 302,000. sodium 138, potassium 4.7, chloride ......., co2 29, bun 52, creatinine 5.7, and a blood glucose of 156. his pt 12.5, ptt of 30, and an inr of 1. troponin was 0.07 with a ck of 57. his echocardiogram which was done a month prior showed an ef of greater than 55% with normal valves; and a stress test previous showed no ischemic or anginal symptoms. while in the hospital, he remained asymptomatic while awaiting eventual cardiac catheterization. he did undergo hemodialysis on and also that day had a cardiac catheterization, which showed right dominant coronary system with left main having tubular 50% stenosis, lad with an 80% ostial angulated disease, and a mid segment 60% tubular lesion left circumflex, and a 60% ostial lesion with a 70% tubular lesion of the distal segment at the trifurcation of the om-2 and the right coronary artery to be a dominant vessel with a distal 90% lesion. dr. was then consulted for probable coronary artery bypass grafting. patient underwent one more round of hemodialysis prior to cardiac surgery. on , he underwent coronary artery bypass grafting x4 with a left internal mammary artery to the proximal lad, saphenous vein graft to the distal lad, saphenous vein graft to the om, and saphenous vein graft to the pda. this surgery was performed under general endotracheal anesthesia with a cardiopulmonary bypass time of 70 minutes and cross-clamp time of 60 minutes. the surgery was performed by dr. with , np, and , m.d. as assistant. the patient tolerated the procedure well and was transferred to the cardiac surgery recovery unit in a paced at 88 on neo-synephrine and propofol drips. he was able to awaken from the anesthesia easily and was extubated on the operative night. he did require insulin drip on the operative night, but this was weaned off during the night. he was then transferred to the surgical floor on postoperative day #2. on postoperative day #2, he underwent hemodialysis again and began to resume his usual schedule. he continued to progress well on postoperative day #3. he had his wires and chest tube d/c'd without incident. he worked with physical therapy, and increased his ambulation and began to enter more aggressive cardiac rehab. on the morning of , he did receive final run of hemodialysis prior to discharge home. he will be discharged home today as he is doing very well, and visiting nurse services will follow him there. his discharge exam shows him to be afebrile with a heart rate of 69, blood pressure of 123/65, respirations 18, and o2 saturation of 96% on room air. he is alert and oriented times three and in no apparent distress. his heart is regular, rate, and rhythm. his lungs are clear to auscultation bilaterally. his abdomen is soft, nontender, nondistended, and his wounds are clean, dry, and intact, and the sternum is stable. his laboratories include a white count of 8.6, hematocrit of 24.3%, platelet count of 335,000. sodium is 134, potassium 3.9, chloride 99, co2 23, bun 60, creatinine 6.8, and a blood glucose of 148. his discharge chest x-ray is clear with no signs of effusion and very minimal atelectasis. with this exam and considering how he has been doing with physical therapy, it is felt that he will be ready to be discharged to home with visiting nurse services on postoperative day #5. discharge condition: good. discharge diagnoses: 1. coronary artery bypass grafting x4. 2. renal artery stenosis. 3. end-stage renal disease on hemodialysis. 4. diabetes mellitus. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. lipitor 20 mg p.o. q.d. 3. fluoxetine 20 mg p.o. q.d. 4. multivitamin one cap p.o. q.d. 5. plavix 75 mg p.o. q.d. 6. lopressor 12.5 mg p.o. b.i.d. 7. glipizide 5 mg p.o. q.d. 8. calcium acetate 667 mg tablet p.o. t.i.d. 9. percocet 5/325 mg 1-2 tablets p.o. q.4h. prn pain. follow-up instructions: he should follow up with his primary care physician, . in weeks or as scheduled on . he should follow up with his cardiologist in weeks and with dr. in four weeks. he should also have contact with his hemodialysis center and resume the schedule there and follow up with his nephrologist in weeks. he should have his cardiopulmonary status and wound healing monitored by visiting nurse and be encouraged to cough and deep breathe and ambulate, and he should check his fingerstick blood sugars 3-4x a day. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified (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 hemodialysis diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia atherosclerosis of renal artery 

Answer: The patient is high likely exposed to