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: tegretol / dilantin / penicillins / sulfonamides attending: chief complaint: chest pain major surgical or invasive procedure: cabg x 3 (lima->lad, svg->om1, svg->pda) history of present illness: mr. is a 61 y/o male with longstanding coronary artery disease s/p multiple pci's with stents. he did well until of when he noticed an increase in chest pain/pressure with exertion. then had a positive stress test and was referred for cardiac cath. cath revealed 70-80% lm, 40-50% rca, <30-40% lad/lcx. he was then referred for surgical revascularization. past medical history: coronary artery disease s/p multiple pci hypertension hyperlipidemia diabtes melltis seizure disorder s/p keratosis removal on back s/p bilateral cubital and carpal tunnel surgery social history: 2 cigars per week (equivalent to a 25 py hx). etoh 1 drink with dinner. retired h.s. english teacher. lives with wife. 6x/week. family history: father: mi @40 sister: mi @50 physical exam: neuro: a&o x 3, grossly intact pulm: ctab -w/r/r cor: rrr, +s1s2, -c/r/m/g abd: soft, nt/nd, +bs ext: warm, superficial varicosities, -edema pertinent results: carotid u/s : minor plaque is present in the carotid arteries bilaterally with no evidence of stenosis . echo : there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. cxr :pneumoperitoneum, of uncertain etiology. 02:43am blood wbc-12.1* rbc-2.29* hgb-7.8* hct-22.3* mcv-98 mch-34.0* mchc-34.9 rdw-14.1 plt ct-221 04:25am blood wbc-8.2 rbc-2.52* hgb-8.5* hct-24.9* mcv-99* mch-33.7* mchc-34.1 rdw-14.3 plt ct-288 07:20am blood hct-29.7* 12:09pm blood pt-17.1* ptt-35.3* inr(pt)-2.0 04:25am blood glucose-273* urean-11 creat-0.9 na-133 k-4.2 cl-96 hco3-30 angap-11 04:25am blood calcium-8.3* phos-3.3 mg-1.8 07:58pm blood %hba1c-7.8* -done -done 08:01pm urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-neg brief hospital course: as mentioned in the hpi, patient was found to have severe left main disease and remained in the hospital for surgical revascularization. prior to surgery patient underwent an echo and carotid u/s (please see pertinent results). he was cleared for surgery and following consent pt was brought to the operating room on hospital day two. he underwent a coronary artery bypass graft x 3 and tolerated the procedure well. please see op note for surgical details. he was transferred to the csru in stable condition receiving nitroglycerin and propofol. later on op day sedation was weaned and patient awoke neurologically intact. mechanical ventilation was weaned and he was extubated. by post op day one he was weaned off of all drips and started on diuretics and b blockers. and was then transferred to the step-down unit. on post op day two his chest tubes and foley catheter were removed. was consulted for diabetes management secondary to previously poor control (hgb a1c 7.8) and elevated glucose while in hospital. appropriate changes were made based on their recommendations. on post op day three patient was very hyperglycemic and required transfer back to the icu for an insulin drip. post op day four glucose was 116 and he was then transferred back to the step-down unit. diabetes management continued to remain difficult despite recommendations and will follow-up with them in 1 week following discharge. his epicardial pacing wires were removed on post op day six. he was followed throughout hospital course by physical therapy for strength and conditioning. he cleared level 5 by post op day seven and was discharged home with vna services and the appropriate follow-up appointments. medications on admission: asa 325mg qd lantus 23u qam plavix 75mg qd lamictal 150mg lipitor 20mg qd lopressor 25mg qd univasc 7.5mg qd reminyl (d/c'd by pt) discharge medications: 1. lamotrigine 100 mg tablet sig: 1.5 tablets po bid (2 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. 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:*0* 5. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. hydromorphone 2 mg tablet sig: one (1) tablet po q4h:prn as needed. disp:*40 tablet(s)* refills:*0* 12. zolpidem 5 mg tablet sig: one (1) tablet po hs:prn as needed for insomnia for 1 weeks. disp:*7 tablet(s)* refills:*0* 13. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 14. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 5 days. disp:*20 capsule, sustained release(s)* refills:*0* 15. insulin glargine 100 unit/ml cartridge sig: thirty (30) units subcutaneous qam. disp:*qs 1 month* refills:*0* 16. insulin lispro (human) 100 unit/ml cartridge sig: sliding scale subcutaneous qachs: humalog sliding scale. disp:*qs 1 month* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p multiple previous pci's s/p coronary artery bypass graft x 3 on hypertension hyperlipidemia diabtes melltis seizure disorder discharge condition: good discharge instructions: shower, wash incision with soap and water and pat dry, no lotions creams or powders to incision. no lifting more than 10 pounds or driving. call with fever, redness or drainage from incision, or weight gain more than 2 pounds in one day or five in one week. followup instructions: dr. 4 weeks clinic 1 week dr. (cardiologist) 2 weeks dr. (pcp) 2 weeks call for all appointments procedure: venous catheterization, not elsewhere classified 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 diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension other convulsions polyneuropathy in diabetes other and unspecified angina pectoris cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft accidents occurring in other specified places background diabetic retinopathy diabetes with neurological manifestations, type ii or unspecified type, uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to