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: this is a patient with a long history of copd who was admitted to on , to be treated for a flare. he was complaining of chest pain at that time and therefore underwent an exercise tolerance test on where he was only able to complete two minutes on protocol before he began having 2- depressions and chest pain. on he underwent a cardiac catheterization that revealed a 60-70% stenosis of his left main coronary artery, a 95-98% stenosis of his proximal rca and a left circumflex osteal lesion that was reported as unable to define, but clinically significant. it was therefore recommended that the patient undergo an elective cabg and he was transferred to the for stat evaluation. past medical history: significant for severe copd with multiple hospitalizations, pulmonary artery hypertension, sleep apnea, hypertension, status post mrsa pneumonia, status post appendectomy, status post umbilical herniorrhaphy, gout. medications: on admission include allopurinol 100 mg q d, paxil 20 mg po q d, singulair 10 mg po q d, albuterol and atrovent inhalers, prednisone 10 mg q d which was tapered starting one week before admission. physical examination: on admission the patient had a temperature of 96.8, pulse 61, respirations 18 and a blood pressure of 143/74. his pupils were equal, round and reactive to light. his neck was supple, there were no masses, no bruits or lymphadenopathy. his chest was clear with expiratory wheezes bilaterally. his heart had a regular rate and rhythm with no murmurs or rubs. his abdomen was protuberant, soft, nontender, non distended. there were no masses or hernias. genitourinary examination was significant for a left testicular mass. extremities were warm and well perfused with no erythema, full range of motion. neuro exam, he is alert and oriented times three, had no motor weakness or numbness and normal reflexes. hospital course: the patient was admitted on . on he underwent an uncomplicated coronary artery bypass grafting times three with a left internal mammary artery to the left anterior descending coronary artery, reversed saphenous vein graft from the aorta to the right posterior descending coronary artery, reverse saphenous vein graft from the aorta to the obtuse marginal coronary artery. the patient tolerated the procedure well and was transferred to the cardiothoracic intensive care unit intubated and in stable condition. on postoperative day #1 a neo-synephrine drip was started and the nitroglycerin drip was discontinued. the patient spiked a fever to 101.7. sputum cultures were sent. he was a-paced at a rate of 88. over the course of the day he was weaned off the ventilator and extubated. he was also weaned off of all of his drips, his pacer was subsequently turned off and his swan ganz catheter was pulled back to a position to monitor his central venous pressure. on postoperative day #2 the patient's fever had spiked overnight again to 101.7 and he was subsequently started on a course of levofloxacin. the patient was requiring nebulizer treatments and inhalers to manage his copd. as his condition was stable, the patient was transferred to the floor on postoperative day #2. on the floor he continued to spike fevers, although his white count was trending downwards. on postoperative day #3 his chest tube output had decreased to about 100 cc over the course of the prior day and it was subsequently removed. he was seen by the respiratory service which administered his nebulizers and they felt that he was no longer in need of neb treatment and he was switched to mdi inhalers on postoperative day #3. at that time his incentive spirometer was 1250 sustained. his lasix was increased to 40 mg po tid, his foley and central lines were removed and the patient was out of bed and ambulating. chest x-ray the day before had demonstrated a left lower lobe consolidation with the sputum cultures growing out hemophilus so it was thought that the patient was on adequate antibiotic treatment with the levaquin. on postoperative day #4 the patient's fever curve continued to decline and his oxygen saturation continued to improve. as the patient's pneumonia seemed to be improving and he was stable from a cardiac standpoint, the patient was discharged to a rehab facility in good and stable condition with plans to continue the levaquin for another 8 days. discharge medications: lopressor 12.5 mg po bid, lasix 40 mg po tid, potassium chloride 20 mg po bid, aspirin 81 mg po q d, levofloxacin 500 mg po q d times 8 days, percocet 1-2 tablets po q 3-4 hours prn pain, paxil 20 mg po q d, allopurinol 100 mg po q d, singulair 10 mg po q d, combivent inhaler 1-2 puffs inhaled q 4 hours prn, atrovent inhalers 1-2 puffs q 4 hours prn, albuterol inhaler 1-2 puffs q 4 hours prn, albuterol nebulizers one 3 mil unit dose qid prn, atrovent nebulizers one 500 mcg vial qid prn, colace 100 mg po bid. discharge exam: the patient was afebrile, with heart rate of 78, blood pressure 135/79, respiratory rate 24, oxygen saturations are 89% on room air, 91% on 2 liters. he was in no acute distress. neck was supple. he had slightly diminished breath sounds bilaterally. his sternum was stable, clean, dry and intact. heart had a regular rate and rhythm. belly was soft, nontender, non distended. extremities were warm and well perfused and his incision was clean, dry and intact. the patient was subsequently discharged to rehab in stable condition with instructions to follow-up with dr. in one week and with his primary care physician weeks. discharge diagnosis: 1. coronary artery disease, status post cabg times three. 2. chronic obstructive pulmonary disease. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension chronic airway obstruction, not elsewhere classified unspecified sleep apnea 

Answer: The patient is high likely exposed to