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: vancomycin hcl attending: chief complaint: chest pain major surgical or invasive procedure: cabg x 3 (lima to diag, svg to lad, svg to ramus) history of present illness: 57 yo m with intermittent chest pressure several times a day. cardiac cath showed 3vd and he was referred for surgery. past medical history: pmh: cad w/ mis in ', ', stents in rca, diag, lad x2, htn, gerd, dm2, diabetic neuropathy, copd, anxiety, insominia, erectile dysfunction psh: b/l knee surgery, cholecystectomy, l breast lumpectomy social history: disabled tobacco 1 ppd x 20 years, quit no etoh family history: nc physical exam: hr 65 rr 16 bp 116/73 nad lungs ctab heart rrr abdomen benign extrem warm, no edema 5'" 95 kg ( weight day of or) pertinent results: 06:20am blood wbc-7.3 rbc-3.46* hgb-9.9* hct-29.3* mcv-85 mch-28.5 mchc-33.7 rdw-14.0 plt ct-336 11:00am blood neuts-71.6* lymphs-15.6* monos-6.3 eos-6.1* baso-0.4 06:20am blood plt ct-336 06:20am blood glucose-175* urean-10 creat-0.7 na-137 k-4.2 cl-102 hco3-28 angap-11 06:20am blood calcium-8.1* phos-3.4 mg-2.3 09:25am blood %hba1c-9.9* conclusions pre-bypass: 1. the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 7. there is no pericardial effusion. post-bypass: pt was removed from cardiopulmonary bypass av paced. 1. biventricular function is preserved. 2. mitral regurgitation remains mild. other valves are as described pre-bypass. 3. thoracic aortic contour is intact. 3. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 11:24 radiology final report chest (portable ap) 11:14 pm chest (portable ap) reason: eval for source of fever medical condition: 57 year old man with recent cabg now febrile with no obvious source reason for this examination: eval for source of fever history: febrile after cabg. impression: ap chest compared to : lungs grossly clear aside from improving mild left basal atelectasis. small left pleural effusion stable. right lung clear. heart size normal. dr. approved: sat 2:08 pm brief hospital course: he was admitted to cardiac surgery and awaited plavix washout prior to surgery. he was started on a heparin drip. he had some nausea and vomiting along with abdominal pain and he was seen by general surgery. he was found to ahve a partial small bowel obstruction. an ngt was placed. his symptoms improved and he was started on clears. he tolerated clears and his diet was advanced. he was taken to the operating room on where he underwent a cabg x 3. he was transferred to the icu in stable condition on a propofol drip. he was extubated the morning of pod #1. his ngt was clamped, he tolerated clear liquids and he was transferred to the floor on pod #1. he went into afib and converted ito sr with additional beta blockade. chest tubes and pacing wires removed without incident. team continued to follow him postop. amiodarone started for recurrent afib. cleared for discharge to home with services on pod #5. pt. is to make all follow-up appts. as per discharge instructions. medications on admission: asa 325', neurontin 600''', lopid 600'', novolog 15u qam, qpm, novolog 20u p lunch & dinner, humalog-n 85u qam, lopressor 25''', nitropaste 1in q8hrs, protonix 40', actos 15', trazadone 300', plavix 75' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). disp:*180 capsule(s)* refills:*2* 6. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. pioglitazone 15 mg tablet sig: one (1) tablet po daily (daily). disp:*15 tablet(s)* refills:*2* 8. trazodone 50 mg tablet sig: three (3) tablet po hs (at bedtime) as needed. disp:*21 tablet(s)* refills:*0* 9. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 11. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* ****spoke to at vna on monday : she was instructed to have him reduce his amiodarone to 200 mg daily starting on monday discharge disposition: home with service facility: care of ri discharge diagnosis: cad now s/p cabg postop a fib pmh: cad s/p mi, htn, gerd, dm, copd, anxiety, ed, psh: ccy,arthroscopic knee, lft breast lumpectomy discharge condition: good. discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medication as prescribed. call for any fever, redness or drainage from wounds. followup instructions: clinic in 2 weeks dr in weeks dr in 4 weeks call for appt. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart cardioplegia insertion of other (naso-)gastric tube diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation other specified intestinal obstruction polyneuropathy in diabetes peripheral vascular disease, unspecified other and unspecified hyperlipidemia obesity, unspecified examination of participant in clinical trial unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure diabetes with neurological manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to