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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea on exertion and lightheadedness major surgical or invasive procedure: coronary artery bypass grafting x5 with left internal mammary artery to the left anterior descending artery and reverse saphenous vein grafts to the posterior left ventricular branch artery, second diagonal artery, sequential vein grafts to the first and second obtuse marginal artery. history of present illness: 58 yo m with pmh significant for hypertension, diabetes and chronic kidney disease with symptoms of dyspnea on exertion and lightheadedness admitted for prehydration prior to cardiac catheterization after an abnormal stress test. cardiac cath today revealed 3vd and we are asked to consult for possible surgical revascularization. past medical history: -hypertension -dyslpidemia -diabetes mellitus -chronic kidney disease- diabetic nephropathy -dysphagia -eosinophilic esophagitis s/p multiple egds-last -s/p esophageal balloon dilatation , with dr. -grade i internal hemorrhoids -left scalp basal cell carcinoma -obesity -attention deficit disorder(no med therapy) -elevated lfts -sleep apnea- formal study completed, has not followed up for cpap yet -right extra testicular nodule -h/o mult orthopedic fractures- no surgery social history: lives with:wife occupation: estate tobacco:denies etoh:social, not daily family history: denies h/o cad physical exam: pulse:65 resp:16 o2 sat: 99%ra b/p right:192/99 left: 204/96 height: 5'6" weight:180 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: +2 left:+2 dp right: +2 left:+2 pt :+2 left:+2 radial right: +2 left:+2 carotid bruit right: none left:none pertinent results: 05:20am blood wbc-12.1* rbc-3.21* hgb-9.6* hct-27.3* mcv-85 mch-29.9 mchc-35.2* rdw-14.3 plt ct-135*# 01:30am blood wbc-11.6* rbc-3.30* hgb-9.7* hct-28.4* mcv-86 mch-29.5 mchc-34.3 rdw-14.7 plt ct-79* 05:20am blood glucose-91 urean-71* creat-2.4* na-141 k-4.1 cl-103 hco3-28 angap-14 01:30am blood glucose-210* urean-62* creat-2.6* na-138 k-4.5 cl-104 hco3-24 angap-15 02:20am blood glucose-120* urean-59* creat-2.8* na-138 k-4.9 cl-105 hco3-23 angap-15 intra-op echo prebypass: the left atrium and right atrium are normal in cavity 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 thicknesses and cavity size are normal. overall left ventricular systolic function is mildly depressed (lvef= 45 %). with mild global rv free wall hypokinesis. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is a trivial/physiologic pericardial effusion. postbypass: patient is av paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. all other findings are consistent with pre-bypass findings. the aorta is intact post-decannulation. all findings were communicated to the surgeon intraoperatively. brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent cabgx5. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. ancef was used for surgical antibiotic prophylaxis. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he does have a history of renal insufficiency, and nephrology was consulted. he remained stable from a renal standpoint. additionally, he developed swelling of the uvula. ent consulted and recommended iv decadron. the uvula swelling improved with steroids. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. he does have a history of obstructive sleep apnea, and he has had a formal sleep study at center. he will be discharged with a cpap on autoset, and instructions to follow up with his pcp regarding osa/cpap settings. the patient was discharged home with vna services in good condition with appropriate follow up instructions. medications on admission: atorvastatin 20mg po daily fluticasone 220mcg- 2 puffs furosemide 20mg po daily gemfibrozil 600mg po bid novolog flexpen 100 unit/ml pen- use qid per ss lantus 300 units/3ml insulin pen- 45 units daily lisinopril (on hld from to unknown for elevated k+) metoprolol succinate 12.5mg po daily asa 81mg po daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/ fever. 4. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 8. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 2 weeks. 11. furosemide 20 mg tablet sig: one (1) tablet po once a day. 12. insulin glargine 100 unit/ml solution sig: one (1) subcutaneous once a day: 45 units daily- as taken previously. 13. outpatient lab work bmp results to dr. fax: 14. insulin aspart 100 unit/ml solution sig: one (1) subcutaneous four times a day: per sliding scale. 15. cpap cpap machine and mask dx: obstructive sleep apnea autoset 5-15cm h2o pressure with humidification discharge disposition: home with service facility: all care discharge diagnosis: coronary artery disease, s/p coronary artery bypass pmh: -hypertension -dyslpidemia -diabetes mellitus -chronic kidney disease- diabetic nephropathy -dysphagia -eosinophilic esophagitis s/p multiple egds-last -s/p esophageal balloon dilatation , with dr. -grade i internal hemorrhoids -left scalp basal cell carcinoma -obesity -attention deficit disorder(no med therapy) -elevated lfts -sleep apnea- formal study completed, has not followed up for cpap yet -right extra testicular nodule -h/o mult orthopedic fractures- no surgery discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: provider: , md phone: date/time: 1:00 provider: , md phone: date/time: 9:30 dr. wed 1pm please call to schedule appointments primary care dr. , a. in weeks *you will be discharged with a cpap machine/mask. please follow up with primary care regarding obstructive sleep apnea* nephrology in 2 months bmp (vna will draw) results to dr. **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: hyperpotassemia nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia long-term (current) use of insulin swelling, mass, or lump in head and neck diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled long-term (current) use of aspirin diverticulosis of small intestine (without mention of hemorrhage) 

Answer: The patient is high likely exposed to