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 72-year-old african american male with multiple recent admissions for urinary tract infection, a history of cerebrovascular accident and an indwelling suprapubic catheter, who was transferred from the facility for shortness of breath and decreased oxygen saturation to 76% on room air. he had several days of congestion, with copious secretions on the morning of admission. he was also found to be tachycardic. at the nursing home, the patient was suctioned and placed on three liters by nasal cannula with oxygen saturations increasing to 80%. the patient had a percutaneous endoscopic gastrostomy tube in place and did not take anything by mouth. he was nonverbal at baseline and recently moved to from . in the emergency room, the patient was found to be febrile to 101.9??????f with a pulse of 120 and sinus tachycardia. the patient was found to have a urinalysis suggestive of a urinary tract infection in addition to decreased oxygen saturations and a streaky left lower lobe opacity suggestive of an infiltrate. the patient was given levofloxacin and ceftriaxone with intravenous fluids in the emergency room. past medical history: 1. benign prostatic hypertrophy. 2. admission for urinary retention secondary to urethral stricture. 3. elevated psa. 4. cerebrovascular accidents, multiple, in the past. 5. hypertension. 6. suprapubic tube indwelling. 7. gastrojejunostomy tube. 8. methicillin resistant staphylococcus aureus, clostridium difficile urosepsis. medications on admission: proscar 5 mg p.o. q.d. flomax 0.4 mg p.o. q.d. atenolol 25 mg p.o. q.d. ritalin 5 mg p.o. b.i.d. aspirin. allergies: there were no known drug allergies. social history: the patient moved from to earlier this year. he lived at the bostonian. he had two daughters, () and (), who were intimately involved in his care. physical examination: on physical examination, the patient had a temperature of 101.9??????f with a pulse of 140, sinus tachycardia and a blood pressure of 101/72. his oxygen saturation was 96% on four liters and 87% on room air at the time of admission; however, by the time we saw the patient, he was 95% on room air. generally, he was a nonverbal, contracted, elderly male lying in bed in no acute distress. on heent examination, the head was normocephalic and atraumatic. the mucous membranes were mildly dry. the lungs had coarse breath sounds at the left base by the report of the emergency department. it was difficult to interpret on my examination due to decreased effort. the heart was tachycardic with no murmurs, rubs or gallops appreciated. the abdomen had a gastrojejunostomy tube and a suprapubic tube with thin, yellow liquid at the entry site. he had a soft abdomen. on skin examination, the patient had a decubitus ulcer that was 5 cm deep with granulation tissue clear around the borders. the extremities were thin and contracted. laboratory data: at the time of admission, the patient had a white blood cell count of 12,700 with a hematocrit of 39. there was a sodium of 141, potassium of 4.1, chloride of 102, bicarbonate of 26, bun of 25, creatinine of 0.6 and glucose of 131. urinalysis showed large blood and was nitrite positive with greater than 300 protein, 88 white blood cells and occasional bacteria. the patient had cultures pending. radiology: the chest x-ray showed a left lower lobe infiltrate. electrocardiogram: the electrocardiogram was terminis with a poor baseline. hospital course by issue: 1. infectious disease: the patient was admitted with a urinary tract infection and left lower lobe pneumonia. his previous urinary tract infection had become systemic and the patient had escherichia coli resistant to ampicillin, ciprofloxacin, gentamicin, levofloxacin and bactrim on , in addition to enterococcus sensitive to ampicillin, penicillin and vancomycin. these were both found in the blood and were thought to be spread from an initial urinary tract infection. given the multiple resistant organisms, the patient was started on flagyl to cover possible anaerobes in the left lower lobe infiltrate, ceftriaxone to cover the previously resistant escherichia coli and vancomycin to cover for a history of methicillin resistant staphylococcus aureus in the urine. at the time of this discharge summary, the patient is growing staphylococcus coagulase positive out of his urine; however, the final sensitivities are still pending. the patient did well throughout his hospitalization. he was stable with a decreasing oxygen requirement. he was on two liters of oxygen at the time of discharge with an oxygen saturation of 99-100%. he was nonverbal, so it was difficult to assess how he was feeling; however, he continued to have a soft abdomen and a benign examination. 2. cardiovascular: the patient had a history of hypertension, however he was in sinus tachycardia in the setting of being volume depleted at the time of admission. we held his atenolol during this admission; this will be started back up as the patient is discharged and gets back to his baseline. 3. fluid, electrolytes and nutrition: the patient was placed on high protein tube feedings at 75 cc/h with some vitamin supplements. he was also placed on half normal saline at 100 cc/h after completing three liters of normal saline. the patient's heart rate came down after the volume resuscitation. he was placed on all of his outpatient medications in addition to subcutaneous heparin as deep vein thrombosis prophylaxis. 4. code status: the patient is a full code per a conversation with his daughter on . discharge diagnoses: urinary tract infection. pneumonia. discharge medications: 1. zantac 150 mg per gastrostomy tube q.d. 2. tube feedings at 75 cc/h. 3. flagyl 500 mg per gastrostomy tube t.i.d. for a total of 14 days with the last day on ; further antibiotics will be indicated in page 1, given the sensitivities of the final organisms. 4. proscar 5 mg per gastrostomy tube q.d. 5. aspirin 325 mg per gastrostomy tube q.d. 6. colace 100 mg per gastrostomy tube b.i.d. 7. dulcolax p.r.n. 8. atenolol, which was on hold and was to be restarted as an outpatient. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified unspecified essential hypertension other persistent mental disorders due to conditions classified elsewhere acute respiratory failure methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] 

Answer: The patient is high likely exposed to