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: neosporin / latex attending: chief complaint: fever at home and pus draining from sternal wound major surgical or invasive procedure: none history of present illness: hpi: 76 year old man with history of cad, 4-vessel cabg c/b sternal osteo, sternotomy, flap, multiple wound infections, dm2, copd, small cell lung carcinoma of rul followed by rad onc for cyper knife treatment currently, who presented 2 days ago with pus draining from sternal wound, fever and change in mental status for two days. he was admitted 2 weeks earlier for uti/? lll pna/? wound infection and was discharged with po levo (7 day course finished two days earlier) and vna dressing changes. then nurse and wife noted increasing confusion, unsteady gait, fever to 99.4 and pus draining from sternal wound. past medical history: rul nodule- biopsied on : poorly differentiated carcinoma, likely small cell ca; currently followed by radiation oncology with ongoing preparation for cyber knife therapy. cad - imi in , s/p cabgx4 in , which was complicated by mediastinitis and sternal osteomyelitis and mrsa wound infection. he had a pec flap repair on . incisional hernia -- s/p repair and recurrence copd/emphysema on home night time o2 t2dm - controlled by meds and diet htn hypercholesterolemia gerd anemia - monthly procrit hyperlipidemia prior right frontal lobe and left caudate infarct social history: married for 52 years; taken care by wife at home. former smoking of cigar x 20yrs, and 10ppy hx of cigarettes; quit 30 years ago. no etoh. family history: fh: no h/x of cancer or cad . physical exam: pe: t 97; hr 90, bp 150/90; 93%ra; fs 124 gen: comfortable in bed, nad; heent: romi perrl face symmetric; no jvd chest: r sternal wound with dressing stained with serosanginous fluid; some erythema surrounding the wound; breath sounds distant; cor: rrr, no murmurs abd: +bs, nt, obese; reducible umbilical hernia ext: no edema or rash, 2+ dp pulses; extremities are warm. neuro: aox3, baseline mental status . pertinent results: 01:05pm wbc-6.7# rbc-3.84* hgb-10.4* hct-30.6* mcv-80* mch-27.0 mchc-33.9 rdw-16.5* 01:05pm neuts-80* bands-0 lymphs-10* monos-10 eos-0 basos-0 atyps-0 metas-0 myelos-0 01:05pm plt count-266 01:05pm glucose-123* urea n-22* creat-1.0 sodium-137 potassium-4.4 chloride-101 total co2-26 anion gap-14 01:11pm lactate-1.3 03:05pm type-art po2-105 pco2-46* ph-7.36 total co2-27 base xs-0 03:45pm urine color-straw appear-clear sp -1.013 03:45pm urine blood-sm nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 03:45pm urine rbc-0-2 wbc-0-2 bacteria-mod yeast-rare epi-0-2 03:45pm urine hyaline-0-2 08:30pm pt-12.9 ptt-25.8 inr(pt)-1.1 08:30pm albumin-3.5 calcium-8.8 phosphate-3.9 magnesium-1.8 08:30pm ck-mb-notdone ctropnt-0.07* 08:30pm lipase-15 08:30pm alt(sgpt)-23 ast(sgot)-16 ld(ldh)-165 ck(cpk)-37* alk phos-72 tot bili-0.4 08:30pm glucose-208* urea n-25* creat-1.0 sodium-139 potassium-4.6 chloride-104 total co2-25 anion gap-15 02:33am blood wbc-6.4 rbc-3.79* hgb-9.9* hct-30.5* mcv-81* mch-26.0* mchc-32.3 rdw-16.3* plt ct-265 05:00am blood wbc-5.0 rbc-3.72* hgb-10.1* hct-29.9* mcv-80* mch-27.3 mchc-33.9 rdw-16.4* plt ct-307 05:00am blood plt ct-307 02:25am blood pt-12.3 ptt-26.6 inr(pt)-1.1 02:25am blood glucose-132* urean-36* creat-1.0 na-139 k-3.9 cl-108 hco3-25 angap-10 05:00am blood glucose-109* urean-23* creat-0.8 na-143 k-3.9 cl-107 hco3-26 angap-14 08:30pm blood alt-23 ast-16 ld(ldh)-165 ck(cpk)-37* alkphos-72 totbili-0.4 02:33am blood ck(cpk)-37* 09:00am blood ck(cpk)-33* 08:30pm blood ck-mb-notdone ctropnt-0.07* 02:33am blood ck-mb-notdone ctropnt-0.05* 09:00am blood ck-mb-notdone ctropnt-0.03* 02:33am blood calcium-8.6 phos-3.9 mg-1.9 02:25am blood calcium-8.2* phos-2.6* mg-2.1 05:00am blood wbc-5.0 rbc-3.72* hgb-10.1* hct-29.9* mcv-80* mch-27.3 mchc-33.9 rdw-16.4* plt ct-307 03:41pm blood hct-28.4* brief hospital course: a/p: 76 year old man with history of cad (4v cabg ), sternotomy/mrsa infection, flap, t2dm, copd, recently diagnosed smal cell lung ca in rul, presented with 2 day history of pus draining from bronchoscopy/mediastinoscopy wound, fever to 99.4, and change in mental status. . 1. fever: this presentation is similar to his prior presentation two weeks earlier. fever's source this time is presumed to be an infected wound, given the pus drainage. wound and blood cultures were taken immediately in the ed, and he was started on iv vanco, given his mrsa history. shortly after, a purulent material was expressed from his sternal wound during exploration; one minute after this, the patient was noted by his wife to "turn red all over", becoming tachypneic and tachycardic to the 130's, and with notable and new, diffuse wheezing. an ecg was obtained which showed an svt at 143, with lateral st depressions. patient had received iv vanco previously without incident. he was admitted to micu for close monitoring. micu staff felt it was unlikely to be redman syndrome, and more likely a transient episode of bacteremia caused by wound exploration or an anxiety attack. iv vancomycin was continued, without further incident. wet to dry dressing changes continued, and thoracic surgery followed the patient; they felt the wound to be not infected. on hd#, his erythema surrounding the wound improved. his wound culture returned sparse mssa, and he was switched from iv vanco to iv oxacillin. patient never developed a fever in the hospital. blood cultures were negative at the time of discharge. a picc line was placed in rue. he will continue to receive 9 more days of iv oxacillin for a total of 2-week iv antibiotics course. . 2. cad: patient's lateral st depressions on ekg that occurred during the episode after iv vanco infusion resolved with the resolution of tachycardia. he was ruled out for mi, with cks of 37, 37, 33, and tnt of 0.07, 0.05 and 0.03. patient was continued on lipitor, zetia, toprol, losartan, and sl ng prn; he was started on 81mg of aspirin. he remained on telemetry for his two day stay in the micu; upon transfer to the medicine floor, he remained off of telemetry. on hd#3, he had an echo, which showed lv ef 30% and lv infereolateral akinesis (see echo ). . 3. sternal wound: no more pus was expressed from the wound while in the hospital. wet to dry dressing changes continued. thoracic surgery team examined the wound daily and felt the wound to be not contaminated. erythema surrounding the wound resolved. he was maintained on iv vanco for 3 days, and then switched to iv oxacillin after wound culture grew sparse mssa. he will continue on iv oxacillin for 9 more days for a total of 2-week iv antiobiotics course. . 4. htn: home medications were continued. . 5. dm: his home meds of metformin was continued. he was also covered with regular insulin sliding scale. he was on a heart healthy diet. his blood sugar was relatively well controlled during this admission, with finger sticks ranging from 100 to low 200s. . 6. small cell cancer in r lung: this is a new diagnosis for the patient from the fna cytology done on . patient and family was made known of this diagnosis during this admission. further therapy will be coordinated asn an outpatient between dr. of thoracics, dr. of radiation oncology, and dr. of oncology. dr. was emailed about this patient. . medications on admission: prevacid 30mg qd toprol xl 50mg qd furosemide 20mg qd metformin 500mg tid potassium 20meq prn vitamin c 500mg colace 100mg ferrous sulfate 300mg zetia 10mg qd lipitor 10mg qd mvi qd atrovent 2 puff qid prn: wheezing spiriva 18mcg qd advair 1 pufff 250/50 qd cozaar 50mg qd discharge medications: oxacillin 2mg iv q6hr aspirin 81mg qd prevacid 30mg qd toprol xl 50mg qd furosemide 20mg qd metformin 500mg tid potassium 20meq prn vitamin c 500mg colace 100mg ferrous sulfate 300mg zetia 10mg qd lipitor 10mg qd mvi qd atrovent 2 puff qid prn: wheezing spiriva 18mcg qd advair 1 pufff 250/50 qd cozaar 50mg qd discharge disposition: home with service facility: home health care discharge diagnosis: fever and wound infection discharge condition: stable to be discharged to home with vna services for wound care. discharge instructions: please contact dr. , your pcp, you should develop fever above 100.4 or have pus draining out of your wound. followup instructions: please see dr. (thoracic surgery) in two weeks. an appointment has been made for you on at 4pm in . please call his office at if you have any questions. you should see dr. , oncologist and lung cancer specialist. both dr. and his office staff were notified, and they will contact you to arrange an appointment. if you do not hear from dr. office in the next few days, you can call . you may have your initial appointment at in , and then follow up in . please call dr. office to schedule a follow-up appointment in weeks. procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified anemia, unspecified esophageal reflux other postoperative infection unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified aortocoronary bypass status other and unspecified hyperlipidemia malignant neoplasm of upper lobe, bronchus or lung surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to