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: bactrim / nifedipine / hydrochlorothiazide attending: chief complaint: sob major surgical or invasive procedure: none history of present illness: the patient 81 yo male with history of ild now with worening sob. over the past month, the patient has had worsening shortness of breath/cough with increasing o2 requirement. he was started on steroids in mid- in an attempt to halt his ipf. he reports minimal effects. approxmately 2 weeks ago, he presented with what sounded like a sinusititis with copious nasal secretions (no fevers, chills, tooth pain) which improved with a 5 day course of azithromycin. however shortly after stopping the z-pack he began to experience a sensation of phlegm in the basck of his throat, which when he coughs up is yellow in color (no hemoptysis). he denied fevers, chills, rhinorrhea. he states that the sputum is worse at night especially when he lays down and is relived by expectorating as well as sitting up right. he denies any pleuritic chest pain. he then began experienceing worsening fatigue and malaise over the past week. he was seen in pulmonary clinic this morning and there was concerning about superimposed pneumonia and he was sent to the ed. . in the ed, initial vitals were t97.0 hr 88 bp142/69 o2 91% 6l. a ct chest was performed and showed new superimposed diffuse ground-glass densities of both lungs. he received 1g iv ceftriaxone and 500mg iv azithromycin. at times he desaturated to the 70's during coughing fits. he was admitted to the icu for further management. past medical history: 1. pulmonary fibrosis: steady decline over last few years. 2. hypertension 3. allergies 4. gerd 5. melenoma excised excised at the 6. anemia social history: lives with wife; has 3 grown children. occassional etoh. distant smoking history. retired chemical engineer. family history: non-contributory physical exam: vitals - 97.7 77 132/71 22 100% on 80%hiflow mask general - older male, lying in male, able to speak in broken sentences heent - perrl cv - rrr lungs - crackles on left way up; crackles at base on right abdomen - soft, nt/nd ext - no edema pertinent results: ct chest - 1. new superimposed diffuse ground-glass densities of both lungs which is most likely concerning for an atypical infection. the pneumocystis jirovecii infection is also a possibility. superimposed hypersensitivity pneumonitis and drug reaction are another likely possibilities. superimposed acute interstitial pneumonia such as nsip also cannot be excluded. 2. interval worsening of the patient's known interstitial lung disease with worsening of the bronchiectatic changes of both lungs and worsening of honeycombing, it was suggested that the patient's underlying ild was most likely asbestosis. cxr - 1. stable interstitial lung disease. 2.subtle increased opacity in the right cardiophrenic region, could represent early/developing infiltrate. . sputum culture **final report ** gram stain (final ): pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram positive cocci in clusters. 2+ (1-5 per 1000x field): multiple organisms consistent with oropharyngeal flora. respiratory culture (final ): oropharyngeal flora absent. staph aureus coag +. moderate growth. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- 2 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ <=1 s brief hospital course: assessment and plan: 81 yo m with ipf now with worsening sob and increaseing o2 requirement. . # sob: patient with severe underlying ipf, now with likely underlying infection. initially treated for community acquired pneumonia and underwent bal to eval for possible pcp, was negative. he was started on ceftriaxone and azithromycin and improved gradually. he had a low grade temperature and repeat sputum culture revealed mrsa, given his tenuous respiratory status, he was started on vancomycin initially and switched to linezolid afterwards. plan is for 14 day course of linezolid. for the communitya acquired pneumonia, he was switched to levofloxacin at the time of discharge to finish a 14 day course. he also received cough suppresants, oxygen and nebs prn. at day of discharge he was on 95% on ra and needed oxygen with only exertion. . # hyponatremia: patient has chronic hyponatremia. etiology unknown. urine lytes revealed siadh, so he was fluid restricted to 1500cc. there has been a concern for norvasc as contributing in the past and this was discontinued. his na improved likely from withholding free water (unclear role of norvasc withdrawl, as both were done concurrently). . # ipf - followed by dr ; treat underlying infection, followed by pulmonary in house. he was increased on prednisone during this infection which was tapered down. please continue on 10 mg prednisone until , then switch to 5mg daily until pt follows up with pulmonary. . # hypertension - continue outpatient meds initially. norvasc was discontinued and his bp remained stable. . # narcolepsy: cont provigil medications on admission: mucomyst 600 norvasc 5mg daily astelin fluticasone guafenesin provigil diovan 160 daily azithromycin started discharge medications: 1. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 2. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 3. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 4. valsartan 80 mg tablet sig: two (2) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 8. modafinil 100 mg tablet sig: two (2) tablet po daily (). 9. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed. 10. codeine-guaifenesin 10-100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. atovaquone 750 mg/5 ml suspension sig: one (1) po bid (2 times a day). 13. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day). 14. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. 15. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 5 days. 16. prednisone 10 mg tablet sig: one (1) tablet po daily (daily): please continue on 10 mg prednisone until , then switch to 5mg daily until pt follows up with pulmonary. discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: community acquired penumonia mrsa pneumonia pulmonary fibrosis secondary: hypertension gerd anemia discharge condition: good discharge instructions: you were admitted to the hospital with shortness of breath and underwent series of blood and sputum tests. you were treated with antibiotics for a pneumonia. it is important that you finish up the antibiotcs as prescribed. if you have chest pain, shortness of breath or fever please contact your pcp or return to the emergency room. followup instructions: please follow up with dr. in weeks after discharged form the rehab. you should also follow up with dr. as below: provider: np/dr phone: date/time: 8:30 provider: function lab phone: date/time: 8:10 provider: ,interpret w/lab no check-in intepretation billing date/time: 8:30 provider: ,interpret w/lab no check-in intepretation billing date/time: 8:30 md, procedure: closed [endoscopic] biopsy of bronchus diagnoses: anemia, unspecified esophageal reflux unspecified essential hypertension infection with microorganisms resistant to penicillins personal history of tobacco use postinflammatory pulmonary fibrosis methicillin susceptible pneumonia due to staphylococcus aureus other disorders of neurohypophysis asbestosis personal history of malignant melanoma of skin other dependence on machines, supplemental oxygen bronchiectasis with acute exacerbation narcolepsy, without cataplexy 

Answer: The patient is high likely exposed to