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: gabapentin / plavix / meclizine / olanzapine attending: chief complaint: le bleeding major surgical or invasive procedure: none history of present illness: 69 yo m w/hx of cva in the past, since has been non verbal, has contractures, trach and vent dependent for multiple aspiration pneumonias, and with a picc and peg tube who presents with bleeding from his r foot ulcer. per the patient's daughter he gets accupuncture q month, he had accupuncture today and then was seen by his daughter later in the day who noticed bleeding from his r foot ulcer. he was sent to the for evaluation as the blood was seen as "bubbling" and there was a concern for wet gangrene. the patient is unable to provide a history, the daughter is currently not reachable. in the er he was seen by podiatry in the er id was contact regarding abx choices and given h/o vre and mrsa linezolid was chosen. vs in the er were: tm 100.8 hr 105 bp 105/37 rr 25 o2 100% on fio2 40%. past medical history: s/p cva, intracerebral hemorrhage chronic and recurrent respiratory failure secondary to aspiration severe malnutrition type ii dm gerd h/o vre, mrsa and c diff infections severe contractures and multiple decubiti (most stage 4) h/o sacral osteomyelitis social history: lives at rehab currently, vent dependent. health care proxy is daughter. family history: nc physical exam: vital signs: t 100.8 bp120/59 hr 108 100% on pcv pc 12, peep 5, pip 17, mve 6.7 general: the patient is alert and responds to verbal stimuli, moans and is non verbal. per the er's discussion with the daughter and notes this is patient's baseline. the patient is emaciated. heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . lungs: ctab, poor inspiratory effort abdomen: nabs. soft, nt, nd. no hsm extremities: no edema or calf pain, absent pulses skin: multiple decubiti, incluing l greater trochanter, sacral and r 1st mtp joing ulcer which are all stage 4. the 1st mtp joint probes to bone and appears to have a thin layer of pus with some scant bloody drainage. the rest of the ulcers appear clean. neuro: the patient is alert and responds to commands, eomi, and perrl, able to move rue slightly and has + grip on rue, rest of extremities are contracted, patient has bilateral upper face motor intact. facial droop on r side. pertinent results: 04:53am blood wbc-6.9 rbc-2.62* hgb-8.5* hct-26.1* mcv-99* mch-32.5* mchc-32.7 rdw-17.6* plt ct-192 06:55pm blood wbc-8.8 rbc-2.96* hgb-9.8* hct-29.1* mcv-98 mch-32.9* mchc-33.5 rdw-17.6* plt ct-227 05:24am blood neuts-71.0* lymphs-17.8* monos-5.5 eos-5.2* baso-0.5 06:55pm blood neuts-72.0* lymphs-16.1* monos-4.5 eos-6.8* baso-0.6 06:55pm blood pt-13.9* ptt-29.2 inr(pt)-1.2* 05:24am blood esr-140* 04:53am blood glucose-170* urean-68* creat-1.0 na-146* k-3.5 cl-107 hco3-33* angap-10 06:55pm blood glucose-141* urean-95* creat-0.9 na-144 k-3.9 cl-103 hco3-36* angap-9 04:53am blood calcium-9.9 phos-3.0 mg-2.0 05:24am blood calcium-10.5* phos-3.0 mg-2.1 05:24am blood crp-56.5* 09:22pm blood lactate-1.6 cxr : the tracheostomy tip is approximately 7 cm above the carina. the right picc line tip is at mid right subclavian vein. the heart size is normal. the mediastinal position, contour and width are grossly unremarkable. the patient is hyperinflated. there is a left infrahilar opacity that might represent area of developing infection continuing towards the left lung base but note is made that the left costophrenic angle was excluded from the field of view. no appreciable pleural effusion is demonstrated. foot x ray (bilateral): 1. no evidence of subcutaneous gas identified. diffuse soft tissue swelling is seen in both feet. 2. irregularity of the lateral cortical margin of the left fifth metatarsal, and osteomyelitis within this region is not excluded. 3. post-surgical changes involving both fifth digits. 4. extensive vascular calcifications. brief hospital course: 69 yom w/ a h/o cva and trach / vent dependent since his cva, dm, multiple decubiti presents w/ bleeding from le infected ulcer and uti. lower extremity ulcer: he has multiple decubiti. his l 1st mtp joint ulcer and r foot lateral portion ulcer appear infected. we have consulted the infected disease service who suggested zosyn and dapto for a 10 day course for infected ulcer treatment. he has recurrent osteomyelitis and given his resistant organisms chronic suppressive therapy is not warranted. the podiatry service evaluated her and deemed that a bone biopsy would not be helpful as infectious disease had recommended no current treatment. the patient is not systemically ill currently but any antibiotic treatment with broad spectrum antibiotics would not cure his osteo as he would still have multiple stage 4 ulcers with exposed bone. unfortunately his multiple ulcers are in various locations and surgical approach would not be an option. he has a very low albumin and the extent of his decubiti would make wound healing near extremely difficult. plan to treat the infected ulcer and continue to monitor for recurrence of infection. first day of treatment . hypernatremia: sodium 146, started on free water flushes of 100cc q 6hrs. please follow his sodium, was 146 on . urinary tract infection: based on u/a, no culture. reportedly has a culture from with enterobacter. please continue zosyn and follow up sensitivities on this and adjust antibiotics as necessary. continue zosyn for total 14 day course as recommended by the infectious disease service. first day of treatment . foley was changed . aspiration pneumonitis: no evidence for aspiration pneumonia rather than aspiration pneumonitis. 4+ gnr from sputum, likely colonization. on zosyn for uti for 14 days regardless. hypercalcemia: calcium was 10.5 initially, down to 9.9 with some ivf (1l ns). he has a low albumin so his corrected calcium is > than 12 initially. his calcium and vitamin d were held. please f/u repeat calcium on . medications on admission: tube feeds nepro at 45cc/hr vent settings pc 12, peep 5, fio2 40%, pip 17 aspirin 81mg daily calcium carbonate 1250mg po bid dalteparin 2500u sc daily insulin sliding scale lopressor 50mg po q6rs reglan 10mg iv q 8hrs miconazole powder multivitamin prilosec 20mg daily zofran 4mg iv q12 hours scopolamine 1.5mg q72hrs sodium bicarb 10cc (8.4%) vitamin d 400 units daily tylenol prn albuterol prn discharge medications: 1. insulin regular human 100 unit/ml solution sig: sliding scale insulin injection asdir (as directed). 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po q6hrs (). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. scopolamine base 1.5 mg patch 72 hr sig: one (1) patch 72 hr transdermal q72 hrs (). 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for wheezing. 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. metoclopramide 5 mg/ml solution sig: two (2) injection q8h (every 8 hours). 10. ondansetron 4 mg iv q 12h 11. piperacillin-tazobactam 2.25 gram recon soln sig: one (1) recon soln intravenous q6h (every 6 hours). 12. daptomycin 500 mg recon soln sig: two y (250) mg intravenous q24h (every 24 hours). discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary diagnosis: urinary tract infection infected lower extremity ulcer secondary diagnosis: diabetes mellitus discharge condition: stable, no systemic signs of infection discharge instructions: you were admitted with a infected ulcer and urinary tract infection. you will be given 2 weeks of iv antibiotics. please return to the hospital if you have fevers, elevated wbc count, or chills, bleeding from ulcers or pus from ulcers.\ followup instructions: please check sodium and calcium on and have free water flushes adjusted as needed. please follow up with an infectious disease specialist within 2-4 weeks from discharge. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances diagnoses: esophageal reflux urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pneumonitis due to inhalation of food or vomitus pressure ulcer, other site pressure ulcer, lower back hypercalcemia gastrostomy status pressure ulcer, stage iv chronic respiratory failure tracheostomy status dependence on respirator, status nutritional marasmus unspecified osteomyelitis, ankle and foot other late effects of cerebrovascular disease, facial weakness pressure ulcer, hip 

Answer: The patient is high likely exposed to