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: this is a 58-year-old male with diabetes, morbid obesity, cad status post multiple mis, and a history of v-fib arrest in . he presented to an outside hospital on with two weeks of shortness of breath, lower extremity edema, and one day of substernal chest pain. he ruled in for a non-st-elevation myocardial infarction with troponin of 0.26. on day one, he had a v-fib arrest/hypotension. he was intubated, shocked, and started on amiodarone drip, levophed drip, and epinephrine drip. his course was then complicated by atn/rhabdo/c. diff colitis. he was extubated, and then transferred to after recovery on the for cardiac catheterization and evaluation for icd placement. the clostridium difficile colitis and renal failure improved, and the patient went for cardiac catheterization on the 17th. he had three stents to the left anterior descending artery placed. patient was diuresed postcatheterization with good effect. postcatheterization, an ep evaluation was done for icd. decision was made not to place icd as the v-fib arrest was thought to be likely secondary to ischemia. he was continued on p.o. amiodarone and without further v-fib, vt. the patient was planned for discharge on the . at 4 a.m., the patient noted an acute onset of shortness of breath and dull chest pain. the chest pain and shortness of breath persisted all morning on the day of admission to ccu. he was seen by m.d. at 9 a.m. given nitroglycerin x2 as well as p.o. lasix. this decreased the chest pain. chest x-ray showed diffuse chf. an abg showed 7.89, 84, 67 on 10 liters. he was started on a nitroglycerin drip and got iv lasix. the patient did not tolerate bipap. patient was admitted for elective intubation to the ccu, and then was to go to catheterization laboratory to rule out a lad stent occlusion. physical examination: patient was afebrile. heart rate in the 80s. blood pressure 180/80, which decreased to 100/60, respiratory rate in the 30s, that went down to 14 postintubation. sating 80% on room air, 100% on nonrebreather, and then intubated. in general, he is an obese male, intubated, and sedated. heent: pupils are equal, round, and reactive to light. ett in right nares. oropharynx clear. neck full, jugular venous pressure not visualized. chest: bibasilar rales, and scattered wheezes. abdomen: bowel sounds positive, soft, and nontender. skin: positive decubitus ulcers, not visualized. extremities: trace pedal edema. neurologic sedated. laboratories: significant for a white count of 16.0, hematocrit of 28.4, platelets of 524. patient's creatinine is 1.1. ck was 71. troponin of 0.37 up from 0.35. chest x-ray demonstrated mild chf with bibasilar effusions. ekg showed paced rhythm in the 60s, no st elevations or t wave changes. hospital course: 1. cardiovascular: patient underwent catheterization following transfer to the micu, which demonstrated thrombolic occlusion within the distal left anterior descending artery stent which was treated with angioplasty. the previous left anterior descending artery stent was also upsized. final angiography revealed no residual stenosis. there still was severe disease in the distal left anterior descending artery, but no dissection. patient was continued on high dosed lovenox for anticoagulation following stent and also put on a statin, plavix, asa, as well as a beta blocker. lovenox was monitored and the level was maintained therapeutically. during his course in the micu, however, the beta blocker was later d/c'd when the patient became hypotensive and septic. patient required dopamine earlier on in his course during the micu for low blood pressures. this was weaned on the with good results. patient was diuresed gently because he was thought to be in fluid overload during his time in the ccu. as far as his rhythm, the patient maintained v paced without aicd. he was not a candidate for aicd during the course of the micu. he remained on amiodarone during his course in the ccu. as far as his valves, there was a question of endocarditis. this will be discussed further in the id section of this summary. 2. pulmonary: patient was intubated on transfer to the ccu for respiratory failure. he was extubated on the and initially transitioned with bipap. he tolerated this well. he also continued on nebulizers for copd. patient spiked a temperature and became septic on . cultures have been drawn during these fever spikes and grew mrsa in aerobic bottles x2. patient had been treated previously with levofloxacin for questionable aspiration pneumonia as well as flagyl for questionable anaerobes and aspiration. the patient received tobramycin on for continued antibiotics. since , the patient has been on vancomycin. id was concerned for infective endocarditis on this patient as well as question of mrsa infection on the wire in his pacer. they recommend continue to treat with vancomycin and following his levels concerning his renal failure which began at the outside hospital. they also recommended having rifampin and gentamicin, and to follow cultures. they also d/c'd levofloxacin and flagyl. patient also continued to receive tobramycin as well as vancomycin, but was never started on rifampin. he was continued on levofloxacin and flagyl for aspiration pneumonia. patient also developed clostridium difficile, and was treated with p.o. vancomycin after the clostridium difficile resistant to flagyl. patient also was treated for in his urine during his course in the micu. he received full course of fluconazole. patient also had decubitus ulcers which were followed intermittently by plastics. were not considered to be a primary source of fever. the patient received a total of 10 day course of levofloxacin for questioned aspiration pneumonia. he is continuing to receive vancomycin, and will require a six week course total on discharge from the hospital. he got a two week course. patient also received a total course of diflucan. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization diagnostic ultrasound of heart diagnostic ultrasound of heart insertion of drug-eluting coronary artery stent(s) diagnoses: acute kidney failure with lesion of tubular necrosis pneumonitis due to inhalation of food or vomitus cardiac arrest ventricular fibrillation streptococcal septicemia acute myocardial infarction of other specified sites, initial episode of care infection and inflammatory reaction due to cardiac device, implant, and graft other staphylococcal septicemia 

Answer: The patient is high likely exposed to