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: patient is a 42 year-old male with a history of alcoholic cirrhosis, chronic pancreatitis and pancreatic insufficiency, chronic renal failure, alcohol abuse with a recent admission for worsening renal failure, ascites, lower extremity edema. patient is a poor historian and presents with a history of dyspnea on exertion, fatigue, exhaustion and reportedly increased lower extremity edema. he states since he left the hospital on he has noticed increased swelling. he also states that he has increased shortness of breath over the past several days. he denies chest pain. he also complains of decreased urine output over the last several days, denies fevers, abdominal pain, cramping, cough. does have some baseline diarrhea which he states has not changed. he denies bright red blood per rectum, melena, vomiting, hematemesis. he has a long history of alcohol abuse and states that his last drink was 24 hours prior to admission. examination: temperature 96.3, blood pressure 116/70, heart rate 96, respirations 12, oxygen saturation 100 percent on 2 liters nasal cannula. general: patient is in no acute distress. he has some scaling on his face. eyes: extraocular movements intact, pupils equal, round, reactive to light. cardiovascular: regular rate and rhythm, no murmurs, rubs or gallops. pulmonary: some bibasilar rales, occasional expiratory wheezes. abdominal: normal active bowel sounds, nontender. has some distention, positive fluid wave. liver and spleen are not palpable. extremities: 1 to 2+ edema to the knees bilaterally. neurological cranial nerves 2 through 12 intact. moves all extremities well and has no asterixis. laboratory data: white count 12.1, hematocrit 28.1, platelets 89, 76 percent neutrophils, 16 percent lymphocytes, 5 percent monocytes, 1 percent eosinophils. sodium is 138, potassium 3.5, chloride 101, bicarbonate 13, bun 56, creatinine 8.6, glucose 304. alt is 23, ast is 30, amylase is 25, alk phos is 254, ldh is 218, total bilirubin is 0.9, albumin 1.8, total protein 6.5, lipase is 5. pt is 14.5, ptt is 45.1,inr is 1.4. alcohol is 35. chest x-ray shows small bilateral pleural effusions with left lower lobe atelectasis. arterial blood gases is 7.37, 28, 114, and 17. hospital course: 1) infectious disease. patient with mrsa sepsis and candidemia. patient became septic on with fever, hypotension and blood culture which was positive for mrsa. patient was started on vancomycin for a full 20 day course. his medical intensive care unit course was also complicated by candidemia treated with intravenous fluconazole times 11 days. he was then finished on his course with p.o. fluconazole for a total of 28days. patient will be discharged home with oral fluconazole to finish out his course for a total of 28 days. 2) renal. patient with end stage renal disease on hemodialysis. patient presented with uremia and initiated hemodialysis. he had a permacath placed for permanent hemodialysis access. he will continue on phoslo and epogen. he is followed by the renal team. 3) pulmonary. patient with respiratory distress on with saturations in the 70s on nonrebreather mask. he was transferred to the medical intensive care unit and intubated. he was extubated on the 7th and put on cpap but underwent a bronchoscopy to look for mucous plugs. on he was then reintubated and subsequently extubated on . he has remained stable respiratory-wide on the floor and he has a history of obstructive sleep apnea. he has been continued on bipap on the floor. 4) gastrointestinal. alcoholic cirrhosis with diarrhea. patient with history of encephalopathy, continued on lactulose. he has had no hepatic synthetic dysfunction this admission. his lactulose was held on for some ongoing diarrhea. his mental status remained clear on he floor. he was continued on a proton pump inhibitor and the gastrointestinal team was consulted on the 23rd for work up of his diarrhea. his work up including stool culture and c. difficile remained negative except that his diarrhea improved on a lactose free diet. patient is to have a lactose hydrogen breath test as an outpatient and can follow up with dr. for this test. 5) endocrine. type 2 diabetes. patient was poorly controlled. blood sugars on sliding scale insulin when he was transferred to the floor. we consulted the diabetes service and he was started on sliding scale insulin and nighttime lanta with some improvement of his blood sugars. patient will be maintained on the current regimen. 6) dermatology. patient presented initially with maculopapular painful rash on all of his extremities on sun exposed areas. dermatology was consulted and felt this was a photo sensitivity reaction while on hydrochlorothiazide. the patient was treated with topical steroids and his hydrochlorothiazide was held. his rash is much improved today. 7) hematology. medical intensive care unit course is complicated with diffuse intervascular coagulation and heparin-induced thrombocytopenia. he had elevated pt and ptt and thrombocytopenia thought secondary to diffuse intervascular coagulation from sepsis in the medical intensive care unit. he gradually improved with supportive therapy and normalized his coagulations on the floor. patient also had thrombocytopenia thought secondary to heparin in the medical intensive care unit. his heparin was discontinued and his platelets remained borderline low but improved to the low 100s. his platelets again began to drop on to and his cimetidine was changed to protonix as cimetidine with known adverse hematologic effects. 8) prophylaxis. patient was maintained on a proton pump inhibitor and venodynes. 9) code status. patient is full code. 10) disposition. patient is very weak and will be discharged to a rehabilitation facility as he may benefit from continued physical therapy to regain his strength. discharge status: stable. discharge disposition: patient is full code. follow up plans: when patient is discharged the patient will follow up with his primary care provider, . in the next two to three weeks. patient is also to follow up with dr. of gastroenterology to be bested for lactose intolerance in the next month. current medications: 1) sliding scale humalog with seven units regular h.s. 2) erythropoietin alpha 5,000 units subcutaneously two times per week tuesdays and fridays to be given at dialysis. 3) hydroxyzine 50 mg p.o. q 4 to 6 hours p.r.n. itching. 4) bacitracin ointment one application b.i.d. 6) triamcinolone 0.1 percent cream one application b.i.d., 7) aquaphor one application b.i.d., 8) phoslo 1336 mg p.o. t.i.d. with meals, 9) calcitriol 0.5 mcg p.o. q. day, 10) tylenol 325 to 650 mg p.o. q. 4 to 6 hours p.r.n. pain. 11) albuterol 1 to 2 puffs inhalation q. 6 hours p.r.n., 12) albuterol ipratropium 1 to 2 puffs q. 6 hours, 13) calcium carbonate 500 mg p.o. t.i.d. with meals. 14) nephrocaps 1 tablet p.o. q day. 15) pantoprazole 40 mg p.o. q. day, 16) folate 1 mg p.o. q. day, 17) pancrease 5 caps p.o. t.i.d. with meals, 18) fluconizole 200 mg p.o. q. day. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage non-invasive mechanical ventilation arterial catheterization other intubation of respiratory tract other intubation of respiratory tract closed [endoscopic] biopsy of bronchus injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified alcoholic cirrhosis of liver acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified methicillin susceptible staphylococcus aureus septicemia defibrination syndrome other shock without mention of trauma disseminated candidiasis hepatic encephalopathy 

Answer: The patient is high likely exposed to