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: penicillins / cephalosporins / carbapenem / aztreonam attending: chief complaint: fevers and confusion, new major surgical or invasive procedure: right foot debridment history of present illness: patient recently discharged form our hospital areturn to er with fever,chill and confusion. vascular consulted during er evaluation. patient now admitted to vascular service for continued care(.note on physical exam in er. rt. leg cellulitis and foot color changes.patient's pcp and vascular opted for conserative treatment. he was started on ceftriaxone and flagyl ) past medical history: diabetes type one, insulin dependant copd cad, s/p mi pneumonia, recent treated pvd esophgitis hypercholestremia history of cva right sided s/p cabgsx4 s/p rt. toe amputations #3&4 social history: not avaible family history: unknown physical exam: vital signs: 100.7-89-16 92/52 oxygen saturation on 6liter/nasal cannula 98% general: oriented x2. no acute distress heart: irregular irregular rythmn lungs: corase crackles lll abd: bengin ext: right foot: large dorsal foot ersovie ulcer, not gangrenous with erthyema, warm to palpation and toe blanching pulses: radial and femoral pulses palpable bilaterally, popliteal biphasic signal bilaterally. right pedal pulses moophasic signal. left pedal pulses biphasic signal. neuro ox2, grossly intact pertinent results: 10:21pm lactate-2.0 10:10pm urine color-yellow appear-clear sp -1.017 10:10pm urine blood-lg nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 10:10pm urine rbc-0-2 wbc-0 bacteria-none yeast-none epi-<1 10:00pm glucose-65* urea n-19 creat-0.7 sodium-137 potassium-4.1 chloride-97 total co2-32* anion gap-12 10:00pm ck(cpk)-26* 10:00pm ck-mb-2 ctropnt-<0.01 10:00pm wbc-20.0* rbc-4.19* hgb-13.1* hct-38.4*# mcv-92 mch-31.2 mchc-34.0 rdw-13.8 10:00pm neuts-83.3* lymphs-10.9* monos-5.4 eos-0.3 basos-0.2 10:00pm plt count-228 10:00pm pt-12.5 ptt-30.1 inr(pt)-1.0 brief hospital course: admitted vascular surgical service.right foot infection continued on cefriaxone and flagyl.now with fever of 102.5 and mental status changes in last twentfour hours. admitting chest xray left lower pneumonia antibiotics were changed to vancomycin,levofloxcin and flagyl iv. the night of admission patient became more confused, hypoglycemic with ? seizures vs. rigors and hypotension. he was transfered to icu for hemodynamic monitering. right internal jugular line was placed withut pneumo thorax.patient blood pressure responded to 2 liters of fluid bolus. patient remained with low grade fever 100.5 but was hemodynamically stable. total wbc 21.a d10 iv drip was instuted for his hypoglycemia. service was consulted for glycemic control.podiatry recommended continued current managment. consider radical soft tissue debridment of right foot. patient 's wbc showed improvement. 14.4 digoxin level was 0.6 and his digoxin was restarted.blood cultures positive gram positive cocci.along with wound culture. cardology consulted. p mibi recommended 7/26/04abnormal p mibi. echo obtained to asses left ventricular function.ef 30% with multiple reginol wall motion abnormalities.patient at considerable cardiac risk. this was discussed with dr. by dr. consultant. transfered to vicu angiogram with angioplasty and stenting of right tpt. debridment of right tma vac dressing application. urine c/s and urinalysis sent for mucous in urine. urinalysis was positive. foley was removed. patient continued on antibiocs. wound c/s and bone c/s postive for mrsa. right tma. infectious disease consulted. lenght of antibiotic for mrsa six weeks since bone culture positive. inital dressing removed. skin edges well approximated. no erythema.no drainage. ambulation strict nonweight bearing. seen by physical theraphy who recommends rehab at discharge prior returning home. continued to follow patient and adjust insluin dosing. levofloxcin discontinued. flagyl dicontinued anerobic cultures no growth. picc line placed. wbc 10.0 bun/cr. 18/0.6. 8/.17/04 discharged afebrile and stable medications on admission: medrol 4mgm qd surfate 240mgm qbid magoxide 400mgm insulin humelin n 100 u insulin humellin r pravachol 40mgm hs rinitidine 150mgm asa 81 mgm qd lanoxin 125mgm qd atrovent mdi prn enalapril 5mgm dq fosmax 70mgm q week combivent mdi flovent mdi imdur 20mgm qd lasix 20mgm qd discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). 2. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. 3. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 4. methylprednisolone 4 mg tablet sig: one (1) tablet po qd (once a day). 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. codeine-guaifenesin 10-100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 7. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 8. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 9. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. 10. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). 11. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day). 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 13. bisacodyl 10 mg suppository sig: one (1) suppository rectal qd (once a day) as needed. 14. sodium chloride 0.9% flush 3 ml iv qd:prn peripheral iv - inspect site every shift 15. vancomycin hcl 1000 mg iv q18h previously approved by id. 16. insulin glargine 100 unit/ml solution sig: eighteen (18) units subcutaneous at bedtime. 17. insulin lispro (human) 100 unit/ml solution sig: as directed subcutaneous four times a day: humalog breakfast/dinner: glucose < 80/ no insulin glucose 81-120/3u glucose 121-160/5u glucose 161-200/10u glucose 201-240/12u glucose 241-280/14u glucoses 281-320/16u glucose 321-360/18u glucose 361-400/20u glucose > 400/ md. lunch: glucoses <160/ no insulin glucoses 161-200/2u glucose 201-240/6u glucose 241-280/8u glucose 281-320/10u glucose 321-360/12u glucose 361-400/14u hs: glucoses<240/no insulin glucose 241-280/2u glucose 281-320/4u glucose 321-360/6u glucose 361-400/8u glucose > 400 md. . discharge disposition: extended care facility: - discharge diagnosis: osteomylitis rt. foot s/p right tma mrsa wound infection discharge condition: stable discharge instructions: moniter esr while on antibiotics. trough level q week. contiune antibiotic for 6 weeks from finger glucoses qid followup instructions: 2 weeks dr.. call for appointment. procedure: venous catheterization, not elsewhere classified angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries amputation of toe amputation through foot excision of lesion of other soft tissue application of other wound dressing diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified methicillin susceptible staphylococcus aureus septicemia sepsis ulcer of other part of foot cellulitis and abscess of leg, except foot atherosclerosis of native arteries of the extremities with gangrene 

Answer: The patient is high likely exposed to