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: no known allergies / adverse drug reactions attending: addendum: this is an addendum to the prior discharge summary dated for patient , . the patient was being prepared for discharge on the afternoon of (hd #8), but after recommendation by orthopaedics, it was decided to take the patient to the or again the following day (hd #9) for a repeat washout of his right knee. purulence was noted within the joint space, and this was sent for reculture, which grew rare gpcs. he tolerated the procedure well although developed worsening anemia over the next day (hgb 7.0 hct 21.9), although he remained asymptomatic. due to his history of cad he was transfused 2 units of prbcs with response in his blood counts (hgb 8.5 hct 26.1). on hd #10 the patient developed worsening with a creatinine of 2.6. he was given gentle iv hydration, however, his creatinine remained elevated at 2.6. orthopaedics removed his drain given that its output had significantly decreased. his dosing of vancomycin was decreased to 1000mg iv q24hrs, as his trough on showed a supratherapeutic level due to his altering in kidney function. the patient was taken back to the or on at which time, due to continued infection of his prosthesis, he had complete removal of the hardware in his left knee. following that procedure, the patient failed extubation, likely due to a copd flare, and developed hypoxemic respiratory failure requiring re-intubation and a short stay in the micu. he improved progressively and was extubated on and transfered to the floor. once on the floor, intraoperative specimens began to go enterobacter, so cefepime was added to his vancomycin on the recommendation of id. he was taken back to the or for another washout on which was tolerated well, with noted significant improvement in the character of his wound. on he was taken a final time to the or with a washout performed by orthopaedics, and assistance from plastic surgery performing a left gastrocnemius flap and split thickness skin graft for improved coverage of his knee wound. he is to be non-weight bearing on his left lower extremity and keep his knee in the immobilizer at all times. he should keep his leg elevated when possible to prevent vascular congestion of his flap. per ids recommendation he will need a continued 6 week course of outpatient antibiotics, consisting of vancomycin and ceftriaxone. he will follow up with his primary orthopaedic surgeon at , as well as with id and plastics here. at the time of discharge, his renal function had stabilized, and his creatinine remained at 2.0. at the time of discharge, he is afebrile, with stable vital signs, and his post-op pain is well controlled on oral medications. he will be discharge to ltac with follow up appointments with his pcp and his primary orthopaedic surgeon at . chief complaint: knee pain major surgical or invasive procedure: : washout and debridement left knee with revision 1 component. : staged debridement irrigation via arthrotomy : resection arthroplasty of septic left tkr (all components); insertion of tobra/vanco spacer; vacuum drainage staged debridement and irrigation, exchange of antibiotic spacer, placement of vacuum sponge. : 1. arthrotomy and debridement left knee. 2. removal and reinsertion of cement spacer. 3. application of vacuum-assisted closure sponge left knee. history of present illness: this is a 65 year-old male with a pmh significant for insulin-dependent diabetes mellitus (complicated by peripheral neuropathy and chronic diabetic nephropathy), coronary artery disease, chronic diastolic dysfunction, chronic obstructive pulmonary disease, prior colonic adenocarcinoma, hypertension, hyperlipidemia, peripheral vascular disease, glaucoma and degenerative arthritis who was admitted following a total left knee replacement on at complicated by acute exacerbation of his copd requiring intubation, acute on chronic diastolic dysfunction. he initially presented to on with evidence of wound infection from the operative site, who is now s/p i&d and left knee liner exchange () who has evidence of active infection with wound cultures speciating coagulase positive staphylococcus aureus (on vancomycin iv originally, now nafcilin). infectious disease has been consulted. given his multiple comorbidities and his recent hospitalization and post-operative course complicated by copd and acute diastolic failure exacerbation and active infectious issues, requesting transfer to medical service. past medical history: past medical & surgical history: 1. insulin-dependent diabetes mellitus (last hba1c 7.0% without retinopathy; some evidence of peripheral neuropathy and chronic diabetic nephropathy) 2. coronary artery disease 3. chronic diastolic dysfunction (had negative persantine-mibi study prior to knee replacement) 4. chronic obstructive pulmonary disease 5. obstructive sleep apnea (on cpap, but rarely utilizes this) 6. colonic adenocarcinoma (s/p exploratory laparotomy, subtotal colectomy, cystectomy and ileal sigmoid anastomosis, complicated by cva/stroke without residual deficits) 7. peripheral neuropathy (decreased sensation in the bilateral lower extremities) 8. hypertension 9. hyperlipidemia 10. glaucoma 11. degenerative arthritis 12. benign prostatic hypertrophy 13. gout 14. peripheral vascular disease (s/p left-to-right sfa angioplasty; amputation of the right 5th digit - ) 15. unspecified psychiatric diagnosis 16. s/p left total knee replacement () 17. s/p right inguinal hernia repair 18. s/p appendectomy social history: patient lives at home with wife. denies tobacco use or alcohol use; no recreational substance use. patient is independent in adls and ambulates unassisted. family history: denies significant family history of cardiovascular disease, early mi, arrhythmia or sudden cardiac death. denies family history of malignancy. physical exam: admission physical exam: vitals: 99.4, 87, 133/59, 18, 97% on 2l general: appears in no acute distress. alert and interactive. well nourished appearing. heent: normocephalic, atraumatic. eomi. perrl. nares clear. mucous membranes moist. neck: supple without lymphadenopathy. jvd 8-cm. cvs: regular rate and rhythm, without murmurs, rubs or gallops. s1 and s2 normal. resp: clear to auscultation bilaterally without adventitious sounds. no wheezing, rhonchi or crackles. stable inspiratory effort. abd: obese, soft, non-tender, non-distended, with normoactive bowel sounds. no palpable masses or peritoneal signs. extr: no cyanosis, clubbing or edema, 2+ peripheral pulses. large bandage on l knee with drain producing sanguinous material. neuro: cn ii-xii intact throughout. alert and oriented x 3. dtrs 2+ throughout, strength 5/5 bilaterally, sensation grossly intact. gait deferred. discharge physical exam: vs 98.2/99.3; 140-170s/70s; 80; 18; 99ra neck: supple without lymphadenopathy. jvp not elevated cvs: rrr, no mrg, s1 and s2 normal resp: ctab. no wheezing, rhonchi or crackles. stable inspiratory effort abd: obese, soft, non-tender, non-distended, with normoactive bowel sounds. no palpable masses or peritoneal signs extr: no cyanosis, clubbing or edema, 2+ peripheral pulses. l. knee wrapped and in immobilizer, minimal serosanginous drainage exam otherwise unchanged since admission pertinent results: 03:45am blood wbc-7.9 rbc-2.74* hgb-8.1* hct-25.6* mcv-94 mch-29.8 mchc-31.8 rdw-15.6* plt ct-314 05:54am blood wbc-7.6 rbc-2.69* hgb-8.1* hct-24.9* mcv-93 mch-30.1 mchc-32.4 rdw-15.6* plt ct-283 11:21pm blood wbc-8.6 rbc-2.58* hgb-8.0* hct-23.9* mcv-93 mch-31.1 mchc-33.5 rdw-15.5 plt ct-277 03:45am blood plt ct-314 12:50am blood pt-12.4 ptt-31.9 inr(pt)-1.1 03:45am blood glucose-155* urean-14 creat-1.9* na-134 k-4.0 cl-105 hco3-25 angap-8 03:45am blood calcium-7.9* phos-2.6* mg-1.6 brief hospital course: as above medications on admission: preadmission medications listed are correct and complete. information was obtained from patientwebomr. 1. theophylline sr 200 mg po bid 2. metoprolol tartrate 50 mg po bid 3. amlodipine 10 mg po daily 4. vitamin d 1000 unit po daily 5. aspirin 81 mg po daily 6. simvastatin 20 mg po daily 7. brimonidine tartrate 0.15% ophth. 1 drop both eyes 8. betaxolol ophth susp 0.25% 1 drop right eye daily 9. acetaminophen 650 mg po q6h:prn pain 10. prednisone 10 mg po daily duration: 3 days 11. prednisone 5 mg po daily duration: 5 days start: after 10 mg tapered dose. 12. acetaminophen w/codeine 1 tab po q4h:prn pain 13. tiotropium bromide 1 cap ih daily 14. fluticasone-salmeterol diskus (250/50) 1 inh ih 15. xopenex neb *nf* 1.25 mg/0.5 ml inhalation q6 16. allopurinol 300 mg po daily 17. pantoprazole 40 mg po q24h 18. multivitamins 1 tab po daily 19. ferrous sulfate 325 mg po daily discharge medications: 1. acetaminophen 650 mg po q6h:prn pain 2. amlodipine 10 mg po daily 3. aspirin 81 mg po daily 4. betaxolol ophth susp 0.25% 1 drop right eye daily 5. brimonidine tartrate 0.15% ophth. 1 drop both eyes 6. fluticasone-salmeterol diskus (250/50) 1 inh ih 7. theophylline sr 200 mg po bid 8. simvastatin 20 mg po daily 9. tiotropium bromide 1 cap ih daily 10. vitamin d 1000 unit po daily 11. xopenex neb *nf* 1.25 mg/0.5 ml inhalation q6 12. docusate sodium 100 mg po bid 13. glargine 30 units breakfast glargine 20 units bedtime insulin sc sliding scale using hum insulin 14. senna 1 tab po bid rx *sennosides 8.6 mg 1 tab by mouth once a day disp #*60 tablet refills:*2 15. multivitamins 1 tab po daily 16. pantoprazole 40 mg po q24h 17. ferrous sulfate 325 mg po daily 18. outpatient lab work on opat regimen. please check cbc, bmp, lfts and vancomycine trough to be faxed to opat icd-9: 711.06 pyogenic arthritis, lower leg 19. allopurinol 150 mg po daily 20. vancomycin 750 mg iv q 24h rx *vancomycin 750 mg 750mg daily disp #*30 vial refills:*2 21. sodium chloride 0.9% flush 10 ml iv prn line flush picc, non-heparin dependent: flush with 10 ml normal saline daily and prn per lumen. rx *sodium chloride 0.9 % 0.9 % please use as prescribed daily disp #*30 syringe refills:*2 22. oxycodone (immediate release) 10 mg po q3h:prn pain 23. miconazole powder 2% 1 appl tp to affected region 24. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 25. metoprolol tartrate 75 mg po bid hold for sbp < 110 or hr < 55 26. heparin 5000 unit sc tid 27. ceftriaxone 1 gm iv q24h discharge disposition: extended care facility: radius specialty discharge diagnosis: left knee infection chronic obstructive pulmonary disease exacerbation acute on chronic kidney injury congestive heart failure hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: mr. , you were admitted to the hospital for a infected hardware in your left knee. our orthopaedics team cleaned out the infection in your knee and replaced the liner of your prosthesis. they feel you should follow up with your primary orthopaedic doctor, dr. at (), for ongoing issues about your knee. the cultures of the infection in your knee grew two different organisms, so we consulted our infectious disease doctors who recommended a course of iv antibiotics to help treat your infection. because this infection occured inside of a joint, a longer course of antibiotics is required. you went multiple times to the operating room to wash-out your knee of any remaining infection, and your hardware was removed. most recently you had a portion of tissue grafted to your knee to provide for better coverage of your wound, along with skin graft. your kidney function worsened while you were in the hospital but it appears to have normalized. this should be followed up with your primary care physician. we made the following changes to your medications: started: vancomycin (antibiotic) ceftriaxone (antibiotic) increased metoprolol for blood pressure followup instructions: department: plastic surgery when: wednesday at 3:15 pm with: , md building: lm bldg () campus: west best parking: garage name: , location: community physicians associates address: , , , phone: appointment: thursday 1:15pm department: infectious disease when: friday at 9:30 am with: , md building: lm bldg () campus: west best parking: garage name: nabi, md address: , , , phone: **please discuss with the staff at the facility a follow up appointment with your pcp when you are ready for discharge. department: plastic surgery when: wednesday at 3:15 pm with: , md building: lm bldg () campus: west best parking: garage department: infectious disease when: friday at 9:30 am with: , md building: lm bldg () campus: west best parking: garage md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other local excision or destruction of lesion of joint, knee attachment of pedicle or flap graft to other sites arthrocentesis other arthrotomy, knee other arthrotomy, knee other arthrotomy, knee arthrotomy for removal of prosthesis without replacement, knee insertion or replacement of (cement) spacer insertion or replacement of (cement) spacer insertion or replacement of (cement) spacer insertion or replacement of (cement) spacer revision of total knee replacement, tibial insert (liner) central venous catheter placement with guidance diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes unspecified glaucoma chronic kidney disease, stage iii (moderate) methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site long-term (current) use of insulin pressure ulcer, buttock personal history of malignant neoplasm of large intestine personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation accidents occurring in residential institution knee joint replacement diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled chronic diastolic heart failure other alteration of consciousness pressure ulcer, stage i acute respiratory failure following trauma and surgery pyogenic arthritis, lower leg infection and inflammatory reaction due to internal joint prosthesis encounter for change or removal of surgical wound dressing 

Answer: The patient is high likely exposed to