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: tetracycline / doxycycline attending: chief complaint: chest pain major surgical or invasive procedure: none history of present illness: 57m with h/o type a aortic dissection and aneurysm of thoracic and abdominal aorta as well as bilateral iliac arteries, status post thoracoabdominal aneurysm repair with multibranched dacron graft on , complicated by anastamotic leak, abdominal compartment syndrome, bilateral le paraplegia, lle compartment syndrome, pneumonia, and prolonged intubation requiring tracheostomy. he was discharged to a high care level rehabilitation facility yesterday and returns today after experiencing five minutes of substernal chest pain at approximately 5:00am the morning of admission. the pain did not radiate and was self-limited. he noted that the afternoon prior to admission he experienced some left arm pain at the elbow which he attributed to physical therapy. at the time of presentation to the ed, he was asymptomatic and felt well. past medical history: past medical history: - thoracoabdominal aneurysm with chronic type b dissection - hypertension - recent history of subdural hematoma s/p fall(improved on past ct scan) - history of elevated psa(normal now per patient) - left eye sclera scar from trauma past surgical history: s/p aortic dissection repair at (median sternotomy) s/p arch replacement at (left thoractomy) social history: last dental exam: no recent exam lives with: wife(in ) occupation: pastor tobacco: denies etoh: denies family history: no premature coronary artery disease physical exam: exam: 100.0 86 135/65 18 100% tm 0.35 gen awake, alert, nad cv rrr chest ctab abd soft, nontender, nondistended; wound granulating, dressing clean, retention sutures in place ext lle fasciotomy sites clean, dry, intact; 2+ edema to knees b/l; palpable dp/pt pulses b/l pertinent results: admission labs: 12.1 > 24.5 < 343 135 103 44 ------------< 109 5.8 24 1.8 ca 8.3 mg 2.2 phos 3.7 trop 0.42 ptt 29.2 inr 1.1 micro: - sputum cx: enterobacter cloacae, sensitive to cipro - sputum cx: mrsa imaging: - cxr: no acute cardiopulmonary process; bibasilar atelectasis - ekg: mild st elevation in v3, unchanged from previous brief hospital course: mr. was admitted to the cvicu. ekg was unchanged from prior and cardiology felt that the entire clinical picture was of low suspicion for acute plaque rupture given his renal failure and previously elevated cardiac markers, instead much more likely a demand ischemia in the setting of his medical illnesses and exertion at rehab. he was transfused with 2 units of blood for his hct of 24 and responded appropriately with hct increasing to 29.8 and staying constant throughout his hospitalization. his troponins leveled off and trended downwards starting at 0.42-->.45-->.54-->.52-->.47. he had no further episodes of chest pain. his white count was initially 12.1 on admission and sputum cultures from prior admission revealed mrsa+. he was started on vanco and continued on the cipro which he was continued on as outpatient. after no new growth from the cultures and mini-bal negative for bacteria and being afebrile since admission, the antibiotics were stopped. on discharge, mr. was afebrile, vitals within normal limits and reported feeling "much better". his labs on discharge: 10.1 8.4>------<278 30.3 131 / 100 / 43 ----------------<101 5.6 / 24 / 1.7 trop 0.47 ckmb 17 discharge medications: 1. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily). 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 3. bisacodyl 10 mg suppository sig: one (1) suppository rectal qod (). 4. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 5. clonazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day). 6. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 8. multivitamin tablet sig: one (1) tablet po daily (daily). 9. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 12. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 13. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 14. collagenase clostridium hist. 250 unit/g ointment sig: one (1) appl topical daily (daily). 15. hydralazine 20 mg/ml solution sig: ten (10) mg injection q6h (every 6 hours) as needed for sbp > 180. discharge disposition: extended care facility: - discharge diagnosis: - myocardial demand ischemia - renal insufficiency - paraplegia - thoracoabdominal aneurysm with chronic type b dissection - hypertension - recent history of subdural hematoma s/p fall(improved on past ct scan) - history of elevated psa(normal now per patient) - left eye sclera scar from trauma 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: 1. please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 2. please no lotions, cream, powder, or ointments to incisions 3. each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4. no driving for approximately one month and while taking narcotics 5. please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: please call to confirm follow-up appointments in 10 days-2 weeks from discharge. vascular surgeon: dr. date: 9:15 am, monday, phone: ( cardiac surgeon: dr. date: 1:45 pm, tuesday, phone: ( general surgeon: dr. date: 2:30 pm, tuesday, phone: ( cardiologist: phone: ( please call dr. office to set up an appointment at your convenience within the next 2 weeks. procedure: enteral infusion of concentrated nutritional substances diagnoses: hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified pressure ulcer, lower back other postprocedural status dissection of aorta, thoracoabdominal paraplegia gastrostomy status tracheostomy status pressure ulcer, stage ii other acute and subacute forms of ischemic heart disease, other methicillin resistant pneumonia due to staphylococcus aureus 

Answer: The patient is high likely exposed to