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: propoxyphene / methadone / pseudoephedrine / peanut / adhesive bandage / banana attending: chief complaint: fever major surgical or invasive procedure: ir guided hd line placement history of present illness: mr. is a 39 y.o incarcerated male w/ hiv, esrd m/w/f hd, last got it weds, presenting with fevers. on monday had erythema around his catheter site (in the groin) at hd. he finished hd and got a dose of vanc. on wed he continued to feel fatigue and had more fevers so go dialyzed completely, got a dose of vanc and then had his catheter pulled. they packed the wound and he went home. he came back today and the site looked much worse after the packing was taken out and the cath site was indurated with concern for an abscess. in addition he was complaining of sob and couldn't lay flat in hd which they called "respiratory distress". in the ed, vs: 9 98.4 85 173/102 18 87%. he triggered for hypoxia to 87% ra. responded to upright position and supplemental o2. also given morphine and 80mg iv lasix. now sat 94-95 4 l nc in addition he was hypertensive to the 200's and got 10mg iv hydral which dropped the bp to 170s (pt reports this is his baseline). on labs he was noted to have a mild troponin leak. ekg with peaked t waves concerning for hyperkalemia although k 4.7. got calcium gluconate prior to seeing ca which was wnl. cxr with diffuse infiltrate suggestive of fluid overload. exam correlated. patient had no hd access and a 16 gauge ej placed and ir was called so patient could get an hd line. only access site is right groin. called renal who will evaluate. also on exam groin site: erythemaotous, warm, cellulitic, had u/s looks like small ? complex collection--> got iv vanc and pipercillin tazobactam attempting to obtain more records from federal prison. contact at number in rn comments. . on the floor, patient was breathing comfortably. he re-iterated the above story including feeling unwell for the last few days starting monday. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: hiv (cd4 308 in with undetectable vl) end stage renal disease h/o esbl sepsis last year av graft failure complicated by amputation of right forearm and hand htn dmii asthma gerd chronic phantom limb pain social history: incarcerated - tobacco: denies - alcohol: denies - illicits: endorses marijuana approximately 7 years ago family history: father with esrd and cad w/ death of mi at 56. physical exam: vitals: t: 96.9 bp:175/98 p:86 r: 24 o2: 93 on 3l nc general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema discharge exam: gen: lying in bed in nad heent: ncat, eomi. cor: +s1s2, no m/g/r. pulm: diminished breath sounds bilaterally secondar to habitus & posture, however ctab, no c/w/r . : +nabs in 4q. slight transient tenderness is right lower quadrant, no tenderness to percussion or rebound tenderness. ext: left groin site markedly improved, without any surrounding erythema. area is still firm/scarred. right tunneled groin catheter tender to palpation over tunneled aspet, but without erythema. neuro: awake & alert, maee. pertinent results: 09:35pm vanco-22.5* 11:54am comments-green top 11:54am lactate-0.8 k+-4.7 11:50am glucose-123* urea n-89* creat-11.2* sodium-135 potassium-4.9 chloride-91* total co2-24 anion gap-25* 11:50am ck(cpk)-98 11:50am ctropnt-0.09* 11:50am ck-mb-2 11:50am calcium-9.8 phosphate-6.8* magnesium-2.5 11:50am vanco-9.0* 11:50am wbc-11.6* rbc-4.56* hgb-9.8* hct-30.7* mcv-67* mch-21.4* mchc-31.8 rdw-19.2* 11:50am neuts-84.0* lymphs-9.4* monos-3.5 eos-2.5 basos-0.7 11:50am plt count-310 11:50am pt-13.9* ptt-32.9 inr(pt)-1.2* micro: blood cultures 6/25 ngtd; mrsa nasal screen positive . ekg: nsr. nl axis, intervals. peaked twaves in v2-v4 and tw inversions i, ii. lvh. probably . . radiology: leni: 1. no left lower extremity deep venous thrombosis. 2. 1.3 cm complex fluid collection reflects hematoma with or without superinfection or abscess with reactive lymphadenopathy. . cxr: moderate pulmonary edema with probable small bilateral pleural effusions. no pneumothorax. brief hospital course: mr. is a 39 year old gentleman with end stage renal disease on dialysis admitted with a catheter site infection, transferred to the micu for volume overload/hypoxia. dyspnea: the patient was dyspneic and hypoxic on presentation to the micu. he was treated with several hours of ultrafiltration and hemodialysis and his symptoms resolved. groin/catheter site infection: the patient developed an area of induration and erythema at his groin catheter site. surgery was consulted and did not intervene. he was started on vancomycin and meropenem given a history of resistant organisms and mrsa. the patient's dialysis catheter was moved under interventional radiology guidance. a picc was also placed for antibiotic administration. esrd: the patient was dialyzed while admitted through his newly placed catheter. he did develop asymptomatic hyperkalemia while admitted. he will continue a monday, wednesday, friday scheduled for dialysis. # hiv: continued home regimen. # communication: patient and (we cannot contact her she needs to be called by the policemen) # code: full (discussed with patient) transitional issues: complete vancomycin/ertapenem (switched for availability of pharmaceutical ) until . medications on admission: nifedipine cr 60 mg po daily emtricitabine 200 mg po 2*/wk (mo, fr) insulin sc prn for bg>200 sevelamer carbonate 3200 mg po tid sertraline 200 mg po daily omeprazole 20 mg po daily mom inhaled minoxidil 10 mg po bid metoprolol succinate 200 mg po daily ferrous gluconate 324 mg po bid lisinopril 40 mg po daily efavirenz 600 mg po qhs docusate 100 mg po bid diphenhydramine 25 mg po q8hr: prn itching amitriptyline 100 mg po hs albuterol inhalers q4hrs abacavir 600 mg po daily discharge medications: 1. nifedipine 60 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 2. emtricitabine 200 mg capsule sig: one (1) capsule po 2x/week (mo,fr). 3. sevelamer carbonate 800 mg tablet sig: four (4) tablet po tid w/meals (3 times a day with meals). 4. sertraline 50 mg tablet sig: four (4) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. mom 110 mcg (30 doses) aerosol powdr breath activated sig: one (1) puff inhalation twice a day. 7. minoxidil 10 mg tablet sig: one (1) tablet po twice a day. 8. metoprolol succinate 200 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 9. ferrous gluconate 324 mg (36 mg iron) tablet sig: one (1) tablet po twice a day. 10. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 11. efavirenz 600 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. insulin lispro 100 unit/ml solution sig: as directed subcutaneous three times a day: as directed per attached sliding scale. 14. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po every eight (8) hours as needed for itching. 15. amitriptyline 100 mg tablet sig: one (1) tablet po at bedtime. 16. ertapenem 1 gram recon soln sig: five hundred (500) mg intravenous every twenty-four(24) hours for 5 days: to be given after dialysis on dialysis days. last dose . disp:*5 doses* refills:*0* 17. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) puff inhalation every six (6) hours as needed for shortness of breath or wheezing. 18. abacavir 300 mg tablet sig: two (2) tablet po once a day. 19. vancomycin 1,000 mg recon soln sig: one (1) gram intravenous daily after dialysis for 5 days: to be given on dialysis days only, last dose . disp:*3 grams* refills:*0* 20. oxycodone 5 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain for 3 days. disp:*10 tablet(s)* refills:*0* discharge disposition: extended care discharge diagnosis: primary diagnoses: - left groin cellulitis catheter infection - esrd secondary diagnoses: - hiv infection - hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , you have been admitted to the hospital with an infection around your dialysis line. while you were here we replaced a new dialysis line, and treated you with ultrafiltration and hemodialysis to allievate your shortness of breath. you have been evaluated by surgery and your kidney team and you are now safe for discharge. new medications: we have added the following antibiotics: ertapenem & vancomycin for 5 more days. followup instructions: please follow up with your primary care doctor: , within 1-2 weeks. procedure: hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis central venous catheter placement with guidance diagnoses: end stage renal disease esophageal reflux cellulitis and abscess of trunk congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute on chronic diastolic heart failure asthma, unspecified type, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia carrier or suspected carrier of methicillin resistant staphylococcus aureus infection and inflammatory reaction due to other vascular device, implant, and graft kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site accidents occurring in residential institution asymptomatic human immunodeficiency virus [hiv] infection status phantom limb (syndrome) below elbow amputation status 

Answer: The patient is high likely exposed to