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: this is a 48 year old male with adenocarcinoma of the distal esophagus. he underwent neoadjuvant therapy with chemotherapy and radiation. he completed chemotherapy four weeks prior to admission and radiation therapy two weeks prior to admission. the patient had a significant weight loss of approximately 30 pounds. ct scan per oncology demonstrated partial resolution of the tumor. past medical history: 1. nephrolithiasis in . 2. chronic low back pain. past surgical history: 1. j-tube placement. 2. porta-cath placement. allergies: erythromycin. physical examination: afebrile, vital signs stable. heent: no lymphadenopathy. lungs are clear to auscultation. cardiac: regular rate and rhythm. abdomen soft, nontender, nondistended. hospital course: the patient was admitted on , where he went to the operating room and had an esophagogastrectomy with mediastinal lymph node dissection. postoperatively, the patient had a mild episode of hypotension which was attributed to the epidural catheter. the patient was doing well until he became febrile on . on , some wound drainage was seen from the abdominal incision. a ct scan was obtained after several days of monitoring the drainage and the scan revealed a wound dehiscence. the patient went to the operating room on , for debridement of fascia and a buttress repair of the wound dehiscence. postoperatively, the patient had hypotension and was transferred to the intensive care unit. the patient was started on vancomycin, levofloxacin and flagyl. on , the patient had an episode of tachycardias in to the 160s. copious amounts of green drainage was seen from the right chest tube. another chest tube was placed which revealed also copious amounts of drainage. the patient was placed on multiple pressors and was intubated. on , the patient was brought to the operating room again for esophageal diversion of his split fistula. infectious disease consultation was obtained and he was placed on imipenem, vancomycin, fluconazole, levofloxacin, for multiple organisms. he was started on total parenteral nutrition. on , the patient grew out methicillin resistant staphylococcus aureus from his sputum. gradually, in the intensive care unit his pressors were weaned. tube feeds were started on . a follow-up chest ct scan was obtained which revealed a small right fluid collection which was significantly improved from the prior. tube feeds were advanced to goal and the tpn was discontinued . on also, all antibiotics were discontinued except for vancomycin which was kept for mrsa. the patient had a ct scan guided procedure of a fluid collection by interventional radiology on . after multiple attempts of extubation and weaning, the patient was finally extubated on . on , all of the chest tubes were removed due to minimal amounts of drainage. on , the patient was transferred to the floor. on the floor, the patient did well, had no complaints. tube feeds were at goal. the patient was afebrile. laboratory: laboratory values upon discharge are as follows: sodium 141, potassium 3.5, chloride 101, bicarbonate 29, bun 14, creatinine 0.3, glucose 137, white blood cell count 18, hematocrit 30.6, platelets 446. the patient's white blood cell count significantly decreased from higher values obtained during the admission. condition at discharge: stable. discharge medications: 1. epogen 40,000 units subcutaneously q. week. 2. heparin 5000 units subcutaneously twice a day. 3. zinc sulfate 220 mg per j-tube q. day. 4. clonidine patch 0.2 mg q. week. 5. vitamin c 500 mg twice a day via ng tube. 6. vancomycin 2 grams intravenously q. 12 hours. 7. lopressor 25 mg per j-tube twice a day. 8. celexa 20 mg per j-tube q. day. 9. oxy-codon elixir 5 to 10 cc q. six hours p.r.n. via j-tube. 10. haldol elixir 1 mg per j-tube q. eight hours p.r.n. 11. the patient was also on impact with fiber tube feeds at 75 cc per hour which was his goal. discharge status: rehabilitation facility. discharge instructions: the patient will follow-up with the following people: 1. dr. in two weeks. 2. dr. in two weeks. 3. his primary care physician, . . 4. infectious disease clinic in two weeks. discharge diagnoses: 1. status post esophagogastrectomy complicated by wound dehiscence and anastomotic leak. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage excisional debridement of wound, infection, or burn division or crushing of other cranial and peripheral nerves regional lymph node excision partial esophagectomy partial gastrectomy with anastomosis to esophagus open biopsy of liver revision of gastric anastomosis open and other partial gastrectomy esophagostomy, not otherwise specified diagnoses: other postoperative infection unspecified pleural effusion iatrogenic pneumothorax methicillin susceptible pneumonia due to staphylococcus aureus malignant neoplasm of lower third of esophagus 

Answer: The patient is high likely exposed to