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 / sulfa (sulfonamides) attending: chief complaint: sternal drainage major surgical or invasive procedure: - sternal derbridement - sternal plating and bilateral pectoralis flap closure history of present illness: the patient is a 78-year-old gentleman who underwent coronary artery bypass grafting almost 4 weeks ago. he was doing well at home when it was noted that he had some erythema involving his wound. he was placed on antibiotics by his primary cardiologist. he was at home last night and his wound opened up and pus began draining from the wound. this was cultured and he was placed on antibiotics. the patient appeared to be nontoxic with a stable sternum initially. however, upon inspection this morning on morning rounds, it was noted that his sternum was unstable. it was felt that he needed to proceed with sternal debridement. past medical history: s/p appy prostate procedure ischemic cardiomyopathy glaucoma af s/p cabgx5 htn hyperlipidemia social history: retired plumber plays hockey 3x week currently non-etoh; however previous history of heavy drinking quit 25 years ago no drugs no tobacco family history: father had mi (died) age 67 mother died of tuberculosis all children healthy physical exam: admission hr62 sr rr 12 bp 128/58 gen: elderly male in nad heent: unremarkable neck: from, supple. no carotid bruits. lungs: clear heart: rrr sternum: 1 cm opening with pus draining, sternum unstable with cough. abd: benign extr 2+ pulses, no edema neuro: nonfocal discharge vs t96.3 hr 73sr bp108/60 rr 18 o2sat 100%ra gen nad neuro a&o, nonfocal exam pulm ctab cv rrr s1-s2. sternum stable abdm soft, nt/nd/+bs ext warm well perfused. no edema. left arm picc line no erythema pertinent results: 01:30am wbc-12.3* rbc-3.53* hgb-10.9* hct-32.0* mcv-91 mch-30.8 mchc-34.0 rdw-15.2 01:30am glucose-119* urea n-22* creat-0.9 sodium-133 potassium-4.4 chloride-96 total co2-27 anion gap-14 01:30am pt-13.1 ptt-28.9 inr(pt)-1.1 echo05/03/07 05:04am blood wbc-13.3* rbc-3.33* hgb-10.1* hct-29.2* mcv-88 mch-30.2 mchc-34.4 rdw-15.1 plt ct-405 05:04am blood plt ct-405 05:04am blood glucose-91 urean-12 creat-0.8 na-135 k-3.8 cl-97 hco3-30 angap-12 10:23pm blood alt-45* ast-46* alkphos-118* amylase-43 totbili-0.3 10:23pm blood albumin-2.6* echo conclusions: no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function appears depressed. there are complex (>4mm) atheroma in the aortic arch. there are three aortic valve leaflets. there is a small (2 x 3 mm) vegetation on the noncoronary cusp of the aortic valve with trace aortic regurgitation. there is no aortic ring abscess. the mitral valve appears structurally normal with trivial mitral regurgitation. no mass or vegetation is seen on the mitral valve. no vegetation/mass is seen on the pulmonic valve or tricuspid valve. impression: small vegetation on the noncoronary cusp of the aortic valve, without associated abscess or fistula seen. trace aortic regurgitation. cxr single upright radiograph of the chest, comparison , demonstrates a right central venous catheter terminating in the cavoatrial junction. a small right apical pneumothorax is present. left chest tube appears to be in unchanged position on single view. lungs are clear, and increased opacity at right lower lung has resolved. there has been interval placement of flexible plates with fixation screws overlying the chest wall. radioopaque catheter overlying right mediastinum may represent a mediastinal drain. significant degenerative change is evident within right shoulder brief hospital course: mr. was admitted to the on for further management of his sternal wound infection. vancomycin and levofloxacin were started. as he had some sternal instability, he was taken to the operating room where he underwent a debridement on . cultures were sent which revealed staph aureus. his chest was left open with the plan for the plastic surgery service to close him in the next day or two. they were consulted intraoperatively and agreed to the plan. postoperatively he was taken to the intensive care unit for monitoring. as the echocardiogram showed a aortic valve vegetation, the cardiologys service was consulted. tube feeds were started for nutritional support. a repeat echocardiogram showed a small vegetation on the noncoronary cusp of the aortic valve with trace regurgitation. no associated abscess or fistual was seen. on , mr. returned to the operating room with the plastic surgery service where he underwent a sternal debridement and closure with sternal plating and bilateral pectoralis flap coverage. postoperatively he was returned to the intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. his cultures ultimately grew out mrsa and vancomycin was continued and the levofloxacin was stopped. the infectious disease service was consulted and followed him throughout his hospital course. the physical therapy service was consulted for assistance with his postoperative strength and mobility. a swallowing evaluation was performed by the speech and swallow service as he had some coughing with oral intake. no signs of aspiration were found and he was cleared to eat a regular diet. on postoperative day three, he was transferred to the step down unit for further recovery. the infectious disease service recommended 6 weeks of vancomycin. over the next several days the patient did well and on pod6 it was decided he was ready for discharge to rehabilitation at rehab/, ma. medications on admission: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. carvedilol 12.5 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. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks: please take twice a day for 7 days and then decrease to once daily and follow up with your cardiologist within 2 weeks. 8. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. 2. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day for 2 weeks. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. bisacodyl 10 mg suppository sig: one (1) suppository rectal prn as needed for constipation. 9. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 10. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 11. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation every 4-6 hours as needed for shortness of breath or wheezing. 12. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 13. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 14. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) gram intravenous q 12h (every 12 hours): continue through . discharge disposition: extended care facility: healthcare center discharge diagnosis: sternal wound infection/instability bacteremia s/p cabgx5 ischemic cardiomyopathy atrial fibrillation appy glaucoma discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5)no lifting greater then 10 pounds for 10 weeks. 6)no driving for 1 month. followup instructions: follow-up with dr. in weeks. follow-up with dr. in weeks. follow-up with dr. on at 3pm. phone call all providers for appointments. provider: . phone: date/time: 9:30 provider: , cardiac surgery lmob 2a date/time: 2:15 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] attachment of pedicle or flap graft to other sites internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum] other repair of heart and pericardium diagnoses: other postoperative infection unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate infection with microorganisms resistant to penicillins aortocoronary bypass status unspecified glaucoma other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site acute and subacute bacterial endocarditis 

Answer: The patient is high likely exposed to