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 67-year-old male status post coronary artery bypass graft times four in , who is also recently status post kidney transplant in , who presented with purulent drainage from his midsternal incision. the patient had been admitted on , for increasing drainage from the sternal wound, and on , had undergone sternal rewiring. he had been treated with intravenous and ciprofloxacin and discharged to complete the course of intravenous antibiotics. he had remained stable and afebrile postoperatively with a stable sternum. however, he was seen by his physician on , who noticed blistering at the inferior aspect of his wound and started him on neosporin ointment and dressing changes t.i.d. the patient noticed increasing drainage on which was purulent then changed to blood-streaked. he had remained afebrile throughout the entire period. he had also noticed a postoperative cough. past medical history: 1. status post living-related kidney transplant on . 2. insulin-dependent diabetes mellitus. 3. osteoarthritis of the neck. 4. coronary artery disease, status post coronary artery bypass graft times four in . 5. status post non-q-wave myocardial infarction in . 6. episodic aortic regurgitation in . allergies: the patient has no known drug allergies. medications on admission: rapamune 6 mg p.o. q.d., prednisone 6 mg p.o. q.d., cellcept 1 g p.o. b.i.d., bactrim 1 p.o. q.d., colace 100 mg p.o. q.d., calcitrel 0.25 mg p.o. q.d., tums 500 mg p.o. b.i.d., neutra-phos 1 packet p.o. t.i.d. with meals, vitamin e 1 p.o. q.d., multivitamin 1 p.o. q.d., protonix 40 mg p.o. q.d., lasix 60 mg p.o. b.i.d., aldactone 25 mg p.o. b.i.d., lipitor 25 mg p.o. q.d., lopressor 100 mg p.o. b.i.d., nph insulin 4 units q.p.m. and 8 units q.a.m., aspirin 81 mg p.o. q.d., epogen 3000 units p.o. every monday and friday. physical examination on admission: the patient's vital signs were temperature of 98.1, heart rate 95, blood pressure 147/66, respiratory rate 18, satting 95% on room air. the patient's appearance revealed a well-appearing male, alert and oriented times four, in no apparent distress. neurologic examination was grossly intact. cardiovascular revealed a regular rate and rhythm, sinus. no murmurs. his lungs were clear to auscultation bilaterally. abdomen was soft, nontender, and nondistended, with positive bowel sounds. extremities had 2+ pitting edema bilaterally, warm, with 1+ pulses. saphenous vein graft site was healing well. no drainage, erythema or induration. his sternum was stable with wound mostly healed except for purulent to bloody discharge from the base with a sinus tract superiorly and an area of erythema of about 2 cm x 2 cm. laboratory on admission: white blood cell count 12, hemoglobin 9.2, hematocrit 31.2, platelets 235. sodium 136, potassium 4.3, chloride 96, bicarbonate 23, bun 32, creatinine 1.8, glucose 216. ast 19, albumin 3.4. hospital course: the patient was admitted with a diagnosis of recurrent sternal wound infection with possible sternal osteomyelitis. he was started on intravenous vancomycin and ceftriaxone. renal and infectious disease consultations were obtained at that time. he was taken to the operating room on , where he underwent sternal debridement. the wound was left open, and on , the patient underwent partial sternotomy, debridement of skin subcutaneous tissue and bone, removal of hardware from sternum, omental flap to sternum, and bilateral musculocutaneous advancement flap, and closure of his open sternal wound under general anesthesia. he tolerated the procedure well and was then sent to the intensive care unit in stable condition. his initial cultures grew out coagulase-negative staphylococcus as did cultures from his operating room specimen. the patient had a temperature spike postoperatively to 101. however, subsequent blood and urine cultures were negative. he was continued on vancomycin and ceftriaxone postoperatively. the patient remained intubated after his initial debridement and was eventually extubated on . he tolerated extubation well. he was transferred to the regular floor on postoperative day seven and four and had an unremarkable postoperative recovery. he remained afebrile, tolerating a regular diet, and ambulating independently. he continued to be followed by the renal transplant service. he was restarted on his cellcept. from an infectious standpoint, the patient continued to be afebrile. his ceftriaxone was stopped on day 10 due to low suspicion for sternal osteomyelitis. he was continued on the intravenous vancomycin which he was to continue on for two weeks postoperatively. due to the fact that the patient is a renal transplant recipient he will be dosed by vancomycin and levels checked randomly every two to three days. the patient also had bilateral - drains which had been draining serosanguineous fluid. he was on levofloxacin which he was to continue on until the drains are removed. postoperatively, the patient also had some swallowing difficulties and was placed on nectar-thick liquids for two days; however, he recovered normal function and was able to take a normal diet. condition at discharge: the patient was stable for discharge, afebrile, tolerating a regular diet, and ambulating independently. discharge status: discharged to rehabilitation facility. discharge diagnoses: 1. sternal wound infection, status post sternal debridement. 2. status post partial sternotomy with omental flap. 3. status post living-related donor kidney transplant. 4. coronary artery disease, status post coronary artery bypass graft. 5. insulin-dependent diabetes mellitus. medications on discharge: 1. calcitrel 0.2 mg p.o. q.d. 2. neutra-phos 1 packet p.o. q.d. 3. tums 500 mg p.o. b.i.d. 4. prednisone 10 mg p.o. q.d. 5. colace 100 mg p.o. b.i.d. 6. protonix 40 mg p.o. q.d. 7. bactrim-ss 1 p.o. q.d. 8. heparin 5000 units subcutaneous b.i.d. 9. lopressor 75 mg p.o. b.i.d. 10. levofloxacin 250 mg p.o. q.d. times 11 days. 11. regular insulin sliding-scale. 12. multivitamin 1 p.o. q.d. 13. aspirin 81 mg p.o. q.d. 14. lipitor 10 mg p.o. q.d. 15. vitamin e 400 units q.d. 16. cellcept mg p.o. b.i.d. times four days, then cellcept 1 g b.i.d. 17. vancomycin 1 g. 18. nph 8 units subcutaneous q.a.m., and 4 units subcutaneous q.p.m. 19. reglan 10 mg p.o. q.6h. 20. lasix 20 mg p.o. q.d. 21. rapamune 8 mg p.o. q.d. 22. 20 meq p.o. p.r.n. (for calcium less than 4). 23. robitussin 10 cc p.o. q.6h. p.r.n. for cough. 24. percocet 5/325 one to two tablets p.o. q.4h. p.r.n. for pain. discharge instructions: the patient was to have random vancomycin levels checked and dosed if less than 20 by 1 g for a total of two weeks after discharge. wound care and - care. the patient was to have rapamune level checked on , in the morning before dosed. discharge followup: follow up is the dr. in cardiothoracic surgery in one month or p.r.n. follow up with dr. from plastic surgery on . followup with dr. from renal transplant on . , m.d. dictated by: medquist36 procedure: local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] advancement of pedicle graft other partial ostectomy, scapula, clavicle, and thorax [ribs and sternum] removal of implanted devices from bone, scapula, clavicle, and thorax [ribs and sternum] diagnoses: other postoperative infection aortocoronary bypass status old myocardial infarction diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant 

Answer: The patient is high likely exposed to