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 attending: chief complaint: free air on ct abdomen, transfer from osh major surgical or invasive procedure: 1. diagnostic laparoscopy. 2. exploratory laparotomy. 3. sigmoid resection with an end left colostomy. history of present illness: 87 m admitted to osh s/p fall from chair incidentally found to have free air on imaging, now transferred for further management. the patient suffered a mechanical fall from his rocking chair and in the osh ed was found to have an elevated cpk and he was admitted for iv hydration. the patient had a decreased o2 saturation and increased respiratory rate in the am and a ct chest was performed which incidentally revealed a large amount of intraabdominal air. ct abd po/iv contrast was then performed and demonstrated large free air with sigmoid perforation likely due to diverticulitis. he has hemodynamically stable. he did have a fever to 102 f prior to being transferred to , however before this he had been afebrile without chills/nausea/emesis. he also denies any abnormality in the frequency, consistency or color of his stools. he was noted to have abdominal distention and he received levofloxacin and flagyl. he was then transferred to . past medical history: dm-2, elevated cholesterol, bph, copd, a. fib on coumadin, arthritis, nephrolithiasis social history: etoh none tobacco remote devoted family family history: unknown physical exam: vs: afvss gen: nad, aox3 cvs: irregularly irregular pulm: no respiratory distress abd: soft but distended. ttp llq without rebound or guarding. +tympanitic le: no lle pertinent results: 12:46am wbc-8.6 rbc-3.45* hgb-11.0* hct-32.4* mcv-94 mch-31.8 mchc-33.8 rdw-13.6 12:46am plt count-150 12:46am pt-21.0* ptt-30.9 inr(pt)-1.9* 12:46am glucose-64* urea n-25* creat-1.0 sodium-131* potassium-3.6 chloride-99 total co2-24 anion gap-12 04:45am glucose-199* urea n-22* creat-1.0 sodium-137 potassium-3.8 chloride-94* total co2-24 anion gap-23* 12:30pm wbc-4.4 rbc-3.70* hgb-11.7* hct-35.3* mcv-95 mch-31.6 mchc-33.2 rdw-13.8 12:30pm calcium-8.1* phosphate-3.4 magnesium-1.7 cxr : mild pulmonary edema with bilateral pleural effusions are similar to that seen one day prior. the new major abnormality consists of left lower lobe collapse, with leftward shift of the heart and mediastinal contents. no pneumothorax is seen. cxr : the et tube tip is 6 cm above the carina. cardiomediastinal silhouette is unchanged compared to the prior study. the ng tube passes below the diaphragm. there is interval worsening of pulmonary edema and increase in bilateral pleural effusions as well as no change in the left retrocardiac opacity consistent with atelectasis. respiratory culture (final ): commensal respiratory flora absent. staph aureus coag +. >100,000 organisms/ml.. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r rifampin-------------- <=0.5 s tetracycline---------- 2 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ 1 s urine culture (final ): staph aureus coag +. 10,000-100,000 organisms/ml.. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. yeast. 10,000-100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | gentamicin------------ <=0.5 s levofloxacin---------- =>8 r nitrofurantoin-------- 32 s oxacillin------------- =>4 r tetracycline---------- 2 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ 1 s brief hospital course: pt admitted to acs service on . after extensive discussion with the patient and his four daughters, decision was made to proceed to the operating room emergently for exploration. while in the or, the pt underwent a sigmoid resection with an end left colostomy. he tolerated the surgery well and was brought to the pacu for recovery. he maintained stable hemodynamics and had adequate pain control. cvs - pt with known history of a.fib, was persistently tachycardic to low 100's/110's while on the surgical unit. his pre op lopressor was resumed and adjusted for rate control. currentlt on 25 mg of lopressor tid his heart rate is in the 80's. his preop coumadin was restarted at 3 mg daily on but his inr is only 1.1. he will receive coumadin 5 mg tonight and have his coumadin dosed daily based on his inr to achieve a goal between 2.0 and 2.5. pulm - on , pt triggered for decreased o2 saturation and increased o2 requirement. sats dropped to low 80's on 3lnc, while hr was in the 140's; pt was placed on nrb mask and transferred to the icu for further management. he underwent vigorous pulmonary toilet and nebulizer treatments but eventually required intubation. he had copious secretions and underwent a bronchoscopy on . multiple plugs were suctioned out and bal was positive for mrsa he was extubated on without difficulty. currently he is on 2l oxygen with saturations in the 94-96 range and is continuing with bronchodilator therapy as well as the incentive spirometer. gi/gu - on , pt noted to have grossly edematous penis and scrotum. on , pt only able to void x2 throughout the day; bladder scanned for >850cc in the early afternoon. urology consulted to place catheter due to difficult anatomy with significant swelling. catheter placed successfully and he failed another voiding trial on . his urine culture is also positive for mrsa. he will follow up with the clinic for a voiding trial next week. id : vancomycin was started on for a 2 week course thru for mrsa in 2 areas. his dose has been adjusted and his last trough was at 18.6. currently he is on 1000 mg iv bid and his creatinine is 0.8. a left basilic picc line was placed on for long term antibiotics. mr. did remarkably well after his transfer to the surgical floor. his diet was gradually advanced to regular and his ostomy was active. his blood sugars were in good control and he was on blood sugar checks qid. he was seen by the ostomy nurse daily for ostomy care, teaching and management and he was gradually learning as were his daughters. his surgical incision was healing well and he was actively working with physical therapy to regain mobility and return home soon. he was discharged to rehab on and will follow up in the clinic in weeks. medications on admission: : actos 45', glipizide er 10', lopressor 25', zetia 10', zocor 20', coumadin 3', mvi' meds on transfer: advair 1 puff'', duoneb'''', nexium 40'', glipizide 10'', metoprolol 25'', actos 45', spiriva 18', zetia 10', riss, levo 750', flagyl 500', vit k 5 mg sq' discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain,temp. 3. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 4. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) injection tid (3 times a day). 5. pioglitazone 45 mg tablet sig: one (1) tablet po daily (daily). 6. glipizide 10 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 9. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) puff inhalation (2 times a day). 10. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: one (1) puff inhalation (2 times a day). 11. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 12. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 13. warfarin 1 mg tablet sig: five (5) tablet po once: for adjust to keep inr >2.0 <2.5. 14. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 15. vancomycin in d5w 1 gram/200 ml piggyback sig: 1000 (1000) mg intravenous q 12h (every 12 hours). 16. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. discharge disposition: extended care facility: - discharge diagnosis: 1. perforated sigmoid diverticulitis with feculent gross contamination. 2. mrsa pneumonia 3. mrsa uti 4. atrial fibrillation 5. urinary retention discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: * you were admitted to the hospital with diverticulitis requiring surgery to remove part of your colon. you have a colostomy now and will pass air and stool thru it. * over time you will learn how to manage the colostomy when you get home. the vna will also help you. * you developed pneumonia after surgery and will need to continue antibiotics intravenously which will be given through your picc line. you will also need to continue to cough, deep breath and use your incentive spirometer to keep your lungs inflated. * you also have a urinary tract infection which will be taken care of with the antibiotic. your catheter will probably be removed next week at the urology clinic. * your coumadin will be regulated at rehab. followup instructions: call the clinic at for a follow up appointment in weeks. call the clinic at for a voiding trial next week. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube temporary colostomy other bronchoscopy closed [endoscopic] biopsy of bronchus open and other sigmoidectomy diagnoses: pure hypercholesterolemia urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) acute respiratory failure long-term (current) use of anticoagulants retention of urine, unspecified peritonitis (acute) generalized other diseases of trachea and bronchus diverticulitis of colon (without mention of hemorrhage) arthropathy, unspecified, site unspecified history of fall methicillin resistant pneumonia due to staphylococcus aureus 

Answer: The patient is high likely exposed to