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: celebrex attending: chief complaint: abdominal pain, diarrhea, vomiting major surgical or invasive procedure: intubation history of present illness: 70 yo m pmh htn,s/p radical prostatectomy, s/p pacemaker who presented to an osh early this am with severe abdominal pain, diarrhea, nausea and vomiting. per his wife, symptoms began on evening. pt was passing multiple loose brown stools at home. some stools may have been black. he was also vomiting and complaining of severe abd tenderness. she does not believe he had fevers or chills. at the osh he was hypothermic to 96.6 and hypotensive to 48/15. rr was 24-30. admission labs were notable for metabolic acidosis, abg 7.14/32/56/10.9. ces were elevated. creatinine also elevated at 2.7. ct abd showed fluid throughout the colon. given tender abdomen there was concern for ischemic bowel. pt was transferred to the icu where he was started on dopamine and a bicarbonate gtt. he was transferred to micu for additional work-up. . en route pt's maps maintained in the 70's on max dose levophed and neosynephrine. . review of systems: unable to obtain past medical history: h/o prostate cancer dysplipidemia bph s/p pacemaker for syncopal episode htn spinal stenosis, s/p spinal fusion s/p ccy social history: - tobacco: quit many years ago - alcohol: occasional - illicits: none family history: unknown physical exam: tmax: 36.3 ??????c (97.3 ??????f) tcurrent: 36.3 ??????c (97.3 ??????f) hr: 95 (93 - 99) bpm bp: 110/69(85) {86/63(-16) - 112/78(127)} mmhg rr: 11 (11 - 28) insp/min spo2: 100% general: intubated and sedated, not responding to commands heent: sclera anicteric, dry mucous membranes neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular, no murmurs appreciated abdomen: soft, non-distended, no bowel sounds present gu: foley in place ext: cool, no edema pertinent results: i. labs a. osh labs : 7.08/60/78/17 lactate 7.6 total protein 5.1 alb 2.7 ast 2316 alt 1719 alk phos 293 amylase 1385 lipase 87 ck 517 trop 0.56 wbc 9.1 hgb 13.4 hct 40 plt 181 inr 1.5 pt 15.4 ptt 42.8 b. admission labs 01:32am blood wbc-2.3* rbc-5.21 hgb-14.9 hct-45.6 mcv-88 mch-28.5 mchc-32.6 rdw-14.5 plt ct-208 01:32am blood neuts-59 bands-2 lymphs-23 monos-5 eos-0 baso-0 atyps-0 metas-3* myelos-3* promyel-5* 01:32am blood hypochr-normal anisocy-normal poiklo-2+ macrocy-normal microcy-normal polychr-normal burr-2+ 01:32am blood pt-20.7* ptt-43.6* inr(pt)-1.9* 01:32am blood fibrino-446* 01:32am blood glucose-209* urean-62* creat-3.2* na-137 k-4.1 cl-100 hco3-17* angap-24 01:32am blood alt-2752* ast-4291* ld(ldh)-3010* ck(cpk)-778* alkphos-249* amylase-700* totbili-1.2 01:32am blood lipase-197* 01:32am blood ck-mb-24* mb indx-3.1 ctropnt-0.28* 01:32am blood albumin-2.6* calcium-8.1* phos-6.0* mg-2.2 04:31am blood vanco-14.5 01:21am blood type-art po2-75* pco2-51* ph-7.18* caltco2-20* base xs--9 01:21am blood lactate-5.9* 02:12am blood o2 sat-93 01:21am blood freeca-1.09* c. last set of labs 04:31am blood wbc-1.9* rbc-4.60 hgb-13.3* hct-39.5* mcv-86 mch-28.9 mchc-33.7 rdw-14.5 plt ct-191 04:31am blood neuts-28* bands-3 lymphs-22 monos-4 eos-2 baso-0 atyps-7* metas-6* myelos-2* other-26* 04:31am blood hypochr-normal anisocy-normal poiklo-3+ macrocy-normal microcy-normal polychr-normal burr-3+ 04:31am blood plt smr-normal plt ct-191 04:31am blood glucose-105* urean-59* creat-2.8* na-141 k-3.8 cl-105 hco3-18* angap-22 04:31am blood alt-2840* ast-4650* ld(ldh)-2910* ck(cpk)-758* alkphos-201* totbili-1.2 04:31am blood calcium-6.6* phos-4.6* mg-1.7 08:41am blood type-art po2-96 pco2-40 ph-7.20* caltco2-16* base xs--11 intubat-intubated 08:41am blood lactate-7.0* ii. radiology a. cxr - final report pending b. osh hospital imaging - not available iii. microbiology a. blood culture: gram positive cocci in clusters (resembles staph sp.), positive in blood cultures. blood cultures pending b. blood culture blood culture, routine-pending inpatient urine not processed inpatient mrsa screen mrsa screen-pending inpatient blood culture blood culture, routine-pending inpatient ### pending studies: microbiology as above and final cxr report brief hospital course: # septic shock with possible staph bacteremia 70-year-old male with severe sepsis, multiorgan failure, with initial presentation of n/v/abd pain and possible lgib who presented to an with a gi syndrome with prominent severe abdominal pain component. his admission labs were notable for severe metabolic acidosis (ph 7.140 pco2 32 po2 56 hco3 10.9, lactate on admission at 5.9) and hypotension with cardiac biomarkers suggesting strain/ischemia consistent with septic shock from probable gi etiology. ct abdomen at the osh performed but report not available. given clinical history, suspected gi infection as etiology of severe sepsis with multi-organ dysfunction from questionable translocation or aggressive colitis. given the patient's lactate, there may be some component of ischemic bowel/mesenteric ischemia associated with process or secondary to initial under-resuscitation or delay in seeking medical attention with a fulminant process. preliminary blood cultures () grew gram positive cocci in clusters (resembles staph sp) per lab. in addition, there may be a component of cardiogenic shock given echo at the osh showed ef 40 % and elevated cardiac biomarkers although myocardial depression from sepsis cannot be excluded. the patient was started on broad spectrum antibiotics on arrival at consisting of zosyn, vancomycin, and ciprofloxacin in addition to pressor support with levophed and continued ventilatory support. given progressively worsening clinical status, wife decided to make and patient expired. in course of septic shock, he had multiple organ failure in setting of septic shock including shock liver, renal failure, coagulopathy, and cardiac strain/ischemia . # respiratory failure: patient was intubated in setting of significant metabolic acidosis and continued on ventilation until made . medications on admission: fosamax 70mg weekly detrol 4mg daily lopid 600mg tofranil 10mg daily home medications: lipitor 80mg daily paxil 30mg daily trazadone 50mg qhs zetia 10mg daily flexeril 10mg tid prilosec 20mg daily caltrate-vitd vitamin c asa 325mg daily lupron inj every 3 weeks discharge medications: none discharge disposition: expired discharge diagnosis: primary diagnosis: severe sepsis secondary to presumed gastrointestinal etiology, respiratory failure, metabolic acidosis, secondary: acute renal failure, coagulopathy, secondary to sepsis, prostate cancer discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: acidosis acute kidney failure with lesion of tubular necrosis unspecified essential hypertension acute and subacute necrosis of liver severe sepsis personal history of malignant neoplasm of prostate hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia acute respiratory failure cardiogenic shock septic shock cardiac pacemaker in situ other postprocedural status hypovolemia other and unspecified coagulation defects staphylococcal septicemia, unspecified arthrodesis status 

Answer: The patient is high likely exposed to