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: no known allergies / adverse drug reactions attending: chief complaint: vomiting, diarrhea major surgical or invasive procedure: intubation arterial line placement central venous line placement history of present illness: for details please reveiw b admission note, 83yo m with complicated pmh and recent micu admission for mrsa sepsis presents from rehab (nbotc) with fever, diarrhea, vomiting and dehydration. . of note, the patient has had multiple hospitalizations in the last few months. he was admitted to on after sustaining a fall at home and had a r thr that was complicated by blood loss requiring transfusion of 6 units prbcs, afib, nstemi, and pneumonia during a 10 day hospitalization . he received iv antibiotics while inpatient. on , he was transferred to , given oxycodone for pain and lasix for volume overload, becoming increasingly lethargic and sustained another fall on . . he was admitted to on very dehydrated, received 5l ns in the ed (t102, bp90/49, hr103, o293%ra), and was found to develop mrsa sepsis. he was intubated and on pressors in the micu. he was covered broadly with vanco, zosyn, and levofloxacin and narrowed to vancomycin when he grew mrsa in bottles. source of mrsa was never discovered, and r hip aspiration showed no growth on culture. lle mri was negative for osteomyelitis. cta showed aaa graft in good position. his course at was complicated by hyponatremia, anemia, af with rvr, and demand ischemia/nstemi (2nd mi within the month). tee could not be performed and picc was placed for planned 6 week course of vancomycin for empiric treatment of mrsa bacteremia. discharged on to rehab. . his course in rehab between was complicated by continued delirium. he was transfused 2 units prbcs on . on , he developed clear/yellow, large volume, foul smelling liquid stools every hour concerning for c. diff. studies were sent and he was empirically started on po flagyl on . he also developed copious nbnb emesis starting on the evening of and was febrile to 101.4. in this setting, he had was noted to be increasingly confused, pulling at clothes and his picc etc. upon questioning, the pt. endorses fever but denies chills. the decision was made to bring the patient to the ed. patient denies chest pain, shortness of breath, abdominal pain, diarrhea this morning. admission to the medicine service was notable for a wbc bandemia of 16%. . on the night of , medicine team signout was concerned about ekg changes (ste in iii and avf with reciprocal depression in i and avl felt to be underlying artifacts given his lack of cp - per cardiology). besides intermittent hypotension his sao2 has been fine, he has been getting repeated boluses and nebs. in review, his bp on arrival () was 120-130's mmhg systolic, hr in the 80-90s. on , his sbp is now at 80-90's mmhg, hr in the 110's. he recieved multiple fluid boluses. throughout this process, rr was in mid-teens and satting well on room air. then at 4:30 am on , he became tachypenic, ronchorous, gave 20mg of iv lasix, cxr revealed new onset r>l fluffy infiltrates. suctioning was performed, with return of brown food particles (raising concern for aspiration). he did not tolerate neb treatment and no response to 20mg iv lasix, and then 40mg iv lasix. attempted but failed abg. given hypotension, marked tachypnea, and hypoxia (presumed as not able to get pleth), pt was intubated. peri-intubation he was hypotensive down to 50/30 mmhg, received fluids via picc. he was started on dopamine initially but did not respond, then he was switched to levophed. . ros: unable to review as patient was intubated. past medical history: medical & surgical history: - mrsa sepsis requiring intubation - atrial fibrillation with rvr, diagnosed , on coumadin - lle cellulitis and heel ulcer - pvd - anemia of chronic inflammation / ckd - diastolic chf (normal lvef on tte) - cad s/p mi ~20 yrs ago and not currently active, family denies cabg or caths; demand ischemia in setting of recent sepsis - ckd, with baseline cr 1.4-1.6 - rcc s/p nephrectomy with dural infiltration s/p decompression laminectomy at c2-3 in ; s/p upper cervical spine irradiation completed in -> being followed by - left hip dhs , complicated by failure of fixation, converted to a left bipolar arthroplasty on , then revision arthroplasty of the left hip and removal of a left femur blade plate - r hip surgery in for displaced r femoral neck fracture - h/o falls and gait disturbance - complex infrarenal aortic aneurysm, s/p evar in . social history: had been living at home in with wife until fall and hospitalization , most recently living at rehab. 1 ppd x60 yrs and still smoking, drinks 1-2 drinks of vodka (1 oz) daily, no illicits. 4 children, many grandchildren, 2 great grandchildren. worked in real estate. family history: non-contributory. physical exam: vs: 98.6-99(po) 107-140/56-67, 80-90, 20, 97-100%ra 163lbs general: elderly man lying in nad heent: nc/at, perrla, eomi, sclerae anicteric, mm very dry, op clear, left lid droops. neck: supple, no thyromegaly, no jvd, no carotid bruits. heart: rrr, iii/vi non harsh systolic murmur with no radiation, nl s1-s2. lungs: no advenitious sounds, good air movement, resp unlabored. abdomen: soft/nt/nd, no masses or hsm, no rebound/guarding. extremities: wwp, no c/c/e, 2+ peripheral pulses. left ankle with large scab, no surrounding erythema or swelling, no fluctuance or induration, mild discomfort with palpation skin: pinpoint scabs noted over ble; l>r. lymph: no cervical lad. neuro: sleeping but arousable, oriented to person, place, month, thinks it is . 5/5 strength symetrically, answering questions appropriately, able to remember objects, can say days of week forwards but not backwards. pertinent results: 09:55pm blood wbc-4.6 rbc-3.20*# hgb-10.0* hct-29.8*# mcv-93 mch-31.4 mchc-33.7 rdw-17.7* plt ct-189 02:03am blood wbc-5.9# rbc-2.56* hgb-8.2* hct-24.5* mcv-96 mch-32.0 mchc-33.5 rdw-18.1* plt ct-206 09:10am blood pt-38.4* ptt-48.4* inr(pt)-3.9* 02:03am blood pt-50.5* ptt-62.1* inr(pt)-5.4* 09:55pm blood glucose-135* urean-18 creat-1.9* na-130* k-4.0 cl-94* hco3-22 angap-18 02:03am blood glucose-154* urean-35* creat-2.3* na-138 k-3.9 cl-105 hco3-15* angap-22* 09:55pm blood alt-8 ast-18 alkphos-128 totbili-0.8 02:03am blood alt-4 ast-10 ld(ldh)-205 ck(cpk)-45* alkphos-66 totbili-0.5 09:10am blood calcium-7.8* phos-3.6 mg-2.0 02:03am blood albumin-2.4* calcium-6.5* phos-2.8 09:10am blood osmolal-272* 06:48pm blood tsh-3.6 02:03am blood cortsol-30.5* 03:59am blood type-art po2-77* pco2-26* ph-7.34* caltco2-15* base xs--9 02:21am blood lactate-2.1* radiology report abdomen (supine & erect) study date of 12:08 am impression: 1. no evidence of obstruction. 2. right approach picc tip terminates within the right atrium. 3. cholelithiasis. cxr impression: worsening bilateral opacities could be worsening pulmonary edema or ards. brief hospital course: 83 yom with complicated pmh and recent micu admission for mrsa sepsis presents from rehab (nbotc) with fever, diarrhea, vomiting and dehydration. he was treated for dehydration with repeated ivf bolus and presumed c. diff. colitis with iv and po antibiotics. he was stable from . he was intermittently hypotensive, and required repeated iv fluid boluses and nebs. on review, his bp on arrival () was 120-130 mmhg systolic, hr in the 80-90s. on , his sbp is now at 80-90's, hr in the 110's. he recieved multiple fluid boluses. throughout this process, rr was in mid-teens and satting well on room air. at 4:30 am on the morning of , he became tachypenic, poor respiratory effort. he was given 20mg of iv lasix, cxr revealed new onset r>l fluffy infiltrate. suctioning was performed, brown aspirates was returned with food particles (? aspiration). he did not tolerate neb treatment and 20mg iv lasix did not touch him. then 40mg iv lasix was given. several attempted but failed abgs. given hypotension, marked tachypnea, and hypoxia (presumed as not able to get good wave form), code blue was called and he was intubated. peri-intubation he was hypotensive down to 50/30, got fluids via picc. he was started on dopamine initially but did not respond, then he was switched to levophed and transferred to the micu. the micu course over the ensuing 24 hours was characterized by increasing mechanical ventilator demand and dependence, increasing vasopressor requirement, worsening renal function, worsening coagulopathy, anemia, and neurological unresponsiveness. with the progressive overall clinical decline and multisystem organ failure, the family (including wife health care proxy and four children) expressed that the continued invasive interventions (including intubation and mechanical ventilatino) were not consistent with the patient's previously expressed wishes, and the decision was made to focus care primarily on comfort. upon discontinuation of vasopressors and ett, the patient quietly passed away in the presence of his family. medications on admission: d5 1/2 ns @125cc/hr vancomycin 750mg daily (goal trough 15-20) warfarin 2mg daily flagyl 500mg po qid oxycodone 5mg po q4h:prn risperdal 0.25mg :prn agitation risperdal 0.25mg qhs tylenol 650mg po q4h:prn bisacodyl 10mg pr:prn milk of magnesia 30ml daily:prn senna 17.2mg po daily:prn albuterol neb qid albuterol neb q6h:prn calcium carbonate 650mg carbidopa/levodopa 25/100 1.5 tab tamsulosin 0.4mg qhs vitamin d 1000 units daily amiodarone 200mg daily duloxetine 20mg daily finasteride 5mg daily metoprolol succinate 100mg daily tiotripium 18mcg ih daily kcl 20meq daily mvi 1 tab daily 81mg daily omeprazole 40mg daily pravastatin 80mg qpm tylenol 975mg po tid melatonin 3mg qhs lactobacillus 1 tab furosemide 60mg po daily (stopped ) discharge medications: none discharge disposition: expired discharge diagnosis: ards aspiration pna discharge condition: expired discharge instructions: none followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization central venous catheter placement with guidance diagnoses: anemia in chronic kidney disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified severe sepsis chronic airway obstruction, not elsewhere classified atrial fibrillation acute on chronic diastolic heart failure peripheral vascular disease, unspecified depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock intestinal infection due to clostridium difficile long-term (current) use of anticoagulants rash and other nonspecific skin eruption dehydration other disorders of neurohypophysis other and unspecified coagulation defects personal history of malignant neoplasm of kidney electrolyte and fluid disorders not elsewhere classified other alteration of consciousness ulcer of heel and midfoot hip joint replacement methicillin resistant staphylococcus aureus septicemia abnormal involuntary movements 

Answer: The patient is high likely exposed to