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: compazine / phenergan / percocet attending: chief complaint: esophageal adenocarcinoma major surgical or invasive procedure: minimally invasive esophagogastrectomy right thoracoscopy with evacuation of right hemothorax. history of present illness: mr. is a 68 year-old male with recently diagnosed locally advanced esophageal adenocarcinoma receiving neoadjuvant chemoradiation s/p 5-fu/cisplatin cycle #1 on , also with a history of dm type 2, htn and copd, who presents for laparoscopic esophagectomy. past medical history: 1. recently diagnosed locally advanced esophageal adenocarcinoma diagnosed in , status post cycle 1 of 5fu and cisplatin , receiving concomitant xrt prior to surgical resection. no distant metastases. 2. copd 3. history of recurrent gallstone pancreatitis with resultant chronic pancreatitis, status post cholecystectomy. 4. dm type 2 5. gerd 6. hypercholesterolemia 7. status post port placement and j-tube placmement on . social history: he lives at home with his wife and children. ex-smoker, quit years ago. occasional etoh. speaks cantonese. family history: non-contributory. physical exam: t 98.0 p 103 bp 112/69 r 20 sao2 95% gen - no acute distress heent - no scleral icterus, extraocular muscles intact, mucous membranes moist lungs - clear heart - regular rate and rhythm abd - soft, nontender, nondistended, bowel sounds audible extrem - no lower extremity edema, warm, well perfused pertinent results: 04:02pm blood wbc-15.0*# rbc-2.59* hgb-8.8* hct-25.6* mcv-99* mch-34.0* mchc-34.4 rdw-20.3* plt ct-200 04:02pm blood pt-12.9 inr(pt)-1.1 04:02pm blood glucose-156* urean-25* creat-0.8 na-135 k-4.5 cl-106 hco3-23 angap-11 04:02pm blood calcium-7.9* phos-4.3 mg-1.5* 8:49 am swab source: neck. **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 3+ (5-10 per 1000x field): gram positive cocci. in pairs. wound culture (final ): staph aureus coag +. moderate growth. 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 penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s anaerobic culture (final ): no anaerobes isolated 9:26 am urine **final report ** urine culture (final ): klebsiella pneumoniae. >100,000 organisms/ml.. trimethoprim/sulfa sensitivity testing confirmed by . sensitivities: mic expressed in mcg/ml _________________________________________________________ klebsiella pneumoniae | ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 2 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s imipenem-------------- <=1 s levofloxacin----------<=0.25 s meropenem-------------<=0.25 s nitrofurantoin-------- 64 i piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s brief hospital course: the patient was admitted and had a minimally invasive esophagogastrectomy which he tolerated well and was transferred to the unit in stable condition. on post-op day 2, the patient became hypotensive with map 55-60, had an increased oxygen requirement, and was tachycardic with heart rate 120-150s. the patient was intubated without incident for his increased oxygen requirement and received blood transfusions for a hct of 21.8. his chest tube and neck drain had bloody drainage, but became more serous in the following day. the patient was started on a levophed drip and was able to be weaned from it. the bleeding into his drains appeared to stop. however, the patient remained tachycardic despite adequate resuscitation. a chest x-ray obtained at that time showed bilateral pleural effusions. an esophagoscopy showed pink and well perfused mucosa ruling out graft ischemia/necrosis as the cause for the patient's tachycardia and increased oxygen requirement. the plan at this point was for conservative management. zosyn was started for empiric antibiotic therapy. attempts were made to wean the sedation were thwarted by the patient's agitation. in addition, the patient did not tolerate vent weanings well. tube feeds were started to provide nutrition. on post-op day 4, a ct scan was obtained which showed a moderate to large sized right pleural effusion. interventional radiology was consulted to tap this effusion and they were able to tap 800cc of bloody drainage. the patient had to be restarted on a levophed drip for hypotension. with failure to wean the patient from the vent, the decision was made to take the patient to the or for a right thoracoscopy with evacuation of right hemothorax on . the patient tolerated this surgery well and the right lung was seen to expand fully in the or after evacuation of the hemothorax. the following day, the patient was able to be extubated from the vent and was able to be weaned from levophed. despite extubation, the patient continued to be agitated requiring haldol at times. he also developed suicidal ideations and psychiatry was consulted. a one to one sitter was provided and the patient was started on zyprexa to which he had a good response. the patient remained stable and was transferred to the floor on . on , the patient spiked a fever of 101.7 and was found to have a klebsiella urinary tract infection and was treated with ancef. the patient also develop some erythema at his neck drain site. a neck ct scan showed an abscess at the superficial margin of the sternocleidomastoid muscle. the drain was d/c'd, the wound was opened up, pus was drained, and packed with nugauze. the patient's erythema resolved and the drainage stopped. physical therapy was consulted to assist the patient with ambulation and he was able to ambulated without assistance. the patient continued to require supplemental oxygen to keep his sao2 up and was discharged with home supplemental oxygen therapy. serial chest x-rays showed stable basilar atelectasis and consolidations with no evidence of increasing pleural effusion. nebulizer treatments were provided to the patient which helped with his oxygenation. after the patient was extubated, he had had persistent coughing which worsened whenever he swallowed liquids. there was concern for aspiration and a video swallow exam was obtained which indeed did show moderate oropharyngeal dysphagia with aspiration of thin liquids when he swallowed with his head upright. he was able to achieve a functional swallow for soft solids and thin liquids when he swallowed with his chin to his chest. at discharge, he was following these aspiration precautions well and will follow up with the outpatient swallowing therapy here. the patient was discharged with tube feeds to maintain his nutrition. medications on admission: percocet 5mg-325mg po compazine nystatin 100,000 unit/gram topical fentanyl 50 mcg/hour transdermal dexamethasone 4 mg oral 2 tablet(s) by mouth twice a day glucerna oral promote with fiber oral discharge medications: 1. albuterol sulfate 0.083 % solution : one (1) nebule inhalation every six (6) hours. disp:*60 nebule* refills:*2* 2. ipratropium bromide 0.02 % solution : one (1) nebule inhalation every six (6) hours. disp:*60 nebule* refills:*2* 3. tiotropium bromide 18 mcg capsule, w/inhalation device : one (1) cap inhalation daily (daily). 4. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). 5. dextromethorphan-guaifenesin 10-100 mg/5 ml liquid : five (5) ml po twice a day. 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr once a day. disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 7. lipram-pn20 56,000-20,000- 44,000 unit capsule, delayed release(e.c.) : four (4) capsule, delayed release(e.c.) po tid w/ meals (). 8. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po q6h (every 6 hours) as needed for constipation. 9. senna-c 8.6 mg tablet : two (2) tablet po qam as needed for constipation. 10. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed for constipation. 11. fentanyl 50 mcg/hr patch 72hr : one (1) patch 72hr transdermal q72h (every 72 hours). disp:*10 patch 72hr(s)* refills:*2* 12. hydromorphone 2 mg tablet : 1-2 tablets po every hours as needed for pain. disp:*20 tablet(s)* refills:*0* 13. actos 45 mg tablet : one (1) tablet po qam. 14. home oxygen please administer home oxygen at 4 l continuous via nasal cannula. 15. olanzapine 2.5 mg tablet : one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 16. tube feeds probalance 3/4 strength. feed continuously at rate of 80 cc/hr. check residuals q4hr. hold feeding for residual >= 100 ml. 17. home nebulizer machine please provide home nebulizer machine. discharge disposition: home with service facility: vna discharge diagnosis: esophageal adenocarcinoma right hemothorax wound infection respiratory failure discharge condition: stable discharge instructions: call your doctor or seek immediate medical attention if you experience fever, chills, lightheadedness, dizziness, chest pain, shortness of breath, palpitations, severe abdominal pain, nausea/vomiting, or increased drainage, redness, or bleeding from surgical wounds. you may have a regular diet of soft solids and thin liquids. you must sit upright at 90 degrees and tuck your chin when swallowing. you may resume all your home medications. no driving while taking pain medications. no tub baths or swimming. you may use dry dressing to cover surgical wounds. followup instructions: please follow up with dr. in weeks. call for appointment. please follow up with dr. from the thoracic surgery service. call to schedule an appointment. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other total gastrectomy other esophagoscopy insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis other incision with drainage of skin and subcutaneous tissue other incision of pleura pulmonary artery wedge monitoring division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells transfusion of other serum infusion of vasopressor agent diagnoses: esophageal reflux pure hypercholesterolemia other postoperative infection cellulitis and abscess of trunk urinary tract infection, site not specified unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified hemorrhage complicating a procedure methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site chronic pancreatitis delirium due to conditions classified elsewhere personal history of irradiation, presenting hazards to health malignant neoplasm of cardia cough 

Answer: The patient is high likely exposed to