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: patient recorded as having no known allergies to drugs attending: chief complaint: respiratory distress major surgical or invasive procedure: intubation r ij central line placement history of present illness: mr. is a 72 year old cantonese-speaking male brought in from rehab for respiratory distress. history is limited as the patient is cantonese speaking only. in the ed, his vital signs were stable, and he was maintaining adequate oxygen saturation, but he was intubated for increased work of breathing and a ng tube was placed for feeding. a cxr was performed whichi showed no signficant signs of infiltrate or edema. the patient was given solumedrol and combivent inhalers for possible copd flare. lactate was within normal limits, there was no leukocytosis, and the first set of cardiac enzymes were negative. the patient was also given a dose of levaquin for uti on ua. the family was not able to be contact in the . . on review of his chart, notes from the rehab indicate that the patient was noted to be congested and sob, with o2 sats 87-94% on 2 liters nc. the patient coughed up copious secretions as well. he recently completed 5 day course of ceftriaxone for uti. the patient was recommended for transfer to the ed for further evaluation, also noted to be full code. past medical history: (limited, obtained from medical chart) copd trigeminal neuralgia gerd muscle weakness lung nodule dementia anemia social history: resident at , son is next of family history: non-contributory physical exam: vs: 97.6 121/73 90 20 96% 2l gen: cachectic elderly man lying in bed, int coughing heent: atraumatic, anicteric, pupils reactive, equal, op clear, dried blood from a raw patch on his lips, op clear, mmm, neck supple cv: regular, no murmurs or rubs lungs: scattered rhonchi at bases b/l, distant breath sounds, patient not cooperative with exam abd: thin, soft, non-tender, non-distended, + bs ext: decreased muscle tone, no lower extremity edema. feet cool, dp pulses +2 bl neuro: sleepy, responds to voice pertinent results: 11:45pm blood wbc-6.9 rbc-3.03* hgb-9.7* hct-28.8* mcv-95 mch-31.9 mchc-33.6 rdw-14.7 plt ct-426 05:11am blood wbc-8.6 rbc-2.95* hgb-9.5* hct-28.2* mcv-96 mch-32.4* mchc-33.8 rdw-14.7 plt ct-449* 12:14am blood wbc-11.1* rbc-3.13* hgb-9.9* hct-30.1* mcv-96 mch-31.7 mchc-32.9 rdw-14.7 plt ct-464* 05:09am blood wbc-13.0* rbc-2.96* hgb-9.4* hct-28.6* mcv-97 mch-31.7 mchc-32.9 rdw-14.8 plt ct-480* 05:22am blood wbc-11.9* rbc-3.45* hgb-10.8* hct-33.3* mcv-97 mch-31.3 mchc-32.5 rdw-14.9 plt ct-746* 05:23am blood wbc-10.3 rbc-3.14* hgb-10.0* hct-30.2* mcv-96 mch-32.0 mchc-33.3 rdw-14.9 plt ct-557* 11:45pm blood neuts-74.6* lymphs-16.4* monos-4.1 eos-4.8* baso-0.2 03:47am blood neuts-91.3* bands-0 lymphs-4.7* monos-2.2 eos-0.5 baso-1.3 12:27am blood pt-12.4 ptt-28.9 inr(pt)-1.1 03:47am blood pt-13.2* ptt-30.0 inr(pt)-1.2* 11:45pm blood glucose-113* urean-9 creat-0.6 na-134 k-5.7* cl-96 hco3-36* angap-8 05:09am blood glucose-117* urean-16 creat-0.6 na-135 k-4.6 cl-96 hco3-36* angap-8 04:19pm blood glucose-119* urean-30* creat-0.7 na-135 k-5.2* cl-96 hco3-30 angap-14 05:23am blood glucose-127* urean-25* creat-0.5 na-131* k-4.5 cl-96 hco3-29 angap-11 11:45pm blood ck-mb-4 ctropnt-<0.01 11:45pm blood ck(cpk)-131 03:40am blood ck-mb-5 ctropnt-<0.01 03:40am blood ck(cpk)-116 05:11am blood ck-mb-3 ctropnt-<0.01 05:11am blood ck(cpk)-43 03:30pm blood ck-mb-2 ctropnt-<0.01 03:30pm blood ck(cpk)-44 05:09am blood alt-39 ast-26 ld(ldh)-179 alkphos-60 totbili-0.2 03:40am blood calcium-7.8* phos-2.6* mg-1.8 05:23am blood calcium-8.8 phos-2.7 mg-2.3 05:09am blood triglyc-112 08:25am blood vanco-12.4 12:26am blood type-art temp-35.6 rates-/16 tidal v-400 po2-504* pco2-78* ph-7.27* caltco2-37* base xs-6 -assist/con intubat-intubated 07:16am blood type-art rates-24/24 tidal v-445 peep-5 fio2-80 po2-362* pco2-49* ph-7.40 caltco2-31* base xs-4 aado2-168 req o2-37 intubat-intubated vent-imv 06:15am blood type-art rates-/15 tidal v-540 peep-5 fio2-40 po2-94 pco2-48* ph-7.45 caltco2-34* base xs-7 intubat-intubated 06:12am blood type-art temp-37.3 rates-/24 tidal v-528 peep-5 po2-84* pco2-57* ph-7.44 caltco2-40* base xs-11 -assist/con intubat-intubated 07:00pm blood type-art po2-106* pco2-51* ph-7.45 caltco2-37* base xs-9 05:31pm blood type-art po2-81* pco2-42 ph-7.45 caltco2-30 base xs-4 intubat-not intuba 12:36am blood lactate-0.9 03:57am urine color-straw appear-slhazy sp -1.015 03:57am urine blood-sm nitrite-pos protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-mod 12:27am urine rbc-21-50* wbc-21-50* bacteri-mod yeast-none epi-0-2 . micro urine culture (final ): pseudomonas aeruginosa. >100,000 organisms/ml.. 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. trimethoprim/sulfa sensitivity testing performed by . sensitivities: mic expressed in mcg/ml _________________________________________________________ pseudomonas aeruginosa | staph aureus coag + | | cefepime-------------- 4 s ceftazidime----------- 4 s ciprofloxacin--------- =>4 r gentamicin------------ =>16 r <=0.5 s imipenem-------------- <=1 s levofloxacin---------- =>8 r meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s oxacillin------------- =>4 r penicillin------------ =>0.5 r piperacillin---------- 8 s piperacillin/tazo----- 8 s tetracycline---------- <=1 s tobramycin------------ =>16 r trimethoprim/sulfa---- s vancomycin------------ <=1 s . legionella urinary antigen (final ): negative for legionella serogroup 1 antigen. (reference range-negative). . 3:40 am blood culture source: venipuncture. **final report ** aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. . time taken not noted log-in date/time: 5:16 am sputum site: endotracheal **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram negative rod(s). 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. 1+ (<1 per 1000x field): gram positive rod(s). 1+ (<1 per 1000x field): yeast(s). respiratory culture (final ): sparse growth oropharyngeal flora. due to mixed bacterial types ( >= 3 colony types) an abbreviated workup will be performed appropriate to the isolates recovered from this site. acinetobacter baumannii. moderate growth. "note, for amp/sulbactam, higher-than-standard dosing needs to be used, since therapeutic efficacy relies on intrinsic activity of the sulbactam component". 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. trimethoprim/sulfa sensitivity testing performed by . pseudomonas aeruginosa. sparse growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ acinetobacter baumannii | staph aureus coag + | | ampicillin/sulbactam-- =>32 r cefepime-------------- 16 i ceftazidime----------- =>64 r ciprofloxacin--------- =>4 r clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=1 s <=0.5 s imipenem-------------- 8 i levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s tobramycin------------ <=1 s trimethoprim/sulfa---- 2 s vancomycin------------ <=1 s . 3:47 am blood culture source: venipuncture. **final report ** aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. . imaging: cxr port : findings: an endotracheal tube terminates approximately 5 cm superior to the carina. a nasogastric tube can be seen with tip beyond the field of view of the film. the side port is also beyond the view of the film. the heart is normal in size. the mediastinal and hilar contours are unremarkable. the aorta is mildly ectatic. there is flattening of the diaphragm consistent with mild hyperinflation. diffuse reticular opacities are present consistent with underlying emphysematous change. the soft tissues and osseous structures are otherwise unremarkable. no pleural effusion is seen. biapical disease with retraction of the hila and reticular opacities within the lungs. there is evidence of prior granulomatous disease. impression: status post intubation and nasogastric tube placement, both in appropriate position. hyperinflation and reticulonodular opacities consistent with underlying emphysema and old granulomatous disease. clinical correlation is recommended. no acute cardiopulmonary disease present. . cxr : one portable view. comparison with . the lungs remain clear. the costophrenic sulci are blunted, as before. the lungs appear hyperinflated. the heart and mediastinal structures are unremarkable. an endotracheal tube and nasogastric tube remain in place. there is no significant change. impression: no significant interval change. . cxr : ap bedside chest. heart is normal in size without vascular congestion, consolidations, effusions, or hilar/mediastinal enlargement. this patient has had daily chest radiographs since . since exam one day ago, the et and ng tubes have been removed. impression: no acute disease. . cxr : cardiomediastinal contour is unchanged. there is a tiny right apical pneumothorax. right subclavian vein catheter tip is in unchanged position in the svc. right supraclavicular subcutaneous emphysema is unchanged. the lungs are hyperinflated, but clear. there are no pleural effusions. . ekg : sinus rhythm. electrocardiographic findings are within normal limits. no previous tracing available for comparison. brief hospital course: micu course: pt was admitted to micu with hypercarbic respiratory failure requiring intubation. he was found to have mrsa and pseudomonas pneumonia and copd flare. after extubation he developed recurrent respiratory failure requiring bipap. his family made the decision to make patient dnr/dni. while in th micu the patient complained of chest pain and so mi was ruled out with insignificant ekg and negative ces x 3. the micu team felt that the pain was mostly likely secondary to history of shingles (post herpetic neuralgia), per son. once he was extubated he refused to eat and on further discussions with son, it was revealed that patient had been refusing to eat for the past several months, taking in only minimal calories per day. he refused ng tube and was started on tpn. as patient had such poor baseline status and was recovering so slowly, family and micu team began to discuss cmo, with involvement of palliative care team. it was decided that decision re: cmo would have to include his eldest son who would fly to the usa from . on the night before the son arrived, patient appeared stable from a respiratory and mental status standpoint. he was transferred to th general medicine floor. on arrival to floor, vss and patient refused chest pain or sob. on routine vitals check several hours later, he was found without respirations. pronounced dead. his right ij line was pulled out from the skin and there was approx 300cc of blood around that area and on the bed sheets. after a long discussion with the family, in which autopsy was requested, this was refused. case was reported to the qi committee. medications on admission: advair albuterol spiriva zyprexa 5 mg protonix 40 mg neurontin 300 mg tid aricept 10 mg daily meclizine 12.5 mg carbamazepine 200 mg iron multivitamin megace discharge disposition: expired discharge diagnosis: na discharge condition: na discharge instructions: na followup instructions: na md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified esophageal reflux urinary tract infection, site not specified unspecified protein-calorie malnutrition other persistent mental disorders due to conditions classified elsewhere acute respiratory failure pneumonia due to pseudomonas methicillin susceptible pneumonia due to staphylococcus aureus pseudomonas infection in conditions classified elsewhere and of unspecified site obstructive chronic bronchitis with acute bronchitis postherpetic trigeminal neuralgia 

Answer: The patient is high likely exposed to