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: history of present illness: mr. is a 25 year-old white male who was transferred from outside hospital with the diagnosis of aspiration pneumonia and adult respiratory distress syndrome. the patient was initially admitted to on after ingestion of oxycontin with alcohol and found down by his girlfriend with blue color and abnormal breathing pattern. his time down was unknown. ems arrived and gave him narcan with some arousal. the patient had traumatic intubation in the emergency department at with desaturation and vomiting and aspiration of charcoal. on admission to intensive care unit the patient was found to be unresponsive and had evidence of bilateral pneumonitis and was found to be hypotensive. on the patient was started on ceftriaxone and flagyl for a fever and bilateral pneumonitis. he was started also on decadron. he was presser dependent at this time. the patient remained difficult to oxygenate and ventilate and his fio2 requirement increased to 80% on . he remained on ceftriaxone and flagyl and remains paralyzed. the patient then had a waxing and course between and . the patient spiked temperatures and found to have leukocytosis in his blood. the patient had showed transient clinical recovery up to the point of potential extubation on . however he had further temperature spikes and had increased fio2 requirement back up to 80% by . by the patient's oxygen requirement had increased to 90% inspired fio2. on this day vancomycin was started in addition to ceftazidine. he was diagnosed with adult respiratory distress syndrome and started on solu-medrol. on the patient was found to have a large pneumothorax requiring a chest tube placement on his right side. the patient remained difficult to ventilate and oxygenate and remained persistently hypoxemic requiring high saturation oxygen on ventilator. the patient was finally transferred to on for further management of his adult respiratory distress syndrome. medications on transfer: 1. protonix 40 mg po bid. 2. albuterol atrovent nebulizers. 3. ativan 20 mg per hour drip. 4. heparin. 5. ceftazidine. 6. flagyl. 7. vancomycin. 8. ceftriaxone. 9. solu-medrol. 10. morphine drip. 11. nystatin swish and swallow. social history: the patient lives at home. he works as a technician. the patient has a positive history of alcohol abuse and marijuana use. allergies: the patient has no known allergies. medications: the patient takes no medications at home. laboratory data on admission: hematocrit 29.2, white count 23.6, platelet count 593,000. serum chemistry sodium 144, potassium 4.6, chloride 99, bicarbonate 39, bun 31, creatinine 0.7, sugar 89. the differential on the patient's white count revealed 86% neutrophils, 3% bands and 4% monocytes. the patient's amylase was 120, lipase 123, alkaline phosphatase 88, inr 1.2, albumin 2.9, calcium 8.4, phosphate 0.3, magnesium 23, alt 96, ast 28, ldh 714. physical examination: on admission to was not recorded. hospital course: the patient was admitted to the medical intensive care unit for further management of his acute adult respiratory distress syndrome. he was placed on pressure controlled ventilation with a driving pressure of 25 and a positive end expiratory pressure of 15. he was maintained on antibiotics. he had draining chest tube for his pneumothorax. the patient was maintained on steroids for potential benefit in diagnosis of adult respiratory distress syndrome. due to the patient's fever and leukocytosis, all of his central lines were re-sited. a right upper quadrant ultrasound was obtained to rule out a cholecystitis. the patient was also started on total parental nutrition for nutritional support on . initially on transfer to the patient's paralytics were removed. the patient had become increasingly agitated and required higher doses of sedation and analgesia. the paralytics were restarted on . the patient's intravenous steroids were stopped on . during his entire time in the medical icu the patient became more and more difficult to ventilate. the patient required additional boluses of doxacurium, fentanyl and ativan and despite which the patient continued to have spontaneous breathing episodes with subsequent desaturations. due to increasingly difficult ventilation the patient was started on high frequency jet ventilator at 3 hertz per minute. also on due to the patient's continuous febrile illness and leukocytosis and clinical deterioration, infectious disease was consulted and recommended continued vancomycin, ct scan of the sinuses and starting ciprofloxacin 400 twice a day. on this day the patient began to manifest septic physiology and all of his lines including arterial lines and central lines were re-sited again. the patient developed a spontaneous pneumothorax on his right side on and required another chest tube placement. this was detected following a desaturation at 3:30 in the afternoon of where chest x-ray showed a large right sided pneumothorax. on this date the patient was placed back to pressure controlled ventilation. the patient also on this day was found to have decreased urine output and increased serum creatinine to 1.4. a renal consult was obtained at this time. renal consultants at this time found no evidence of interstitial nephritis and recommended keeping mean arterial blood pressure to be greater than 60 and avoid further diuresis. on the patient now has positive blood cultures as well as line cultures for staph aureus. he was diagnosed with staph aureus sepsis. the patient remained hypoxic with high oxygen requirements, requiring fio2 of 0.9. the patient continues to have worsening renal function. his serum creatinine increased to 2.9 by . on to the patient continued to deteriorate quickly clinically. the patient had gone into episodes of hyperkalemia with no ekg changes but had a potassium of 5.9. the patient was treated with kayexalate. on this date the patient had also culture evidence of both staph epidermidis and staph aureus infecting his blood stream. on this day oxicillin was started in addition to intravenous vancomycin for the patient's septic syndrome. the patient was started on continuous renal hemodialysis on this day due to his persistent total renal failure, decreased urine output and hyperkalemia. his central lines were re-sited and a swan ganz catheter was flown to measure the patient's hemodynamic guidance of medical therapy. at this time the patient remained on pressure control ventilation with high driving pressuring of 32 and peep of 12.5 for a rate of 36 and oxygen fio2 of 0.9. during this interim the patient also received multiple bags of packed red blood cells as he had dropped hematocrit of unclear source. the patient was treated therapeutic, support keeping his hematocrit greater than 25. a hematology consult was requested on due to the patient's persistent drop in hematocrit for potential treatment of hemolysis. no therapy was recommended. the patient's condition remained tenuous. after proper treatment of his staph aureus and staph epidermidis bacteremia his hypotension resolved and the patient was weaned off from pressors. however his respiratory status remained tenuous with high driving pressures and high oxygen requirement. on the patient again had desaturation episode requiring increasing positive end expiratory pressure to improve his oxygenation. careful surveillance at this time showed no other evidence of infections. at this time the patient had high intrapulmonary volume and persistent leakage through bilateral pneumothoraces despite bilateral chest tubes. a ct surgery was re-consulted at this time and did not recommend insertion of new chest tube. the patient remains anuric and is on intermittent hemodialysis at this time. the patient was switched to continuous renal hemodialysis on with bicarbonate drip to correct his ongoing acidosis. throughout the patient's entire tenuous course in the medical intensive care unit multiple discussions had been held with his family daily. the patient's family insist everything be done to save this patient's life. they however do recognize that they have been informed the patient is in very critical condition and has very poor prognosis given the respiratory distress syndrome and his septic syndromes. the patient clinically worsened yet again on with increased leukocytosis, decreased serum glucose and decreased blood pressure requiring fluid boluses. cultures through blood, urine and sputum and each line were obtained again. on a leak through the et tube cuff was observed. the patient underwent elective bedside et tube change over supported by anesthesia. prior to this procedure the pros and cons had been discussed with the family and the very possible complication of death was discussed. the patient had mild hypotensive episodes after his et tube change over and responded to fluid boluses. the patient's overall clinical status at this time remained tenuous and unstable. he had persistent leukocytosis and slowly increasing white blood cell on daily cbc. multiple discussions had been held with the family who recognize that the patient is in a very critical state with a very poor prognosis but felt that they were not ready to let go. at this time the patient has frequent desaturations along with high oxygen requirement on 100% oxygen fio2 supply. a bronchoscopy was performed on in attempt to remove any mucous plugging from the patient's bronchial tree and improve oxygenation as well as to obtain samples for further culture in case the patient has an occult pulmonary infection. on the evening of the patient had two severe desaturations down to a oxygen saturation of 60%. two ................... maneuvers were tried and the patient after that required very high positive end expiratory pressure and driving pressure and send backs to maintain oxygen saturation in the mid 80s. at this time the patient was on a driving pressure of 34 and a positive end expiratory pressure of 28.5. soon after the patient became pressor dependent and had hypotension. on the patient became hypothermic and required bear hugger treatment. discussions with the family regarding ecmo support had been held. the patient was finally turned down by the ecmo team as he was high risk and septic. at this time the patient is persistent at very high oxygen requirement at 100% pure oxygen through his ventilator. he remains poorly saturating in mid 80s in his oxygen saturation and in his serum. the patient continues to mound high leukocytosis responds and his white blood cell count on this day was 45 was 15% bandemia. the patient remains on broad spectrum antibiotic coverage including fungal coverage at this time. the family was informed of the patient's extremely critical condition and highly likely bad prognosis. again they requested that we do everything to save the patient's life and felt that they were not ready to consider withdraw of support. on the patient was beginning to be weaned off pressor support. on this day meropenem was added for his persistent sepsis. his leukocytosis continued and on this day his white blood cell count was 50. on the patient continued to decline with decreasing blood pressure, renew hypotension and severe hypoxia, non-responsive to high pressure ventilation and 100% oxygen. the patient finally had a vt vfib arrest which was non-responsive to resuscitation efforts. the family remained adamant of their wish for the patient to remain full code. the patient expired on this date despite resuscitative efforts. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage 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 hemodialysis arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: accidental poisoning by other opiates and related narcotics acute respiratory failure pneumonitis due to inhalation of food or vomitus iatrogenic pneumothorax methicillin susceptible pneumonia due to staphylococcus aureus poisoning by other opiates and related narcotics staphylococcal septicemia, unspecified interstitial emphysema 

Answer: The patient is high likely exposed to