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: ibuprofen attending: chief complaint: chest pain, sob major surgical or invasive procedure: thoracentesis chest tube placement pericardial window and drain dobhoff placement by ir hd temporary line placement hd tunnelled line placement history of present illness: 31 year old male h/o liver age 5 biliary atresia and subsequent cirrhosis, esrd gn on hd presents with chief complaint of left chest pain when he coughs, non productive, no hemoptysis, no fever or chils. he states that the pain is sharp and pleuritic. his cp does not radiate. he also complains of abdominal pain which is chronic in nature. he denies constipation or diarrhea. he has sob at rest and 2 pillow orthopnea. no nausea or vomiting. . he denies any other symptoms, at the current moment the patient would like only to sleep, and is asking for benadryl. . in the er his initial vs were: t 97.6 hr 72 bp 122/83 rr 24 o2 sat: 96% ra. he rec'd 1 l ivf in total in the er. he was also mildly hypoglycemic in the er and rec'd 2 amps of d50. he had a wbc of 20 and therefore had a ct of his torso, this revealed possible colonic thickening, possible focal enhancement of the kidney. he rec'd vanc/zosyn/flagyl. his vs prior to transfer to the icu was hr 110, rr 23, bp 113/73 92% ra. access is hd line and 18g x 1. past medical history: biliary atresia s/p liver esrd post-infectious gn on hd m/w/f asthma, well-controlled right hip avascular necrosis, per ortho may need thr nephrotic syndrome (4.1g proteinuria), hypoalbuminemia s/p small bowel resection seizure presumed emoblic event () from hepato-pulmonary syndrome social history: he lives with his parents. he has a child with a prior girlfriend. does not have a job. no tobacco, alcohol, or illegal drugs. family history: nc physical exam: vitals: t: 96.8 bp: 139/85 p: 114 r: 22 o2: 98% on 2l general: somewhat drowsy, oriented x 2 (person and place, date is or ), mild respiratory distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp 10cm, no lad lungs: bronchial breath sounds throughout on the l side, clear on the right cv: regular rate and rhythm, normal s1 + s2, 3/6 sem at the usb abdomen: soft, non-tender, moderatley distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, minimal edema bilaterally neuro: aox2. stregnth in all 4 extremities, normal sensation to light touch, no myoclonus. drowsy. + asterixis - very prominent. pertinent results: admission labs: . 134 94 43 agap=18 ------------<67 4.0 26 5.6 alt: 19 ap: 338 tbili: 2.6 alb: 1.0 ast: 43 lip: 11 k:4.0 glu:67 lactate:4.1 mcv 85 wbc 20.8 hgb 12.8 plts 206 hct 40.0 n:92.7 l:2.4 m:4.3 e:0.4 bas:0.2 pt: 18.9 ptt: 50.0 inr: 1.7 . micro: . cmv viral load: not detected . strongyloides antibody, igg (): positive . blood culture, routine (final ): staph aureus coag +. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin------------- 0.5 s trimethoprim/sulfa---- <=0.5 s aerobic bottle gram stain (final ): gram positive cocci in clusters. anaerobic bottle gram stain (final ): gram positive cocci in clusters. . 11:37 am pleural fluid gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. fluid culture (final ): staph aureus coag +. sparse growth. staphylococcus, coagulase negative. rare growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | staphylococcus, coagulase negative | | clindamycin-----------<=0.25 s <=0.25 s erythromycin----------<=0.25 s <=0.25 s gentamicin------------ <=0.5 s <=0.5 s levofloxacin----------<=0.12 s <=0.12 s oxacillin------------- 0.5 s <=0.25 s tetracycline---------- =>16 r trimethoprim/sulfa---- <=0.5 s vancomycin------------ 1 s anaerobic culture (final ): no anaerobes isolated. fungal culture (preliminary): no fungus isolated. . hd catheter tip cx: mssa . imaging: . ct head: no acute intracranial process. consider mri given the patient's history of prior infarcts if clinically warranted. . cxr: congestive heart failure, large left pleural effusion. follow up post-diuresis is recommended . ct abdomen: 1. large left pleural effusion which is incompletely imaged with complete collapse of the left lower lobe and visualized lingula. right lower lobe probable early pneumonia and/or fluid overload. 2. apparent wall thickening of collapsed descending colon, sigmoid and rectum may represent mild colitis; however, this may also be secondary to underdistension. 3. interval decrease in ascites. persistent body wall and mesenteric edema, likely secondary to underlying liver disease. 4. cirrhosis with stigmata of portal hypertension. 5. l5 spondylolysis. . tee: no mass or thrombus is seen in the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no masses or vegetations are seen on the aortic valve. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. no mass or vegetation is seen on the mitral valve. mild (1+) mitral regurgitation is seen. no vegetation/mass is seen on the pulmonic valve. there is a small pericardial effusion. no right atrial or right ventricular diastolic collapse is seen. impression: no valvular vegetations seen. no evidence of vegetation on right atrial line. small pericardial effusion with no evidence of right atrial or right ventricular collapse. . tte: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no masses or vegetations are seen on the mitral valve, but cannot be fully excluded due to suboptimal image quality. mild to moderate (+) mitral regurgitation is seen. there is a moderate sized pericardial effusion. the pericardium may be thickened. there is right ventricular diastolic collapse, consistent with impaired fillling/tamponade physiology. . tte: regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (?#) appear structurally normal with good leaflet excursion. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. trivial mitral regurgitation is seen. there is a very small pericardial effusion. impression: very small pericardial effusion primarily located anteriorly and posterior to the atria (0.7 maximum dimension). preserved left ventricular function. . hip x-ray: unchanged right femoral head avascular necrosis. . ct abd & pelvis: 1)a new pericardiocentesis window has been placed and the pericardial effusion is now small. 2)unchanged atelectasis in the left lower lobe and lingula suggesting a trapped lung with adjacent locules of gas within a hydropneumothorax. the right pleural effusion has slightly increased and is now moderate. 3)colitis with pericolonic stranding which has increased since the previous study. appearances are consistent with a colitis which may be infectious or inflammatory in origin. 4)right femoral head avn. . ruq u/s: 1. no evidence of intra- or extra-hepatic biliary dilatation. 2. stable right-sided pleural effusion since ct from . 3. stable appearance of the liver with known cirrhosis. no new focal liver lesions. 4. stable appearance with reversed low flow demonstrated within the main portal vein, left portal and anterior right portal branches and splenic vein. splenomegaly and extensive splenic varices. 5. no appreciable ascites. . cxr: mild pulmonary edema has changed in distribution but not in overall severity. left lower lobe remains consolidated, and the moderate multiloculated air and fluid collection in the persistent left pleural space at the base of the left hemithorax is stable. moderate cardiomegaly is longstanding. a hemodialysis catheter ends in the region of the superior cavoatrial junction and upper right atrium, obscuring the tip of the left pic line. no right pneumothorax. stable small right pleural effusion. brief hospital course: 31 yo m w/ biliary atresia s/p liver , cirrhosis, esrd on hd presents w/ one week of left chest pain, cough, and generalized malaise. . patient died on . . goals of care: patient initially full code on admission and during much of hospitalization. while in the icu for the second time, family meeting occurred and given his severely ill state he was changed to dnr, dni, and the focus shifted to comfort. patient made cmo, family at bedside, was monitored in the icu and then transferred to the floor. patient died. . # mssa bacteremia/pneumonia/empyema: patient presented with symptoms of chest pain, shortness of breath and malaise. found to have mssa bacteremia, pneumonia and left sided pleural effusion. most likely source of infection is hd catheter. hd catheter was removed on presentation. chest tube was placed to drain empyema diagnosed on thoracentesis. serial blood cultures were negative after . tte and tee found no evidence of vegetations. due to low cortisol levels (3.9 random cortisol) and persistently low blood pressures he was started on stress dose steroids, these were tapered down with po prednisone. tapered to hydrocort 50mg iv bid , to prednisone 20mg daily on . slow taper of steroids, course set as: 15mg pred , 10mg on .5mg on , 5mg daily thereafter continuous. was initially on vanc/cefepime for vap, then changed to nafcillin given mssa. then, per id, was changed to cefazolin with hd dosing. on , increased rr, leukocytosis, and low-grade fever prompted broadening to vanc/cefepime again. id was directing antibiotic course. micro data from thoracentesis (pleural fluid) demonstrated enterococcus (vre) on . . # respiratory failure: during initial evaluation he underwent bronchoscopy to attain sputum samples and to assess cause of collapsed left lower lobe. after bronchoscopy, patient became increasingly tachypneic and his altered mental status progressed. he was electively intubated for concern that he would not be able to protect his airway. after extubation, he was brething well on room air. his altered mental status resolved. treated for vap with vanco/cefepime for 7 days, course completed. on the floor, breathing well on room air with spo2 in mid/high 90s on room air. on , patient had increasing tachypnea but still maintaining spo2; had thoracentesis by interventional pulmonary team on to look for infection/empyema (prior to , given ddavp and ffp). at that procedure, patient had 40 cc hemorrhagic fluid removed, ph 6.72, continued oozing at site prompted transfer from floor to icu. ordered for prbc and ffp upon transfer to unit. patient still oozing in unit, required blood transfusions. pleural fluid results from thoracentesis demonstrate vre. # leukocytosis: patient with abdominal pain, ct abdomen/pelvis demonstrated colitis. started with empiric c.diff coverage with po vancomycin, even though c.diff negative x3. sent off c.diff cytotoxin b assay - pending. abdominal pain also could have been d/t agressive lactulose which has been tapered back and abdominal pain improved. # cardiac tamponade: enlarging pericardial effusion was identified on ct scan. transthoracic echo showed tamponade physiology. effusion was not accessible anteriorly for pericardiocentesis by cardiology. patient's tachycardia and hypotension were managed overnight with ivf boluses. he underwent pericardial window and drain placement by thoracic surgery. drain was them removed, no further evidence of tamponade while on the floor. # esrd: per renal team, mwf. low k and phos were issues that were managed through and electrolyte replacement. tunnelled hd line was placed in left chest . ordered vitamin d to start vitamin d replacement given severely low level. # esld: rising bilirubin in particular prompted ruq u/s on : ruq u/s: 1. no evidence of intra- or extra-hepatic biliary dilatation. 2. stable right-sided pleural effusion since ct from . 3. stable appearance of the liver with known cirrhosis. no new focal liver lesions. 4. stable appearance with reversed low flow demonstrated within the main portal vein, left portal and anterior right portal branches and splenic vein. splenomegaly and extensive splenic varices. 5. no appreciable ascites. patient on lactulose, tacrolimus, rifaximin. concern for worsening liver failure; not a candidate due to infection (above). # strongyloides antibody positive - no need to further monitor o&p. already got one dose of ivermectin - treatment done per id. # nutrition: tubefeeds via dobhoff. # tachycardia: reviewing records, present through most of hospitalization, likely d/t pain, infection, dehydration. # headache - resolved. unclear cause, however very high risk for infection, bleeding; ordered head ct - negative for acute process. emergency contact: (father) medications on admission: keppra 500 mg daily and 500 mg after each hemodialysis session lactulose qid prn tacrolimus 0.5 mg daily vitamin b complex with folic acid daily reglan 10 mg tablet to take 0.5 tablets p.o. q.i.d. ipratropium bromide inhalation one q.6h. metoprolol tartrate 25 mg 0.5 tablets p.o. b.i.d. lidocaine adhesive patch omeprazole 40 mg daily vitamin d3 800-unit daily oxycodone 5 mg one tablet q.6h. p.r.n. pain sucralfate 1 g p.o. q.i.d. discharge medications: n/a discharge disposition: expired discharge diagnosis: death discharge condition: died discharge instructions: n/a followup instructions: n/a procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis venous catheterization for renal dialysis venous catheterization for renal dialysis thoracentesis thoracentesis closed [endoscopic] biopsy of bronchus pericardiotomy diagnoses: pneumonia, organism unspecified end stage renal disease renal dialysis status unspecified pleural effusion cirrhosis of liver without mention of alcohol acute and subacute necrosis of liver severe sepsis asthma, unspecified type, unspecified methicillin susceptible staphylococcus aureus septicemia pulmonary collapse unspecified disease of pericardium acute respiratory failure septic shock kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure encounter for palliative care hepatic encephalopathy complications of transplanted liver glucocorticoid deficiency surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other and unspecified infection due to central venous catheter other and unspecified coagulation defects precipitous drop in hematocrit aseptic necrosis of head and neck of femur empyema without mention of fistula other severe protein-calorie malnutrition acute venous embolism and thrombosis of internal jugular veins other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to