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: penicillins attending: chief complaint: fever, headache, malaise major surgical or invasive procedure: picc line placement history of present illness: 40 yo male s/p fall 4 days ago in which he hit his r cheek/eye on the curb, seen in multiple hospitals, but came here c/o fever, persistent ha in same distribution from fall but not resolving. neuro exam unrevealing. febrile to 102 after tylenol and valium (for etoh withdrawal prevention). currently denied ha initially. no cp/dyspnea. no abdominal pain or diarrhea. +nausea. initially admitted to the floor from ed and started developing rigors at 18:30, hr 100-130, bp stable. concern for dt's, so pt started on 10 mg valium x2 over 20 minutes. micu called for improved etoh withdrawal care. . pt. was closely monitored in the icu and was found to have ossa bacteremia. ? of source from picc at osh. he was started on vancomycin in the icu and continued on ciwa scale for etoh withdrawal. he currently c/o ha that is "sharp and aching all over" and hearing voices if he does not get valium. he also c/o of nausea but reports able to take po, no emesis. he is having normal bm, urination. also c/o pain/aching in legs and ttp over le lesions. past medical history: ?h/o seizures x1 for h/o dt's in the past # cirrhosis and hepatic encephalopathy per osh social history: homeless, drinks "not enough" but approx 2 pints of vodka/day with variable diet. denies any ivda, + occasional tob. was living in shelter, then detox but was removed from detox etoh use after sister was stabbed. family history: unknown by patient physical exam: vs: t- 97.0 , p-63, bp-121/66, rr-13, 100% on ra gen: somnolent, somewhat confused, non-coop with exam heent: r peri-orbital bruising, r subconjunctival bleed cv: rrr, no m/g/r chest: cta b abd: soft, nt, nd, +bs ext: rue cellulitis over antecubital fossa is not appreciated, bruising over bilateral le, swelling, erythema--> discrete fluctuant nodules over ble, 2+ pitting edema bilateral le neuro: non-focal exam. cns grossly intact. maex4. normal sensation pertinent results: 11:59am blood wbc-4.6 rbc-3.55* hgb-11.6* hct-33.3* mcv-94 mch-32.6* mchc-34.8 rdw-18.5* plt ct-87* 06:21am blood wbc-2.5* rbc-3.06* hgb-10.0* hct-28.6* mcv-93 mch-32.8* mchc-35.1* rdw-18.5* plt ct-46* 06:23am blood wbc-3.5* rbc-2.90* hgb-9.1* hct-27.8* mcv-96 mch-31.3 mchc-32.7 rdw-18.2* plt ct-98* 11:59am blood neuts-78.6* lymphs-14.8* monos-4.7 eos-1.5 baso-0.4 03:05pm blood neuts-57 bands-5 lymphs-29 monos-7 eos-0 baso-0 atyps-1* metas-1* myelos-0 06:23am blood plt ct-98* 06:23am blood pt-18.3* ptt-45.9* inr(pt)-1.7* 11:59am blood glucose-90 urean-17 creat-1.0 na-131* k-4.1 cl-99 hco3-17* angap-19 06:23am blood glucose-112* urean-12 creat-0.8 na-135 k-4.1 cl-103 hco3-23 angap-13 11:59am blood alt-31 ast-98* ld(ldh)-413* alkphos-104 amylase-85 totbili-2.0* 06:23am blood alt-22 ast-52* ld(ldh)-264* alkphos-149* totbili-1.4 06:21am blood calcium-7.6* phos-2.3* mg-1.3* iron-21* 06:23am blood calcium-8.7 phos-4.2 mg-1.7 04:58pm blood caltibc-282 vitb12-930* folate-15.2 hapto-<20* ferritn-121 trf-217 07:02pm blood type-art po2-124* pco2-25* ph-7.51* caltco2-21 base xs-0 brief hospital course: pt was admitted to the hospital and on hd#1 appeared progressively more tremulous and was c/o auditory and tactile hallucinations. pt. was presumed to be in dt's his chronic etoh history and he was transferred to the micu for close monitoring. pt received valium via a ciwa scale protocol q 2hours in the unit and he did not seize. on hd#3 pt's vitals were stable enough to transfer out to the floor where his vitals remained stable on valium ciwa scale that was weened down to q 6 hours by hd# 6. . throughout hospitalization patient had elevated lft's, depressed coags and pancytopenia. these numbers were thought to be related to the patient's liver disease and poor nutritional status. further work-up was not performed as patient left ama. . pt was found to have mssa bacteremia from his ed blood cx x 2. due to his pcn allergy he was started on vancomycin and underwent picc placement on hd #4. the source of the patient's bacteremia was never identified as he had a negative torso ct, negative cxr, negative u/a and cx, negative tte as well as aspiration of anterior leg fluctuance which revealed no pus. pt apparently had a picc line at osh prior to coming here and that iv is a possible source of his bacteremia. he was slated to continue his picc line for either a 2 week or 6 week total course of vancomycin. however, on hd#6 patient demande to leave ama, citing personal reasons. he was made aware of the risk of death from his untreated bacteremia and expressed understanding of these risks. pt. remained adamant about leaving, and thus his picc line was removed and he was allowed to leave. he was strongly encouraged to return to the hospital as soon as possible to continue his antibiotic course. medications on admission: lactulose and lisinopril "when i can" discharge medications: none discharge disposition: home facility: left ama discharge diagnosis: mssa bacteremia chronic etoh liver disease pancytopenia discharge condition: unfinished treatment of illness, left ama discharge instructions: pt was encouraged to stay and finish his abx therapy. he declined. we encouraged him to return to the hospital and finish his treatment once his personal issues have been resolved. followup instructions: return to the hospital as soon as possible md, procedure: venous catheterization, not elsewhere classified diagnoses: alcoholic cirrhosis of liver bacteremia infection and inflammatory reaction due to other vascular device, implant, and graft alcohol abuse, continuous lack of housing acute alcoholic hepatitis alcohol withdrawal delirium 

Answer: The patient is high likely exposed to