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: lidocaine / morphine / ambien attending: chief complaint: transfered from osh for medical management of ami and other multiple medical problems. major surgical or invasive procedure: right knee incision and drainage (bursa washout) history of present illness: patient is a poor historian. the following history is taken from the notes and from the patient. . mr. is a 73 yo m who is transferred from an osh s/p fall at home. he was brought by ems to the osh. he was found awake and alert but on the ground complaining of weakness and fatigue. per patient, he just couldn't get up. no loc or hitting his head. no loss of bowel or bladder function. he was brought to the osh and was found to have an elevated wbc, cr 4.8, and slightly elevated troponin i on admission. subsequent troponins continued to rise with a max of 4.7 and he was started on a heparin gtt. he was also found to be fluid overloaded and with ascities. he received a paracentesis with removal of 5l and dialysis (per his home schedule on t, th, sa). during the course of his hospitalization, he developed what was thought to be a gout flare in his right knee. he has received most of his medical care at in the past and was transferred here for further medical management. . on ros he denies current sob, cp, n/v, f/c, diarrhea. he makes very little urine on his own. he describes pain in his right knee which has improved slightly from yesterday. he denies any current lightheadedness, ha, changes in vision, cough, palpitations, or abdominal pain. past medical history: 1. coronary artery disease status post coronary artery bypass graft in 2. right ventricular dysplasia with atrial and ventricular tachycardia, status post ablation 3. multiple arrhythmias status post ablation 4. ddd pacemaker secondary to sick sinus syndrome with paroxysmal atrial fibrillation (h/o 4 pacemakers) 5. congestive heart failure requiring multiple hospital admissions 6. esrd, now hemodialysis dependent, recent placement of av-fistula (). removal of 3l three times a week. 7. passive liver congestion syndrome requiring 2x week paracentesis for volumes of l. 7. type ii diabetes mellitus 8. gout s/p left great toe amputation 9. degenerative joint disease of knees and back 10. obstructive sleep apnea 11. allergic rhinitis 12. history of peripheral vascular disease, right greater than left. status post right lower extremity angiography with three stents with maximum diameter of 8 mm and now status post angiography and atherectomy to the left lower extremity in of 13. cardiomyopathy ef>55% with tr and hypokinesis of the r v per echo in 14. obstructive sleep apnea 15. appendectomy 16. h/o gi bleed from avms with chronic need for iron replacement. 17. hypothyroidsm 18. hyperparathyroidism of renal disease social history: patient lives in , ma, with wife. 2 children. patient is a retired printer. -no alcohol history -quit smoking in after 2 ppd x 20 year smoking history (40pack-year) - denies illicit drug use family history: cardiac disease, dm, prostate ca, cirrhosis. son also has rv dysplasia . physical exam: t 96.0, bp 104/60, hr 60, rr 22, o2sat 95% on 3l, fs 216 general: pleasant obese male lying in bed in nad skin: several open sores on arms with dirty fingernails. pvd skin changes with bilateral lower extremities heent: ncat, anicteral sclera, injected conjunctiva bilaterally, left pupil reactive to light. right pupil less reactive- pt says he had recent cataract surgery in that eye. could not assess jvd given body habitus, no cervical lad appreciated. cv: distant heart sounds, but rrr with 2/6 systolic murmur heard best at lusb without radiation. lungs: bibasilar crackles; distant breath sounds at the right base. no wheezes, rales, or rhonchi abdomen: distended but still soft. +bs, non-tender to palpation. +ascities. extremities: very trace edema on left lower extremity. peripheral vascular disease skin changes with erythema bilaterally. right knee with suprapatellar 3+ edema and beefy red erythema extending past patella. warm and mildly tender to touch. rom not fully tested secondary to discomfort. pertinent results: labs on transfer from osh: wbc 6.9 with 93.5%pmns, 22% bands, 6%metamyelocytes, 1 nucleated rbc, hgb 12.7, plts 101, ptt 67 on heparin gtt of 600 units, sodium 134, potassium 4, chloride 99, co2 18. bun 38, cr. 4.7, bs 117. ammonia level elevated at 61, bnp 1242, vanco level was 5 . trends: ck ck mb trop i 94 6.4 0.71 133 14.2 2.96 144 13.5 3.61 -- --- 4.7 . studies from osh: : cxr 2 views: no pneumonia. cardiomegaly. pacemaker inplace. no evidence of chf. small pleural effusion on lateral view. . : u/s guided paracentesis: removal of 5100 ml fluid with 270 wbc, with 14%pmns, 24% l, 60% monocytes, 10,000 rbc . vq scan: low probability of pe . echo (per d/c summary from osh- no actually report with transfer papers) showed poor lv function with an ef of 30-35%. labs from : micro: staph aurea from prepatellar bursa x3 brief hospital course: 70 yo m with multiple medical problems including rv dysplasia leading to right heart failure and chronic hepatic congestion, esrd requiring dialysis, dm2 and an ami. . #ami: patient was asymptomatic but was found to have largely elevated troponins at the osh. he does have esrd which obviously affects the troponin clearence in the blood. he was continued on a heparin gtt originially on admission. this is was stopped secondary to bleeding. unsure about appropriate medical regimen given his extensive history and rv dysplasia. has tried bb in past but had symptomatic hypotension from it. likely no statin given his liver function. not on an acei currently. has h/o gi bleed- so careful with anticoagulation. probably reason he is not on asa. while in the hospital an asa was started. . #h/o multiple arrhythmias: s/p multiple ablations. pacer in place. ep consult in am to evaluate pacer and found it to be functioning well. . #paf: continued his home amiodarone and was monitored on telemetry. the issue of anticoagulation is discussed above. . #dm2: patient not on medications on transfer. will start with humalog sliding scale and add standing insulin based on 24 hour usage. his fingersticks were monitored and found to always be within the 100-150 range qac. he was placed on an insulin ss with humalog but did not require any use of insulin. . #esrd: requires dialysis t, th, sa. the renal fellow was notified and made recommendations regarding his nephrocaps and phoslo and calcitriol. he underwent dialysis as schedule. . #chronic hepatic congestion: requires paracentesis twice a week. he was monitored closely and a therapeutic paracentesis was performed on . . #right-sided and left-sided heart failure: from rv dysplasia. he was placed on a 1l fluid restriction and a cxr on admission showed no evidence of fluid overload. as above, he was monitored for ascites build up. . #erythematous right knee: considered gout flare at osh given this is a recurrent site for him. given wbc and diff with bands and metamyl, concern for cellulitis. patient received vancomycin at osh. continued allopurinol and stopped colchicine secondary renal insufficiency. rheumatology was consulted and tapped his pre-patellar bursa three times to remove fluid. it grew out staph aureas which was mssa. vancomycin was changed to nafcillin. ortho was consulted for concern over a septic joint. despite pain in his knee, the patient was able to ambulate on the joint and it was believed the infection was not in the joint itself. ortho did decided to take him to surgery for a wash out procedure. during the procedure he developed hypotension which continued in the pacu. he was transferred to the ccu. he never recovered from the procedure and expired in the ccu. his family wanted an autopsy performed. . #hypothyroidism: continue levothyroxine. tfts were wnl. . #code status: full code medications on admission: meds on transfer: heparin gtt aminodarone 200mg daily allopurinol 100mg lovxyl 0.175mg daily calcitrol 0.25mg daily atarax 10mg tid zoloft 100mg daily nephrocaps po tid phoslo 2tabs qac lovenox sc 40mg qam protonix 40mg daily---had not received procrit 1300mg ----had not received digoxin 0.25mg given on colchicine 0.5mg iv q6 x2 on vancomycin 1g iv given and ntg 0.4mg sl prn acetaminophen 650mg po/pr q4 prn dulcolax pr qam prn reglan 10mg po/iv q6 prn vicodin 1 tab q3-4hrs prn discharge medications: none discharge disposition: expired discharge diagnosis: primary diagonsis: cardiopulmonary arrest leading to death discharge condition: expired discharge instructions: none followup instructions: none md, procedure: hemodialysis repair of blepharoptosis by tarsal technique bursectomy diagnoses: other primary cardiomyopathies end stage renal disease obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia severe sepsis unspecified acquired hypothyroidism atrial fibrillation infection with microorganisms resistant to penicillins coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status cardiac arrest methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site cardiac pacemaker in situ atherosclerosis of native arteries of the extremities, unspecified other specified hypotension spondylosis of unspecified site, without mention of myelopathy chronic passive congestion of liver pyogenic arthritis, lower leg osteoarthrosis, localized, primary, lower leg acute myocardial infarction of unspecified site, episode of care unspecified 

Answer: The patient is high likely exposed to