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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain. major surgical or invasive procedure: endotracheal intubation. right internal jugular central venous catheter placement. orogastric feeding tube placement. history of present illness: this is 56 year old man with alcohol abuse (bottle of wine every day since age 16; his last drink was 2 days ago on sunday) who presented with epigastric, back, and chest pain associated with nausea and vomiting (nonbiliary, nonbloody). he denied fever, chills, dyspnea, diarrhea, melena or hematochezia. in ed, his serum lipase was elevated at 1028 and his liver function tests were mildly abnormal (ast 59, alt 62). his ultrasound did not show any signs of gallstones or sludge. he was admitted for alcoholic pancreatitis. in ed, he required 10 mg of valium because of high score on ciwa scale as well as morphine. ros: all remaining systems were reviewed and symptoms were negative. past medical history: alcohol abuse and dependency. hypertension fatty liver disease thyroid cancer s/p resection on levothyroxin social history: he lives with a wife and a daughter. smoking. he drinks a bottle of wine every day since age 16. no more drinking on weekends. no history of alcohol withdrawal or admissions. family history: alcoholism no pancreatic cancer. physical exam: admission: temp:97.2 hr:106 bp:156/97 resp:18 o(2)sat:99 normal constitutional: shaky heent: normocephalic, atraumatic, extraocular muscles intact chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nondistended +_ttp epigastric no r/g rectal: heme negative gu/flank: no costovertebral angle tenderness extr/back: no cyanosis, clubbing or edema skin: no rash, warm and dry neuro: normal pertinent results: admission: 08:45pm blood wbc-7.9# rbc-4.72 hgb-15.5 hct-44.0 mcv-93 mch-32.8* mchc-35.3* rdw-12.7 plt ct-147* 08:45pm blood pt-13.7* ptt-23.1 inr(pt)-1.2* 08:45pm blood alt-59* ast-62* ld(ldh)-270* alkphos-101 totbili-0.8 08:45pm blood lipase-1028* 08:45pm blood ctropnt-<0.01 08:45pm blood albumin-4.4 calcium-9.0 phos-3.6 mg-1.4* cholest-259* 08:45pm blood tsh-0.064* 08:45pm blood triglyc-99 discharge: 06:26am blood wbc-6.3 rbc-4.08* hgb-12.8* hct-37.1* mcv-91 mch-31.3 mchc-34.5 rdw-13.0 plt ct-419 06:26am blood glucose-85 urean-2* creat-0.7 na-144 k-3.6 cl-105 hco3-28 angap-15 05:01am blood alt-29 ast-37 ld(ldh)-293* alkphos-78 totbili-0.5 03:48am blood calcium-8.6 phos-3.8 mg-1.7 sputum 1: escherichia coli | ampicillin------------ =>32 r ampicillin/sulbactam-- =>32 r cefazolin------------- 16 i cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s . sputum 2: staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin-------------<=0.25 s trimethoprim/sulfa---- <=0.5 s . urine culture (final ): presumptive gardnerella vaginalis. 10,000-100,000 organisms/ml.. . staphylococcus, coagulase negative. isolated from only one set in the previous five days. sensitivities performed on request.. of three colonial morphologies. . . ruq us impression: 1. normal gallbladder without gallstone. 2. diffusely echogenic liver without focal lesions, most compatible with diffuse fatty infiltration. other forms of advanced liver disease such as cirrhosis and fibrosis cannot be excluded. . ct abd/pelvis w&w/o c impression: 1. extensive fat stranding around the pancreas consistent with pancreatitis. focal area of hypo-enhancement seen in the pancreatic head concerning for early necrosis. 2. probable thrombus in the smv. 3. small bilateral pleural effusions. 4. small amount of ascites. . cxr: currently there is interval improvement of pulmonary edema with normal cardiomediastinal silhouette including the lungs. small amount of left pleural effusion is present. otherwise, the examination is unremarkable. brief hospital course: this is 56 year old man with alcohol abuse who presented with epigastric pain, nausea, vomiting, and elevated serum lipase consistent with alcoholic pancreatitis. his ultrasound did not show any signs of gallstones or sludge. he was admitted for medical management with ciwa, npo, iv fluids, antiemetics, and pain medications. on , pt began to have worsening agitation, confusion, visual hallucinations, and significant disorientation that had been worsening despite escalating doses of benzodiazepines to treat alcohol withdrawl. desptite aggressive management, pt continued to have escalating agitation, and patient was transferred to the icu for further management. icu course: on the second hospital day, the patient was admitted to the icu due to worsening withdrawal symptoms and the need for closer nursing monitoring. he required increasing doses of benzodiazepines, and he was switched from oral valium to an intravenous infusion of ativan. due to his agitation and tremulousness, and his increasing abdominal pain, he was intubated and sedated with fentanyl/versed. an orogastric tube was placed and patient was administered oral contrast in preparation for a ct scan of his abdomen and pelvis. the full report is above. the ct showed severe pancreatitis with focal area of hypo-enhancement in the pancreatic head concerning for early necrosis. there was also concern of thrombus in the smv for which patient underwent an abdominal ultrasound with doppler that showed no thrombus. the general surgery service was consulted at this time; they recommended against anticoagulation, given the low liklihood of smv thrombus. they also recommended for serial abdominal exams and supportive care with intravenous hydration and weaning of benzodiazepine as able. there were no acute surgical issues. from a respiratory standpoint, the patient was noted to have increased (purulent) secretions from his endotracheal tube. these were sent for culture which grew e.coli sensitive to fluoroquinolones and coag positive staph aureus, sensitive to methicillin. the patient was treated with an 8 day course of levofloxacin that ended on . the patient was able to be extubated on without complication. his fentanyl was weaned off and versed was decreased slowly as tolerated. withdrawal symptoms slowly subsided. haldol, which had been started while he was intubated for delirium and agitation, was also weaned off. during postextubation period, pt had one positive bcx for coag negative staph, for which his rij cvl was pulled; this was unfortunately contaminated after pulled and not cultured. regardless, pt received 5d course of vancomycin, ended . his mental status slowly improved back to baseline, pt was tolerating po foods/liquids. the patient was then transferred back to the general medical floor in stable condition. he was seen by physical therapy, who cleared him for return to home. he met with social work, who further counselled him regarding his alcohol abuse, and he was provided with resources in his community to assist with maintaining abstinance. he was provided resources for both inpatient and outpatient programs. he was discharged to home with follow up with his pcp. medications on admission: lisinopril 10 mg levoxyl 200 mcg discharge medications: 1. levothyroxine 200 mcg tablet sig: one (1) tablet po once a day. 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* discharge disposition: home discharge diagnosis: # acute alcoholic pancreatitis # severe alcohol withdrawl, with delerium tremens - required intubation # ventilator associated pneumonia/healthcare associated pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital for treatment of pancreatitis and alcohol withdrawal. due to the severity of the withdrawal symptoms, you had to be intubated and treated with intravenous medicines for withdrawal. the hospital course was complicated by development of pneumonia and bacteria in your blood. you have been provided resources in your community to help you stay off of alcohol. you are strongly encouraged to utilize these resources. followup instructions: name: , s. location: address: , , phone: appointment: tuesday 10:40am procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances alcohol detoxification diagnoses: urinary tract infection, site not specified unspecified essential hypertension acute respiratory failure alkalosis other and unspecified special symptoms or syndromes, not elsewhere classified dysarthria ventilator associated pneumonia acute pancreatitis other alteration of consciousness alcohol withdrawal delirium acute edema of lung, unspecified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes postsurgical hypothyroidism personal history of malignant neoplasm of thyroid acute alcoholic intoxication in alcoholism, continuous dysphagia, oropharyngeal phase benzodiazepine-based tranquilizers causing adverse effects in therapeutic use alcoholic fatty liver other diseases of vocal cords dysphonia 

Answer: The patient is high likely exposed to