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: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal pain major surgical or invasive procedure: endograft repair of a ruptured abdominal aortic aneurysm. history of present illness: the pt is a 62-yo man w/ copd and h/o pe presents from hospital w/ abdominal pain and cta suggestive of slight aaa leak vs. mycotic anuersym. the patient was seen by his pcp that started him on augmentin for cellulitis. he soon developed right lower back/groin pain for 4 days. he was admitted to . it was started in the groin and radiated to the back w/ burning with urination. he had a non-infused ct that r/o renal stones but showed periortic stranding around aaa. he was transferred to hospital. vascular surgeons there were not concerned for aaa leak and felt that he likely had infection. he was then transferred to . of note one of his cts also showed a perihilar mass that was slightly enlarged from previous. (see imaging section for details) on ros, the patient denies fevers/chills/cp/sob/hematuria/melena/hematochezia. he still c/o burning with urination. . on the floor, the patient had sbp 170s and r back/flank pain. he was treated with dilaudid w/ some relief and given metoprolol 25mg po. he was afebrile and blood cultures were obtained. past medical history: - copd, on 2l home o2 - frequent pneumonia - h/o pe - h/o etoh dependence - s/p rll lobectomy for hamartoma social history: smokes cigarettes / day currently, has >30-pack-year hx. also has remote h/o etoh abuse, but does not drink currently. denies illicits. family history: non-contributory physical exam: vs: 98.0f, 149/98 (149/98-177/116), 87 (87-103), 17, 95% 2l nc general: moderate distress and discomfort pain heent: nc/at, eomi, dry mm, lungs: ctab, no w/r/r cv: rrr, nl s1-s2, no mrg abdomen: +bs, soft/nd, nt extrem: no edema or signs of cellulitis, 2+ radial and pedal pulses neuro: strength 5/5 x 4 pertinent results: admission labs: wbc-14.0* rbc-4.41* hgb-14.4 hct-41.9 mcv-95 mch-32.6* mchc-34.4 rdw-15.0 plt ct-192 neuts-91.3* lymphs-5.1* monos-3.3 eos-0.1 baso-0.1 pt-12.5 ptt-26.0 inr(pt)-1.1 glucose-112* urean-8 creat-0.6 na-132* k-3.8 cl-95* hco3-26 angap-15 albumin-3.6 calcium-9.0 phos-3.2 mg-1.8 crp-252.8* . discharge labs: . . . imaging: cta abd/pelvis: 1. status post aortic stent placement in the infrarenal abdominal aorta, without evidence of active leak. 2. periaortic inflammatory changes surrounding the infrarenal aorta, similar in appearance to prior study, could reflect infectious or inflammatory change/ vasculitis. 3. mildly distended gallbladder, with either sludge or vicarious excretion of contrast. 4. severe emphysema within the visualized lung bases. 5. non-specific small free fluid in the pelvis, new from prior study. cta abd/pelvis: 1. interval progression of periaortic inflammatory change about the infrarenal aorta, now with perforation of the aorta and active extravasation of contrast into an anterior area of leak. 2. nasogastric tube terminating just beyond the gastroesophageal junction, this tube should be advanced. 3. severe emphysema. 4. biliary sludge or vicarious excretion of contrast. 5. intramuscular lipoma. tte: the left atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 70%). right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve, but cannot be fully excluded due to suboptimal image quality. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no masses or vegetations are seen on the mitral valve, but cannot be fully excluded due to suboptimal image quality. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. no masses or vegetations are seen on the tricuspid valve, but cannot be fully excluded due to suboptimal image quality. there is moderate pulmonary artery systolic hypertension. no masses or vegetations are seen on the pulmonic valve, but cannot be fully excluded due to suboptimal image quality. there is no pericardial effusion. impression: suboptimal image quality. no obvious vegetations seen abdominal x-ray: dilated segment of small bowel. review of outside hospital ct shows fecalization of small bowel, as well as possible transition points suggesting possible partial closed loop obstruction. . micro: blood culture sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ <=1 s brief hospital course: this is a 62-m w/ copd and recent exacerbation, recent rle cellulitis, p/w lower abdominal pain and right low back pain of unclear etiology, txf to given ct findings concerning for slow aaa leak vs mycotic aneurysm. . #. abdominal pain: the original etiology was mycotic aneurysm vs. aaa leak. kub was also concerning for partial sbo. an ng tube was placed, but the patient's pain did not improve. on the afternoon of patient developed worsening abdominal pain. vascular surgery was consulted, a cta was obtained, and it showed that the patient's aaa was leaking. he was taken emergently to surgery. . # mrsa bacteremia: the patient was treated with vancomycin. . #. rle cellulitis - seems resolved, on antibiotics. . #. copd - on 2l home o2 via nc. severe emphysema on osh ct scans. no acute pulm issues currently. - albuterol / ipratropium nebs - cont home advair, spiriva - cont home supplemental o2 . #. fen - npo except meds, ivf hydration, replete lytes prn #. ppx - #. access - pivs #. confirmed full code # communication: with patient and mother, #. dispo - home with services patient had increased abdominal/back pain, stat abdomen/pelvis cta was done- showed interval progression of periaortic inflammatory change about the infrarenal aorta, now with perforation of the aorta and active extravasation of contrast into an anterior area of leak. patient was pre-oped and taken to endo suite and underwent evar. patient tolerated procedure, post-op patient was transferred to cv icu intubated. was kept intubated and sedated overnight. continued abx. pod1: patient was weaned and extubated -> nasal cannula. nitro weaned off switched to lopressor and hydralazine. patient placed ciwa scale for hy of etoh abuse, last drink 13 days prior. transferred to the vicu 5 by the end of the day. continued abx. pod2: remained in vicu, po pain medicatios with decent pain control. continue ciwa scale. repeat ct- showed no endo leak. low grade fever. blood cultures came back positive for mrsa, continued vanco. id consult placed-recommended iv vanco for 4 weeks. tolerating pos and out of bed activity. pod3: no acute events. temperature now normalized. still having episodes fo abdominal/back pain that responds to pain medication. continued iv antibiotics. picc line placed for longterm antibiotics. pod4: no acute events. patient left unit against medical advise, signed ama. iv vanco was arranged w/ home solutions (patient agreed to have done) outpatient labs and vanco trough will be drawn by them and to be faxed or called in to dr. office. patient will call dr. office for fu. medications on admission: advair 250/50 1 inhalation albuterol inhaler spiriva 1 inhalation daily nicotine patch discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 2. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 3. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 9. vancomycin 1500 mg reconstituted, iv every 12 hours check trough after 4th dose 10. outpatient lab work weekly cbc w/ diff, crp and chem 10. fax results to dr. office , fax: ( 11. outpatient lab work vanco trough after before 5th dose. fax results to dr. (, phone discharge disposition: home with service discharge diagnosis: primary diagnosis: leaking abdominal aortic aneurysm mrsa bacteremia-treating w/ vanco iv for 4 weeks . secondary diagnosis: - copd, on 2l home o2 - h/o pe - h/o etoh dependence - s/p rll lobectomy for hamartoma discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent labs weekly, fax results to dr. (, phone discharge instructions: you were admitted to the hospital for abdominal pain. outside hospital ct showed an abdominal aortic aneurysm. repeat imaging showed that your aneurysm was leaking and you were taken to surgery. while hospitalized your blood cultures grew mrsa and you were started on antibiotics. followup instructions: provider: , phone: provider: , phone: call to make an appointment, you need to have a cta of abdomen and pelvis prior to your appointment procedure: venous catheterization, not elsewhere classified aortography arteriography of other intra-abdominal arteries endovascular implantation of other graft in abdominal aorta diagnoses: anemia, unspecified tobacco use disorder unspecified essential hypertension alcoholic cirrhosis of liver cellulitis and abscess of leg, except foot bacteremia personal history of venous thrombosis and embolism methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site other and unspecified alcohol dependence, unspecified leukocytosis, unspecified abdominal aneurysm, ruptured obstructive chronic bronchitis without exacerbation 

Answer: The patient is high likely exposed to