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: s/p mechcanical w/ right clavicular fracture and right rib fractures and right hemothorax major surgical or invasive procedure: trach, peg, ivc filter history of present illness: 75 yo f s/p mechcanical fall transferred from hospital w/ right clavical frcature and right rib fractures , right hemothorax. past medical history: diverticulitis, osteoarthritis, osteoporosis, hypothyroidism, hyperchol, afib (post-op in 04, resolved), depression, shingles, l foot post-herpetc neuralgia family history: non- contributory physical exam: general; well appareing female w/ trach and passey muir valve in place heent: trach in place, speaks clearly w/ passey muir. cor: rrr s1, s2 chest: cta bilat abd: soft, nt, nd, +bs. peg tube in place. extrem: no c/c/e neuro: intact. pertinent results: cxr impression: persistent airspace opacity involving both lungs. small right-sided pleural effusion. the findings represent pulmonary edema and are unchanged. pneumonia is not excluded. right-sided rib fractures, unchanged. echo conclusions the left atrium is normal in size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%) transmitral doppler and tissue velocity imaging are consistent with normal lv diastolic function. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. impression: normal biventricular function. mild mitral regurgitation. 5:00 pm sputum site: endotracheal source: endotracheal. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (final ): oropharyngeal flora absent. staph aureus coag +. moderate growth. swallow eval summary / impression: the pt did not have any overt signs of aspiration and can continue on the current regular diet with thin liquids. she will benefit from wearing the pmv during pos, but noted she has been tolerating pos without the pmv in place. she can swallow her pills whole with water. she reported her intake has been limited b/c she fatigues, so she may continue to need small amounts of tube feeds until she can take in more by mouth . this swallowing pattern correlates to a dysphagia outcome severity scale (doss) rating of 7, wfl. recommendations: 1. continue on current po diet of thin liquids and regular solids. 2. pills whole with thin liquids. 3. pt will benefit from wearing the pmv throughout the day, including when taking pos. these recommendations were shared with the patient, nurse and medical team. ____________________________________ , m.s., ccc-slp pager # brief hospital course: pt was admitted to the sicu for resp compromise d/t rib fractures, clavicular fractures. neuro: awake, alert on arrival. head ct neg for acute process. sedated after intubation. presently wake conversant and approp. resp: required intubation on hd#3 after failing bipap and cpap support. failure to wean from the vent d/t ards and required trach and peg on . weaned from vent. trach down sized . passey muir valve placed and well. cta was done to r/o pe which was neg. ivc filter was placed prophlactically given relative risk on . right hemothorax was drained and a chest tube was placed for continued drainage and ptx. chest tube was removed after resolution of ptx and fluid collection drained. cor: approp tachy initially controlled w/ betablockaide. tee nl w/ ef 60% intermittant lasix diuresis and pressor requirement. of note, during removal of arterial line - line cut and slipped into artery. plastics consulted and line tip retrived w/adeq profusion. nutrition: dobhoff placed for nutritional support and then peg tube placed. currently tf and reg diet after being seen by speech and swallow pathology. can wean from tube feed after approp po nutrition established. heme/id: transfused prbcs for hct 23.1 w/ approp stabilzation of hct- presumed source of loss - right hemothorax. cipro was started prophlactically and d/c'd after neg culture data. pt spiked on hd #8 pan cultured and started on broad spectrum ivab for suspected vap- vanco, cipro, ceftaz. sputum - staph coag postive- sensitive to vanco. cipro cetaz d/c'd and completed vanco course. pain:an epidural was placed for pain control, pca and toradol were added. now on metadone w/ good coverage. rehab: working w/ pt to return to baseline level of functioning. medications on admission: atenolol 25', asa 325, zoloft 200, lipitor 10, levoxyl 100 mcg, mvi, calcium 600", glycolax 17 discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 3. methadone 5 mg tablet sig: one (1) tablet po tid (3 times a day). 4. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. sertraline 100 mg tablet sig: two (2) tablet po daily (daily). 7. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 8. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 9. acetaminophen 160 mg/5 ml solution sig: 325-650 mgs po q6h (every 6 hours) as needed for pain. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) dose injection tid (3 times a day). 11. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: rhci - hospital of and islands discharge diagnosis: s/p fall w/ right clavical fx, right rib fractures , right hemothorax discharge condition: deconditioned passey muir valve and tube feeds. discharge instructions: call dr. office if you develop chest pain, shortness of breath, fever, chills, or if you have issues with your feeding tube. if you feeding tube falls out, have it replaced immediately or if the sutures break, tape the tube securely in place until it can be resutured. followup instructions: you have a follow up appointment with dr. on at 10am on the , building one chest disease center. plaese arrive 45 minutes prior to your appointment and report ot the clinical center rdaiology for a cxr. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances thoracentesis non-invasive mechanical ventilation percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy transfusion of packed cells insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt removal of other therapeutic device computer assisted surgery with fluoroscopy diagnoses: pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia other pulmonary insufficiency, not elsewhere classified unspecified acquired hypothyroidism atrial fibrillation unspecified fall methicillin susceptible pneumonia due to staphylococcus aureus other and unspecified complications of medical care, not elsewhere classified traumatic hemothorax without mention of open wound into thorax closed fracture of clavicle, unspecified part closed fracture of three ribs injury to unspecified blood vessel of upper extremity foreign object left in body during removal of catheter or packing 

Answer: The patient is high likely exposed to