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 / quinolones attending: chief complaint: fever, cough, abdominal pain major surgical or invasive procedure: intubation history of present illness: 45yo man with h/o hiv (dx'd , off haart since , last cd4 291 in ), mrsa, vre, multiple small and large bowel infarcts s/p r hemicolectomy and partial small bowel resection, resultant short gut syndrome with poor absorption, pancreatitis, splenic infarcts, who p/w fever to 103f, productive cough, abd pain. in the ed, he was found to be in abd pain requiring morphine and then dilaudid for control (in addition to his fentanyl patch). he was initially not hypoxemic, but did have a cough without significant sputum production. his labs were notable for: leukocytosis with l shift and 4% bands (nl sbp and lact 1.9); new thrombocytopenia; baseline anemia with hct 23%; baseline elevated lfts and pancreatic enzymes; hyponatremia and hypokalemia; ptt elevated at 40.2; ua with many bacteria. he had a room air abg that was 7.42/42/89, but subsequently was found to be hypoxemic to 85% on ra, up to 100% on 4lnc. repeat cxr was performed, which showed development of rml or rll infiltrate. he received broad-spectrum abx coverage, given his h/o mrsa and vre, with meropenem, linezolid, bactrim. he did not receive steroids for pcp. past medical history: pancreatitis . hiv diagnosed in (msm unprotected sex) (cd4 381 ) . herpes zoster . condylomata accuminata (surgery scheduled for ) . thyroid cyst (childhood) psh: 1.retrograde sma stenting with vein patch angioplasty using right greater saphenous vein. 2.second look exploratory laparotomy and small bowel resections x 2. 3. third look exploratory laparotomy. ileocecectomy with hand-sewn two-layer side-to-side ileocolostomy. small bowel resections x 2 with hand-sewn two-layer anastomoses x 2. gastrostomy tube placement. social history: lives alone in . worked in ed. adminstration at . had been isolated from family, sister is hcp, but has some friends who knew the patient well and was involved in his care while in the hospital smokes 1 ppd for several yrs. planned on quitting in . etoh: 2 martinins/day drugs: occ. marajuana, cocaine (snorted) in past family history: non-contributory physical exam: gen: cachectic ill-appearing caucasian man, lying in bed, anxious, in distress with minimal movement skin: no rash, purpura; multiple nevi over abdomen heent: eomi, anicteric, temporal wasting, dry mm neck: jvp flat, supple cv: tachy, regular, no m/g/r resp: cta, no rales, no change in r lower lung field abd: g-tube in luq, ileostomy tubes rlq, absent bowel sounds, diffusely mildly ttp, no r/g back: no spinal tenderness gu: foley in place, draining dark urine ext: thin, decreased bulk, no edema neuro: anxious, from x 4, sensation grossly intact to lt pertinent results: cxr left subclavian catheter terminates in the junction of the superior vena cava and right atrium. the heart size is normal. diffuse interstitial opacities have developed with perihilar haziness and bilateral peripheral septal thickening. this is most likely due to edema from mild fluid overload, but atypical infection is also possible in the appropriate clinical setting. ct abd 1. patient is status post right hemicolectomy and resection of a significant portion of small bowel. there is again seen abnormally thickened loops of distal jejunum at the ostomy site; however, this is unchanged in appearance from . no intraabdominal abscess is identified. 2. patient is status post stenting of the proximal sma. there is a filling defect identified in the proximal sma after the stent; however, there is distal reconstitution of the vessel. 3. stable appearance of low density areas within the spleen, representing known infarcts. 4. stable areas of low density within the pancreas, which is inseparable from the duct may represent pseudocyst or ipmt, which is unchanged. 5. mild bibasilar atelectasis and tiny right pleural effusion. echo minimally thickened mitral leaflets with mild mitral regurgitation. no discrete vegetation identified. ct chest 1. multiple nodules throughout both lungs, some of which have ground-glass density. this is most concerning for atypical infection such as fungal infection. 2. large bilateral pleural effusions with compressive atelectasis of the lower lobes. cxr impression: ap chest compared to through : pulmonary vascular congestion and moderate right pleural effusion have both increased slightly since . cardiomediastinal silhouette is normal. opacification at the lung bases medially has been present on the left since , but is more pronounced on the right. changes are consistent with atelectasis, but pneumonia, particularly aspiration, cannot be excluded. no pneumothorax labs cbc - was given trasfusion on 08:18pm blood wbc-11.09*# rbc-2.71* hgb-8.5* hct-23.7* mcv-88 mch-31.4 mchc-35.9* rdw-19.0* plt ct-70*# 08:04am blood wbc-8.9 rbc-2.64* hgb-8.3* hct-24.6* mcv-93 mch-31.5 mchc-33.7 rdw-18.6* plt ct-54* 04:00am blood wbc-7.5 rbc-2.37* hgb-7.3*# hct-21.5* mcv-91 mch-30.9 mchc-34.2 rdw-16.7* plt ct-235 03:18pm blood hct-26.8* 11:41pm blood hct-24.6* 05:26am blood wbc-8.6 rbc-2.82* hgb-8.7* hct-25.5* mcv-90 mch-30.8 mchc-34.1 rdw-17.0* plt ct-304 08:18pm blood neuts-93* bands-4 lymphs-0 monos-1* eos-0 baso-1 atyps-0 metas-1* myelos-0 08:04am blood neuts-90.5* bands-6.3* lymphs-2.1* monos-1.1* eos-0 baso-0 04:21am blood neuts-78.3* lymphs-16.6* monos-3.5 eos-1.5 baso-0.2 rbc morphology 08:18pm blood hypochr-normal anisocy-2+ poiklo-1+ macrocy-normal microcy-1+ polychr-1+ target-1+ stipple-1+ 04:52am blood hypochr-normal anisocy-occasional poiklo-occasional macrocy-occasional microcy-normal polychr-normal burr-occasional 10:04am blood fdp-10-40 10:04am blood fibrino-340 d-dimer-2513* 11:00am blood esr-102* chem 08:18pm blood glucose-106* urean-24* creat-0.9 na-131* k-2.9* cl-97 hco3-25 angap-12 08:04am blood glucose-82 urean-17 creat-0.6 na-134 k-4.0 cl-106 hco3-21* angap-11 04:00am blood glucose-129* urean-23* creat-0.9 na-134 k-4.3 cl-104 hco3-23 angap-11 05:26am blood glucose-120* urean-23* creat-0.9 na-134 k-4.7 cl-106 hco3-21* angap-12 other labs 08:18pm blood lipase-502* 02:46am blood lipase-90* 04:52am blood lipase-72* 04:21am blood lipase-74* 09:40pm blood ck-mb-3 ctropnt-0.07* abgs 12:30am blood po2-89 pco2-42 ph-7.42 caltco2-28 base xs-2 11:19am blood type-mix temp-37.8 po2-42* pco2-39 ph-7.32* caltco2-21 base xs--5 intubat-not intuba 08:51am blood type-art temp-37.8 rates-/24 tidal v-400 peep-5 po2-71* pco2-52* ph-7.43 caltco2-36* base xs-8 intubat-intubated vent-spontaneou 09:37am blood type-art temp-37.7 rates-20/0 tidal v-500 peep-5 fio2-50 po2-135* pco2-37 ph-7.48* caltco2-28 base xs-4 -assist/con intubat-intubated micro staph from bcx, ucx, brief hospital course: 45 yo male with hiv (cd4 231 (20%), hiv vl: 21,902 from - off of haart) who was previously admitted - with pancreatitis which required ex-lap and bowel resection x2 (distal and proximal ileum) for ischemic bowel due to sma occlusion. pt had a short gut requiring nutrition through tpn and j tube. he was discharged on to rehab and returned on with a picc line infection and found to have vre and mssa bacteremia from bcx on and . line pulled, also showing vre, mssa. treated with linezolid. went to rehab and then sent home in . this admission, on , patient presented with fevers to 102 - came in hypotensive - and was intubated in setting of high grade staph bacteremia and hickman with frank pus on it. the line was pulled on but patient found to have ards. during the hospital course, the patient was sedated and intubated, but when sedation was titrated down, patient was agitated and self extubated. he was unable to maintain adequate breathing and required immediate reintubation. he has been difficult to extubate since then - although it appeared to be more mental status related. throughout the rest of the hospital course, the patient continued to be intubated and sedated for ards and hypoxemia. also, starting , patient began spiking low-grade fevers of unknown etiology on vancomycin for mrsa positive wrist infection and other cultures from . he has been spiking fevers - unclear etiology. he was continued on vancomycin for mrsa on cultures (bal, joint culture, ucx). only positive bcx was on . he had multiple negative surveillance blood cultures . the id team suggested broadening coverage with aztreonam to include vap and c.diff if pt remained persistently febrile without clear source. on ct c/a/p found multiple pulmonary nodules (very small) and large bilat pleural effusions. no clear source for the infection was found. on overnight, the patient had frank gi bleeding with brb hematemesis, and bleeding from his gastric drains. gi was and an egd showed 2 large gastic ulcers and one large clot in the proximal gastric body and fundus. no active bleeding was found. a protonix bolus and drip was started at 8 mg/hr iv. patient's hct remained stable but starting around this point, the icu team began discussions with the health care proxy and close friends regarding goals of care as those who knew him well reported that before this hospitalization, he stated that he was tired of life and living this way. on , with the involvement of the team and palliative care, a family meeting was held where comfort issues were discussed. the friends were gathering other people who knew the patient well to come to a consensus regarding goals of care. on , the patient was made comfort-measures only by his health care proxy. there was a family gathering to be present as the patient was extubated that evening. friends were present including his 2 sisters. off the ventilator, the patient's o2 sat decreased, patient unable to take effective breaths, and patient expired on . discharge disposition: expired discharge diagnosis: patient expired on . discharge condition: expired discharge instructions: hcp did not wish to have autopsy followup instructions: none md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other endoscopy of small intestine diagnostic ultrasound of heart insertion of endotracheal tube closed [endoscopic] biopsy of bronchus arthrocentesis incision with removal of foreign body or device from skin and subcutaneous tissue transfusion of packed cells injection or infusion of oxazolidinone class of antibiotics diagnoses: thrombocytopenia, unspecified tobacco use disorder urinary tract infection, site not specified severe sepsis infection with microorganisms resistant to penicillins methicillin susceptible staphylococcus aureus septicemia human immunodeficiency virus [hiv] disease acute respiratory failure cachexia septic shock infection with microorganisms without mention of resistance to multiple drugs methicillin susceptible pneumonia due to staphylococcus aureus retention of urine, unspecified infection and inflammatory reaction due to other vascular device, implant, and graft hematemesis chronic pancreatitis other and unspecified coagulation defects other and unspecified postsurgical nonabsorption carrier or suspected carrier of other specified bacterial diseases attention to other artificial opening of digestive tract pyogenic arthritis, forearm 

Answer: The patient is high likely exposed to