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: 68m with h/o c2fx s/p fall was discharged on with a c-collar and during f/u appointment found to have non-fusion of of fx. pt refused admission from clinic and presented as a direct admit. major surgical or invasive procedure: occipital to c4 fusion percutaneous g-j tube placement central line placement for abx history of present illness: 68m with h/o c2fx s/p fall was discharged on with a c-collar and during f/u appointment found to have non-fusion of of fx. pt refused admission from clinic and presents today as a direct admit. past medical history: etoh abuse psychosis korsakoff syndrome gerd htn hypothyroidism asthma oral cancer cirrhosis r patellar fx siadh social history: lives at home alone; nonsmoker; etoh: gins/night, denied illegal drug use sister lives in apartment above him. other sister is legal guardian. family history: nc physical exam: gen: nad. heent:atraumatic pupils: perrl eoms full neck:collar in place, point tenderness, neck tilted to the left extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t we wf ip q h at g sensation: intact to light touch on discharge, the patient's strength is intact. he is alert and oriented x 3 pertinent results: 07:40am blood wbc-8.6 rbc-3.67* hgb-10.8* hct-32.3* mcv-88 mch-29.5 mchc-33.5 rdw-14.2 plt ct-431 07:40am blood pt-14.4* ptt-26.9 inr(pt)-1.2* 07:40am blood glucose-137* urean-12 creat-1.4* na-142 k-3.7 cl-105 hco3-25 angap-16 07:12am blood glucose-126* urean-10 creat-1.1 na-139 k-3.8 cl-101 hco3-29 angap-13 07:40am blood calcium-8.6 phos-4.4 mg-1.9 brief hospital course: mr. was admitted and placed in cervical traction and strict bedrest. the plan was for him to proceed to the operating room after his cervical spine became aligned in traction. on hospital day four he underwent a ct of his cervical spine did not show good alignment so the operative procedure was cancelled and ten more pounds of traction were applied. that evening a worsening chest x-ray revealing pneumonia and desaturations led to the patient being transferred to the surgical icu and subsequent intubation. the following day, the patient was placed on neo for blood pressure support in the setting of fevers and hypotension. operative case was cancelled and the patient was taken out of traction, but remained in the j collar. the patient remained on neo until and was able to successfully maintain a systolic bp of 123-130. he remained extubated until and tolerated extubation without difficulty. he was taken to the operating room on 11/0 for an occipital to c4 fusion. he tolerated the procedure well, and was transferred to the neurosurgical care unit. here, he regained full strength and recovered well. resp: the patient's cultures were positive for mrsa pneumonia; he was placed on vancomycin/zosyn for 8 days. the zosyn was discontinued,and the vanc is to be continued until gi: postoperatively, he was unable to swallow fluids or solids, as he aspirated or regurgitated. he has a g-j tube placed on in interventional radiology, and was started on tube feeds. medications on admission: medications prior to admission: vitamin b12 100 mg daily amlodipine 5 mg daily folic acid 1 tablet daily levothyroxine 75 mcg daily mvi daily depakote 250 mg colace 100 mg mg oxide 400 mg tid nacl tablets - 1 gram discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). 3. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 4. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 5. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. 6. methocarbamol 500 mg tablet sig: one (1) tablet po tid (3 times a day). 7. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for desat or cough. 8. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for cough or desat. 9. potassium & sodium phosphates 280-160-250 mg powder in packet sig: one (1) powder in packet po tid (3 times a day) as needed. 10. ondansetron 4 mg iv q8h:prn nausea 11. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q24h (every 24 hours). 12. levothyroxine 200 mcg recon soln sig: one (1) recon soln injection daily (daily). 13. diazepam 5 mg/ml syringe sig: one (1) injection q8h (every 8 hours) as needed for muscle relaxant. 14. metoprolol tartrate 5 mg/5 ml solution sig: one (1) intravenous q6h (every 6 hours) as needed. 15. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 8h (every 8 hours): please give through central line. d/c on (patient needs 3 wk course). discharge disposition: extended care facility: & rehab center - discharge diagnosis: cervical spine fracture aspiration pneumonia; mrsa + discharge condition: good discharge instructions: ?????? do not smoke. ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? if you have steri-strips in place, you must keep them dry for 72 hours. do not pull them off. they will fall off on their own or be taken off in the office. you may trim the edges if they begin to curl. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? you are required to wear your cervical collar or back brace at all times. ?????? you may only shower with the collar or back brace on. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. unless directed by your doctor. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. wear your cervical collar at all times!!! call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine. ?????? any weakness, numbness, tingling in your extremities. ?????? any signs of infection at the wound site: redness, swelling, tenderness, and drainage. ?????? fever greater than or equal to 101?????? f. ?????? any change in your bowel or bladder habits (such as loss of bowl or urine control). followup instructions: follow up instructions/appointments ??????please return to the office in 10 days for removal of your staples. (this may be done at rehab) ??????please call ( to schedule an appointment with dr. to be seen in 4 weeks. ??????you will need a ct-scan of your c-spine prior to your appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization percutaneous (endoscopic) jejunostomy [pej] repair of vertebral fracture atlas-axis spinal fusion insertion or replacement of skull tongs or halo traction device plastic operation on pharynx spinal traction using skull device fusion or refusion of 2-3 vertebrae diagnoses: esophageal reflux alcoholic cirrhosis of liver unspecified acquired hypothyroidism asthma, unspecified type, unspecified pneumonitis due to inhalation of food or vomitus closed fracture of second cervical vertebra personal history of noncompliance with medical treatment, presenting hazards to health other disorders of neurohypophysis fall from other slipping, tripping, or stumbling other and unspecified alcohol dependence, continuous methicillin resistant pneumonia due to staphylococcus aureus personal history of malignant neoplasm of other and unspecified oral cavity and pharynx alcohol-induced persisting amnestic disorder 

Answer: The patient is high likely exposed to