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 attending: chief complaint: transfer from osh with free air in abdomen major surgical or invasive procedure: exploratory laparotomy resection terminal ileum and cecum with primary anastomosis history of present illness: **h&p largely from osh report as patient is intubated and sedated cc: transfer from osh with free air in abdomen hpi: 50 m with history of alcohol and tobacco abuse transferred from with free air in his abdomen. he arrived with limited studies and records from his osh however, it appears he was originally admitted on for a 2 week history of increased shortness of breath, left sided chest discomfort and sputum production. he was found on cxr and cta of his chest to have bilateral pulmonary infiltrates consistent with pna. he was also found to have an elevated bnp, wbc, and severe hyponatremia with a na as low as 106. he was also found to have an ef of 35% on echo. he was treated with levofloxacin, aztreonam initially for pna. blood cultures and sputum cultures were obtained. it was presumed that he had aspiration pna likely related to his alcoholism. he was extubated about 2 days ago but required re-intubation. he developed hypotension and atrial fibrillation and cxr and subsequent ct scan revealed free intra-abdominal air last night. given his free abdominal air and critical condition he was urgently transferred by to the ed. lateral decub xr in the ed demonstrated free air and he was taken urgently to the or for exploration. past medical history: pmh: alcohol abuse, pna in past (4 years ago) psh: unknown social history: sh: 40 pack-year smoker, continues to smoke ~ pack per day. drinks 5 beers daily . denies drug use. divorced. lives with father who he cares for. unemployed but prior was a painter for 30 years. family history: fh: fa - alcoholism physical exam: physical examination: upon admission constitutional: intubated, sedated heent: normocephalic, atraumatic, pupils equal, round and reactive to light, extraocular muscles intact oropharynx within normal limits chest: clear to auscultation cardiovascular: regular rate and rhythm abdominal: soft, distended, tympanitic, decreased bowel sounds gu/flank: no costovertebral angle tenderness extr/back: no cyanosis, clubbing or edema skin: no rash, warm and dry neuro: intubated, moves all extremities, withdraws to mildly painful stimuli pertinent results: osh microbiology: bcx x4: no growth mrsa culture (nasal): no mrsa isolated sputum culture: light yeasts, light beta strep b, light beta strep c legionella ag (urine): negative urine cx: no growth imaging: : kub- large pneumoperitoneum. dense retrocardiac opacification. rij terminates in the ij microbiology: : blood cx - gpcs in pairs and clusters : urine cx - pending : complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 06:56 17.7* 2.33* 7.7* 22.1* 95 33.2* 35.0 15.0 648* source: line-picc basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 06:56 648* renal & glucose glucose urean creat na k cl hco3 angap 06:56 101*1 10 0.6 128* 4.7 96 28 enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 06:56 17 20 80 0.4 chemistry totprot albumin globuln calcium phos mg uricacd iron 04:48 8.2* 4.4 2.1 brief hospital course: the patient was taken emergently to the operating room for exploration. he was found to have free air on abdominal x-ray series performed in the emergency department. icu course and sequence of post-operative course: : or for ileocecectomy. post-operative admission to the intensive care unit. : agressive fluid resuscitation for low urine output. attempted to wean, did not tolerate cpap. maculopapular rash (per report since transfer from osh) : levoquin changed back to cefepime. sedation changed from propofol to precedex. several attempts were made to wean the patient, but he had decreased oxygen saturation. : bronchoscopy done with desaturation episode associated hypertension, tachycardia, and fever which were resolved after labatelol : bilateral opacification noted on chest x-ray, likely from multifocal pna. agitated o/n controlled haldol, ativan, and benadry. he was placed on diamox for diuresis. weaning from the ventilator continued. : bronchoscopy with significant secretions and airway collapse. zyprexa was added for control of agitation : cat scan of torso performed for persistent fevers after adequate antibiotic treatment of pna. cat scan showed bilateral pleural effusions, dilated small bowel with decompression and free abdominal fluid with no focal collections. : a percutaneous tracheostomy was performed and diuresis continued with lasix. continuing tpn without lipids because patient on propofol. : he was aggressively diuresed in setting of pleural effusions with identification of new rash. : a dobhoff feeding tube was place and weaning from ativan continued. linezolid started (vanc d/c'd). he was seen by physical and occupational therapy. also reported to have 8 beat run of ventricular tachycardia. : placed on trach collar and doing well, no need to place pigtails so far. overnight with tachycardia 120s, tachypnea to 40-50s, placed back on psv overnight. : trach collar in am, switched back to psv at 3pm for tachypnea/fatigue. tpn stopped. he continued with diuresis and his ativan was discontinued. : salt tablets were started for low sodium. bronchoscopy done which showed secretions in right middle lobe, l side, no purulence. broadened antibiotic coverage. another sustained episode of ventricular tachycardia. : continued to have hyponatremia with increase in salt tablets. cardiology recommended metoprolol. echo done and showed non-ischemic cardiomyopathy. follow-up echo after discharge. pigtail placed with high output (>850cc). : diuresis was discontinued and oral intake encouraged (with calorie counts) dobhoff feeding tube was discontined by patient. because of his hyponatremia 3%ns infusion started for hyponatremia and continued until improvement in his sodium. severe agitation in evening requiring multiple doses haldol + ativan which may have been related to hypoxemia. his oxygen level was increased. : swallow study done, ? aspiration with trach in place. thickened dietary supplements added : trach tube discontinued. tolerating regular diet with no problems preparing for discharge. patient has been evaluated by physical therapy and currently uses walker with assistance. plan for increase exercise as tolerated and progression to cane prior to discharge. patient will be discharged home. he resides and cares for his father, but his sister will provide assistance. he will follow up in acute care service in weeks. it was also recommended by cardiology that he have an echocardiogram after discharge. medications on admission: : none meds on transfer: cardizem 15 mg/hr, levo 5mcg/min, prop 40 mcg/kg/min, fentanyl 125 mcg discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*60 capsule(s)* refills:*1* 5. milk of magnesium sig: one (1) tablespoon po at bedtime as needed for constipation. discharge disposition: home discharge diagnosis: ileo-cectomy with primary anastomosis tracheotomy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance with walker discharge instructions: you are being discharged with the following instructions; *do not use any ointments on the incision *do not drive while you are taking pain medication *increase walking as tolerated *increase fluid intake while on pain medication *change dressing on abdomen daily follow-up in emergency if you experience the following: *fever *chills *cloudy fluid from wound *increase drainage from wound *severe diarrhea *vomitting *increased abdominal pain followup instructions: follow-up acute care service in weeks. you can schedule the appointment. the telephone number is #. he will also need to have echocardiogram as recommended by cardiologist. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other bronchoscopy temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus open and other right hemicolectomy other small-to-large intestinal anastomosis injection or infusion of oxazolidinone class of antibiotics diagnoses: other primary cardiomyopathies anemia, unspecified tobacco use disorder congestive heart failure, unspecified hyposmolality and/or hyponatremia severe sepsis alcohol abuse, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock dermatitis due to drugs and medicines taken internally ventilator associated pneumonia acute vascular insufficiency of intestine other specified antibiotics causing adverse effects in therapeutic use delirium due to conditions classified elsewhere methicillin resistant staphylococcus aureus septicemia methicillin resistant pneumonia due to staphylococcus aureus acute appendicitis with generalized peritonitis 

Answer: The patient is high likely exposed to