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: motrin / glyburide / glucophage attending: chief complaint: diarrhea, confusion, fever. major surgical or invasive procedure: l bka/guillotine avr(21mm st. ) l bka closure history of present illness: 55 yo male w/pmhx sx for dm2 presents with abdominal discomfort, nausea, vomiting, altered mental status, and hyperglycemia. patient originally presented to his pcp this am with complaints of gi upset. he reported that he had been having abdominal pain for the past seven days, with nonbloody watery diarrhea x3 days, with associated nausea. he has had a 1 day hx of nonbloody emesis as well. he has had diminished po intake secondary to nausea, and self-decreased insulin dose from 25u --> 20u qam and 20u --> 15u qpm. wife stated that patient has also had ams for approx 8 days, with confusion and difficulty carrying out commands. she also notes labored breathing and chills, as well as fevers at home to 101 over the last three days. he states that he does not believe that his foot is infected because when his left foot gets infected, it swells and becomes tender, and currently it is at baseline. he does have a sick child at home, and several children who live at home who are in daycare. he also notes some nasal congestion. patient denies any headache, vision changes (but does note some burning in his eyes), numbness, tingling, dysuria, hematuria, dizziness, lightheadnesses, neck stiffness, or back pain. he denies any recent travel, rashes, cough, unusual food consumption, melena, hematochezia, bloody emesis, or sputum production. in the ed, patient was found to be febrile to 101, with wbc 34.0, with elevation in creatinine to 1.9 (baseline 1.0) with glucose 459, with ua positive for mild ketones. he had an lp done as well, which showed elevated wbc count. he received 3l ns, and was given 10u regular insulin, and was initially started on vancomycin, ceftriaxone, and metronidazole, and transferred to the floor. past medical history: dm2 charcot left foot hx cellulitis, ?osteomyelitis s/p amputation of foot nonproliferative retinopathy left conductive hearing loss hx mrsa anemia of chronic disease recent admit for gallstones social history: currently on disability. lives at home with his partner, ms. . denies alcohol, drugs, or tobacco. has young children at home, who go to daycare. no pets. family history: family alw. no hx of mi, cad, or dm. physical exam: on admission: vs: tm 101.9 hr 120 bp 123/85 rr 30 o2sat 100% gen: sleepy but arousable. alert and oriented x3. responds appropriately to questions. heent: perrla. scerla not injected. clear discharge from eyes. no nasal erythema. oral mucosa moist with no ulcers. white exudate on tongue. no cervical lad. neck supple. lungs: ctab from front. limited exam recent lp. hrt: tachycardic. no mrg. distant heart sounds. abd: s/nt/nd +bs. obese. no palpable masses. no hsm. ext: right extremity - charcot foot. no ulcers or drainage. no tenderness or erythema. left extremity - thickened skin over dorsal surface with hyperpigmentation. linear scar over left medial malleolar region with no tenderness or drainage at site. swollen. no erythema or open ulcers. amputation of three toes on left foot. 2+radial pulses. neuro: cn2-12 intact. 2+dtrs. 5/5 strength throughout. sensation to light touch and pinprick diminished over plantar surface of both feet, l>r. negative brudzinski's. negative kernig's. pertinent results: 01:41am blood wbc-16.7* rbc-3.40* hgb-9.7* hct-28.0* mcv-82 mch-28.5 mchc-34.6 rdw-15.6* plt ct-460* 06:33am blood wbc-18.5* hct-29.2* plt ct-533* 04:07pm blood pt-17.6* ptt-114.6* inr(pt)-2.0 01:41am blood glucose-102 urean-18 creat-1.7* na-128* k-4.5 cl-98 hco3-22 angap-13 06:33am blood wbc-18.5* hct-29.2* plt ct-533* 06:33am blood plt ct-533* 06:33am blood glucose-114* urean-19 creat-1.6* na-128* k-4.8 cl-95* hco3-22 angap-16 06:33am blood pt-17.5* inr(pt)-2.0 brief hospital course: 55 yo w/hx of dm2 presents with 7d episode of abdominal upset, ams, fever, nausea, vomiting, and diarrhea. lp shows 29 wbcs, normal to low glucose, and normal protein, concerning for a viral meningitis, esp in context of ams and immunocompromised state. mr. a guillotine amuptation of his lle on . he then had a tee which showed aortic valve endocarditis. he had a mechanical avr on , after which he was transferred to the icu in critical but stable condition on neo. he was extubated and his drips were weaned by post op day one. his l bka was revised on . he continued to have a slightly elevated white count, with no fever or signs of sepsis, and is to remain on vancomycin until followup with infectious diseases on . he was anticoagulated with heparin and coumadin for his mechanical valve. medications on admission: moxepril 7.5 mg po qd percocet 5-325 1-2 tabs q4-6h prn pain fluticasone inh. nph insulin 100u discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 5. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 6. erythromycin 5 mg/g ointment sig: one (1) gtt ophthalmic qid (4 times a day). 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po daily (daily). 9. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 11. vancomycin hcl 1000 mg iv q 24h check trough after 3rd dose 12. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 13. coumadin 5 mg tablet sig: one (1) tablet po once a day: inr goal of .5. 14. insulin nph human recomb 100 unit/ml suspension sig: one (1) unit subcutaneous twice a day: 25 u qam 20 u qpm. unit discharge disposition: extended care facility: - discharge diagnosis: aortic valve endocarditis l foot infection discharge condition: good. discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower, let water flow over wounds, pat dry with a towel. do not use lotions, creams, or powder on wounds. call our office for sternal drainage, temp.>101.5 followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. you have an appointment with dr. (infectious diseases) at 9:30. lmob suite gb ( see dr. (podiatry) after discharge for shoe fitting procedure: venous catheterization, not elsewhere classified spinal tap incision of lung extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart amputation through foot open and other replacement of aortic valve transfusion of packed cells other amputation below knee other tenotomy diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified severe sepsis infection with microorganisms resistant to penicillins aortic valve disorders methicillin susceptible staphylococcus aureus septicemia urinary complications, not elsewhere classified atherosclerosis of native arteries of the extremities with gangrene cellulitis and abscess of foot, except toes acute osteomyelitis, ankle and foot infection and inflammatory reaction due to other internal orthopedic device, implant, and graft chronic osteomyelitis, ankle and foot 

Answer: The patient is high likely exposed to