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 / doxycycline / codeine / ibuprofen / nexium attending: chief complaint: complete heart block, peripheral vascular disease major surgical or invasive procedure: right axillo-femoral bypass graft () ddd pacer () and removal () brief hospital course: 1. cardiac - ddd pacer to be placed after 6 week trial of antibiotics. pt. maintaining sinus bradycardia with occasional atrial bigeminy, prior left bundle branch block with lvh. continue asa, ace,b-blocker, statin. lasix 20 mg once a day added on . continue vancomycin 1 gm iv q24 for endocarditis for a total of 6 weeks ( started ). 2. heme - patient to be discharged on heparin and coumadin for anticoagulation necessary for the bypass graft. the pacer site has a history of oozing and soaks if ptt/inr not therapeutic. medications on admission: ceftriaxone 1 gm iv qd asa 81 mg po qd lopressor 5 mg iv q6 protonix regular insuling sliding scale vancomycin q 48 hours iv heparin discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po qd (once a day). 2. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). 3. lisinopril 20 mg tablet sig: one (1) tablet po qd (once a day). 4. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). 5. furosemide 20 mg tablet sig: one (1) tablet po qd (once a day). 6. warfarin sodium 2 mg tablet sig: one (1) tablet po qd (once a day): check inr, goal of .5. 7. vancomycin hcl 10 g recon soln sig: one (1) recon soln intravenous q24h (every 24 hours): check vancomycin trough levels. 8. heparin sod (porcine) in d5w 100 unit/ml parenteral solution sig: one (1) intravenous asdir (as directed). 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. miconazole nitrate powder sig: one (1) appl miscell. qid (4 times a day) as needed. 12. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. discharge disposition: extended care facility: & rehab center - discharge diagnosis: methicillin-resistant staphylococcus aureus, endocarditis, history of heart block discharge condition: good. followup instructions: cardiology, electrophysiology: please call dr. office at 1- to schedule an appointment in 1 week for suture removal at the pacer site. opthalmology: please call *** vascular surgery: please call dr. office at 1- to schedule an appointment in *** md procedure: diagnostic ultrasound of heart nonexcisional debridement of wound, infection or burn transfusion of packed cells removal of lead(s) [electrode] without replacement revision or removal of pacemaker device diagnoses: cirrhosis of liver without mention of alcohol acute kidney failure, unspecified acute on chronic diastolic heart failure paroxysmal ventricular tachycardia bacteremia acute and subacute bacterial endocarditis mechanical complication due to cardiac pacemaker (electrode) infection and inflammatory reaction due to cardiac device, implant, and graft 

Answer: The patient is high likely exposed to