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: vancomycin / flagyl attending: chief complaint: right foot rest pain and tissue loss. major surgical or invasive procedure: right lower extremity angiography right knee below knee amputation endotracheal intubation central venous line and swan ganz placement history of present illness: mr. is an 84 year-old male with a pmhx significant for cad s/p cabg in , dm type 2, paroxysmal af on anticoagulation (held prior to admission), chf with ef <20% on last echo, on home o2, severe pvd s/p left transmetatarsal toe amputation and s/p left ak bpg, referred from clinic by dr. for evaluation of right foot rest pain and tissue loss. past medical history: 1. cad s/p cabg in (?6-vessel) 2. chf with last ef <20% on , with severe global lv hypokinesis 3. dm type 2 4. paroxysmal atrial fibrillation, on coumadin. coumadin held given recent gi bleed in , restarted briefly and recently held again prior to admission. 5. severe pvd, s/p left transmetatarsal toe amputation in , s/p failed bypass. 6. history of bladder stones and bilateral ureteral stones, s/p stent placement in . 7. recent 9-unit ugi bleed in . 8. history of right frontal lobe infarct. 9. glaucoma 10. hypercholesterolemia 11. hypertension * history of mrsa and vre social history: he lives at home with his wife. is a retired , quit practice in (quit surgical practice in , worked as a physician in ). smoked pipe for 40 years and quit 14 years ago. rare etoh use. no illicit drugs. family history: unkown to the patient per omr records. physical exam: physical examination on admission to the ccu: vitals: t 99.2, hr 116, irregular, bp 107/50 vent: a/c vt 600 rr 14 fi02 100% peep 5 sat 96% hemodynamics: cvp 26, pa 69/37, pa mean 48, pcwp 23, co/ci 4.9/2.28 on dopamine 5.4 mcg/kg/min, svr 702. versed drip started. gen: intubated. sedated. heent: ett in place. resp: limited to anterior chest. fair air entry bilaterally. bilateral ronchorous sounds, crackles. cvs: jvp difficult. patient lying flat. irregularly, irregular. normal s1, s2. no s3, s4. no murmur or rub appreciated. gi: bs normoactive. abdomen soft, non-tender. ext: right bka amputation. dressing dry/clean. left transmetatarsal amputation. 2+ pedal edema left le, cool. pertinent results: relevant laboratory data on admission: cbc: wbc 17.6, hct 32.7, plt 291 chemistry: na 136, k 4.8, cl 100, hco3 21, bun 43, creat 2.0, glucose 106 ca 8.4, phos 5.1, mg 1.7 coagulation profile: pt 14.2, ptt 36.4, inr 1.3 cardiac enzymes: ck 86-->184 mb n/a-->11 trop 0.18->0.31 micro: urine pending blood culture pending swab right foot gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. smear reviewed; results confirmed. wound culture (final ): due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site (including a screen for pseudomonas aeruginosa, staphylococcus aureus and beta streptococcus). corynebacterium species (diphtheroids). moderate growth. staph aureus coag +. sparse growth. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. probable enterococcus. sparse growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s ******************* ekg: atrial fibrillation, rate 118 bpm. axis indeterminate, low voltages in limb leads. wide qrs complex, lbbb. 10:48am cxr: comparison made with the prior chest x-ray of . this one was taken in the supine position. a moderate to large left effusion is present. the left lower lobe cannot be seen and an infiltrate in this area cannot be excluded. the right chest appears clear. there may be a smaller posterior right effusion. impression: evidence of failure and left lower lobe infiltrate cannot be excluded. echo: the left atrium is mildly dilated. the right atrium is moderately dilated. left ventricular wall thicknesses and cavity size are normal. there is severe global left ventricular hypokinesis. no masses or thrombi are seen in the left ventricle. the right ventricular cavity is moderately dilated with prominent free wall hypokinesis. the ascending aorta is moderately dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is borderline pulmonary artery systolic hypertension. the pulmonic valve leaflets are thickened. there is no pericardial effusion. impression: severe global biventricular systolic dysfunction c/w a diffuse process (multivessel cad, toxin, metabolic, etc.). dilated ascending aorta. brief hospital course: mr. was initially admitted to the vascular surgery service on with a diagnosis of pvd and right foot cellulitis, empirically started on linezolid (history of vre and mrsa). levaquin was added on . of note, diuretics were held on admission in anticipation for angiography. a rle angio was performed on , which revealed focal areas of stenosis in the superficial femoral artery and right popliteal arteries, occluded at and pt and stenosed peroneal artery. after discussion with the patient, decision was eventually taken to proceed with right bka, which he underwent on . he was extubated in the pacu on at night. following extubation, he had transient hypotension, and was transfused 2 units of prbcs post-operatively with resolution of hypotension. on , his bp was noted to be trending down, with decreasing u/o, and patient given ivf total of 2250 cc (ns + lr). a swan ganz catheter was placed, with initial numbers cvp 29, pa 62/30, pcwp 23, svr 843, co/ci 3.3/1.54, mv02 58%, pao2 94%. a dopamine drip was subsequently started given ongoing hypotension, and lasix 40 mg iv was given for increasing respiratory distress, then 80 mg iv x 1. cxr with chf. he was intubated for increasing respiratory distress and somnolence, with abg 7.26/58/94 --> 7.25/55/56 on 100% face mask prior to intubation. given low cardiac output, milrinone was transiently started for inotropic support, stopped because of hypotension. he was transferred to the ccu for further management, on dopamine drip. upon arrival to the ccu, mr. had repeated episodes of vt. amiodarone bolus 300 mg iv was given, followed by a drip, with successful conversion to his baseline rhythm in atrial fibrillation with rate 70-80s. he was briefly started on a milrinone drip. he was continued on dopamine drip, with addition of levophed for pressure support. his subsequent swan ganz numbers were increasingly suggestive of septic shock with low svr, normal to high co/ci, with a possible component of cardiogenic shock with probable peri-operative mi given rising ck and troponin. he was continued on pressors, and antibiotic coverage was broadened to include levaquin, clindamycin, ceftazidime and linezolid. he remained in anuric renal failure. given his rising lactate, bowel ischemia was felt likely, and surgery was consulted. an axr was negative for pneumoperitoneum. given the patient's critical condition, he was felt not to be a potential surgical candidate and further imaging was not pursued. his condition continued to deteriorate in the ccu on , with continued pressor requirement, ongoing anuric renal failure, rising lactate. the family was kept abreast of issues, and the decision was taken to continue aggressive care overnight. if no clinical improvement, then the family wished to institute comfort measures on . he continued to deteriorate overnight, with 2 episodes of unstable vt requiring defibrillation, rising lactate up to 14 and ph down to 7.07 on the morning of . he past away in the morning of , with his family at the bedside. consent for an autopsy was obtained. medications on admission: lisinopril 5 mg po qd coreg 3.25 mg po bid lasix 40 mg po qd (restarted ) protonix 40 mg po qd coumadin 5 mg po qd (held x 2 weeks prior to admission) humulin n 5 units remeron 7.5 mg po qhs augmentin 500 mg po bid x 2 days prior to admission aldactone 25 mg po qd (started ) aspirin discharge medications: expired discharge disposition: expired discharge diagnosis: coronary artery disease peripheral vasular disease status post right below knee amputation septic shock probable perioperative myocardial infarction acute renal failure congestive heart failure diabetes mellitus type 2 cardiac dysrhythmia discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube other electric countershock of heart arteriography of femoral and other lower extremity arteries arterial catheterization aortography pulmonary artery wedge monitoring transfusion of packed cells other amputation below knee injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified acidosis subendocardial infarction, initial episode of care congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes other specified forms of chronic ischemic heart disease hemorrhage complicating a procedure methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site cardiogenic shock atherosclerosis of native arteries of the extremities with gangrene cellulitis and abscess of foot, except toes 

Answer: The patient is high likely exposed to