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: no known allergies / adverse drug reactions attending: chief complaint: chronic pancreatitis major surgical or invasive procedure: : 1. lateral pancreaticojejunostomy with roux-en-y anastomosis. 2. harvest of pedicled omental flap for protection of pancreaticojejunostomy. . : egd and placement of the two endoclips to the gastro- esophageal junction ulcer for the purpose of hemostasis. history of present illness: mr. is an absolutely delightful 50-year-old gentleman with chronic pancreatitis with large duct disease. mr. was a previous heavy drinker. he drank as many as 18 beers a day. however, he was clean and sober for years when 15 years ago he developed pancreatitis. he has had multiple frequent attacks of pancreatitis. in he states he had major hospitalizations including one hospitalization at that was almost a month. in he has had three attacks since which have worsened in severity. he had a recent diagnosis in in for this. at that point, he had a ct scan and ercp. this ercp shows a large pancreatic duct throughout. the pancreatic duct in the tail of the pancreas is markedly dilated at 17 mm whereas in the head and body they were 10 mm. there were some filling defects at this body-tail junction. there was some suggestion of a cystic lesion in the tail 1.8 x 1.5 cm with apparent communication with the main pancreatic duct and which has been relatively stable on the last mri report which was . he now presents for possible surgical evaluation. past medical history: pmh: chronic pancreatitis past surgical history: at 25 years of age he had an obstructed ureter thought secondary to congenital adhesions and he had open surgery for upj obstruction. he had a vasectomy. social history: he has smoked half a pack of tobacco per day for 40 years. he does not drink at all any more. no alcohol. his wife of 27 years was here with him, . they have three grandchildren in their 20s. he works as a fios technician. family history: his family history is negative physical exam: on discharge: vs: 99.1, 73, 134/80, 16, 95% ra gen: nad cv: rrr, no m/r/g resp: ctab abd: midline incision with steri strips and c/d/i. llq jp drain... extr: warm, no c/c/e pertinent results: 05:55pm blood hct-39.3* 05:15pm blood hct-24.9* 09:10am blood wbc-6.0 rbc-3.45* hgb-10.2* hct-29.8* mcv-86 mch-29.5 mchc-34.2 rdw-13.6 plt ct-277 09:10am blood glucose-109* urean-14 creat-0.7 na-140 k-3.7 cl-103 hco3-31 angap-10 09:04am ascites amylase-26 5:01 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): positive for methicillin resistant staph aureus. egd: impression: abnormal mucosa in the esophagus (endoclip) blood in the stomach body and fundus otherwise normal egd to third part of the duodenum recommendations: the findings account for the symptoms the ulcerated area at the ge junction likely represents a tear or a small primary ulceration and was the source of his upper gi bleed. pantoprazole 40mg iv bid for 48 hours followed by 8 weeks of po ppi. if further hematemasis would call gi fellow on call for repeat egd. brief hospital course: the patient with history of chronic pancreatitis was admitted to the general surgical service for elective puestow procedure. on , the patient underwent lateral pancreaticojejunostomy with roux-en-y anastomosis and harvest of pedicled omental flap for protection of pancreaticojejunostomy, which went well without complication (reader referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient arrived on the floor npo, on iv fluids and antibiotics, with a foley catheter, and dilaudid pca for pain control. the patient was hemodynamically stable. on pod # 1, patient was noticed to have hct decrease to 28 down from 39.3 pre op. the patient also had 150 cc hematemesis, repeat hct was 24.9. the patient was given 2 units of prbc, his post transfusion hct was 24.9. on pod # 2, patient continue to have hematemesis and gi was called for consult. the patient was transfused with 2 more units on prbc and was transferred in icu. in icu patient was intubated and underwent egd. during egd patient was found to have bleeding ulcer at the ge junction, which was clipped. the patient received 1 unit of prbc post procedure and his post transfusion hct was 33.5. the patient had one more episode of hematemesis and melena stool on pod # 3, his hct was stable 31.6. neuro: the patient received dilaudid pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. jp amylase was sent on pod # 5, and came back low. jp drain was removed prior discharge, small urostomy bag was placed on jp site to catch possible leak. vna service was ordered to follow patient after discharge. gu: the foley catheter was discontinued at midnight of pod# 4. the patient subsequently voided without problem. id: the patient's white blood count and fever curves were closely watched for signs of infection. he was found to be positive for mrsa and was kept in private room. wound was evaluated daily and no signs or symptoms of infection were noticed. hematology: as above. prior discharge, patient's hct was stable 29.8, he was recommended to follow up with pcp 2 weeks to check his hct as outpatient. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: protonix, creon''', zantac''', , -3, b12 discharge medications: 1. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*30 patch 24 hr(s)* refills:*2* 2. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. lipase-protease-amylase 12,000-38,000 -60,000 unit capsule, delayed release(e.c.) sig: two (2) cap po tid w/meals (3 times a day with meals). 7. zantac 150 mg tablet sig: one (1) tablet po three times a day. 8. -3 oral 9. vitamin b-12 oral discharge disposition: home with service facility: vna discharge diagnosis: 1. chronic pancreatitis 2. upper gi bleed discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please resume your home medications unless specifically instructed otherwise. take new medications as prescribed. do not drive or drink alcohol while taking pain medication. you may resume your usual activities, however, avoid strenuous exercise or lifting >10 lbs until you are cleared by dr. in surgery clinic. you may shower and pat your incision dry. no dressing is necessary. . ostomy bag: *record the output, if instructed to do so. *you may shower; wash the area gently with warm, soapy water. *avoid swimming, baths, hot tubs; do not submerge yourself in water. *make sure to keep the drain attached securely to your body to prevent pulling or dislocation. *when output decreased, remove ostomy bad and use dry gauze for dressing. . incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: department: surgical specialties when: friday at 1 pm with: , md building: sc clinical ctr campus: east best parking: garage . please follow up with your pcp weeks after discharge procedure: endoscopic excision or destruction of lesion or tissue of esophagus anastomosis of pancreas diagnoses: tobacco use disorder acute posthemorrhagic anemia other and unspecified alcohol dependence, in remission methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site chronic pancreatitis cyst and pseudocyst of pancreas ulcer of esophagus with bleeding 

Answer: The patient is high likely exposed to