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: wound drainage, right sided weakness major surgical or invasive procedure: wound washout picc placement history of present illness: 55 y/o male with history of hep c cirosis who is s/p c3 to c7 decompression with on by dr. . this patient presented this evening to complaining of drainage from his operative wound. during his evaluation he started to also complain of right arm weakness. received a call from the ed physician at with these findings, he was transferred here to for evaluation and treatment. upon arrival to our ed and evaluation by ed resident he is stated that he was unable to move any of his extremities. he states that he has transient loss of strenth in all extremities that resolves after a period of time, patient states that he got into an altercation with the police last evening and was assaulted and that is when the bleeding from his surgical incision started. past medical history: pmh: -hcv cirrhosis - genotype 1 (dx secondary to ivda) with known grade i varices, hx ascites, on copilot study getting peg intron in the past, d/ced progression of liver dx. patient was briefly on the tranplant list but was taken off when per notes he was found to have alcohol in his blood stream in /06. -thrombocytopenia -gout -hx hyponatremia and hypernatremia -history of arf -anemia -cervical neck pain. . psh: -s/p anterior and posterior laminectomy and fusion l4-s1 -s/p l inguinal repair -s/p c3-7 laminectomies for decompression on with dr. social history: recently moved out of his parents' home. denies smoking, + recent etoh. denies ivda in past 20 years. not currently working. family history: breast ca in mother. family hx of liver disease, hemachromatosis. physical exam: on admission: o: t:97.1 bp:122 /67 hr: 80 r 18 o2sats: 98% 2l gen: wd/wn, comfortable, nad. heent: pupils: reactive eoms: full neck: blood draning from upper and lower portion, staples intact. abd: soft extrem: warm and well-perfused. neuro: mental status: awake and alert, agitated, has to be redirected for exam multiple times. orientation: oriented to person, place, and date. motor: d b t we wf ip q h at g r 3 0 0 0 0 3 4- 4- 0 0 0 l 4+ 4- 4- 4- 4- 5 5 5 5 5 5 sensation: intact to light touch reflexes: b t br pa ac right 0 0 0 1 1 left 0 0 0 1 1 babinski: mute rectal exam normal sphincter control upon discharge: aox3. awake and alert. rue 4/5 strength. lue 5/5 strength. ble . pertinent results: : ctcervical spine: post operative changes, no clear evidence of a hematoma ct head noncontrast: no acute findings, no fractures : mri cervical spine :abnormal stir signal in cord not significantly changed fromprior examination. multilevel severe spinal canal narrowing spanning c3/c4-c7/t1. c3/c4 and c4/c5 may be slightly progressed from . post-op soft tissue changes and epiduralenhancement. in posterior soft tissues, t2 heterogeneity and t1 hyperintense areas likely indicate blood products/evolving hematoma. 11:10pm pt-20.9* ptt-38.7* inr(pt)-1.9* 11:10pm plt count-40* 11:10pm wbc-4.7# rbc-2.85* hgb-9.9* hct-29.3* mcv-103* mch-34.7* mchc-33.8 rdw-15.9* 11:10pm asa-neg ethanol-neg acetmnphn-19 bnzodzpn-neg barbitrt-neg tricyclic-neg 11:10pm alt(sgpt)-54* ast(sgot)-75* alk phos-96 11:10pm glucose-152* urea n-16 creat-0.7 sodium-138 potassium-4.2 chloride-110* total co2-22 anion gap-10 rue venous doppler:no right upper extremity dvt. wound culture taken (final ): staph aureus coag +. moderate growth. cervical mri : impression: since the most recent examination, there has been interval decrease in size of posterior rim-enhancing collection emanating from the laminectomy at c4 through c7. there is also less mass effect on the posterior aspect of the thecal sac from c4 through c6. stable enhancement in the epidural space could represent post-operative changes or granulation tissue, although superimposed infection cannot be excluded. brain mri : impression: motion-degraded study, no acute changes seen. eeg : impression: this is an abnormal routine eeg due to the presence of a mixed-frequency background that was mostly in the delta range, with some theta and beta activity intermixed. this suggests the presence of a moderate encephalopathy, which represents diffuse cerebral dysfunction of nonspecific cause. there were no clear focal or epileptiform features seen. cxr: there has been interval removal of the ng tube with a new dobbhoff catheter passed, the tip of which is seen to lie within the stomach. again, a left picc is in adequate position. there has been an interval improvement in the pulmonary edema compared to the study obtained earlier on the same date. abdominal u/s: impression: 1. mild-to-moderate amount of ascites. 2. nodular hepatic architecture consistent with the patient's known cirrhosis. no focal liver lesion identified. 3. cholelithiasis. 4. splenomegaly. brief hospital course: patient was admitted to a stepdown unit for neuro checks and infectious workup. blood cultures and urine cultures were sent. urine cultures were negative. the patient was started on vitamin k 10mg iv for 3 days in the setting of elevated inr and in preparation of the o.r for cervical wound washout. he was started on ancef 1g q8 for wound infection prior to to his procedure. he was kept npo on the evening of and given 2 units of ffp for elevated inr. his inr on the morning of was 1.6 and his platelet count was 97 after 1 unit transfusion. he was taken to the or for cervical wound washout and a vac dressing was applied post operatively with the plan to continue for 3 days. he tolerated his procedure very well with no complications and post operatively he was transferred to the icu for continued care due to confusion. his mental status continued to be altered and he was only following commands intermittently. the hepatology team was consulted for help in treating his hepatic encephalopathy. per recommendations he was started on lactulose and rifaximin. the infectious disease team was consulted post operatively and they felt a more appropriate abx coverage would be vancomycin to treat his infection with gpc and the ancef was discontinued. cultures grew mrsa and he continued on vancomycin. he was started on tube feeds. his mental status slowly improved. he was transferred to step down unit . he was evaluated by speech and swallow and cleared for po diet. his mental status continued to improve and he became more awake and alert and he continued lactulose and rifaximin per hepatology recommendations. his wound was monitored and was noted to be draining small amount serosanginous drainage. this will continue to be monitored. on he was cleared for discharge to rehab. he will cont vancomycin and follow up with the id team. he will also follow up with neurosurgery in 1 week for a wound check and with the liver center. medications on admission: vicoden cialis prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 3. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 4. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsat (every saturday). 5. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day): goal bm's per day. 6. rifaximin 550 mg tablet sig: one (1) tablet po bid (2 times a day): goal bm's per day. 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. vancomycin in d5w 1 gram/200 ml piggyback sig: 1000 (1000) mg intravenous q 12h (every 12 hours): weekly cbc /c diff, crp, esr, bun/cr & vancomycin trough. all laboratory results should be faxed to infectious disease r.ns. at ( . discharge disposition: extended care facility: radius specialty discharge diagnosis: cervical wound infection hepatitis c hepatic encephalopathy thrombocytopenia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: ?????? do not smoke. ?????? keep your wound clean/ do not immerse incision but take daily showers including getting incision wet/clean. ?????? have your incision checked daily for signs of infection. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. for 3 months post op to promote fusion of bone. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. followup instructions: ?????? please have your sutures removed at rehab on . ?????? please call ( to schedule an appointment with dr. to be seen in 1 week for a wound check. ?????? you do not need any imaging prior to this appointment. ?????? you need to follow up with dr. at the liver center in weeks. this appointment can be made by calling . ?????? you have a follow up with infectious disease on @ 8:50am. ** you need weekly cbc /c diff, crp, esr, bun/cr & vancomycin trough. all laboratory results should be faxed to infectious disease r.ns. at ( ** all questions regarding outpatient antibiotics should be directed to the infectious disease r.ns. at ( or to on md in when clinic is closed. procedure: enteral infusion of concentrated nutritional substances reopening of laminectomy site central venous catheter placement with guidance diagnoses: thrombocytopenia, unspecified other postoperative infection cirrhosis of liver without mention of alcohol chronic hepatitis c with hepatic coma gout, unspecified hematoma complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation calculus of gallbladder without mention of cholecystitis, without mention of obstruction other ascites methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site 

Answer: The patient is high likely exposed to