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: macrolide antibiotics / ambien attending: chief complaint: 61 y/o male presents from rehab with bleeding from decubitus ulcer major surgical or invasive procedure: loop colostomy sacral decubitus ulcer debriedment history of present illness: 61 y/o male with morbid obesity and paraplegia secondary to an epidural abscess presented from rehab with bleeding from a large sacral decubitus ulcer and possible sepsis. was noted on dressing change at rehab to have copius bleeding from his wound and was transferred by ambulance to the ed. past medical history: epidural abscess due to mssa s/p laminectomy diabetes mi s/p cabg 5 years pta chronic back pain neuropathy- unable to feel the bottom of his feet gout obstructive sleep apnea social history: no etoh since cabg, heavy smoker 50 years x 2ppd, lives with girlfriend. used intranasal cocaine, no ivda family history: non contributory physical exam: on arrival vitals: 97.4, 100, 97/52, 16, 98% on 4l nc gen: ill appearing pale and pasty lungs: cta anteriorl cardiac: rrr nl s1, s2 abd: nt, nd, morbid obesity back: massive 70cm x 40 cm sacral decubitus ulcer with infiltration into the rectum. pertinent results: 05:24pm hgb-6.8* calchct-20 06:10pm pt-16.9* ptt-35.2* inr(pt)-1.6* 06:10pm neuts-93* bands-0 lymphs-3* monos-3 eos-0 basos-0 atyps-0 metas-0 myelos-1* 06:10pm glucose-117* urea n-18 creat-0.7 sodium-141 potassium-3.4 chloride-105 total co2-27 anion gap-12 gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. tissue (final ): reported by phone to cc6c -mullard 3pm. unable to r/o other pathogens due to overgrowth of swarming proteus spp.. 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). gram negative rod #1. sparse growth. pseudomonas aeruginosa. sparse growth. proteus species. sparse growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ pseudomonas aeruginosa | ampicillin------------ 16 s cefepime-------------- 8 s ceftazidime----------- 4 s ciprofloxacin--------- =>4 r gentamicin------------ =>16 r imipenem-------------- =>16 r meropenem------------- 8 i piperacillin---------- 32 s piperacillin/tazo----- 16 s tobramycin------------ =>16 r anaerobic culture (final ): unable to r/o pathogens due to overgrowth of swarming proteus spp.. fungal culture (preliminary): no fungus isolated. chest (portable ap) 6:38 pm chest (portable ap) reason: r/o infiltrate medical condition: 61 year old man with large decub, sepsis reason for this examination: r/o infiltrate ap portable chest, at 18:53 hours. history: large decubitus ulcers and sepsis. comparison: multiple priors, the most recent dated . findings: the patient is rotated. this study is further limited by body habitus. no gross consolidation or superimposed edema is evident. small bilateral pleural effusions cannot be entirely excluded as costophrenic angles are blunted. no large effusion is evident. there is no pneumothorax. again noted are changes consistent with prior median sternotomy and cabg. the more cephalad sternal wires remain fractured, but linearly aligned. impression: limited exam as above. no gross consolidation or failure noted. likely small bilateral pleural effusions. brief hospital course: mr. was transferred from the emergency department to the sicu for ongoing care of his bleeding, sepsis, and large ulcer. in the sicu he was started on antibiotics(zosyn and linezolid), given blood transfusions, and the bleeding from his ulcer was controlled with cautery and pressure. he was seen by cardiology who recommended perioperative beta-blockade, statin, diuresis, and to keep his hematocrit greater than 30. due to the proximity of his ulcer to his rectum he was taken to the operating room with the general surgery service on for a colostomy to divert stool away from the wound. please see their full op-note for details. he tolerated the procedure well and was transferred back to the sicu post-operatively. on he was taken to the operating room with the plastic surgery team for debriedment of his ulcer. again, see the above op-note for full details. he again tolerated the procedure well. of note he is not a candidate for flap closure due to the large size of the ulcer. post-operatively he was noted to have low uop and was treated with fluid boluses for this. while in house he was also seen by the ostomy service who had difficulty securing his appliance. currently they are using a large with seal and also coloplast paste strip. they also recommend skin bond cement if this does not hold. he does have a rectal tube in place for containment of his residual stool. he was transferred to the floor on in stable condition. the decision was made that his ulcer requires no further debriedment and he was transferred back to acute care rehab on in stable condition. of note, on the day of discharge the patient was aox3, involved in his care, and voiced understanding of his condition. he was able to tolerate daily dressing changes with wet-to-dry curlex without difficulty. medications on admission: percocet, asa, ascorbic acid, pepcid, fentanyl patch, lopressor, nicotine patch, colace, mvi, dulcolax, benadryl discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 2. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 3. fentanyl 75 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 9. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q6h (every 6 hours) as needed. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 11. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). 12. linezolid 600 mg iv q12h 13. piperacillin-tazobactam na 4.5 gm iv q6h 14. percocet 5-325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: sacral decubitus ulcer discharge condition: stable discharge instructions: please inform your doctors return to the hospital if you experience fevers greater then 101.4, chills, or other signs of infection. also inform your doctors return to the hospital if you experience chest pain, shortness of breath, redness, swelling, or purulent discharge from the incision site. return if you experience worsening pain or any other concerning symptoms. certain pain medications may have side effects such as drowsiness. do not operate heavy machinery while on these medications. certain pain medications such as percocet or codeine can cause constipation. if needed you can take a stool softner such as colace (one capsule) or gentle laxative (such as milk of magnesia) once per day. restart taking all your regular medications once you arrive at home. . it is very important that you come to your follow-up appt. followup instructions: plastic surgery clinic phone: date/time: 2:00 this clinic is located on the of the building. it is extremely important that you make this appointment promptly and come to clinic. follow up with dr. in the general surgery clinic in 2 weeks on the of the building (across from the ed). please call for an appointment. procedure: venous catheterization, not elsewhere classified temporary colostomy transfusion of packed cells other myectomy injection or infusion of oxazolidinone class of antibiotics diagnoses: pure hypercholesterolemia congestive heart failure, unspecified acute posthemorrhagic anemia unspecified septicemia gout, unspecified aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes sepsis old myocardial infarction morbid obesity pressure ulcer, lower back paraplegia hemorrhage, unspecified 

Answer: The patient is high likely exposed to