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: codeine / zestril attending: chief complaint: shortness of breath major surgical or invasive procedure: vats/decortication history of present illness: patient is a 50-year-old man with a history of large cell lymphoma, for which he underwent r-chop chemotherapy most recently in . he has had known bilateral effusions by his report dating back to . over the past few months, he has had increasing shortness of breath and worsening of his bilateral effusions, necessitating several thoracentesis on either side of his chest. the cytology of these taps has always been negative. the pleural manometry noted both on the left and right sides most recently has been consistent with trapped lung. the patient notes a 2-month history of low-grade temperatures in the 99.2 to 100.5 range. he notes that he has had a nonproductive cough. he denies hemoptysis. after his last tap, which occurred on , he had an initial resolution of some of his shortness of breath, however, after about 2 weeks, this shortness of breath began to return. at this point, he has marked dyspnea on exertion to the point where he cannot walk up any incline without severe shortness of breath. he can walk on a level ground reasonably well at times, although his tolerance is variable. past medical history: non-hodgkin's lymphoma congential lymphatic atresia seminoma s/p radiation and resection appendectomy, perforated cholecystectomy sbo () s/p resection social history: supportive wife, otherwise denies /etoh/idu. family history: father - pvd mother - questionable metastatic ovarian cancer physical exam: gen: thin, pale, nad heent: eomi, perrl, oropharynx dry with scattered ulcers, no erythema/exudate neck: no masses cv: rrr, no m/r/g lung: coarse bs bilaterally, no w/c, ct in place on r abd: soft, flat, ntnd ext: 1+ pedal edema neuro: aao x 4 pertinent results: 10:43am blood wbc-13.7* rbc-3.20* hgb-9.1* hct-27.7* mcv-86 mch-28.3 mchc-32.8 rdw-16.7* plt ct-586* 10:43am blood plt ct-586* 10:43am blood glucose-165* urean-15 creat-0.8 na-138 k-4.7 cl-106 hco3-27 angap-10 10:43am blood calcium-7.4* phos-3.5 mg-1.8 07:38am blood vanco-28.1* brief hospital course: patient admitted and underwent an uncomplicated r vats with pleural biopsy and near total parietal pleurectomy and decortication. 1. pulmonary patient did well postoperatively and was transferred to the floor extubated and with three right sided chest tubes to -20cm of suction. during his hospitalization, he did have difficulty tolerating less degrees of suction without an increase in the size of his right pneumothoraces. he experienced a slow progression, however, eventually 2 of 3 chest tubes were removed with no change in his cxr. on pod #13, pleural fluid noted to be purulent from his chest tube site. fluid eventually +mrsa, heavy growth. at this time, patient was noted to have altered mental status and leukocytosis. he was transferred to the icu for closer monitoring, iv antibiotics. he recovered and was transferred to the floor. patient was treated with vancomycin during his hospital stay as well as 6 days of intrapleural vancomycin instilled into his chest tube. his pleural fluid was still positive for gram + cocci, heavy growth, at the time of discharge. patient was explained that his empyema would be better treated with continued intrapleural infusion of vancomycin with periodic culturing of his pleural fluid. the option of surgical drainage of his empyema was also discussed. after prolonged discussion, patient and his wife expressed their frustration and reluctance to stay in the hospital, understanding that continued observation and treatment and/or surgical intervention were likely the best options for his empyema. he was discharged with a two week course of iv vancomycin and instructed to f/u with dr. 1 week following discharge. upon discharge, the patient had received six days of intrapleural vancomycin and left the hospital with one r chest tube to a heimlich valve. 2. gu intraoperatively, a foley catheter was unable to be placed secondary to patient's urethral stricture. urology was consulted who introduced a suprapubic foley catheter. the suprapubic catheter was in place throughout his hospitalization with no complications and he was discharged with a foley leg bag and instructions to follow up with urology for outpatient workup of his urethral stricture. 3. neuro pod #13, patient reported visual and auditory hallucinations as well as myoclonic jerks of his extremities. psychiatry as well as neurology were consulted. all of the patient's potentially neuro altering medications were discontinued and minimized and it was determined that the patient was likely suffering from a toxic encephalopathy from underlying infection. at this time, the patient's wbc was elevated to 19.1. his altered mental status did improve to baseline after the patient was treated for his underlying infection with antibiotics. 4. id pleural fluid positive for mrsa, heavy growth. patient treated with iv vancomycin and pleural vancomycin washings. d/c'ed w/2 weeks of iv vancomycin . 5. cardiovascular baseline sinus tachycardia during much of his hospital stay with hr in the low 100's. treated with metoprolol. two episodes of asymptomatic bradycardia for seconds on pod #19. resolved spontaneously with no further episodes. 6. disposition home with services medications on admission: lasix, rhinocort, allopurinol, claritin, lopressor, prilosec, ativan, atrovent, advair, rhinocrot, calcium, multivit, colace discharge medications: 1. vancomycin 1,000 mg recon soln sig: 1000 (1000) mg intravenous twice a day for 2 weeks. disp:*qs * refills:*0* discharge disposition: home with service facility: home care discharge diagnosis: pleural effusion, bilateral large cell lymphoma discharge condition: stable discharge instructions: please call dr. at if you experience fever, bleeding or drainage from your chest tube site, difficulty breathing, nausea/vomiting, dizziness or weakness. keep your chest tube site clean and dry. empty your heimlich valve drainage site as needed. do not drive while taking pain medications. take your antibiotics as directed. followup instructions: please follow up with dr. one week after discharge. please come to your appointment 45 minutes early to have a chest xray. please call dr. office at for an appointment regarding your foley catheter. procedure: thoracentesis decortication of lung other pleural biopsy transfusion of packed cells percutaneous cystostomy diagnoses: unspecified pleural effusion toxic encephalopathy unspecified essential hypertension infection with microorganisms resistant to penicillins iatrogenic pneumothorax methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site personal history of malignant neoplasm of testis personal history of venous thrombosis and embolism reticulosarcoma, unspecified site, extranodal and solid organ sites empyema without mention of fistula other specified disease of white blood cells other specified causes of urethral stricture other antipsychotics, neuroleptics, and major tranquilizers causing adverse effects in therapeutic use drug-induced psychotic disorder with hallucinations other specified congenital anomalies acquired absence of organ, genital organs hereditary edema of legs 

Answer: The patient is high likely exposed to