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: penicillins / codeine / pork derived (porcine) attending: chief complaint: dyspnea major surgical or invasive procedure: intubation right sided internal jugular central venous line history of present illness: this is a 55 year old male with multiple prior admissions for copd exacerbations, hx of cad s/p mi and 2-vessel cabg, and long history of medication and o2 noncompliance, who called ems in respiratory distress after 1-2 days of increased dyspnea and was found altered and confused. on arrival to the ed, he was "minimally responsive" and started on bipap breifly, but was requesting intubation. after bipap did not seem to resolve his dyspnea, he was intubated. in the ed, he was given solumedrol 125mg, vanco/ceftriaxone/levaquin, mdi treatments, as well as versed and fentanyl while intubated. blood cx's drawn x2, one before abx and one after some abx given. with high paco2 on abg (7.18 / 73 / 400 / 29), rr increased from 14 to 22. peep 5, tv 500ml, fio2 40%. the following abg showed improvement: 7.24 / 61 / 82 / 27 on tv 500, rr 22, peep 5, and ?fio2. baseline paco2 in high 50s-60s. an ej was placed, but was subsequently lost, so an add'l piv was placed. he then developed hypotension, cvl was placed, and was started on norepinephrine. he had received a total of 5l ivf. cxr showed no infiltrate, et in proper placement. . he was previously admitted on with a severe copd exacerbation with desats to 60s on ra and subsequent intubation and mechanical ventilation. he was covered with vancomycin and levofloxacin for mrsa pneumonia. after three days on mechanical ventilation, he was extubated without issue and discharged on antibiotics and a prednisone taper. he was then re-admitted with a recurrent mrsa pneumonia on , treated with linezolid for 14-day course due to presumed recurrence/treatment failure in setting of his previous antibiotic regimen. . of note, during this hospitalization in early , a family meeting was held to help address the patient's recurrent hospitalizations. his medication noncompliance, persistent smoking habit, and refusal to wear his oxygen on a daily basis were all addressed. he apparently recognized that he needs to change his ways before he becomes fatally ill and agreed to have vna services help him out at home. at this point, his code status was changed from dnr to full code. . ros: unable to perform due to patient's sedated state . past medical history: 1) cad s/p mi and cabg pci : patent lima-->lad, rima-->rca, bms--> rca distal to rima touchdown. cath : widely patent lima and rima grafts; patent distal rca stent and known occluded native lad and rca. nuclear stress nuclear perfusion stress: no anginal symptoms or ischemic st segment changes. reveal rhythm analyzer placed in 2) tobacco abuse - 1 ppd/3 days since age 21 3) hypercholesterolemia 4) hypertension 5) copd on 2l home o2 6) history of head trauma in from mva with post-traumatic grand mal seizure, now off antiepileptics 7) thoracic aortic anuerysm s/p repair 8) neurogenic claudication 9) s/p spinal stenosis surgery , on narcotics 10) mrsa pna with cavitation, tx with linezolid x 14 days . social history: social history: widower. patient lives with his sister-in-law and her children. -tobacco history: 30 pk/year hx, recently "quit" on previous discharge. has not smoked a cigarette since -etoh: previous hx of 16-30 beers/day, cut back a year ago, now occasional 1-2 beers. -drug: denies hx of ivdu . family history: family history: mother died of mi at 59. father died at 61 of "mi and cancer." cousin with mi at 41. paternal uncle died with mi at 41. sister with borderline diabetes. brother died of throat cancer. physical exam: vs: temp: 98.6, bp: 111/53, hr: 101 rr: 22 o2sat 98% --vent settings ac vt 500, rr 22, peep 5, fio2 50% gen: intubated, sedated heent: pupils constricted, reactive. no jvd appreciated resp: decreased air movement over left lateral lung fields compared to right. anterior lung fields clear. slight expiratory wheezes, no rales/rhonchi cv: tachycardic, s1/s2 wnl, ii/vi sem heard best over lusb abd: hypoactive bs, soft, nt/nd, no masses or hepatosplenomegaly ext: no c/c/e, wwp, 2+ dp and pt pulses skin: no rashes/no jaundice neuro: sedated, plantar reflexes intact . pertinent results: 07:55pm blood wbc-8.3 rbc-3.28* hgb-8.4* hct-27.1* mcv-83 mch-25.7* mchc-31.1 rdw-18.3* plt ct-219 07:55pm blood neuts-75.2* lymphs-20.9 monos-2.9 eos-0.6 baso-0.4 08:15pm blood pt-12.5 ptt-23.2 inr(pt)-1.1 08:15pm blood glucose-255* urean-13 creat-0.6 na-132* k-4.7 cl-95* hco3-24 angap-18 04:06am blood alt-7 ast-12 ld(ldh)-150 alkphos-44 totbili-0.2 03:01am blood calcium-7.5* phos-2.4* mg-1.5* 08:12pm blood lactate-1.3 08:50pm urine rbc-0-2 wbc-0-2 bacteri-occ yeast-none epi-0 08:50pm urine blood-neg nitrite-neg protein-25 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg . urine culture: no growth. . blood culture: no growth to date. . ekg: sinus tachycardia. biatrial enlargement. cannot exclude prior anteroseptal wall myocardial infarction, age indeterminate. compared to the previous tracing of the heart rate is faster. there may be slight loss of r waves in the anteroseptal leads. clinical correlation is suggested. this may be secondary to lead positioning versus interim anteroseptal wall myocardial infarction. biatrial enlargement is now apparent. . cxr (): 1. standard positioning of the endotracheal tube and nasogastric tube. 2. ill-defined opacity within the right mid lung field persists, compatible with an area of resolving pneumonia. cxr (): no evidence of pneumothorax. status post extubation. no focal parenchymal opacity suggesting pneumonia. normal size of the cardiac silhouette. brief hospital course: 55 yo m with severe copd on home o2, cad, poor medication and oxygen compliance with recurrent hypercarbic respiratory failure due to a copd exacerbation requiring intubation, hospital course complicated by dvt in the left brachial vein. the patient has had multiple hospitalizations for dyspnea within the past year with his most recent intubation in of due to mrsa pneumonia. he has a history of medication and home o2 noncompliance. his copd remains very poorly controlled as a result. on admission this time, he developed severe shortness of breath and wheezing requiring intubation for hypercarbic respiratory failure due to a copd exacerbation. he was started of pulse dose iv steroids, broad spectrum antibiotics and nebs. the patient clinically improved, was extubated, placed on an oral steroid taper with a 7 day total course of levofloxacin monotherapy and ongoing nebulizer, steroid inhaler and oxygen use. the patient complained of left arm swelling and was found to have a left brachial vein thrombus. he was started on systemic anticoagulation with warfarin without complication. the remainder of the medical problems including cad, hld, htn and back pain were stable. this pt. has had repeated hospitalizations for copd exacerbations. i tried to have him admitted to a pulmonary rehabilitation program, however, medicare declined to cover this given his level of function at the time of evaluation. medications on admission: medications at home: -albuterol sulfate 2.5 mg /3 ml (0.083 %) neb q6h prn sob -albuterol sulfate 90 mcg hfa inh, 1-2 puffs, q4-6h prn sob -fluticasone 110 mcg x 2 inh -salmeterol 50 mcg/dose -tiotropium bromide 18 mcg capsule, w/inhalation inh qday. -oxygen at 2l/min continuous -amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). -furosemide 40 mg po daily -lisinopril 20 mg po daily -metoprolol tartrate 100 mg hs -simvastatin 40 mg po qhs -guaifenesin 100 mg/5 ml po q6h prn cough -iron 325 mg po once a day. -aspirin 325 mg po once a day. -clotrimazole 10 mg troche 3-4 times daily -oxycodone-acetaminophen 5 mg-325 mg tablet tablet(s) q6h prn . allergies: nkda discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po 3x/week (mo,we,fr): take this medication three times per week for as long as you are taking 20 mg or more per day of prednisone. disp:*30 tablet(s)* refills:*0* 4. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 5. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) inhallation/activation inhalation (2 times a day). 6. guaifenesin 100 mg/5 ml liquid sig: five (5) ml po every six (6) hours as needed for cough. 7. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 8. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 9. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours). 10. oxycodone-acetaminophen 5-325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain: as we discussed - do not drive or drink alcohol or operate machinery while taking this medication. disp:*240 tablet(s)* refills:*0* 11. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 12. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po tidac (3 times a day (before meals)). disp:*180 tablet, chewable(s)* refills:*0* 13. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po once a day. disp:*120 tablet(s)* refills:*0* 14. morphine 15 mg tablet extended release sig: one (1) tablet extended release po q12h (every 12 hours): as we discussed - do not drive or drink alcohol or operate machinery while taking this medication. disp:*60 tablet extended release(s)* refills:*0* 15. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 16. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily): take this medication once per day while you are taking prednisone. disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 17. warfarin 1 mg tablet sig: one (1) tablet po once a day for 3 months: your levels of this medication will need to be managed and dosed by dr (your primary care md). goal inr 2.0-3.0; do not take this medication until instructed to do so by your visiting nurse and your primary md (). disp:*120 tablet(s)* refills:*0* 18. prednisone 10 mg tablet sig: as per taper regimen tablet po once a day for 22 days: : 4 tab/day : 2 tab/day : 1 tab/day then stop. disp:*45 tablet(s)* refills:*0* 19. inr blood test sig: one (1) lab draw twice per week: next test to be done on . result should be communicated to the clinic at: ( for instructions on dosing. disp:*6 lab draws* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: copd exacerbation hypercarbic respiratory failure dvt in left brachial vein hypertension cad hyperlipidemia back pain discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with an exacerbation of your lung disease. you also developed a blood clot in a vessel in the arm. you must take a blood thinning medication to treat this for three months. we have arranged a nurse to come to your house to check your blood levels of this medication (coumadin) and coordinate your dosages of coumadin with dr. and dr. . followup instructions: department: when: at 11:30 am with: dr. location: post clinic building: sc clinical ctr campus: east best parking: garage this appointment is with a hospital-based doctor as part of your transition from the hospital back to your primary care provider. this visit, you will see your regular primary care doctor in follow up. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: pneumonia, organism unspecified tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia hyposmolality and/or hyponatremia severe sepsis obstructive chronic bronchitis with (acute) exacerbation aortocoronary bypass status acute respiratory failure septic shock chronic systolic heart failure iron deficiency anemia, unspecified personal history of noncompliance with medical treatment, presenting hazards to health personal history of methicillin resistant staphylococcus aureus acute venous embolism and thrombosis of deep veins of upper extremity 

Answer: The patient is high likely exposed to