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: patient recorded as having no known allergies to drugs attending: chief complaint: gpc bacteremia in the setting of septic right hip (s/p tha). major surgical or invasive procedure: 1. irrigation and debridement of right total hip replacement with removal of cerclage wires from the femoral shaft (). 2. irrigation and debridement of left foot osteomyelitis x2 ( and ). 3. irrigation and debridement of the right hip with removal of the polyethylene on the acetabular side and the femoral head from the femoral side with replacement components (). 4. partial vertebrectomy of c5 and c6, fusions c5-c6, anterior spacer times c5-c6, structural allograft (). 5. total laminectomy of c5-6, fusion c5-c6, autograft (). 6. arteriogram and embolization of branch of middle colic artery (). history of present illness: mr. is a 62 year-old man with a history of thr and septic hip who presnts on transfer from an osh with a septic hip. initially presented to an osh on with hip pain severe enough to make him unable to ambulate. a ct abdomen showed focal fluid collection along the superficial posterolateral aspect of the right hip. his wbc was 20 with esr of 125. blood cultures grew out gpc in pairs/chains/cluters and he underwent fluoroscopic guided aspiration of the thr on . the aspirate showed gpcs. also noted to have elevated troponins (0.113, 0.541, 0.91) and was started on lovenox 60mg sc bid. upon arrival to , he was swifty taken to the or. past medical history: past medical history 1. s/p thr x5 on right due to septic joint 2. atrial fibrillation 3. copd 4. hyperlipidemia 5. history of nsclc s/p lobectomy 6. gerd 7. hypertension 8. chronic lymphedema of the left leg 9. interstitial lung disease 10. pulmonary hypertension 11. etoh abuse social history: drinks 6-8 shots per day. denies smoking. works as a locksmith. family history: noncontributory physical exam: vitals - t 98.4, bp 107/75, hr 105, o2sat 95% on room air gen: aox3, nad, appears somewhat confused and slow in cognition heent: cop, poor dentition, mmm neck: supple, non tender lung: cta andteriorly heart: tachycardic, no m/r/g abdomen: diffusely tender, most prominent in ruq extremities: bilateral le edeama r>l with ankle erythema and tenderness l>r right hip: tender decreased range of motion pain. pertinent results: wbc-17.5*# hgb-10.1* hct-30.6* mcv-97 rdw-15.4 plt ct-286 neuts-93.0* bands-0 lymphs-5.3* monos-1.4* eos-0.2 baso-0.1 pt-13.1 ptt-37.7* inr(pt)-1.1 glucose-120* urean-23* creat-1.2 na-139 k-3.4 cl-102 hco3-26 angap-14 calcium-8.1* phos-1.8* mg-1.9 alt-30 ast-49* ld(ldh)-347* ck(cpk)-61 alkphos-351* totbili-0.6 lipase-128* albumin-2.6* cortsol-39.5* abg po2-326* pco2-43 ph-7.40 caltco2-28 lactate-1.3 or tissue cultures: group b strep and mrsa ap pelvis and ap and lateral views of the right hip. the patient is status post right thr, with cemented femoral stem. there is acetabular protrusio. no periprosthetic lucency to suggest loosening is identified. the extreme distal tip of this long femoral stem component is not included on these films. skin staples are present. residue of oral contrast is present in bowel. right knee, two views. no true lateral view is identified, and there is overlying trauma board artifact. there is evidence of osteopenia and probable degenerative change, not well assessed on this exam. there is some subchondral lucencies -- the appearance is not typical for osteomyelitis and is more likely to represent osteopenia. right lower leg, two views. no suspicious focal lytic or sclerotic lesion to confirm the presence of osteomyelitis is identified. scattered phleboliths noted. cxr : there is again diffuse prominence of interstitial markings. the findings are again consistent with pulmonary edema, though some chronic pulmonary disease cannot be excluded. endotracheal tube is now in place with its tip approximately 5.5 cm above the carina. right ij catheter extends to lower portion of the svc. brief hospital course: assessment/plan: 62 year-old man with a history of prior thr and septic hip; again presenting with septic joint and bacteremia. #. septic joint / bacteremia: the patient presented to an outside hospital as above with pain, elevated wbc/esr, gpc bacteremia and gpc on aspirate from hip. cultures grew both mrsa and group b strep. on arrival to , the patient was taken to the or for wash-out on with subsequent irrigation and debridement of the right hip with removal of the polyethylene on the acetabular side and the femoral head from the femoral side with replacement components on . post op he became febrile to 102 with new levophed requirement, which subsequently improved without change in antibiotics. the patient was placed on a course of high dose ceftriaxone, vancomycin, and rifampin. # l foot osteomyelitis / lower extremity ulcers. plain films were without clear evidence of osteomyelitis but he was debrided and cultured by podiatry. cultures grew out the same mrsa and gbs as above. lower extremity ulcers monitored and adressed by plastics. an mri if the lower extremities did not show other areas of osteomyelitis. prior to discharge the podiatry service felt as if the surgical wound was well-healed and signed-off. # epidural abscess of cervical spine: during his course the patient developed swelling of his left arm followed by weakness of proximal muscles. he was evaluated for dvt, brachial plexus injury, bony injury. finally, a cervical spine mri showed evidence of phlegmon, discitits, osteo at c5-6. he went to the or on for anterior and posterior approach to washout as above. or cultures were negative but as above he will continue an 8 week course of antibiotics starting from his or date of . the patient will conclude his antibiotic course on . # lgib: the patient developed an episode of large bright red blood per rectum on ; had tagged rbc study showing bleed within 6 minutes. he went to angio with ir; had coiling to the mid-colic artery with successful hemostasis. gi and general surgery also involved but did not require further intervention. later in the hospitalization the patient had a fall in his hematocrit from a stable 21 to 17. he had one guaiac positive stool and was given 2 units of prbcs. the patient's hematocrit was subsequently stable at 24-26. further stools were guaiac negative. the gi service was further contact but felt that endoscopy was not indicated. # left lung collapse: the patient had a bronch on for white out of his entire l lung. a large mucous plug was removed, however still with some obstruction of lingula. the bronch showed some generalized narrowing without focal lesion - possibly related to past lung resection. bronchial washings were without growth on culture. he had subsequent cxrs demonstrating improved expansion of his left lung. with further mobilization, incentive spirometry, ans chest physical therapy, the patient continued to saturate in the low to mid 90s without the need for oxygen. # dysphagia: following cervical spine surgery, the patient had evidence of dysphagia on bedside and video swallow. initially an ng tube was placed. a peg tube was subsequently placed given the prolonged nature of the patient's dysphagia. at the time of discharge the patient continues to have po trials with tube feeds as the principal source of nutrition. #. acute renal failure: mild creatinine elevation on admission that resolved quickly following admission with some hydration. #. atrial fibrillation: following stabilization post-gi bleed, the patient's beta-blocker was titrated up until his rate was controlled. medications on admission: 1. atenolol 50mg daily 2. lasix 40mg daily 3. advair 250/50 4. coumadin (stopped 2 weeks prior to admission) 5. prednisone 2mg daily 6. percocet prn 7. proair 2 puffs q6h prn discharge medications: 1. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 2. acetaminophen 325 mg tablet : two (2) tablet po q6h (every 6 hours) as needed for fever, pain. 3. albuterol 90 mcg/actuation aerosol : two (2) puff inhalation q4h (every 4 hours) as needed. 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. nortriptyline 25 mg capsule : one (1) capsule po hs (at bedtime). 6. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day) as needed for constipation. 7. oxycodone 5 mg/5 ml solution : one (1) po q4h (every 4 hours) as needed. 8. metoprolol tartrate 50 mg tablet : 2.5 tablets po tid (3 times a day). 9. simethicone 80 mg tablet, chewable : one (1) tablet, chewable po qid (4 times a day) as needed. 10. cyclobenzaprine 10 mg tablet : 0.5 tablet po tid (3 times a day) as needed for muscle pain. 11. fentanyl 50 mcg/hr patch 72 hr : one (1) patch 72 hr transdermal q72h (every 72 hours). 12. vancomycin 500 mg recon soln : seven y (750) mg intravenous q 12h (every 12 hours): please continue through . 13. ceftriaxone-dextrose (iso-osm) 1 gram/50 ml piggyback : one (1) intravenous q24h (every 24 hours): please continue through . 14. rifampin 150 mg capsule : four y (450) mg po q12 hours: please continue po/pg through . discharge disposition: extended care facility: discharge diagnosis: septic hip/prosthesis epidural abscess osteomyelitis of foot lower gi bleed dysphagia left lung collapse atrial fibrillation discharge condition: stable. the patient is afebrile and his vital signs are stable. discharge instructions: you were admitted with infection in your hip. in addition, you were found to have evidence of infection in both your left foot and neck. you have had several surgical procedures for treatment of this, and you will also be on antibiotics for a total of 8 weeks. please keep all of your appointments with your doctors and take of your medications as prescribed. please call your doctor or return to the emergency room if you experience: --fever or chills --weakness or numbness anywhere in your body --stomach pain --nausea or vomiting --chest pain --shortness of breath --cough --blood in your stool --black, tarry stool --any other symptom that concerns you followup instructions: you should follow-up with your primary care physician, . , within 2 weeks of discharge. his phone number is . you should follow-up with your infectious disease physician: : , md phone: date/time: 10:30 you should follow-up with your general surgeon, dr. . he placed the g-tube in your stomach. it is important to follow up with him within the next 2 weeks to have your abdominal staples removed. his phone number is . you should follow-up with your orthopedist, dr. , for continued surveillance of your hip. you should see him with 2 weeks of discharge. his phone number is . you should follow-up with your spinal surgeon, dr. , within 2 weeks of discharge. his phone number is . you should follow-up with the podiatry service at . you can make an appointment at . procedure: venous catheterization, not elsewhere classified fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other intubation of respiratory tract other incision with drainage of skin and subcutaneous tissue other incision with drainage of skin and subcutaneous tissue arteriography of other intra-abdominal arteries other cervical fusion of the anterior column, anterior technique other endovascular procedures on other vessels transfusion of packed cells other gastrostomy transfusion of other serum other cervical fusion of the posterior column, posterior technique other partial ostectomy, other bones other partial ostectomy, other bones insertion of interbody spinal fusion device removal of implanted devices from bone, femur other arthrotomy, hip bilateral adrenalectomy revision of hip replacement, acetabular liner and/or femoral head only diagnoses: pneumonia, organism unspecified mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of bronchus and lung infection with microorganisms resistant to penicillins pulmonary collapse acute respiratory failure bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site chronic systolic heart failure hemorrhage of gastrointestinal tract, unspecified intraspinal abscess other and unspecified alcohol dependence, unspecified cellulitis and abscess of foot, except toes hip joint replacement tricuspid valve disorders, specified as nonrheumatic unspecified osteomyelitis, ankle and foot other lymphedema essential thrombocythemia infection and inflammatory reaction due to internal joint prosthesis dysphagia, unspecified 

Answer: The patient is high likely exposed to