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: large bowel obstruction/inguinal hernia major surgical or invasive procedure: left inguinal hernia repair with mesh history of present illness: 77 yo m s/p laparocscopic cholecystectomy on () now with 2 days of abdominal pain, and distention. he also has had vomiting for 2 days. he has poor po intake. denies fever, chills or night sweats, and diarrhea. he has noticed smaller caliber of stool. he had periumbilical pain, exacerbated and relieved by nothing. last bowel movement this morning and positive flatus in the am. ct of abdomen at the osh showed a large amount of increased density ascites and diffuse distention of small bowel. past medical history: cad, hypertension, atrial fibrillation, dm, chronic anemia, aortic stenosis, copd, chf ef 20-25% on , chronic renal insufficiency baseline creatinine between 1.6-2.3 since , hypothyroidisn. psh: cabg x 4 vessel disease and mitral valve replacement, pacemaker placed, left hip replaced, right knee replaced, lap chole on , cataract surgery repair of left inguinal hernia with mesh and large volume paracentesis;surgeon dr. mrsa + social history: retired bread maker.denies etoh or tobacco use family history: n/c physical exam: vs: t 97.7 hr 89 bp 118/73 rr 14 o2 sat 100% on ra gen: nad lung: clear to ausculation bilaterally cv: rrr abdomen: distended, tympanitc, diffuse mild tenderness in the upper quadrant bilateral inguinal hernias felt, both are reducble but with tenderness pertinent results: 12:20am pt-15.7* ptt-28.8 inr(pt)-1.4* 12:20am plt count-449* 12:20am wbc-12.3* rbc-3.76* hgb-8.9* hct-29.6* mcv-79* mch-23.8* mchc-30.2* rdw-15.6* 12:20am albumin-3.5 calcium-9.2 phosphate-4.5 magnesium-2.3 12:20am lipase-13 12:20am alt(sgpt)-7 ast(sgot)-13 alk phos-92 amylase-47 tot bili-0.7 12:20am glucose-117* urea n-43* creat-1.8* sodium-142 potassium-4.1 chloride-103 total co2-25 anion gap-18 01:42am lactate-1.3 04:35am blood wbc-13.4* rbc-3.61* hgb-8.9* hct-28.4* mcv-79* mch-24.6* mchc-31.3 rdw-18.1* plt ct-327 04:35am blood pt-14.6* ptt-30.9 inr(pt)-1.3* 04:35am blood glucose-87 urean-65* creat-1.8* na-139 k-3.4 cl-100 hco3-29 angap-13 04:35am blood alt-6 ast-16 alkphos-60 totbili-0.7 06:00am blood lipase-17 08:07pm blood ck-mb-4 ctropnt-0.04* 04:35am blood calcium-8.1* phos-3.4 mg-1.9 03:46pm blood caltibc-183* ferritn-58 trf-141* 08:12pm blood ammonia-24 04:36am blood tsh-10* 02:10am blood phenyto-2.9* brief hospital course: on he underwent repair of left inguinal hernia with mesh and 4 liter paracentesis for left inguinal hernia with large bowel obstruction. surgeon was dr. . please see operative report for details. postop, he was sent to the sicu for low urine output (12cc/d)and increased creatinine to 3.1 from baseline of 1.8. he required cvvhd via a temporary line for two days then lasix and albumin were given for diuresis. two units of prbc were given for a hct of 24. hct increased to 31 then stablized around 27. he required bp pressure support. he was intubated until pod 2. on he was febrile to 101.2. culture have been negative to date. a renal u/s was done, but limited, especially for evaluation of renal vascular flow due to patient's body habitus. the ascites was at least moderate. the liver echogenicity was normal with no intrahepatic biliary ductal dilatation. the right kidney measures 10.1 cm and the left kidney 9.6 cm. right interpolar renal cyst measured 2.3 cm and corresponded to that seen on ct. there was no hydronephrosis or renal calculus. the urinary bladder was not distended. a tte was done to evaluate cardiac function. this demonstrated an ef of 34-40% and moderate regional lv dysfunction, moderate pulmonary artery systolic hypertension with moderate dilatation and hypokinesis of the rv. there was a mitral valve prosthesis functioning normally and mild aortic stenosis. beta blockers were started for rate control of chronic afib. cardiology saw him and recommended amiodarone for rhythm control with loss of atrial kick. aspirin was started per cardiology recommendation. coumadin was not resumed as the patient stated that he took himself off secondary to a bad nose bleed that he was hospitalized for ~6 weeks prior. he refused to start coumadin. a tsh was 10 on . levoxyl was increased to 0.1mg from 0.05mg. pt recommended rehab for strengthening, balance and independence. he required lifting to transfer out of bed. ot recommended rehab to maximize strength and independence. he was on fall precautions. pain med was given prior to working with pt for complaints of joint pain in left elbow/ right shoulder and edematous scrotum. urine output increased to to 2800cc/day. creatinine trended back down to 1.8. bp ranged between 193/84 to 100/55 with heart rates of 90-low 100s in afib. mental status was alert with intermittent periods of confusion with place/time. he was easily re-oriented. the plan is for rehab at . he will follow up in 1 week. duoderm was applied to his sacral area for redness. medications on admission: doesn't know meds, these from d/c on ): atenolol 25", coumadin 5', capoten 12.5'", lasix 60', asa 81', synthroid 0.05 ', dilantin 100"", darvocet prn pain, protonix 40', glyburide discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. insulin regular human 100 unit/ml solution sig: follow sliding scale injection asdir (as directed). 4. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 7. phenytoin 50 mg tablet, chewable sig: three (3) tablet, chewable po bid (2 times a day): morning and noon. 8. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po qpm (once a day (in the evening)). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day): hold hr <60 or sbp <110. 11. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 12. furosemide 60 mg iv bid discharge disposition: extended care facility: medical center - discharge diagnosis: bowel obstruction left inguinal hernia repair discharge condition: good discharge instructions: please call if fever, chills, nausea, vomiting, increased abdominal pain, lethargy, jaundice or incision redness/bleeding/drainage. followup instructions: follow up with , md (surgeon) phone: date/time: 8:50 please schedule follow up appointment with pcp procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage arterial catheterization pulmonary artery wedge monitoring transfusion of packed cells other and open repair of direct inguinal hernia with graft or prosthesis diagnoses: end stage renal disease acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia atrial fibrillation infection with microorganisms resistant to penicillins coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status aortic valve disorders systolic heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease heart valve replaced by other means methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site cardiac pacemaker in situ unspecified deficiency anemia cyst of kidney, acquired inguinal hernia, with obstruction, without mention of gangrene, bilateral (not specified as recurrent) other disease of nasal cavity and sinuses 

Answer: The patient is high likely exposed to