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: history of present illness: this is a 57-year-old male with history of insulin dependent diabetes, status post renal transplant in , recent admits for fever of unknown origin, who now presents with a three day history of nausea, vomiting, diarrhea, and fever of up to 101.8. as already noted, the patient was recently admitted in late for workup of fever of unknown origin including a vats procedure, and readmitted in mid with similar complaints without significant elucidation of his fever of unknown origin. the patient was afebrile for five days prior to discharge. after discharge, the patient had been in his usual state of health until a few nights prior to admission when he noted progressive nausea and vomiting, and inability to tolerate oral intake. he states that he has not been able to keep anything down, and has noted almost projectile vomiting approximately two hours after ingesting food. he states that the emesis is compromised of undigested food. he has been able to drink water and had red jello without any problem. in the emergency department, he had laboratories consistent with diabetic ketoacidosis. he was given 3 liters of intravenous fluids, phenergan, zofran, and insulin. he was transferred to the micu for management of his diabetic ketoacidosis. past medical history: 1. insulin dependent diabetes. 2. end-stage renal disease, status post kidney transplant in , baseline creatinine is 4-4.5. 3. status post vats in . 4. recent admissions for fuo with negative workup. 5. history of empyema/septic emboli. 6. congestive heart failure. 7. coronary artery disease, status post myocardial infarction, status post left anterior descending artery ptca and stent in . 8. history of clostridium difficile colitis. 9. osteoarthritis. 10. history of aspiration pneumonia. 11. mgus. 12. history of methicillin-resistant staphylococcus aureus, vancomycin resistant staph, cleared. 13. history of gallstones. 14. history of right eye blindness. medications: 1. midodrine 10 mg po tid. 2. prednisone 5 mg po q day. 3. neurontin 300 mg po bid. 4. lopressor 75 mg . 5. pravachol 40 mg po q day. 6. humalog sliding scale. 7. sodium bicarbonate 1300 mg po bid. 8. glargine 38 units subq q hs. 9. procrit 10,000 units subq 3x a week. 10. protonix 40 mg po q day. 11. aspirin 325 mg po q day. 12. sulfate 325 mg po q day. 13. lasix 20 mg po q day. 14. norvasc 5 mg po q day. 15. colace 100 mg po bid. allergies: dicloxacillin which leads to dry heaves, compazine leads to hallucinations. social history: no tobacco in the last 18 years, very rare etoh, no iv drug use, lives with wife and daughter. family history: noncontributory. review of systems: positive for fevers up to 101.8, negative chills or rigors, negative upper respiratory infection symptoms, negative headache, negative shortness of breath, positive chest pain localized to his right chest at the site of the recent vats procedure, extending to the anterior chest wall, treated with tylenol #3 without success. review of systems is also positive for nausea, vomiting, abdominal cramps, loose nonwatery stools x2 days, but negative for bright red blood per rectum, melena, urinary symptoms, lower extremity edema. laboratories: white count 11.8 with 84% neutrophils, 11% lymphocytes, hematocrit 33.9, platelets 247. sodium 143, potassium 4.5, chloride 113, bicarb 16, bun 86, creatinine 5.3, glucose 104, pt 13.5, ptt 27.1, inr 1.2. alt 12, ast 19, alkaline phosphatase 125, total bilirubin 0.5, lipase 7. ck 31, troponin is less than 0.3. urinalysis: slightly hazy, trace blood, greater than 300 protein, 250 glucose, small bilirubin, negative leukocyte esterase or nitrate, 3 red blood cells, 2 white blood cells, few bacteria, 2 epi's. urine sodium 54, urine creatinine 104, urine urea 516. arterial blood gas: ph 7.13, co2 28, o2 93. electrocardiogram: normal sinus rhythm at 79 beats per minute, normal axis with pvcs, pseudonormalization of t waves in i, v5 and v6, new t-wave inversion in v1. chest x-ray: patchy density in the left middle lung zone, questionable development of pneumonia, stable density in the right lung base, 7th rib abnormality posteriorly which could represent fracture. hospital course: in short, this is a 57-year-old male with a history of insulin dependent diabetes, end-stage renal disease status post renal transplant in with chronic renal insufficiency with baseline creatinine of 4.0 to 4.5, who presents with three days of nausea and vomiting, decreased po intake, and fever up to 101.8, found to be in diabetic ketoacidosis, transferred to the unit for further management. 1. endocrine: as already noted, the patient was found to be in diabetic ketoacidosis on admission. his initial anion gap was calculated to be 23. etiologies behind the diabetic ketoacidosis were thought to be infection given the fever versus ischemia given the new electrocardiogram changes. patient received 8 units of insulin iv push, and then 8 units per hour insulin drip. he also received 3 liters of normal saline in the emergency department, in addition to another liter in the micu. patient's gap quickly closed. he was converted to sliding scale insulin, and his fluids were continued at maintenance of d5 normal saline. 2. infectious disease: while in house, the patient started spiking with fevers up to 105 degrees f. patient's combined blood cultures from and grew 12/12 bottles of staphylococcus aureus, sensitive to oxacillin with a mic of 0.25. given the positive blood cultures, patient's fever was not thought to be related to his recent fuo. the most likely sources of the bacteremia were thought to be the site of the vats procedure, especially given that a small amount of pus was noted coming from the site. in addition, a cardiac source could not be ruled out. patient had a chest ct scan on . this showed increased patchy ground-glass infiltrate in the right upper lobe and left lower lobes, and a new 7th rib fracture. patient also had a staple right sided effusion. recent chest ct scan imaging for evaluation of empyema was negative. patient also had a transthoracic echocardiogram on . this showed a mild ar and mr, but no vegetations. on , the patient received a right sided thoracentesis. this showed an essentially clear fluid, with 1,000 white blood cells, and 5,000 red blood cells. also total protein is 3.2, glucose 272, ldh 164, and ph of 7.44. no organisms were seen, and culture was negative. pleural to serum total protein and ldh ratios were consistent with slightly exudative fluid. patient last spiked on . patient was kept on oxacillin 2 grams iv q4h. he received a picc line on his left. the plan was to keep the patient on intravenous oxacillin for at least one month's time given his bacteremia. subsequent surveillance cultures were negative. 3. given the patient's new onset diabetic ketoacidosis and electrocardiogram changes, he was ruled out by cardiac enzymes. the patient ruled out successfully. he is continued on aspirin, lopressor, and the pravachol. 4. renal: the patient has a history of chronic renal failure. the patient presented with acute and chronic failure. his was not useful because the patient is on chronic lasix. his fractional excretion of urea was 31, consistent with prerenal state as the value is less than 35. the patient responded to iv fluids, and his creatinine returned to a baseline of .5. 5. right sided chest pain: the patient was admitted with pleuritic right sided chest pain, correlating with the site of his recent vats and likely secondary to his newly found fractured 7th rib. given the patient's history of monoclonal gammopathy of unknown significance, there is concern that the patient may be converting to multiple myeloma. he may need a bone marrow in the near future. patient was successfully treated with percocet for the pain. condition on discharge: good. discharge medications: 1. midodrine 10 mg po tid. 2. prednisone 5 mg po q day. 3. oxacillin 2 grams iv q4h x1 month. 4. neurontin 300 mg po bid. 5. lopressor 75 mg po bid. 6. pravachol 40 mg po q day. 7. humalog sliding scale. 8. bicarb 1300 mg po bid. 9. glargine 38 units subq q hs. 10. procrit 10,000 units subq 3x a week. 11. protonix 40 mg po q day. 12. aspirin 325 mg po q day. 13. sulfate 325 mg po q day. 14. lasix 20 mg po q day. 15. norvasc 5 mg po q day. 16. colace 100 mg po bid. discharge instructions: the patient is to followup with dr. in weeks. patient will need to followup sooner if he redevelops a fever, nausea, vomiting, decreased po intake. he will also need to followup with infectious disease. discharge diagnoses: 1. staphylococcus aureus bacteremia, now cleared. 2. insulin dependent diabetes. 3. end-stage renal disease, status post kidney transplant in . 4. recent fever of unknown origin with negative workup. 5. coronary artery disease, status post myocardial infarction. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified diagnostic ultrasound of heart thoracentesis other incision with drainage of skin and subcutaneous tissue central venous pressure monitoring diagnoses: other postoperative infection unspecified pleural effusion congestive heart failure, unspecified acute kidney failure, unspecified bacteremia diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled hyperosmolality and/or hypernatremia kidney replaced by transplant 

Answer: The patient is high likely exposed to