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: s/p mechanical fall, c2 fracture major surgical or invasive procedure: 1. open tracheostomy. 2. percutaneous endoscopic gastrostomy. history of present illness: this is an 88 yo male s/p mechanical fall from standing 4 days prior to presentation. he initially presented w. complaints of neck pain and was subsequently transferred from osh after being diagnosed with c2 fracture and pneumonia. he was also found to be in atrial fibrillation. no neurologic symptoms. no headache or head injury or loc. no sob or palpitations or cough, although pt was moderately confused and very poor historian. past medical history: 1. coronary artery disease s/p cabg , mi 2. benign prostatic hypertrophy s/p bladder diverticulectomy and prostate resection. 3. bladder diverticulum s/p bladder diverticulectomy and prostate resection. 4. hypertension. 5. hypercholesterolemia. 6. migraine 7. dm social history: smoked cigars and pipes for 40 yrs (3 per day), quit 15 yrs ago. occas etoh use. retired lawyer. lives with his wife. family history: nc physical exam: vs: t 99 hr 59 (af) 102/43 14 100%on 10l tm ventilated via tracheostomy somewhat confused rhonchrous bs bilat irreg irreg 1+ edema, no cyanosis, clubbing pertinent results: . ck: 223 mb: 5 trop-t: 0.02 . 02:40a trop-t: 0.02 . ua glu 1000, + ketones . 10:42p k:3.9 glu:287 10:30p trop-t: 0.02 . 135 96 24 agap=16 ------------ 319 3.9 27 1.2 . ck: 160 mb: 5 . ca: 9.1 mg: 1.9 p: 2.6 13.7 &#8710; 11.9 --------301 &#8710; 40.3 n:82.5 l:12.8 m:4.0 e:0.5 bas:0.3 pt: 11.3 ptt: 24.7 inr: 0.9 . micro: mrsa: neg ucx: neg rpr: pending bcx: pending mrsa screen: pos cath tip - neg bal - mrsa . imaging: ct chest: mildly displaced left 8th-10th rib fx with assoc. consolidation of adjacent lung, likely reflect contusion. small cystic spaces in right lower lobe medial basal, may reflect pneumatoceles. t3 compression fx, likely acute ct l-spine: no fx or spondylolisthesis echo: the la is elongated. the ra is moderately dilated. mild symmetric lv hypertrophy with normal cavity size. mild regional lv systolic dysfunction with inferior akinesis and hypokinesis of the basal inferolateral and inferoseptal segments. the remaining segments contract normally (lvef = 40-45%). rv chamber size and free wall motion are normal. mild mr & ar. ct head: no ich cxr: increased lll effusion cxr: no pneumo s/p bronch, slight improvement in aeration @ bases cxr: trach in standard placement. mild bibasilar atelectasis stable, small right pleural effusion has increased, no pulmonary edema, heart size is normal. no pneumo. right pic line passes to the edge of the right chest cage, and a leftpic line can be traced to the junction of the brachiocephalic veins. brief hospital course: the patient is an 88yom admitted to the trauma surgery service on s/p mechanical fall from standing; tx'd from osh after being dx'd w/ c2 fracture, and pneumonia; he was initially admitted to ticu given age and mental status, but was re-admitted to the ticu within 1 day of tx to the floor for respiratory distressa and bradycardia requiring intubation. now s/p trach and peg. events: admit to ticu. transfer to floor. : readmit to ticu desaturations on nrb (70-80%). : code called - atropine x 2 given, intubation for desats and bradycardia, mucous plugging. : aline, picc line, changed foley, intermittent bloody uop. following commands. intermittent brady to mid-40s. : dobhoff placement in ir, trauma line dc'ed, bronch w/ bal : trops neg. ekg: afib, ? lbbb. cardiology recs: wenckebach vs. complete heart block. no intervention at this point as bp stable during brady episodes, atropine for sx bradycardia, ep consult when extubated and more stable as he likely warrants a pacer. hypotension oxycodone/hydralazine/ppf at one time, briefly on neo. : started tfs, d/c'ed cefepime & cipro after sputum -> +mrsa, pt/ot neuro: the patient was diagnoaed with c2 fracture, but was neurologically intact. neurosurgery spine was consulted and recomended that the remain in j at all times for at least 4 weeks. no logroll or sugical intervention needed. the pt will need to f/u with ns in 4 weeks with repeat c-spine ct. he also had difficulty with altered mental status and delirium during his hospitalization. he received oxycodone and morphine for pain while admitted. cv: the patient was found to be in atrial fibrillation on admission. he also had episodes of intermittent bradycardia. cardiology was consulted and thought his rhythm was wenckebach vs. complete heart block. they additionally recommended that no intervention be undertaken at this point as the patient's blood pressure remained stable during bradycardic episodes, that the patient receive atropine for symptomatic or hypotensive bradycardia, and recommended starting aspirin. the patient will likely place a pacemaker when his c-collar is removed. pulmonary: the patient's respiratory status decompensated when transfered to the floor. at that time he was intubated. his decompensation was thought to be due to an aspiration event as food pieces and pills were suctioned form his lungs after intubation. the patient was not able to extubated due to mental status and secretions, as well as failing several sbts. he underwent tracheostomy placement and a pmv was ordered. gi/gu: the patient was aggressively resuscitated as needed during his hospitalization in order to maintain urine output. due to his aspiration event, the patient had a percutaneous peg tube placed for tube feeding and he was kept strictly npo. he was also started on a bowel regimen to encourage bowel movement. foley removal was attempted but had to be replaced due to urinary retention. intake and output were closely monitored. id: the patient was initially on levoquin after admission for community acquired pneumonia. after his respiratory decompensation, antibiotic coverage was broadened. additionally, bal cultures were sent which grew mrsa. the patient's antibiotic regimen was narrowed to just vancomycin. the patient will need 14 days of therapy. prophylaxis: the patient received subcutaneous heparin during this stay. pt was consulted to get the patient out of bed to a chair. at the time of discharge on hd#8, the patient was doing well, afebrile with stable vital signs on tm mask, tolerating tube feeds, foley in place and pain was well-controlled on po pain medication. medications on admission: asa 81', lisinopril ?, lasix 40', glipizide ?, glucophage ?, provastatin, fosamax 70 mg q weekly discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) unites injection tid (3 times a day). disp:*90 injections* refills:*0* 2. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day): use only if patient is on mechanical ventilation. . 3. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: six (6) puff inhalation q6h (every 6 hours) as needed for wheezing. disp:*qs doses* refills:*0* 4. oxycodone 5 mg/5 ml solution sig: 5-15 mls po every 4-6 hours as needed for pain: hold for sedation, rr < 12. disp:*200 mls* refills:*0* 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation q6h (every 6 hours) as needed for sob. disp:*qs * refills:*0* 7. hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours): hold for sbp < 110, hr < 60 . disp:*120 tablet(s)* refills:*0* 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily): hold for sbp < 110 . disp:*30 tablet(s)* refills:*0* 9. insulin regular human 100 unit/ml solution sig: per sliding scale units injection asdir (as directed): per sliding scale. disp:*qs units* refills:*0* 10. vancomycin in 0.9% sodium cl 1 gram/250 ml solution sig: 1250 mg intravenous once a day for 7 days: last day for 14 day course. disp:*qs * refills:*0* 11. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 12. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 13. famotidine 20 mg tablet sig: one (1) tablet po twice a day for 30 days. disp:*60 tablet(s)* refills:*0* discharge disposition: extended care facility: for the aged - macu discharge diagnosis: 88yom s/p mechanical fall from standing primary: 1. type iii c2 fx 2. t3 compression fx 3. l posterior rib fx 4. l anterior 5th rib fx 5. pneumonia, mrsa 6. delirium (altered mental status) 7. bradycardia/atrial fibrillation 8. aspiration secondary: 1. hypertension, 2. non-insulin dependent diabetes mellitus, 3. coronary artery disease discharge condition: mental status: confused - mostly level of consciousness: lethargic but arousable activity status: out of bed with assistance to chair or wheelchair discharge instructions: *you were admitted to trauma surgery service after a fall. you were found to have a fracture of your c2 vertebrae as well as multiple rib fractures. *your course was complicated by development of a hospital acquired pneumonia, likely due to aspiration (breathing in of stomach contents), with subsequent respiratory failure requiring intubation and mechanical ventiation. * you will need to take 14 days of iv antibiotics--vancomycin--to treat your pneumonia. this antibiotic will treat the bacteria in your sputum called mrsa. * due to your respiratory failure, a tracheostomy was done in the or to allow you to breathe. * due to the fracture in your neck, you must wear the hard cervical collar at all times. you will need to follow up with dr. in 4 weeks with a repeat c-spine ct. * you also had multiple episodes of bradycardia (slow heart rhythm). cardiology was consulted to evaluate your slow heart rhthym. they reommended that no beta blockers or calcium channel blockers be given to you, as this could put you in the abnormal rhthym. additionally, if your blood pressure drops due to this rhythm, you should receive atropine. finally, when your neck has healed and your c-collar removed, you will need to have a pacemaker placed. * you had a gastric tube placed so you can receive tube feeds to give you nutrition, as your mental status would not permit you to eat normally without aspirating food contents. return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. * please take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. followup instructions: please follow up with dr. in 2 weeks. you may call ( for an appointment. please follow up with follow up with dr. in 4 weeks with a repeat c-spine ct scan. call ( for an appointment. md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortocoronary bypass status acute respiratory failure pneumonitis due to inhalation of food or vomitus closed fracture of second cervical vertebra retention of urine, unspecified closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury fall from other slipping, tripping, or stumbling contusion of lung without mention of open wound into thorax dependence on respirator, status methicillin resistant pneumonia due to staphylococcus aureus closed fracture of four ribs 

Answer: The patient is high likely exposed to