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 52-year-old man with a history of paroxysmal atrial fibrillation, cerebrovascular accident leading to sense left hemiparesis, methicillin-resistant staphylococcus aureus pneumonia, fractures who present progressive shortness of breath and cough productive of rust-colored sputum. this is a gentleman whose complicated medical course dates back to when he suffered a cerebrovascular accident secondary to atrial fibrillation leading to left hemiparesis. he currently lives at and has had problems in the past year including endocarditis and recurrent urinary tract in , he was dropped in the process of being lifted from his bed leading to fracture of his left femur and was hospitalized here. during that hospital course he bled into his leg leading in a drop of his hematocrit to about 23 and a transfusion, which put him into congestive heart failure, was diuresed, and then went into atrial fibrillation. he was cardioverted times two at that time and started on amiodarone. he also spiked fevers during that admission secondary to pneumonia with consolidation of his left lung. this was methicillin-resistant staphylococcus aureus pneumonia and bacteremia, and there was also vegetations on his echocardiogram during that admission. he was sent out on six weeks of vancomycin due to a history of endocarditis and methicillin-resistant staphylococcus aureus positive blood cultures; however, on admission, he was subtherapeutic taking only 1 g of vancomycin intravenously q.d. for the last few days prior to admission he had been experiencing increased shortness of breath and cough productive of rust-colored sputum. he was seen at on the morning of admission and found to be short of breath with oxygen saturation in the middle 80s. he was transferred to the emergency department where he received 2 g of intravenous ceftazidime, and his saturations were increased to the 90s on 4 liters of oxygen. review of systems: review of systems was negative for chest pain, palpitations or nausea. however, he did complain of dysuria, hematuria, and urinary frequency. past medical history: 1. paroxysmal atrial fibrillation, on amiodarone and therapeutic on coumadin. 2. cerebrovascular accident secondary to atrial fibrillation leading to left hemiparesis. 3. hypertension. 4. non-insulin-dependent diabetes mellitus. 5. status post left hip hemi-repair, status post fall leading to new fracture of his left femur and unrepaired fracture of his right hip. 6. endocarditis. 7. methicillin-resistant staphylococcus aureus pneumonia. 8. urinary tract infections. medications on admission: lopressor 25 mg p.o. b.i.d., zoloft 200 mg p.o. q.d. buspar 5 mg p.o. b.i.d., zantac 150 mg p.o. b.i.d., coumadin 1 p.o. q.d., valproic acid 500 mg p.o. every noon and 75 mg p.o. q.a.m. and q.h.s., oramorph 15 mg p.o. b.i.d., roxicodone 5 mg p.o. q.4h. p.r.n. for pain, amiodarone 200 mg p.o. q.d., colace 100 mg p.o. b.i.d., dulcolax 10 mg p.o. q.d. p.r.n. for constipation, senokot, aspirin 325 mg p.o. q.d., multivitamin 1 p.o. q.d., zinc 220 mg p.o. q.d., vitamin c 500 mg p.o. q.d., serax 10 mg p.o. q.h.s. p.r.n., atrovent nebulizers q.4h. p.r.n., and vancomycin 1 g intravenously q.d. allergies: no known drug allergies. social history: he lives in . his mother and brother live in . no alcohol or tobacco use. physical examination on admission: temperature of 95.4 axillary, temperature of 96.8 rectally, blood pressure 181/83, with a pulse of 56, respiratory rate of 18, satting 95% on 4 liters. the patient looked older than his stated age and uncomfortable. he was normocephalic and atraumatic. his pupils were constricted by round and reactive to light, and there was a 1.5-cm node in the right anterior cervical chain. he had jugular venous distention to 9 cm. on cardiac examination, he was bradycardic to the 40s, but with a regular rhythm, and a holosystolic murmur loudest at the apex. on lung examination, he had diffuse rales anteriorly. on abdominal examination, he had right lower quadrant tenderness without rebound. he was not distended and had positive bowel sounds. the patient refused guaiac examination. on extremity examination, he had 2+ pulse on the right, 1+ on the left, and evidence of chronic venous disease bilaterally. on neurologic examination, he had 0/5 strength in the left upper and lower extremities, but 5/5 strength in right upper and lower extremity. his mental status was alert and oriented times three. he was able to name the months backwards and remembered objects after five minutes. laboratory data on admission: significant laboratories included a hematocrit of 29.8, white blood cell count of 4.8, platelets of 106. the differential for his white blood cell count was 70 neutrophils, 0 bands. his baseline hematocrit was 34 from previous admissions. he had a pt of 18.9, a ptt of 35.6, and an inr of 2.4. his electrolytes were remarkable only for a potassium of 3.3 and a calcium of 7.7. his initial creatine kinase was 19 with a troponin i of 0.3. on urinalysis, he had greater than 50 red blood cells, greater than 50 white blood cells, and many bacteria. radiology/imaging: on chest x-ray there was evidence of congestive heart failure with indistinct pulmonary vasculature in a prehilar distribution. there were small bilateral pleural effusions and linear band-like opacity in the left middle lung zone which was likely atelectasis. there was a left picc line appropriately placed. on electrocardiogram he had downgoing t waves in leads v2 and v6; of which only the t wave in v2 was new from previous examination. assessment: this was felt to be a man with congestive heart failure and possibly also with some residual pneumonia given his therapeutic vancomycin treatment. the other problems of concern at that time included a probable urinary tract infection and bradycardia. hospital course: 1. cardiovascular: he was ruled out for a myocardial infarction by enzymes and repeat electrocardiogram. he received 20 mg of intravenous lasix immediately and then the next day with a goal of diuresis for resolution of his congestive heart failure, and an echocardiogram was planned to evaluate his systolic function and endocarditis. his hypertension was controlled by lopressor with strict hold parameters. his amiodarone was continued at 200 mg for his atrial fibrillation, as was his coumadin for that indication. 2. pulmonary: he was placed on oxygen at a sufficient level to maintain saturations of greater than 93%. he was ordered for a chest x-ray. he was started on vancomycin as well as gentamicin for coverage of possible agents for his pneumonia. a sputum culture was taken, and he received p.r.n. albuterol nebulizers. 3. gastrointestinal: he was placed on an aggressive bowel regimen and all stools were guaiaced. 4. genitourinary: his urine was sent for culture, and he had foley catheter placed. the gentamicin was added also to treat his urinary tract infection. 5. renal: his creatinine was 0.5, which was baseline. 6. hematology: his hematocrit of 29 was just below his baseline in the 30s. he refused rectal examination, but all stools were guaiaced. 7. infectious disease: he was started on vancomycin and gentamicin intravenously and had cultures were sent of his sputum, blood, and urine. 8. fluids/electrolytes/nutrition: his electrolytes were repleted and followed with daily laboratories. he had a left picc line in place. on the afternoon of , he was found in his room obtunded and barely responsive to sternal rub with bradycardia down to the 30s and 40s. a blood gas showed that he was acidotic with a co2 of 56, an o2 of 123 on 100% fio2. he was transferred to the cardiac intensive care unit and electrophysiology was consulted. their impression was that his decline in mental status was secondary to poor cardiac output secondary to bradycardia, and a temporary wire was placed to increase cardiac output. he remained in the coronary care unit until . during his stay there, he had a swann-ganz catheter placed into his internal jugular which demonstrated elevated pulmonary capillary wedge pressure, and he was found to have poor cardiac output with high systemic vascular resistance of 1200s. he was started on captopril to decrease his systemic vascular resistance, and this improved his cardiac output dramatically with some improvement of his mental status. blood cultures came back as positive only in bottles, and that was with coagulase-negative staphylococcus which was a presumed contaminant. he was transferred to 7 on in stable condition with improving mental status. on , he was found to have good mental status but in rapid atrial fibrillation to the 120s and 130s. he was given 12.5 mg of p.o. lopressor as well as 50 mg intravenous lopressor, and 10 mg of diltiazem which improved his heart rate to the 100s. electrophysiology was reconsulted, and they recommended resumption of his amiodarone which had been discontinued in an effort to keep a more rapid heart rate. on , he was back in sinus rhythm with a heart rate in the 60s and 70s, and good mentation. an ultrasound demonstrated no significant residual pleural fluid in his right lung, and a 3-cm fluid in his left lung. given his dramatic medical improvement, it was deemed unnecessary to have a diagnostic tap. on , in the morning, he received an echocardiogram which demonstrated increased mitral regurgitation of 2+ and decreased systolic function of approximately 30%. condition at discharge: he was afebrile with stable vital signs including a blood pressure in the 130s, and a pulse in the 60s, satting 99% on room air. he was in no apparent distress with cardiac examination in regular rhythm, and still with a holosystolic murmur at the left sternal border. his examination was otherwise remarkable for a stable hematoma in his right upper thigh. his mental status had returned to baseline as he was alert and oriented times three with good cognitive function. discharge status: he was to be discharged to (his place of residence). medications on discharge: 1. vancomycin 1 g intravenously q.12h. 2. captopril 75 mg p.o. t.i.d. 3. aspirin 325 mg p.o. q.d. 4. colace 100 mg p.o. b.i.d. 5. zoloft 200 mg p.o. q.d. 6. buspar 5 mg p.o. b.i.d. 7. zantac 150 mg p.o. b.i.d. 8. depakote 500 mg p.o. q.a.m. and q.h.s. and 750 mg p.o. every noon. 9. percocet 5/325 q.6h. p.r.n. for pain. discharge diagnoses: 1. methicillin-resistant staphylococcus aureus pneumonia. 2. congestive heart failure. 3. paroxysmal atrial fibrillation. 4. status post right cerebrovascular accident. 5. hypertension. 6. diet controlled non-insulin-dependent diabetes mellitus. 7. bilateral hip fractures, unrepaired. 8. endocarditis. 9. urinary tract infection. discharge followup: he was to follow up with his primary care physician, . . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation infection with microorganisms resistant to penicillins bacteremia methicillin susceptible pneumonia due to staphylococcus aureus acute and subacute bacterial endocarditis 

Answer: The patient is high likely exposed to