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: sternal drainage major surgical or invasive procedure: sternal debridement, placement of vac dressing sternal closure with talon system along with pectoral advancement flaps picc placement history of present illness: this 72 year old white male is s/p cabgx4(lima->lad, rsvg-> om1, pda, and diag) on . he was discharged to home on pod#5 in stable condition and was doing well until 2 days ago. he had increased sternal pain and developed purulent sternal drainage. he saw dr. this morning and was sent to be seen by our service. past medical history: cad s/p cabgx4 postop atrial fibrillation hypertension hyperlipidemia gerd glaucoma gout thrombocytopenia motorcycle accident with significant bony and soft tissue damage to the right foot, s/p orif of right 5th metatarsal and i&d social history: occupation: retired lives with spouse : 80 - 90 pack year history, quit 20 years ago etoh:denies family history: non contributory physical exam: pulse: 75 resp: 75 o2 sat: 98% ra b/p right: 113/80 left: height: weight: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally sternum: purulent drainage from upper pole of wound, upper wound bone not healed, no errythema heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none l leg wound healing well. neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: wbc-6.9 rbc-3.15* hgb-8.9* hct-29.0* mcv-92 mch-28.4 mchc-30.8* rdw-13.6 plt ct-210# glucose-123* urean-15 creat-1.0 na-137 k-4.9 cl-100 hco3-28 alt-20 ast-20 alkphos-59 totbili-0.3 ct scan: retrosternal fluid collection is posterior to the extent of the body of the sternum measuring 21 x 25 x 125 mm in ap, transverse and sagittal dimensions. a smaller second retrosternal fluid collection is posterior to the manubrium of the sternum. a small area of edema and fluid collection is anterior to the manubrium of the sternum. small pocket of gas is incompletely imaged anterior to the trachea seen in the first three images of the study at the level of the thoracic inlet. this can be post-operative. there are no air bubbles within the fluid collections anterior and posterior to the sternum. native coronary arteries are calcified.small-to-moderate bilateral pleural effusions are greater on the left side. there is a sliver of pericardial effusion. patient is post cabg. there is no mediastinal lymphadenopathy. the pleural effusions are associated with adjacent atelectasis left greater than right. tee: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. no masses or vegetations are seen on the aortic valve. no aortic regurgitation is seen. no mass or vegetation is seen on the mitral valve. no mitral regurgitation is seen. no masses or vegetations are seen on the tricuspid valve. no tricuspid regurgitation is seen. no vegetation/mass is seen on the pulmonic valve. there is no pericardial effusion. 03:48am blood wbc-4.9 rbc-3.16* hgb-9.2* hct-28.4* mcv-90 mch-28.9 mchc-32.2 rdw-15.3 plt ct-149* 05:54am blood wbc-4.3 05:54am blood urean-22* creat-1.9* k-4.3 05:51am blood urean-24* creat-1.8* k-3.7 brief hospital course: mr. was admitted to the on for further management of his sternal wound infection. a ct scan was obtained which was suggestive of a retrosternal fluid collection. he was pancultured and started on broad spectrum antibiotics(ciprofloxacin and vancomycin) pending culture results. on , he was brought to the operating room where sternal debridement was performed with placement of a vac dressing. for surgical details, please see operative note. he was kept sedated and paralyzed for several days and returned to the operating room on where sternal closure was performed with talon system along with pectoral advancement flaps by the plastic surgery team. operative wound cultures grew out proteus mirabilis along with coagulase negative staphylococcus. antibiotics were titrated and adjusted per id recommendatioms. rifampin was eventually added. mr. will require an 8 week (start ) course of vanco and rifampin and possibly lifelong cipro or bactrim to be determined by id in follow up. a picc line was placed on . the remainder of his postoperative course was essentially uneventful. he is advised to follow up with plastics 2 weeks after discharge to reassess removal of the remaining jp drain. he continued to progress and was cleared by dr. for discharge on pod #12 with vna. all follow up appointments were advised. medications on admission: asa 81 mg po daily colace 100 mg po bid omeprazole 20 mg po daily lumigan 0.03% 1 gtt ou daily lipitor 20 mg po daily percocet po q 4-6 hours prn coumadin 2.5 mg po daily lopressor 75 mg po tid amiodorone 200 mg po daily lisinopril 10 mg po daily discharge medications: 1. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 8. hydralazine 50 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 9. outpatient lab work please monitor weekly cbc w differential, lfts, bun/creatinine while on vancomycin/rifapmin vancomycin trough fax results to clinic: ( 10. rifampin 300 mg capsule sig: one (1) capsule po q12h (every 12 hours): duration approx 6-12 months, pending id recommendations. disp:*60 capsule(s)* refills:*2* 11. ciprofloxacin 750 mg tablet sig: one (1) tablet po every twelve (12) hours: duration approximately 6-12 months pending id recommendations. disp:*60 tablet(s)* refills:*2* 12. vancomycin 500 mg recon soln sig: 2.5 intravenous once a day for 10 weeks: 1250mg q 24hours x 6-10 weeks pending id recommendations. disp:*qs * refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: sternal wound infection coronary disease, s/p cabg on hypertension dyslipidemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns - continue intravenous and oral antibiotics as directed drain discharge instructions you are being discharged with drains in place. drain care is a clean procedure. wash your hands thoroughly with soap and warm water before performing drain care. perform drainage care twice a day. try to empty the drain at the same time each day. pull the stopper out of the drainage bottle and empty the drainage fluid into the measuring cup. record the amount of drainage fluid on the record sheet. reestablish drain suction. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. (plastic surgeon) in 2 weeks dr. (infectious disease)phone: date/time: 11:00 weekly labs to include cbc w diff, lfts, bun, cr, vanc trough- results to clinic md procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] attachment of pedicle or flap graft to other sites excision or destruction of lesion or tissue of mediastinum diagnoses: esophageal reflux other postoperative infection unspecified essential hypertension disruption of internal operation (surgical) wound coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other and unspecified hyperlipidemia acute osteomyelitis, other specified sites gangrene mediastinitis 

Answer: The patient is high likely exposed to