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: cc: major surgical or invasive procedure: bronchoscopy with stent placement central line placement arterial line placement history of present illness: 59 yo m with non-small cell lung ca obstructing rll s/p chemo/xrt, esophageal stricture/stent admitted to hospital on with hemoptysis, epigastric discomfort. chest ct with no pe, r pleural effusion, ? pericardial effusion. started on tequin. egd on complicated by desat--> elective intubation for bronch/egd on which revealed no ugib, bronch with severe main bronchus narrowing and bleeding during procedure. hypotensive since then and started on neo. transfused 3 units prbcs. femoral line placed on . echo on with ? clear space at apex/posterior wall, normal ef, no valvular disease. also receiving decadron. no recent weight loss. no melena, hematochezia at home. upon arrival, pt intubated and sedated. past medical history: nsclc w/ obstruction of rll s/p chemotx/xrt (onc: dr. , niddm, hyperchol, esophageal stricture radiation s/p esophageal dilatation and stent (), hypothyroidism, h/o syncope--? vasovagal, chronic problem social history: lives with wife. daughter is hcp () tobacco 2ppd x many years --quit 2 yrs ago. used to work in construction. family history: brother- cad physical exam: on transfer: pe: 99.8 118/71 101 28 99% 67 kg pulsus: 8 mm hg gen: intubated, sedated, responds to painful stimuli heent: anicteric, pupils sluggish, et tube in place, ng tube in place cv: reg, tachy s1, s2, no m/r/g lungs: coarse bs bilaterally abd: nabs, soft, nt/nd ext: r femoral line, warm, trace edema in le bilaterally neuro: sedated, withdraws to painful stimuli in ue rectal: guaiac + pertinent results: 07:42pm urine color-straw appear-clear sp -1.014 07:42pm urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 07:13pm type-art po2-238* pco2-39 ph-7.42 total co2-26 base xs-1 07:13pm lactate-1.4 07:13pm o2 sat-98 05:51pm glucose-254* urea n-14 creat-0.9 sodium-139 potassium-3.8 chloride-105 total co2-24 anion gap-14 05:51pm alt(sgpt)-12 ast(sgot)-12 alk phos-68 tot bili-0.5 05:51pm calcium-8.4 phosphate-2.9 magnesium-2.2 05:51pm wbc-16.4* rbc-3.79* hgb-10.6* hct-30.1* mcv-79* mch-28.0 mchc-35.2* rdw-14.4 05:51pm neuts-96.6* bands-0 lymphs-1.8* monos-1.5* eos-0.1 basos-0 05:51pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-1+ polychrom-normal 05:51pm plt smr-normal plt count-347 05:51pm pt-12.6 ptt-22.9 inr(pt)-1.1 : lab data: sputum (): many wbcs, gm+ cocci/bacilli iron studies(): iron 25, tibc 308, ferritin 241 cta (): no pe. increase in soft tissue density in rul suspicious for tumor vs radiation fibrosis. moderate pericardial effusion increased since prior study. : echo : left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is normal. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. ekg: sinus tach @ 102, nl axis, pr depression, poor r wave progression, no ischemic changes cbc on discharge: 03:07am blood wbc-9.2 rbc-3.77* hgb-10.1* hct-30.5* mcv-81* mch-26.9* mchc-33.2 rdw-14.4 plt ct-321 electrolytes on discharge: na 143 k 3.2 (pre-repletion) cl 109 hco3 29 bun 9 cr 0.8 gluc 88 5:29 pm sputum site: endotracheal source: endotracheal. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (final ): oropharyngeal flora absent. staph aureus coag +. moderate growth. oxacillin resistant staphylococci must be reported as also staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s all blood cultures taken at were negative brief hospital course: the patient was transferred to for hemoptysis/transfer for ? tracheal stent placement. hospital course was significant for the following issues: 1. fever/leukocytosis: likely secondary to post-obstructive pna. gram positive cocci on sputum cx from osh. sputum culture obtained at with > 25 pmns, culture with + mrsa. bronchoscopy noted purulent sputum in l lung which was suctioned. blood cultures with no growth to date at discharge. ua, urine culture negative. the patient spiked to 103 on and was started on vancomycin and zosyn. his l femoral line was removed and the tip was sent for culture--there was no growth to date. a new subclavian central line was placed under sterile conditions on . 2. hemoptysis/respiratory failure: bronchoscopy performed on revealed a tortuous and macerated trachea with significant tumor infiltration along the length of trachea extending into the right and left mainstem bronchi. three stents were placed: 14x2 mm stent in r mainstem bronchus, 12x4 mm stent in l mainstem bronchus and 20x4mm tracheal stent. the patient continued to have small amounts of blood in the et tube. serial hct were stable. the patient remained intubated after the procedure and required high doses of sedation to remain comfortable. after the bronchoscopy with stent placement, his sedation began to be weaned. his abg's were good on minimal ventilatory support. his abg on was 7.46/39/120 on ac 600 x 18, peep 8, fio2 .60. over the next two days s/p the procedure he was slowly weaned off his fentanyl and midazolam drips along with the pressor support with neo-synephrine. by post-procedure day 3, the pressor was completely weaned off and breathing well on pressure support ventilation. he was therefore extubated on . this was well tolerated with good oxygen saturation post extubation. the patient did exhibit anxiety subsequent to extubation and discontinuation of sedation. this was chiefly managed via ativan given per the ciwa protocol. the patient also remained somewhat drowsy after stoppage of sedation but has slowly grown more alert. 3. anemia: the hct stable at 30. he required no transfusions. he remained intermittently guaiac positive on exam and would likely benefit from outpatient colonoscopy in the future. 4. hypotension: the patient was initially weaned off pressors; however, as his sedation requiremnt increased, his bp required more support and neo was re-started. given his fever spike, there was some concern for septic physiology and he was started on antibiotics as above. his bp also increased with fluid boluses. echocardiogram was performed on : left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is normal. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. pt was ruled out for adrenal insufficiency by cosyntropin stimulation test. 5. small cell lung ca: patient is s/p chemo, xrt. per dr. , oncologist, pt presented in with weight loss, scapular pain. found to have met to t3-t4. he received xrt to spine, chest in addition to weekly carboplatin/taxotere (had reaction to taxol). as of , just receving bisphosphonate for bone disease. plan was to re-start rx if progression of disease. dysphagia was biggest concern which improved s/p esophageal stent. now with progression into r mainstem bronchus. per dr. , the patient will be candidate for more chemotherapy if we can get him back to his baseline. 5. niddm: the patient was maintained on an insulin sliding scale. his sliding scale was adjusted as needed for tight glucose control. eventually his glucose control required insulin drip. after extubation and discontinuation of tube feeds, insulin drip was discontinued. 6. fen: the patient was started on tube feeds which he tolerated well. his ng tube was replaced with an og tube out of concern for sinusitis. on extubation, tube feeds were discontinued. speech and swallow evaluation revealed pt remained still too sedated to safely take solid and recommended starting him on small sips of clears. the patient did requirement repletion of electrolytes including potassium, magnesium, and phosphate. 7. ppx: the patient was continued on sc heparin, pneumoboots, ppi. 8. access: right subclavian line placed , discontinued on . left arterial line placed on , discontinued on . has two peripheral ivs. 9. the patient remained full code. 10. communication was maintained with the patient's wife and daughter (daughter is hcp: : ) medications on admission: meds (transfer): neo gtt @ 32, propofol, versed gtt, decadron 8 mg q6, glyburide, actos, synthroid 0.1, advair, tessalon perles, serax, zocor, tequin 400 iv daily, aco home meds: glyburide, serax, lipitor, actos, roxicet, levoxyl, albuterol, advair, tessalon perles, omeprazole discharge medications: 1. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. albuterol sulfate 0.083 % solution sig: one (1) 1 neb inhalation inhalation q6h (every 6 hours) as needed. 4. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). 5. ipratropium bromide 0.02 % solution sig: one (1) neb inh inhalation q6h (every 6 hours) as needed. 6. lansoprazole 30 mg susp,delayed release for recon sig: one (1) suspension po daily (daily). 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 8. piperacillin-tazobactam 4.5 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours). 9. vancomycin 1,000 mg recon soln sig: one (1) recon solution intravenous q 12h (every 12 hours). 10. lorazepam 2 mg/ml syringe sig: 0.25-1 injection injection q4-6h (every 4 to 6 hours) as needed. 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 13. docusate sodium 150 mg/15 ml liquid sig: ten (10) ml po bid (2 times a day). 14. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 15. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. discharge disposition: extended care discharge diagnosis: near total obstruction of right bronchus secondary to non-small cell lung cancer stage 4. status-post stent placement to trachea and to left and right bronchus. hemoptysis secondary to invasive lung cancer. methicillin-resistant staph. aureus discharge condition: fair, status post tracheal and bronchial stent, status post extubation; breathing without mechanical ventilatory support.no pressor requirement.off sedation, showing improved mentation. discharge instructions: return to acute hospital ( medical intensive care unit) followup instructions: micu md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization other intubation of respiratory tract other operations on trachea bronchial dilation infusion of vasopressor agent diagnoses: pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) unspecified acquired hypothyroidism infection with microorganisms resistant to penicillins hypotension, unspecified methicillin susceptible pneumonia due to staphylococcus aureus malignant neoplasm of other parts of bronchus or lung secondary malignant neoplasm of bone and bone marrow personal history of irradiation, presenting hazards to health stricture and stenosis of esophagus chronic respiratory failure 

Answer: The patient is high likely exposed to