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: distal and proximal tracheal stent granulation tissue and tracheomalacia major surgical or invasive procedure: rigid bronchoscopy, y stent removal. history of present illness: 60 yo m w/tbm s/p y-stent placement in found to have persistent, moderate stenosis w/granulation tissue around stent in admitted from federal prison on to hospital with mrsa pneumonia and hypoxic, hypercapnic respiratory failure complicated by acute congestive heart failure. the patient was doing okay at prison, with his trach, but using pessy-muir valve, speaking, eating, breathing okay, until recently when he developed increased mucus plugging and shortness of breath, and so was transferred to hospital (as above). there, he was placed on mechanical ventilation for presumed pna with lll collapse (per report) and sputum that grew out mrsa, and leukocytosis of 12.1. he was started on antibiotics (vancomycin), was initially weaned off the ventilator but then restarted after mucus plugged. he underwent bronchoscopy that revealed granulation tissue distal to the airway stent in rms and lms, along with "dynamic obstruction" of airway due to tbm distal to the stent. he also had an ngt placed and was started on tube feeds (osmolite 1.5), and had a foley placed to monitor uop, and a rectal tube for the development of diarrhea (c dif neg thus far). the patient was alos treated for congestive heart failure, as was diuresed with lasix (per records not a home med), though his creatinine did rise from 0.9 to 1.74. past medical history: copd, chronic respiratory failure, s/p tracheostomy, obesity hypoventilation syndrome, congestive heart failure, b/l knee arthritis, gout, psoriasis. social history: patient is incarcerated. former smoker family history: non-contributory physical exam: anicteric, eomi, no jvd, no lad cn grossly intact edentulous, ngt in place (r nare) regular rate but premature beats frequently, + systolic murmur at ursb, no radiation bs decreased b/l, but no rales, no ronchi abd soft nt foley in place, foreskin able to be pulled back, slight mucus around foreskin rectum b/l raw skin, red, at gluteal folds, rectal tube in place, breakdown st i b/l no c/c/e, venous stasis pigmentation left medial malleolus, skin psoriasis at knees b/l, wrists b/l, stomach 2+ dp b/l a line in place in r wrist neuro: strength grossly intact pertinent results: 04:57am blood wbc-8.3 rbc-3.56* hgb-10.5* hct-31.2* mcv-88 mch-29.4 mchc-33.6 rdw-16.0* plt ct-147* 02:04am blood neuts-75.5* lymphs-16.8* monos-4.3 eos-2.9 baso-0.5 04:57am blood pt-13.5* ptt-33.1 inr(pt)-1.2* 04:57am blood glucose-95 urean-23* creat-1.5* na-141 k-3.6 cl-96 hco3-36* angap-13 04:57am blood calcium-8.7 phos-4.4 mg-2.1 brief hospital course: : pt. admitted to icu with vent. : pt. underwent bronch and stent removal. please see operative note for more details. pt. returned to icu postoperatively without incident. stable for transfer. discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours). 3. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. fluoxetine 10 mg capsule sig: three (3) capsule po daily (daily). 7. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for mucus plugging. 8. gabapentin 300 mg capsule sig: two (2) capsule po hs (at bedtime). 9. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for dry skin. 10. insulin please continue insulin sliding scale as attached. adjust as facility physician desires to achieve optimal glucose control. 11. calcipotriene 0.005 % cream sig: one (1) appl topical (2 times a day). 12. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 13. acetylcysteine 20 % (200 mg/ml) solution sig: 1-10 mls miscellaneous q2h (every 2 hours) as needed for secretions. 14. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day). 15. lidocaine hcl 2 % gel sig: one (1) appl mucous membrane once (once) as needed for brochoscopy for 1 doses. 16. acetaminophen 500 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 17. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once (once) for 1 doses. 18. lorazepam 2 mg/ml syringe sig: 0.5 mg injection q6h (every 6 hours) as needed for anxiety. 19. morphine 2 mg/ml syringe sig: 2-4 mg injection q4h (every 4 hours) as needed for pain. 20. vancomycin 1,000 mg recon soln sig: one (1) g intravenous twice a day. discharge disposition: extended care facility: discharge diagnosis: acute on chronic hypercapnic respiratory failure w/granulation tissue at distal end of tracheal stent discharge condition: stable. discharge instructions: resume all home medications. seek immediate medical attention for fever >101.5, chills, increased redness, swelling, bleeding or discharge from incision, chest pain, shortness of breath, difficulty breathing, severe headache, increasing neurological deficit, or anything else that is troubling you. no strenuous exercise or heavy lifting until follow up appointment, at least. do not drive or drink alcohol while taking narcotic pain medications. call your surgeon to make follow up appointment. followup instructions: followup with dr. in 3 weeks for preoperative planning. call ( to make an appointment. please obtain preoperative cardiac clearance with outpatient cardiologist before any operative planning is scheduled. thank you. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more bronchoscopy through artificial stoma replacement of tracheostomy tube endoscopic removal of bronchial device(s) or substances diagnoses: congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified gout, unspecified chronic kidney disease, unspecified acute and chronic respiratory failure obesity, unspecified acute systolic heart failure other diseases of trachea and bronchus dependence on respirator, status methicillin resistant pneumonia due to staphylococcus aureus 

Answer: The patient is high likely exposed to