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: icd firing major surgical or invasive procedure: picc line placement history of present illness: mr. is a 73 y/o man with a history of diabetes, coronary artery disease s/p cabg >20 years ago, h/o vt s/p abdominal icd and admission in for vt storm w/exchange of icd, ischemic dilated cardiomyopathy with an ef 25-30%, severe mitral and tricuspid regurgitation, chronic renal failure, hypertension, who is admitted to the ccu after presenting to in when his icd fired several times in succession this morning. . approximetly 1 week prior to this episode, he was admitted to with a similar presentation. during that admission he was apparently loaded with iv amiodarone and discharged on amiodarone 200mg po qday. full discharge summary pending. . he did well until sunday , the morning of his admission here. he was getting dressed for the morning when his icd began firing. he believes that it went off 5 or 6 times. he presented to where he was started on an amiodarone drip as well as given a bolus of lidocaine 50mg iv. he was not started on a lido drip. he was subsequently transfered to for consideration of further ep study. . on review of systems he denies increased dyspnea, denies angina or resting chest pain (outside of icd shocks), and denies syncope or pre-syncope. he has not had orthopnea or lower extremity edema. he denies fevers or chills. he does note that he had nausea when amiodarone was tried in the past, and that he seems to be developing that again with recently restarting amio earlier this week. past medical history: 1. cardiac risk factors: diabetes, dyslipidemia, hypertension 2. cardiac history: -cabg: > 20 years ago @ -percutaneous coronary interventions: none per patient reports -pacing/icd: abdominal icd placed in . admitted to bidin with vt and multiple shocks had removal of abdominal icd and placement of pacer/icd in left upper shoulder. had ep study in with multiple areas of enhanced automaticity, s/p attempted ablation 3. other past medical history: # systolic congestive heart failure, ef 25-30% # diabetes mellitus type ii # hypercholesterolemia (intolerant of statins) # probably depression/anxiety due to recent experiences with vt storm # atrial fibrillation, anticoagulated on coumadin # s/p aicd in abdomen with residual hematoma # renal insufficiency # severe tr & mr # cardiomyopathy # s/p mv reconstruction # cad s/p cabg # s/p aaa repair # hypertension social history: -tobacco history: none -etoh: minimal -illicit drugs: none family history: no family history of early mi, otherwise non-contributory. physical exam: 98.7 70 128/70 20 965ra gen: not in acute distress, but appears chronically ill and fatigued heent: mmm, jvp not elevated while patient sitting up in bed cv: rrr, s1 is obscurred by a iii/vi holosystolic murmur heard best at llsb and over mitral area that does not radiate to carotids resp: crackles bilaterally @ bases of lungs abd: soft, nt, palpaple mass over site of previous abdominal icd site ext: 2+ pulses bilaterally, right toe noted to be blue, but with good capillary refill and intact sensation, no pain. (patient states happens when feet get cold) pertinent results: labs: from hospital drawn on day of admission to () were notable for cr 2.2, co2 21, troponin t 0.34, hct 37, wbc 10, plt 179 . ekg: atrial pacing @ 70bpm, qrs 130 with lbbb pattern. nl axis. . telemetry: frequent runs of nsvt . 2d-echocardiogram : ef 25-30%, inferior hypokinesis, 3+mr, 4+tr . 12:20 pm blood culture staph aureus coag + erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- =>4 r penicillin g---------- =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ <=1 s cardiac echo : no distinct vegetations are seen. however, there appears to be a para-mitral annular ring leak at the base of the anterior leaflet. marked left atrial dilation. complex atheromas. moderate mitral regurgitation. moderate tricuspid regurgitation. ct head: in comparison with the prior study, no significant changes are demonstrated. persistent areas of low attenuation in the subcortical white matter and left frontal lobe consistent with a chronic ischemic event and small vessel disease. dense atherosclerotic calcifications noted in the carotid siphons and left vertebral artery. if there is any clinical concern related with an acute/subacute ischemic event, correlation with mri is recommended if clinically warranted. brief hospital course: 73 y/o man with cad, chf, admitted for refractory ventricular tachycardia . # ventricular tachycardia: he has failed several drug regemins, largely due to gi intolerence, as well as the multiple foci of excitable ventricular myocardium. he was recently on quinidine/mexilitine, but quinidine was discontinued due to gi intolerance. had breakthrough vt on mexilitine on presentation to . there he was loaded on amiodarone iv and continued on mexilitine on discharge along with 200mg amiodarone, but continued to have vt, apparently refractory to his anti-tachycardic pacing. ep evaluation considered him unlikely to respond well to further ablation. he was loaded with amiodorone iv and transitioned to po, as well as mixilitine tid. he has some significant apprehesive nausea and was given omeprazole and zofran for nausea. he was monitored on telemetry and had no episodes. ep had recommended lidocaine 50-100mg bolus then /min gtt in the event of an episode. . # mrsa bacteremia: on , he became febrile to 102 po (104 rectal) and developed dyspnea. he was started on levaquin and vancomycin . blood cultures eventually grew mrsa. pt also noted to have purulent drainage from left iv site started at osh (culture now growing staph aureus). subsequent lue ultrasound positive for dvt. pt hads been hd stable afebrile since however o/n he became hypotensive o/n requiring transient pressors. a right ij central line was placed for hd monitoring and was subsequently removed. a tte showed a small vegitation which was not seen on tte, but tte showed para-mitral annular ring leak at the base of the anterior leaflet. he will need to complete 6 weeks of iv vancomycin from . he has a chronic abdominal hematoma. ultrasound showed 6.8 cm complex cystic mass, without sign of infection, thus it was not drained. . # ue dvt: patient had a ue thrombophlebitis that was was confirmed by us. he will remain on anticoagulation with lovenox bridge to coumadin and 6 weeks of iv antibiotics - . . # cardiac asthma: he was noted to have positional expiratory wheezing that worsened in the setting of volume overload and appeared to improve with diuresis. a neck ct to r/o subglottic lesion was considered but deferred given his improvement with diuresis. . # acute on chronic renal failure: cr peaked at 3.5 from baseline of 2.3 in setting of hypoperfusion during sepsis. he returned to baseline prior to discharge. . # cad: he was continued on aspirin and ezetimibe (intolerant of statins). pt's bb and ace were held given sepsis, and restarted slowly based on bp and renal function. prior to discharge acei was returned to home dose and bb dose adjusted. . # dm: outpatient glyburide was held and he was maintainted on a regular insulin sliding scale. medications on admission: asa 81mg zetia 10mg po qday mexilitine 150mg po bid metoprolol succinate 100mg po qday glyburide 2.5mg po qday furosimide 80mg po bid prevacid 30mg po bid amiodarone 200mg po qday lisinopril 2.5mg po qpm coumadin 5mg qday, 2.5mg qtues/fri fish oil qhs discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. omega-3 fatty acids capsule : 1000 (1000) mg po hs (at bedtime). 3. ezetimibe 10 mg tablet : one (1) tablet po daily (daily). 4. ipratropium bromide 0.02 % solution : one (1) vial inhalation q6h (every 6 hours) as needed for wheezing. 5. amiodarone 200 mg tablet : two (2) tablet po twice a day: take until . . 6. menthol-cetylpyridinium 3 mg lozenge : one (1) lozenge mucous membrane prn (as needed) as needed for sore throat. 7. furosemide 80 mg tablet : one (1) tablet po bid (2 times a day). 8. vancomycin in dextrose 1 gram/200 ml piggyback : one (1) gram intravenous q48h (every 48 hours): for 5 weeks. last dose . 9. heparin, porcine (pf) 10 unit/ml syringe : two (2) ml intravenous prn (as needed) as needed for line flush. 10. saline flush 0.9 % syringe : ten (10) cc injection prn for flush. 11. lorazepam 0.5 mg tablet : one (1) tablet po q6h (every 6 hours) as needed for anxiety. 12. amiodarone 400 mg tablet : one (1) tablet po once a day: start . 13. mexiletine 150 mg capsule : one (1) capsule po q8h (every 8 hours). 14. pantoprazole 40 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 15. enoxaparin 60 mg/0.6 ml syringe : one (1) syringe subcutaneous daily (daily): use daily until inr> 2.0. then d/c. . 16. glyburide 2.5 mg tablet : one (1) tablet po twice a day. 17. outpatient lab work please check weekly random vanco trough, cbc, bun, creatinine, k and call results to dr. at bidmd fax: phone:. also fax results to pt's pmd dr. : . 18. lisinopril 5 mg tablet : 0.5 tablet po daily (daily). 19. metoprolol succinate 50 mg tablet sustained release 24 hr : 1.5 tablet sustained release 24 hrs po daily (daily). 20. senna 8.6 mg tablet : 1-2 tablets po at bedtime as needed for constipation. 21. warfarin 2.5 mg tablet : one (1) tablet po once daily at 4 pm. 22. outpatient lab work please check inr on friday , call results to provider discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: ventricular tachycardia methcillin resistant staph endocarditis chronic systolic congestive heart failure left arm thrombophlebitis acute on chronic renal failure hypertension diabetes post traumatic stress disorder discharge condition: stable bun=70, creat=2.3 hct=29.9 wbc=7.3 discharge instructions: you had an infection in your blood, likely from your abdominal pacer pocket, and thisinfected one of your heart valves. we did not see any infection on your pacer or icd. you will need intravenous vancomycin for 6 weeks to treat this infection. you will also need lovenox injections until your inr is > 2.0. we started you on admiodarone to prevent your icd from firing. you will need pulmonary function tests in and some additional labs at that time to check to see if you are tolerating the amiodarone. weigh yourself every morning, md if weight > 3 lbs in 1 day or 6 pounds in 3 days. adhere to 2 gm sodium diet fluid restriction: 1.5 liters/day. new medicines: furosemide increased metoprolol succinate decreased lovenox: to prevent blood clots until after inr> 2.0 vancomycin: antibiotic to treat the bacteria in your blood amiodarone increased to 400 mg daily . followup instructions: pt will need pft's, tft's in infectious disease: provider: , md phone: date/time: 9:30. . , suite gb (basement) cardiology: dr. phone: date/time: please make appt for patient to see in 2 weeks. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified diagnoses: other primary cardiomyopathies hyperpotassemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status chronic kidney disease, unspecified paroxysmal ventricular tachycardia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure chronic systolic heart failure long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ acute and subacute bacterial endocarditis infection and inflammatory reaction due to other vascular device, implant, and graft methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site posttraumatic stress disorder phlebitis and thrombophlebitis of deep veins of upper extremities 

Answer: The patient is high likely exposed to