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: acetaminophen / aspirin attending: chief complaint: venous stasis ulcer major surgical or invasive procedure: bilateral lower extremity debridement s/p split thickness skin graft with vac placement history of present illness: 76 yom with h/o htn, hl, dementia/anxiety presents for b/l le venous stasis ulcers of 3 years. pt has had ulcers followed by wound clinic for 7 months with last visit 1 year ago and currently has had home vna come on a daily basis for dressing changes (unna boots, wet to dry dressings, debridements, etc.) for the last 2 years. pt states that the ulcers wax and wane in improvement and worsening but notes that the ulcers have been worsening considerably in appearance and pain in the last few months. pt was last seen by dr. at his clinic on and it was decided that the pt would be admitted to the hospital for iv antibiotics and questionable or debridement. pt denies f/c/n/v as well as cp and sob. pt's pcp is , md of medical associates past medical history: past medical history: - htn - hl - dementia - anxiety past surgical history: - aaa social history: social history: pt lives at home with ex-wife. does not use cane/walker for ambulatory assistance. suffers occasional mechanical falls at home. quit smoking ; previous 2ppd/40 yrs quit drinking alcohol ; previously 1-6packperday/40 yrs denies illicit drug use. family history: family history: diabetes physical exam: vital signs: temp: 97.3 rr: 18 pulse: 74 bp: 90/44 neuro/psych: oriented x3, affect normal, nad. heart: abnormal: murmur. lungs: clear, normal respiratory effort. gastrointestinal: non distended, no masses, guarding or rebound. pulse exam (p=palpation, d=dopplerable, n=none) rue radial: p. lue radial: p. rle femoral: p. popiteal: p. dp: p. pt: d. lle femoral: p. popiteal: d. dp: p. pt: n. ulcers vac'd donor site with xeroform over thigh donor site pertinent results: 5:55 pm swab source: right lower leg. no polymorphonuclear leukocytes seen. 4+ (>10 per 1000x field): gram positive cocci. in pairs and clusters. 4+ (>10 per 1000x field): gram negative rod(s). 2+ (1-5 per 1000x field): gram positive rod(s). wound culture (final ): anaerobic culture (final ): unable to r/o pathogens due to overgrowth of swarming proteus spp.. 1:00 pm swab right leg latral ulcer. gram stain (final ): no polymorphonuclear leukocytes seen. 1+ (<1 per 1000x field): gram negative rod(s). wound culture (final ): proteus mirabilis. sparse growth. presumptive identification. proteus mirabilis. sparse growth. second type. proteus mirabilis | proteus mirabilis | | amikacin-------------- <=2 s <=2 s ampicillin------------ =>32 r =>32 r ampicillin/sulbactam-- 8 s 8 s cefazolin------------- <=4 s 8 s cefepime-------------- <=1 s <=1 s ceftazidime----------- <=1 s <=1 s ceftriaxone----------- <=1 s <=1 s ciprofloxacin--------- =>4 r =>4 r gentamicin------------ =>16 r =>16 r meropenem-------------<=0.25 s <=0.25 s piperacillin/tazo----- <=4 s <=4 s tobramycin------------ =>16 r 8 i trimethoprim/sulfa---- =>16 r =>16 r anaerobic culture (final ): no anaerobes isolated. blood culture, routine (final ): no growth. 09:06pm urine color-yellow appear-clear sp -1.020 urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.0 leuks-neg echo: the left atrium is markedly dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. overall left ventricular systolic function is normal (lvef 75%). the right ventricular free wall is hypertrophied. the right ventricular cavity is dilated with depressed free wall contractility. there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are moderately thickened. the aortic valve is not well seen. there is at least moderate aortic valve stenosis. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. severe tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. there are no echocardiographic signs of tamponade. pmibi: impression: 1. normal myocardial perfusion. 2. normal left ventricular cavity size and systolic function. 3. right ventricular enlargement with evidence of pressure/volume overload. cta: r/o pe impression: 1. no pulmonary embolus. 2. no thoracic aorta dissection. 3. pulmonary hypertension probably responsible for right heart enlargement. 4. no pulmonary edema. 5. calcification of aortic valve leaflets. atherosclerotic coronary calcifications. 6. no pericardial effusion. 7. bilateral small pleural effusions and mild adjacent bibasilar atelectasis. 8. mild bronchial wall thickening could be due to asthma. 9. small amount of perihepatic free fluid. brief hospital course: mr. is a 76 yom who was admitted to the hospital on for empiric iv antibiotics and possible wound debridement. preoperatively, the geriatric service was consulted for management and recommendations of patient's baseline dementia. patient was deemed cabable of consenting to procedures by psychiatry. on , he was taken to the operating room for bilateral leg debridement. or cultures grew mrsa sensitive to vancomycin and proteus sensitive to unasyn and his antibiotics coverage was narrowed. in the am of pod 1, the patient became tachycardic, hypoxic, and hypotensive. his blood pressure improved with fluid bolus and patient was transferred to the vicu for closer monitoring. a few hours later he became hypotensive and tachycardic again, requiring fluid rescuscitation. ekg showed st depressions, a cardiology consult was called, and patient was transferred to the cvicu. echocardiogram showed a dilated, hypokinetic rv with ef 70%. he ruled out for pe. troponins peaked at 0.11. per cardiology, no need for cardiac catheterization. he was transferred back to the floor on pod 2. on , antibiotics were switched to po bactrim and cefpodoxine. plastic surgery was consulted for skin graft. a preoperative echocardiogram and a persantine stress test were done as part of cardiac clearance to return to the or again for skin grafting. he was cleared from a cardiac perspective and on he returned to the operating room for further debridement and split thickness skin graft with vac placement with plastic surgery(dr.) . mr. had an uneventful postoperative course with good pain control. foley was replaced on for urinary retention. flomax was started and foley was removed at midnight . pt voiding adequate amounts on discharge. vac is to stay in place until arrangements are made by plastic surgery for pt to return for vac change in the operating room (1 week). medications on admission: aricept 5', tamazepam 15prn, lasix 40', alprazolam 0.5tid, lisinopril 30', metaprolol 12.5", plavix 75', vicodin 7.5-750 q6pain, colace" discharge medications: 1. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours). 5. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 8. furosemide 20 mg tablet sig: two (2) tablet po daily (daily). 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 10. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day). 11. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 12. bactrim ds 800-160 mg tablet sig: one (1) tablet po twice a day. 13. augmentin 500-125 mg tablet sig: one (1) tablet po every eight (8) hours. 14. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous daily (daily). 15. lisinopril 30 mg tablet sig: one (1) tablet po once a day. 16. alprazolam 0.5 mg tablet sig: one (1) tablet po three times a day: prn. discharge disposition: extended care facility: rehabilitation and nursing of discharge diagnosis: bilateral lower extremity venous stasis ulcers discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the vascular surgery service for management of your bilateral lower leg ulcers. you had debridement in the operating room. your legs are wrapped with aquacel ag and ace wraps. please keep them wrapped and elevated as much as possible. please contact us if you experience any fever greater than 101.5, increased leg swelling or redness, thick drainage from your wounds, or worsening of your ulcers. please take your antibiotics and other medications as instructed. open wound: vac dressing patient's discharge instructions introduction: this will provide helpful information in caring for your wound. if you have any questions or concerns please talk with your doctor or nurse. you have an open wound, as opposed to a closed (sutured or stapled) wound. the skin over the wound is left open so the deep tissues may heal before the skin is allowed to heal. premature closure or healing of the skin can result in infection. your wound was left open to allow new tissue growth within the wound itself. the wound is covered with a vac dressing. vac will be changed when patient returns for vac removal. the vac: _ helps keep the wound tissue clean _ absorbs drainage _ prevents premature healing of skin - promotes healing when to call the doctor: watch for the following signs and symptoms and notify your doctor if these occur: temperature over 101.5 f or chills foul-smelling drainage or fluid from the wound increased redness or swelling of the wound or skin around it increasing tenderness or pain in or around the wound followup instructions: provider: , md phone: date/time: 11:00 please call dr office at . they will schedule an appointment for vac removal. please call the office daily for appt. procedure: other skin graft to other sites excisional debridement of wound, infection, or burn nonexcisional debridement of wound, infection or burn diagnoses: other iatrogenic hypotension unspecified essential hypertension chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases peripheral vascular disease, unspecified personal history of tobacco use other persistent mental disorders due to conditions classified elsewhere ulcer of other part of foot dysthymic disorder other and unspecified hyperlipidemia retention of urine, unspecified hypoxemia other postprocedural status methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site ulcer of heel and midfoot ulcer of other part of lower limb venous (peripheral) insufficiency, unspecified other acute and subacute forms of ischemic heart disease, other history of fall ulcer of ankle unspecified persistent mental disorders due to conditions classified elsewhere 

Answer: The patient is high likely exposed to