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: please see the prior dictation summary for the history of present illness, past medical history, social history, and family history as well as the hospital course through . hospital course through : pulmonary: on , mr. had an episode of bradycardia secondary to hypoxia with mucus plugging with newly more copious secretions. patient was emergently reintubated for the third time since admission. patient was also treated with a 10 day course of vancomycin for mrsa in sputum and blood (ending ) and a seven day course of zosyn (ending ) for gram-negative rods on sputum gram stain in the setting of increased sputum production (although the rods never grew out in the sputum). the patient received a trache . the trache was changed for a #1 shiley, nonfenestrated, as the #6 was too flexible and would out with patient movement. however, the new trache may not allow adequate speech production - may require alteration. the patient did not tolerate a trial of trache mask (acidemic) and (acidemic, hypoxic, bradycardic, and hypotensive, required 1 mg of atropine to revive). patient is stable and pfv is (10 on a.m. of discharge) and peep of 5. infectious disease: the patient received a 10 day course of vancomycin for mrsa and blood in sputum (ended ) and seven day course of zosyn (ended ) for gram-negative rods on sputum gram stain in the setting of increased sputum production (although, again, the rods never grew out in the sputum). patient also grew enterococcus in urine which was also sensitive to vancomycin. finally, patient is day in a course of flagyl for clostridium difficile. patient is afebrile during the period from to ; patient was febrile to 103.3 in the a.m. of . gastrointestinal: patient's bowel function was maintained using colace, senna, and lactulose (standing hold for loose bms). patient received peg on without complication. cardiovascular: patient's hypertension controlled with metoprolol, captopril, and hytrin. patient occasionally hypotensive for second dose of captopril, hold for systolic blood pressure less than 100. endocrine: patient's diabetes mellitus type 2. serum glucose well controlled with 4 units of nph q.a.m., 5 units of nph q.p.m. with regular insulin-sliding scale. f/e/n: patient maintained on continuous tube feeds through his peg. patient has diminished gag reflex and is not - as of time of discharge - taking p.o. renal: patient without known renal pathology. creatinine ranged from 1.0 to 1.4 through this period. medications renally dosed depending on creatinine level. psychiatric: patient has baseline depression treated at home on sertraline. patient also had continued delirium agitation particularly at night after . patient was originally treated with propofol, zyprexa, and ativan. however, due to sedation, propofol was weaned and zyprexa increased , with ativan prn. trazodone was also added q.h.s. on , with fentanyl added , for continued agitation. finally psychiatric consult was sought and recommended discontinuing all psychiatric medications - including sertraline - and controlling delirium with haldol 5 t.i.d. with prn doses offered q.1h. patient's agitation well controlled on this regimen, with a few prn doses required. patient is much more alert and oriented; avoid oversedation. disposition condition: fair. disposition: rehab. discharge medications: 1. acetaminophen 325-650 mg p.o. q.4-6h. prn. 2. dulcolax 10 p.r. q.d. prn. 3. atorvastatin 40 p.o. q.d. 4. colace liquid 100 mg p.o. b.i.d. 5. senna two tablets p.o. b.i.d. 6. terazosin hcl 4 mg p.o. b.i.d. 7. captopril 75 p.o. t.i.d., hold for systolic blood pressure less than 100. 8. lansoprazole 30 mg q.d. 9. metoprolol 100 p.o. b.i.d. 10. albuterol nebulizers prn. 11. atrovent nebulizers prn. 12. metronidazole 500 p.o. t.i.d. x2 more days. 13. lactulose 30 prn constipation. 14. insulin sliding scale. 15. morphine sulfate 1-4 mg iv q.4h. prn pain. 16. nystatin oral suspension 5 ml p.o. q.i.d. swab in the oropharynx. 17. haldol 5 mg p.o. t.i.d. 18. haldol 1-3 mg iv q.1h. prn not to exceed a total of 40 mg/day. , m.d. dictated by: medquist36 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 percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy other cervical fusion of the anterior column, anterior technique excision of intervertebral disc bronchoscopy through artificial stoma other cervical fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other diseases of lung, not elsewhere classified streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] disorders of diaphragm cervical spondylosis without myelopathy 

Answer: The patient is high likely exposed to