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: hospital course: 1. cardiac: the patient had three issues during his hospital course. ischemia, his non st elevation myocardial infarction on was treated with lovenox for 72 hours 120 mg b.i.d. and he was also continued on a daily adult size aspirin and a beta blocker. he had no more episodes of chest pain during the remainder of his hospital course and in terms of his ischemic heart disease was deemed to be stable. sinus tachycardia, his rate was controlled with lopressor, which was titrated up to 150 mg b.i.d. it was a sinus tach secondary to a hypovolemia after his last skin graft at the end of , which is believed to have caused his non st elevation myocardial infarction, so his rate was maintained with the lopressor at a baseline in the 90s to low 100s with a baseline blood pressure of 80 to 90s/50s to 60s. in addition in order to control the sinus tachycardia, the patient's pain and anxiety were controlled. the third cardiac issue is a past medical history significant for paroxysmal atrial fibrillation. the patient was treated for 72 hours for his non st elevation myocardial infarction with lovenox and he was started on coumadin. lovenox and coumadin were overlapped until they became therapeutic on his coumadin and inr between 2 and 3 at which point the lovenox was discontinued. 2. infectious disease: in terms of the patient's necrotizing fasciitis as mentioned in the previous portion of this discharge summary the patient was treated with multiple skin debridement and a long course of antibiotics and a skin graft a donor site from his back to his right thigh. the antibiotics were discontinued on . infectious disease had signed off saying that he had no further evidence of infection and during his hospital stay at the medicine service his skin graft was followed by the trauma surgery service and was deemed to be steadily improving. on the patient had a picc line in the right antecubital area, which was pulled, because the area of insertion was erythematous and slightly indurated. at that time the patient did not have an elevated white blood cell count and was not afebrile. a culture from the picc line tip was sent, which on revealed an mrsa culture greater then 15 colonies. at this point the patient still had no evaluated white count and his highest temperature was 100.4. infectious disease was reconsulted and the patient was begun on a course of intravenous vancomycin 1 gram q 12 hours. on the patient had a picc line placed in the left arm by interventional radiology for the administration of the intravenous vancomycin. the patient's white count had still be stable and not elevated. on it is 6.2 and his temperature today is 99.3. 3. fluids, electrolytes and nutrition: during his hospital course when admitted to the medical service on a intravenous fluids of normal saline with 40 milliequivalents of potassium chloride and was on boost for breakfast, lunch and dinner and house diet. eventually the intravenous fluids were discontinued and the patient's electrolytes were followed closely. they were repleted as necessary. the patient over the course of his hospital stay gradually started taking better po, drinking his boost and eating his meals and his urine output was adequate and he did have adequate bowel movements. 4. hematology: the patient had a stable hematocrit in the low 30s. on the patient was transfused one unit of red blood cells, because of concern that his sinus tachycardiac might be due to his decreased oxygen delivery with his substantial wound healing. his hematocrit increased the next day to 32.7. the patient was administered 325 mg of iron three times a day. his anemia is likely an anemia of chronic disease as iron studies were drawn and laboratories were consistent with this picture. 5. pain: the patient was admitted on a fentanyl pca with oxycodone in addition 30 mg every eight hours. this was discontinued and the patient was placed on oral morphine 60 mg every eight hours with instant relief for breakthrough pain. on this was deemed to be inadequate for the patient's pain coverage and he was placed on a morphine pca. the plan is pain wise is to monitor how much morphine he is using and then switch him back to the analgesic equivalent dose of oral morphine so that we can transition him to a po medication rather then a pca. 6. psychiatric: the patient had a psychiatry consult while in the hospital and they recommended remeron 30 mg every evening for depression and zyprexa 2.5 mg as needed for anxiety. 7. physical therapy: they have been following him and seeing him approximately three times a week. they have been taking him to the chair and they feel that he is improving. the condition of the patient at this time is stable. discharge diagnoses: necrotizing fascitis. he is to follow up at his rehabilitation hospital. discharge medications: lopressor 150 mg b.i.d., aspirin 325 mg q.d., coumadin 2.5 mg q.h.s., vancomycin 1 gram q 12 hours delivered by intravenous today is day two of what should be a seven day course. he is on a morphine sulfate pca without a basal rate, a 1.5 mg injection every time he presses the button with a six minute lock out. he is on a fluocinolone ointment and _________ ointment, sublingual nitro prn for chest pain, benadryl prn for urticaria, hydroxizine 25 mg b.i.d., _______________ 30 mg q.h.s., iron sulfate 325 mg t.i.d., magnesium oxide 800 mg t.i.d., calcium carbonate 500 mg t.i.d. as needed and sucralfate 1 gram q.i.d. the plan is for mr. is to follow up at his rehabilitation hospital to eventually wean him off of his pca and to discontinue the intravenous vancomycin once his blood cultures come back from and he is to see the attending surgeon dr. in two weeks for follow up to discuss the next skin graft, which should be in a few months. dr., 12-944 dictated by: medquist36 procedure: other skin graft to other sites other skin graft to other sites excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn other incision of skin and subcutaneous tissue closed biopsy of skin and subcutaneous tissue diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia atrial fibrillation defibrination syndrome cellulitis and abscess of leg, except foot acute myocardial infarction of unspecified site, initial episode of care necrotizing fasciitis 

Answer: The patient is high likely exposed to