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: medical refractory gerd major surgical or invasive procedure: 1. subtotal gastrectomy. 2. adhesiolysis--3 hours. 3. dor fundoplication. 4. central line placement 5. foley catherer placement x2 history of present illness: the patient is a 61-year-old gentleman, who has previously undergone vagotomy and pyloroplasty and other upper abdominal procedures, who presents with poor gastric emptying and severe reflux. on egd, he has some erythema of the stomach, and he was referred for antireflux procedure. past medical history: gerd pudz htn hyperchol copd social history: 2 ppd x 25yrs (quit in 99) etoh abuse in past- quit in family history: non-contrib physical exam: avss wd, wn, nad ctab, no w/c/r, good resp effort slightly tachy (pt. at baseline), regular, no m/r/g abd soft, non-distended, normal bowel sounds, inferior portion of incision with small area weeping and small area in middle of incision with packing -> no erythema; healing well no c/c/e pertinent results: 02:10pm blood wbc-8.7 rbc-3.48* hgb-10.2* hct-28.6* mcv-82 mch-29.3 mchc-35.6* rdw-14.3 plt ct-328 02:10pm blood plt ct-328 08:38am blood pt-15.0* ptt-26.8 inr(pt)-1.3* 02:10pm blood glucose-139* urean-18 creat-0.7 na-134 k-4.6 cl-97 hco3-25 angap-17 02:45am blood alt-44* ast-24 ck(cpk)-475* alkphos-118* amylase-27 totbili-0.8 02:45am blood lipase-33 02:10pm blood calcium-9.0 phos-3.9 mg-2.1 06:40am blood psa-2.0 08:50am blood vanco-7.6* 5:15 am catheter tip-iv source: right cvl. **final report ** wound culture (final ): staph aureus coag +. >15 colonies. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. please contact the microbiology laboratory () immediately if sensitivity to clindamycin is required on this patient's isolate. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s blood and wound cultures pending at time of discharge brief hospital course: patient admitted on for his operation. surgical findings were: extensive adhesions in the upper and lower abdomen, an 18 inch roux limb, a 21 circular stapled gastrojejunostomy. no leak on methylene blue checks. post op the patient was made npo, had an ngt, foley and epidural for pain. the patient was tachycardic to 111 (pre-op was 118). his bp decreased- had a stable hct and the epidural was then discontinued. a pca was started for pain managment. on pod2 the patient remained tachycardic and his lopressor was increased. on pod3 the patient had an episode of desaturation to the high 80's. a cxr was obtained which shoed pulmonary edemma. lasix was given with good response. the patient was also started on nebulizer treatments. the cxr also showed evidence or a right upper lobe pneumonia. levofloxacin was started for a 5 day course. on pod5 the patient became tachycardic to the 140's. a cta of the chest and abdomen was obtained. the results were: 1. no evidence for pulmonary embolus. 2. bilateral layering pleural effusions. hazy ground-glass opacification of the right upper lobe is compatible with pneumonia, less likely atypical edema or alveolar hemorrhage. 3. no evidence for a leak. soft tissue stranding about the stomach is compatible with patient's recent surgery. the patient was transferred to the icu for closer monitoring and a cvl was placed. the patient was given more lasix and the patient beta blocker was increased. an ngt was placed to remove the contrast from the patient's stomach. pulmonary medicine was also consulted. an echo was obtained which showed an ef>55% and no wall abnormalities. cardiac enzymed were also cycled which came back normal. the patient hr came under control and he started passing gas. his ngt was d/c and his diet was advanced. he was transferred out of the unit in stable condition. the patient pca was stopped, his foley discontinued and he was switched to oral medication. a one time dose of vitamin k was given for an inr of 1.8. the patient was advanced to a stage iii diet which he tolerated. overnight of the pt. again became tachycardic and was unable to void. a foley catheter was replaced and the central line was removed with the tip sent for culture and the pt. was started on vancomycin. blood and catheter tip cultures from that night grew out mrsa and the vancomycin was continued. urology was consulted and recommended that the pt. be sent home with the foley and follow-up in clinic for removal. leg bag teaching was initiated. repeat blood cultures were drawn for the next several days - all of which from on showed no growth to date on the day of discharge. the pt. was advanced to a stage iv diet that he tolerated well, was given a bowel regimen, and by pod 15 was ready for discharge to home with vna for dressing changes. he was sent with instructions regarding follow-up appointments with surgery, urology, and his primary care physician; post-operative medications including pain medication, beta-blockers, and flomax that was started while in house; and post-operative care regarding activity level, diet, and wound care. the pt. understood these instructions. medications on admission: protonix 40 qd lipitor 10 qd lisinopril 10 qd reglan albuterol discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 6. lipitor 10 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 8. albuterol 90 mcg/actuation aerosol sig: two (2) puffs puffs inhalation q 6 hours prn. 9. linezolid 600 mg tablet sig: one (1) tablet po every twelve (12) hours for 9 days: it is very important that you take all of this medication. disp:*18 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: reflux s/p subtotal gastrectomy post operative urinary retention post operative atrial fibrilation central line infection h/o hypertension h/o copd h/o dyslipidemia discharge condition: stable discharge instructions: - you will be discharged to home - please take all prescriptions as prescribed - you will be given pain medication. this can make you drowsy- please no driving while taking medication. you may restart your home medications. - every day you take pain medication you should also take a stool softener: colace, senna, milk of magnesia are all good options - you may shower. please no soaking in the tub or swimming. please no heavy lifting for six weeks - vna services will help you with dressing changes for the next few days - please stay on a stage iv diet until your follow up appointment. - it is very important for you to remain active once you are home -> walking daily and slowly increasing your level of activity each day - if you have a fever>101.4, nausea, vomitting, increased abdominal pain, increased redness around incision, difficulty breathing or chest pain please call doctor's office or return to the ed followup instructions: **you will need to call and confirm these appointments** - please call dr. office for a follow up appointment in weeks. ( - please make a follow up appointment with your pcp to review your home medications and adjust accordingly - you need to make a follow-up appointment with the dr. of urology -> he will see you regarding removal of the foley catheter. please call his office at ( to schedule an appointment this week. procedure: venous catheterization, not elsewhere classified other lysis of peritoneal adhesions partial gastrectomy with anastomosis to jejunum other procedures for creation of esophagogastric sphincteric competence diagnoses: pneumonia, organism unspecified esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation infection with microorganisms resistant to penicillins methicillin susceptible staphylococcus aureus septicemia sepsis retention of urine, unspecified infection and inflammatory reaction due to other vascular device, implant, and graft urinary complications, not elsewhere classified 

Answer: The patient is high likely exposed to