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: morphine sulfate / adhesive tape attending: chief complaint: enterocutaneous fistula major surgical or invasive procedure: 1. resection of ileoanal pouch and enterocutaneous fistula. 2. segmental small bowel resection. 3. take down and reconstruction end-ileostomy. 4. extensive enterolysis, approximately four hours. 5. cystoscopy and insertion of ureteral stents (per urology). history of present illness: this 49-year-old male with longstanding crohn's disease is well-known to me as i had taken care of him for several years ago because of a chronic pouchitis. he originally had an ileoanal pouch because he was diagnosed as ulcerative colitis. however, this was a misdiagnosis and, in fact, the patient has regional enteritis. he has had multiple problems with this. he transferred his care to dr. in and has had multiple dilatations, most recently requiring a diversion away from the pouch. after dr. retirement, the patient developed a fistula from the distal segment and pouch into the abdominal wall and was hospitalized for several days with a rather severe cellulitis. although he had previously refused removal of the pouch at this point-in-time having lived with his end-ileostomy which he had been given in a previous operation by dr. , he has elected at this point-in-time removal of this bowel and resection of the fistula was appropriate. because he has had previous problems with malnutrition and immunosuppression, it was elected to admit him in the preoperative setting for evaluation of his wound management postoperatively as well as evaluation by enterostomal therapy and additionally consultation with colorectal surgery as planned surgical intervention which is to occur, is to be coordinated with dr. . the patient was to have a ct scan to characterize any changes in the abdominal cavity pending this resection. nutritional status is also to be evaluated. additionally, he was seen at this point-in-time by dr. , who actually feels he is a very confident in and, therefore, dr. will be additionally advised of this admission and asked to participate in care as appropriate. past medical history: *pe *ivc filter *severe crohn's disease *s/p proctocolectomy and ileoanal pouch formation *exploratory laparotomy and lysis of adhesions . *recurrent small bowel and pouch strictures requiring dilitations. colonoscopy and balloon dilation (last , and ) *sb resection, end ileostomy *gout *depression *anxiety social history: lives at home with family; they are very involved and supportive. pt has a remote 10 pack-year smoking history, but quit approximately twenty-five yrs ago. occasional etoh. denies illicit drugs. family history: no family history of inflammatory bowel disease or colon cancer. positive for diabetes and coronary artery disease. physical exam: today on admission to the medical center, his blood pressure was good at 120/80. his heart rate was 80 and his temperature was normal. the nursing admitting records also recognize a pulse oximetry at 99% on room air. on physical examination, he was generally alert and oriented, comfortable. he was somewhat obese. his lungs were clear to auscultation and percussion. heart sounds were crisp and he had a regular rhythm. additionally, he had good inflow into both his upper and lower extremities with palpable pedal pulses. his abdomen was soft. he the fistula noted on the right hemi-abdomen. the stoma was well-situated in the upper abdomen and actually was quite robust almost as though prolapsed but really this had not changed over several months. there was minimal, if any, peristomal herniation. consideration of re-siting the stoma remained a concern if the adhesive disease was as bad as had been reported. therefore, although we will mark the abdomen for re-siting, this may not occur. the abdominal wall had no current marked erythema or induration indicating any cellulitis. his extremities were without cyanosis, clubbing or edema and his skin was generally unremarkable. the patient overall was quite cheerful and was anticipating this next procedure in an effort to control this fistula which had been very problem as far as recurrent infections and drainage which had also been impacting his work. pertinent results: 03:30pm blood wbc-7.1 rbc-5.57 hgb-15.3 hct-46.5 mcv-84 mch-27.5 mchc-32.9 rdw-16.3* plt ct-311 03:30pm blood neuts-76.0* lymphs-12.7* monos-5.1 eos-5.2* baso-0.9 03:30pm blood pt-20.1* ptt-32.3 inr(pt)-1.9* 03:30pm blood glucose-95 urean-23* creat-1.7* na-136 k-3.7 cl-102 hco3-20* angap-18 03:30pm blood alt-39 ast-29 ld(ldh)-162 alkphos-128* totbili-0.3 03:30pm blood albumin-4.5 calcium-9.3 phos-2.7 mg-1.9 05:42pm blood wbc-14.5*# rbc-3.14*# hgb-9.0*# hct-26.0*# mcv-83 mch-28.5 mchc-34.4 rdw-16.3* plt ct-298 02:50am blood wbc-9.6 rbc-2.60* hgb-7.5* hct-21.4* mcv-82 mch-28.9 mchc-35.1* rdw-16.8* plt ct-256 12:30pm blood hct-25.6* 11:18pm blood hct-22.4* 05:13am blood wbc-9.5 rbc-2.89* hgb-8.6* hct-24.8* mcv-86 mch-29.7 mchc-34.6 rdw-16.2* plt ct-220 06:50am blood wbc-9.7 rbc-2.69* hgb-8.0* hct-23.5* mcv-88 mch-29.8 mchc-34.1 rdw-16.5* plt ct-261 05:10am blood wbc-9.8 rbc-2.72* hgb-8.1* hct-23.6* mcv-87 mch-29.9 mchc-34.5 rdw-16.9* plt ct-313 05:06am blood wbc-7.7 rbc-2.62* hgb-7.8* hct-22.8* mcv-87 mch-29.9 mchc-34.3 rdw-16.7* plt ct-303 04:32am blood wbc-10.4 rbc-2.73* hgb-8.3* hct-24.1* mcv-89 mch-30.4 mchc-34.4 rdw-16.5* plt ct-290 04:29am blood pt-14.9* ptt-29.0 inr(pt)-1.3* 05:42pm blood pt-16.0* ptt-26.5 inr(pt)-1.4* 02:50am blood pt-14.0* ptt-28.0 inr(pt)-1.2* 11:06am blood glucose-122* lactate-3.9* na-132* k-5.2 cl-104 12:53pm blood glucose-113* lactate-4.0* na-133* k-5.4* cl-109 02:01pm blood glucose-143* lactate-4.9* na-133* k-5.7* cl-106 03:05pm blood glucose-111* lactate-4.7* na-137 k-4.8 cl-108 05:49pm blood lactate-3.8* 10:44pm blood lactate-2.8* k-4.9 08:43am blood glucose-136* lactate-2.0 k-4.5 03:05pm blood lactate-1.1 02:47pm urine blood-lg nitrite-neg protein-500 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-tr 02:47pm urine rbc->50 wbc-0-2 bacteri-few yeast-none epi-0-2 . radiographic studies: microbiology: 8:50 am abscess site: abdomen #1. **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. wound culture (final ): no growth. anaerobic culture (final ): no growth. 8:43 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): positive for methicillin resistant staph aureus. brief hospital course: the patient was admitted to the hospital and his pain was controlled and he was kept npo for 3days. he had his surgery and did well post-operatively, spending the first 3 days in the icu because of the length of the surgery performed. on pod#3 mr was stable enough to be transferred to the floor. while on the floor he was found to have a bladder rupture and was seen by urology who recommended treating the patient with ciprofloxacin, to have the patient keep the foley in for continual bladder decompression, and to give oxybutinin. mr was given a "leg bag" for convenient urine collection while at home and taught how to use it. he also had a vac dressing applied to his semi-closed abdominal wound and had home-vna set up for dressing changes and for inr draws. medications on admission: coumadin 2 5x/ 4 2x per week, allopurinol 300, lipram 4500?, paroxetine, promethazine, protonix 40, ambien; vitc 1000 discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed. 2. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. disp:*28 tablet(s)* refills:*0* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 5. allopurinol 100 mg tablet sig: 1.5 tablets po daily (daily). 6. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain for 2 weeks. disp:*60 tablet(s)* refills:*0* 7. oxybutynin chloride 5 mg tablet sig: one (1) tablet po tid (3 times a day) for 1 months. disp:*90 tablet(s)* refills:*0* 8. prednisone 5 mg tablet sig: one (1) tablet po once a day for 4 days: after 4 days, take tab per day for 4 days. disp:*6 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: 1. enterocutaneous fistula. 2. abdominal abscess. 3. chronic crohn's disease. 4. defunctionalized and inflamed ileoanal pouch. 5. closed small bowel loop with a resultant abscess. 6. bladder rupture discharge condition: stable. afebrile. vital signs stable. pain controlled. discharge instructions: please eat a low residue diet and make sure to get up and out of bed as much as possible. please use your incentive spirometer 10x an hour when you are awake. take your antibiotics and other medicines as prescribed. we have shown you how to empty your catheter bag, please do so as needed. we have arranged for visiting nursing to help with your wound care. avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. avoid driving or operating heavy machinery while taking pain medications. . please call your doctor or return to the er for any of the following: * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, increased ostomy output or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or in your ostomy. * you have blood in your urine * your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * you see pus draining from your wound or increasing redness around the wound. * any serious change in your symptoms, or any new symptoms that concern you. * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. . followup instructions: please follow up with dr in urology in one week. call ( for an appointment. please follow up with dr in one week as well. call ( for an appointment. please follow up with dr in one week as well. call ( for an appointment. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other partial resection of small intestine other cystoscopy other lysis of peritoneal adhesions revision of stoma of small intestine ureteral catheterization ureteral catheterization transfusion of packed cells closure of fistula of small intestine, except duodenum retroperitoneal fistulogram diagnoses: other iatrogenic hypotension esophageal reflux gout, unspecified chronic kidney disease, unspecified dysthymic disorder regional enteritis of unspecified site peritoneal adhesions (postoperative) (postinfection) surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants personal history of venous thrombosis and embolism other postprocedural status carrier or suspected carrier of methicillin resistant staphylococcus aureus injury to bladder and urethra, without mention of open wound into cavity urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure tachycardia, unspecified peritoneal abscess fistula of intestine, excluding rectum and anus attention to ileostomy 

Answer: The patient is high likely exposed to