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: oxacillin attending: chief complaint: dyspnea major surgical or invasive procedure: percutaneous endoscopic jejunostomy history of present illness: 82yo russian speaking male w/ h/o cad, s/p cabg () and nstemi () presents with sob, dypnea on exertion, congestion and difficulty mobilizing sputum. after being recently d/ced from on after hospitalization for gib/cp/and rll pna. patient's hx difficult to obtain due primarily to significant confusion as well as language barrier. per hx from rehab facility pt.has several days of cough and sob, for which he was started on levo/flagyl. pt. also reports some intermittent cp of unclear duration, that is reported as non-pleuritic, inc. peripheral edema, + fever (undocumented). his last vital signs at , vs wnl for pt. were bp 91/71, p 68, temp 97.2, 97%ra. in the ed, vs-temp 100.2 rectal hr 71-82 bp 94/63 rr 30 96% ra. was found to have a large pleura effusion. patient was given asa, vanco 1gm and ctx 1gm. on thoracentesis removed approx. 2l fluid, which was sent for gs/cx/cytology. past medical history: past medical history: 1. cad 2. nstemi () 3. cabg () 4. dm2 5. htn 6. pid w/ claudication mostly rle (involvement of rt aorto-iliac arteries, and b superficial femoral arteries) 7. chf w/ ef of 30% (moderate ar and mr) 8. mild oro-pharyngeal dysphagia 9. b12 anemia 10. djd 11. nails social history: denies alcohol/tobacco, currently lives at rehab facility with, wife and son make medical decisions. dnr/dni. family history: noncontributory physical exam: vitals: tc 97.3 110/68 76 20 93%ra gen: thin man appearing stated age, alert but confused heent: ncat, unable to assess jvd due to poor pt. cooperation cv: unable to assess due to diffuse rhonchi lungs: diffuse coarse rhonchi b, bs at base of rt. lung, rales at lt. base abd: s/nt/nd ext: 3+ pitting edema to the knees pertinent results: admission labs 02:00pm wbc-12.9*# rbc-4.08* hgb-10.9* hct-33.8* mcv-83 mch-26.8*# mchc-32.3# rdw-14.7 02:00pm neuts-89.5* lymphs-5.1* monos-4.7 eos-0.1 basos-0.6 02:00pm pt-15.3* ptt-28.3 inr(pt)-1.4* 02:00pm glucose-294* urea n-41* creat-1.3* sodium-141 potassium-4.3 chloride-106 total co2-28 anion gap-11 02:00pm calcium-8.5 phosphate-3.9 magnesium-1.8 07:21pm tot prot-5.0* albumin-2.2* globulin-2.8 02:00pm ck(cpk)-29* 02:00pm ctropnt-0.04* 07:21pm ck-mb-notdone ctropnt-0.04* 02:00pm ck-mb-notdone probnp-* 08:42pm pleural wbc-3000* rbc-* polys-70* lymphs-15* monos-15* 08:42pm pleural tot prot-2.4 glucose-165 ld(ldh)-328 amylase-13 albumin-1.2 08:57pm ph-7.47* comments-pleural fl 05:30pm pleural wbc-1500* rbc-* polys-86* bands-1* lymphs- 12*monos-0 macro-1* 5:30pm pleural tot prot-2.2 glucose-165 ld(ldh)-222 amylase-13 albumin-1.1 cxr there is new consolidation in the perihilar right lung concerning for pneumonia or pulmonary hemorrhage. mod rt. pleural effusion has begun to reaccumulate, and new interstitial edema is present. small lt. pleural effusion is stable. azygous distention indicates volume overload or right heart decompensation. mod. cardiomegaly and calcified left ventricular apical aneurysm are longstanding. ekg unchanged from previous. nsr, hr 73, 1st degree heart block, poor r-wave progression. brief hospital course: 82yo russian speaking male w/ h/o cad, s/p cabg () and nstemi () presents with sob, dyspnea on exertion, congestion and difficulty mobilizing sputum: . 1. bilateral parapneumonic effusions: on previous d/c () the pt had a rll pna that was tx w/ 10d of course of levofloxacin. the pna remained unresolved on this admission. cxr on admission demonstrated a rll pna and large r pleural effusion. the patient was started on ceftriaxone/clindamycin for empiric tx of gram+ pna. however despite this coverage the patient's wbc continued to trend up. given that the patient was in rehab, and multiple hospitalizations, pt was covered with linezolid. the pt's wbc count decreased from 17.3 to 8.4 on linezolid/ceftriaxone/clindamycin. . interventional pulm performed a thoracentesis on 1800cc of bloody fluid with obvious fibrin stranding, +mrsa. pleural fluid was exudative. chest ct demonstrated a loculated effusion. on , linezolid was changed to vancomycin. pt remained afebrile on this antibiotic regimen. id was consulted and recommended treatment w/ vancomycin until , and following w/ suppressive oral abx regimen thereafter. interventional pulmonology performed a repeat throacentesis on 300cc of fluid of. pleural fluid from second tap did not grow any organisms. given the loculated nature of the effusion, ip felt that a chest tube/pigtail would not be efficacious, and recommended vats and decortication. ct surgery did not recommend vats, since pt was deemed a poor surgical candidate due to his cardiovascular hx and overall poor functional status. . after being on this antibiotic regimen, the pt started having thick pink-tinged, yellow, white sputum, with frequent mucus plugging, requiring q4h suctioning and chest pt. sputum culture gram stain on was positive for 4+ gram neg rods. meropenem was started for gram neg covereage. sputum cx later grew out pseudomonas, to meropenem. a picc line was placed for long-term access for abx. . mrsa was sensitive to bactrim and doxycycline, which was planned to be used for suppression once vanco course is complete. on the patient desaturated, likely from mucus plugging. cxr showed pt was fluid overloaded. third spacing and 1+ to 2+ pitting dependent edema was due to hypoalbuminemia. the patient was aggressively diuresed with 20-40 of iv lasix, and then increased to 80 lasix iv doses for a goal of 500-1000cc negative each day. . # cardiac: the pt. was s/p cabg in , nstemi . his ekg demonstrated 1st degree heart block and poor r-wave progression unchanged from his previous baseline. the pt. ruled out for mi by serial cardiac enzymes on admission. he was monitored on telemetry w/o any events. . the pt. has a hx of chf and on admission his cxr did demonstrate some interstitial edema. on exam the pt had bilateral rales and dependent edema. the pt. was aggressively diuresed for a goal of 1000cc neg qd. digoxin and losartan were added to his regimen and his lisinopril was titrated up in an effort to improve his forward output. initially the patient's bp responded well to diuresis and afterload reduction, and sbp improved to 120-130s. however, overall the pt's exam remained clinically unchanged, neck veins remained distended, and he developed anasarca. repeat ct chest and cxr demonstrated interval increase in his pleural effusion particularly on the l side, likely a transudatve effusion secondary to his chf. he had poor uo likely attributable to endstage chf, acei and were d/c ()to maximize renal adjustment to poor effective arterial volume and imdur and hydralazine were added for afterload reduction, but then eventually discontinued when the pt began to become hypotensive to sbp 90s. . # chf: pt was maintained on asa, statin, and bb. asa was discontinued for gib. . # arf: baseline cr was 0.9, with low uo, which was deemed to be due to prerenal etiology and was treated with ns boluses with good uo in response. fluid status and uo was very difficult to maintain, for necessary diuresis for respiratory status. after several days of diuresis the pt's cr increased to 1.5. etiology was likely poor cardiac output secondary to chf, as well as intravascular volume depletion, due to hypoalbuminemia and aggressive diuresis. pt was transfused with rbc to maintain intravascular volume, but pt continued to have poor uo. cr remained stable at around 1.5. renal was consulted, and examination of urine sediment found no muddy brown casts. . # urinary retention: urinary retention was new during this admission (starting ). pt had no evidence of prostate ca visualized on ct abd/pelvis but did have a psa of 9.2. his retention was thought to be likely attributable to bph. a coude catheter was inserted and remained in place given the urinary retention and aggressive diuresis. . # anemia: due to anemia of chronic disease. baseline hct was around 30, microcytic. pt was guaiac negative until gib after placement of peg tube. b12 and folate were repleted. . # upper gi bleeding: pt started having melena on . after placement of his peg tube the patient's hct began to slowly trend down from 31 () to 26 (). etiology was thought likely due to peg tube placement, although pt had previous history of gib from gastritis. rbc were transfused for hct goal 28. pt had a hx of gib on last admission requiring prbcs x4, egd at that time showed evidence of gastritis. he was at risk for gib due to asa and stress ulcers, but pt had been maintained on ppi since admission. regimen was changed to ppi iv bid and carafate. he was seen by gi and had a negative gastric lavage. his asa was discontinued. . # abdominal pain: pt. had intermittent ruq pain and had an abd us demonstrating cholelithiais. however since surgery would be inappropriate in this patient w/ poor functional status, he was maintained on morphine standing for good pain control. pt's peg . # peg site infection: pt had pus milked from the peg site, and grew pseudomomas, to meropenem. . # hypotension: baseline bp for pt was sbp 90's, but was 100-120 during admission. . # mental status change: pt became progressively more confused and less able to communicate clearly with his family during admission. . # dm2: pt. was maintained on a daily baseline dose of glargine and iss with good bg control. . # skin: the pt. had stage 1 pressure ulcer on coccyx, and stage 1 pressure ulcer on l heel. he was treated with standard q2 movement, duoderm applied to area, aloe cream to both legs and feet, and waffle boots to heels. . fen: pt failed speech and swallow evals and video swallow, and was kept npo during admission due to aspiration risk. peg was placed under ct guidance on and was kept on tf throughout admission. . ppx: ppi iv bid, heparin sc was stopped after gib started. . code: cmo given the pt's very complex medical course and continued detrioration despite the most aggressive interventions by the team a family meeting was called to discuss transitioning to cmo. the pt's condition was discussed with his wife (health care proxy) who felt that the pt would not have wished continued medical care. the pt was transitioned to cmo, and was kept on morphine as needed to be kept pain-free. palliative care was consulted for recommendations. the patient passed away on the same night as transition to cmo. medications on admission: medications from : 1. prilosec 20mg po qd 2. flagyl 500mg po tid (unclear when started) 3. levoquin 250mg po qd (unclear when started) 4. nitro prn 5. imdur 30mg po qd 6. lasix 20mg po bid 7. duoneb q4 prn 8. riss lantus 5units qhs 9. glyburide 10mg po bid 10. asa 81 mg po qd 11. lopressor 12.5mg po bid 12. atorvastatin 40mg po qd 13. tylenol 650mg po qd 14. milk of magnesia prn 15. zestril 5mg po qd discharge medications: patient passed away. discharge disposition: extended care facility: - discharge diagnosis: bilateral parapneumonic effusions, upper gi bleeding, chf, acute on chronic renal insufficiency, anemia discharge condition: patient passed away. discharge instructions: patient passed away. followup instructions: patient passed away. md, procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances thoracentesis percutaneous [endoscopic] gastrostomy [peg] transfusion of packed cells injection or infusion of oxazolidinone class of antibiotics diagnoses: anemia of other chronic disease acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified protein-calorie malnutrition atherosclerosis of native arteries of the extremities with intermittent claudication infection with microorganisms resistant to penicillins aortocoronary bypass status rheumatic heart failure (congestive) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified forms of chronic ischemic heart disease hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) chronic kidney disease, stage iii (moderate) hemorrhage complicating a procedure pneumonitis due to inhalation of food or vomitus methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation pressure ulcer, lower back pressure ulcer, heel subendocardial infarction, subsequent episode of care empyema without mention of fistula volume depletion, unspecified infection of colostomy or enterostomy 

Answer: The patient is high likely exposed to