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: keflex attending: chief complaint: aaa major surgical or invasive procedure: aaa open resection-(abi) cardiac catheterzation with pci of lad bronchoscopy , rt. chest tube placement bronchcoscopy, thearputic aspiration bronchcoscopy with lll bal trach with peg throcentesis right pussey-murer valve trach history of present illness: admitted for elective open aaa repair past medical history: histroy of hyperlipdemia history of lumbar disc disease s/p laminectomy of l4-5 histroy of glall bladder disease s/p ccy histroy of mva,s/p splenectomy histroy of current tobacco use social history: married, lives with spouse retired : current smoker 1 ppd etoh: denies family history: un known physical exam: general: no acute distress heent: diminished rom, no carotid bruits, no jvd lungs: clear to auscultation heart:rrr no mumur,gallop ,rub abd: soft, nontender, nondistended + abdominal pulsation ext: bilateral femoral pulses dopperable,dopperable dp pulses, pt pulses? bilateral iliac bruits neuro : alert and oriented x3, nonfocal pertinent results: 07:00am blood wbc-13.7* rbc-3.78* hgb-11.5* hct-35.8* mcv-95 mch-30.4 mchc-32.1 rdw-15.5 plt ct-501* 05:23pm blood wbc-12.5* rbc-3.46* hgb-10.6* hct-31.9* mcv-92 mch-30.5 mchc-33.1 rdw-16.3* plt ct-463* 03:34am blood wbc-13.6* rbc-3.30* hgb-10.1* hct-30.8* mcv-94 mch-30.6 mchc-32.7 rdw-15.7* plt ct-454* 03:34am blood glucose-127* urean-11 creat-0.4* na-135 k-4.4 cl-104 hco3-26 angap-9 07:00am blood alt-90* ast-52* alkphos-158* totbili-1.1 04:17am blood alt-39 ast-241* ld(ldh)-428* ck(cpk)-* alkphos-33* totbili-0.5 03:52pm blood ck-mb-5 ctropnt-<0.01 09:21pm blood ck-mb-123* mb indx-11.9* ctropnt-1.05* 01:51am blood ck-mb-165* mb indx-9.8* ctropnt-7.70* 01:51am blood ck-mb-165* mb indx-9.8* ctropnt-7.70* 02:11am blood ck-mb-28* mb indx-6.0 ctropnt-6.09* 05:07pm blood %hba1c-5.7 06:25am blood triglyc-107 01:10am blood triglyc-128 01:10am blood hbsab-positive hav ab-positive 01:10am blood hcv ab-negative 01:53pm blood type-art po2-114* pco2-42 ph-7.37 caltco2-25 base xs-0 intubat-intubated brief hospital course: admitted, aaa open repair( abi ) , acute myocardial infract,s/p cardiac cath pci of lad.lmt moderate disease,lad 95% proximally,lcx. moderate diffuse disease, rca totallly occluded , collatralized left to right. epi dural d/c' re intubated for hypoxia and respiratory acidosis. the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with akinesis of the basal inferolateral segment and mild hypokinesis of the mid to distal anterior wall, anterior septum and apex. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: mild to moderate regional left ventricular systolic dysfunction consistent with multi-vessel coronary artery disease. based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. compared with the prior study (images reviewed) of , wall motion abnormalities are better appreciated on the current study (as above). there is now a wire/catheter in the ra/rv. pulmonary edema, agressively diuresed. diuresis continued. nutritional consult for tf continued diuresis tpn began. temp elevation. cxr with infiltrate antibiotics brodened to vanoc,cipro,meropeneum. dopoff placed. iv lasix gtt discontinued. ct chest: rll,rml consolidation with rml abcess and moderate pleural effusion remains on vent support . bronch with rt. chest tube placement.c/s sputum mrsa, c/s bal klebsella and beta strep.linezolid added to antibiotic regment but d/c 24hrs later. patient in septic shock requiring vassopressor support. thoracic surgery consulted for lung abcess. recommendations no ct needle aspiration of abcess ,continue with chest tube drainage.bronchoscopy with theareupedic aspiration.id consulted; legonella c/s negative. persistant leukocytosis. ct of abd/ chaest. no intraabdominal source for infection, rll effusion. bronch with bal of lll trach, peg neruo surgery cx for c spine canal stenosis. cervical collar. tf @ goal. sacral wound care began for stage 2 sacral decubitus awaiting timing of c spine stablization by neuro surgery. continued elevated wbc and temp.right thorocentesis>500cc. speech/swallow consulted for ? dysphagia. continue with tf no po's. transfused for anemia off vent, trach mask, pmv placed. transfered to vicu aphasia and dysphagia very pronounced with increasing mental confusionn. wbc 20. c/s urine negative no temp. antibiotics discontinued planned spine stabllization cancelled secondary to leukocytosis. neuro consulted for persistant confusion. mri of head pending.mri could not be done because patient needed to be vnetelated and sedated.wbc monitered continued to moniter wbc 12.5 cervical stablization by neuro done. patient stable.awaiting rehab bed repeat swallow study done,patient continues to aspirate will remain npo. awaiting rehab bed. treated for uti with cipro. transfered to rehabh. stable. medications on admission: simvistatin 20mgm daily atenolol ? daily asa 81 mg daily diazapam prn trazadone prn vit c daily vit e daily pencilliln 500mgm discharge medications: 1. aspirin 325 mg tablet : one (1) tablet po daily (daily). 2. albuterol 90 mcg/actuation aerosol : four (4) puff inhalation q4h (every 4 hours) as needed. 3. atorvastatin 40 mg tablet : one (1) tablet po daily (daily). 4. ipratropium bromide 17 mcg/actuation aerosol : six (6) puff inhalation q4h (every 4 hours) as needed. 5. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed. 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. nystatin 100,000 unit/ml suspension : five (5) ml po qid (4 times a day). 8. miconazole nitrate 2 % powder : one (1) appl topical tid (3 times a day) as needed. 9. bisacodyl 10 mg suppository : one (1) suppository rectal daily (daily) as needed. 10. metoprolol tartrate 50 mg tablet : two (2) tablet po tid (3 times a day). 11. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 12. codeine-guaifenesin 10-100 mg/5 ml syrup : 5-10 mls po q6h (every 6 hours) as needed for cough. 13. humalog 100 unit/ml solution : as directed subcutaneous four times a day: ac: glucoses <120 no insulin 121-140/2u 141-160/4u 161-180/6u 181-200/8u 201-220/10u 221-240/12u 241-260/14u 261-280/16u 281-300/18u 301-320/20u 321-340/22u 341-360/24u >360 md u=units. 14. albuterol sulfate 2.5 mg/3 ml solution for nebulization : one (1) inhalation q6h (every 6 hours) as needed. 15. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed. 16. lorazepam 2 mg/ml syringe : one (1) injection q6h (every 6 hours) as needed. 17. hydralazine 20 mg/ml solution : ten (10) mg injection q6h (every 6 hours) as needed. 18. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q6h (every 6 hours) as needed. 19. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 20. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed. 21. ondansetron hcl (pf) 4 mg/2 ml solution : four (4) mg injection q8h (every 8 hours) as needed for nausea/vomiting. discharge disposition: extended care facility: - discharge diagnosis: abdominal aortic aneurysem history of lumbar disc disease s/p laminectomy l4-5 history of gallbladder disease s/p ccy history of mva s/p splenectomy history of hyperlipdemia history of lung nodules history of current tobacco use-1ppd postoperative acute myocardial infract-rca occlusion postop pulmonary edema postoperative klebsella /mrsa pna of rll,rml with rml abcess postoperative septic shock-vasopressors,resolved postop respirtory failure-trach postoperative failure to thrive-peg placement postoperative blood loss anemia transfused postoperative sacral decubitus stag -2 , treated, stable postoperative cervical canal stenosis postoperative dysarthria, aspiration postoperative encephalopathy postoop uti-treated discharge condition: stable discharge instructions: call if any questions. followup instructions: dr.. call for appointment , post d/c from rehab dr. of neuro surgery in 6 weeks dr. ( interventional cardology ) please acll for an appoointment 6 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances left heart cardiac catheterization enteral infusion of concentrated nutritional substances thoracentesis percutaneous [endoscopic] gastrostomy [peg] other intubation of respiratory tract temporary tracheostomy closed [endoscopic] biopsy of bronchus other cervical fusion of the anterior column, anterior technique resection of vessel with replacement, aorta, abdominal excision of bone for graft, other bones insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae injection or infusion of oxazolidinone class of antibiotics cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia acute myocardial infarction of other anterior wall, initial episode of care cardiac complications, not elsewhere classified infection with microorganisms resistant to penicillins hemorrhage complicating a procedure cardiogenic shock abscess of lung methicillin susceptible pneumonia due to staphylococcus aureus pressure ulcer, lower back epilepsy, unspecified, without mention of intractable epilepsy acute systolic heart failure abdominal aneurysm without mention of rupture pneumonia due to klebsiella pneumoniae cervical spondylosis with myelopathy 

Answer: The patient is high likely exposed to