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: tetracyclines / demerol / verapamil / ativan / iodine; iodine containing attending: chief complaint: infected necrotic acute on chronic pancreatitis major surgical or invasive procedure: none history of present illness: 49 yo male with history of multiple episodes of pancreatitis, developed symptoms of recurrence the week of . he was admitted to hospital for management (). his hospital course at was significant for the following: 1. pancreatic necrosis with 2 abscesses percutaneously drained. vre and yeast was grown from the drainage. pt underwent a course of linezolid and fluconazole. drain #2 was dc'd on . 2. sputum cx with stenotrophomonas treated with a course of levofloxacin. 3. macrocytic anemia thought to be secondary to methotrexate therapy. treated with prbc's and cessation of methotrexate. 4. massive distention of the cecum with pneumatosis of the right colon and hemodynamic instability. past medical history: neuro: ?????? depression ?????? chronic abdominal pain . chronic chest pain pulm: ?????? chronic severe interstitial pneumonitis ?????? asthma ?????? parital diaphragmatic paralysis ?????? ventilator dependence at night due with daytime trach collar cv: ?????? cor pulmonale(ef 60%) ?????? endocarditis ?????? mitral valve prolapse ?????? pericarditis fen/gi: ?????? gerd s/p nissen fundoplication ' . exploratory celiotomy with lysis of adhesions social history: premorbid occupation was security guard at bu lives with wife tobacco or etoh history family history: none physical exam: gen: awake, alert, nad pulm: on trach collar; bs diminshed in the bases; otherwise with mild rhonchi cv: rrr; abd: soft, distended, mild pain on palpation. scattered ecchymoses unchanged since admission. llq rash in dermatomal distribution thought to have been shingles. ext: mild edema, improved since early on in admission. nontender. residual plantar tenderness with evidence of tinea pedis. pertinent results: 04:17am blood wbc-13.9* rbc-2.94* hgb-9.5* hct-32.1* mcv-109*# mch-32.4* mchc-29.8* rdw-16.5* plt ct-313 05:44am blood wbc-16.3* rbc-3.06* hgb-9.9* hct-30.0* mcv-98# mch-32.5* mchc-33.1 rdw-16.6* plt ct-279 03:26am blood wbc-19.5* rbc-3.29* hgb-10.8* hct-32.0* mcv-97 mch-32.7* mchc-33.7 rdw-16.5* plt ct-258 05:44am blood glucose-151* urean-15 creat-0.4* na-137 k-4.5 cl-100 hco3-29 angap-13 07:49am blood glucose-125* urean-13 creat-0.5 na-137 k-4.0 cl-100 hco3-30* angap-11 06:00am blood alt-31 ast-27 alkphos-407* amylase-39 totbili-0.5 04:13am blood alt-34 ast-37 alkphos-452* amylase-45 totbili-0.6 06:00am blood lipase-17 04:13am blood lipase-18 04:17am blood calcium-8.7 phos-7.2*# mg-2.2 05:44am blood calcium-8.8 phos-4.1 mg-2.4 07:49am blood calcium-9.1 phos-3.2# mg-2.2 04:29pm blood type-art o2-45 po2-89 pco2-46* ph-7.44 calhco3-32* base xs-5 intubat-intubated vent-imv 03:09pm blood type-art temp-36.6 rates-/18 o2-50 po2-90 pco2-44 ph-7.44 calhco3-31* base xs-4 intubat-intubated 05:42am blood type-art temp-35.6 rates- tidal v-600 peep-8 o2-45 po2-61* pco2-40 ph-7.49* calhco3-31* base xs-6 intubat-intubated vent-imv 12:08 pm sputum source: endotracheal. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. no microorganisms seen. respiratory culture (preliminary): ? oropharyngeal flora absent. yeast. sparse growth. gram positive bacteria. sparse growth. being isolated for further identification. 10:00 am mrsa screen site: rectal **final report ** mrsa screen (final ): no staphylococcus aureus isolated. 10:00 am blood culture picc. aerobic bottle (pending): anaerobic bottle (pending): 5:51 pm catheter tip-iv source: left subclavian. **final report ** wound culture (final ): no significant growth. 9:17 pm sputum site: endotracheal gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 2+ (1-5 per 1000x field): gram negative rod(s). 1+ (<1 per 1000x field): gram positive rod(s). respiratory culture (preliminary): oropharyngeal flora absent. due to mixed bacterial types ( >= 3 colony types) an abbreviated workup will be performed appropriate to the isolates recovered from this site. work up per dr. () id fellow . non-fermenter, not pseudomonas aeruginosa. heavy growth. gram negative rod #2. heavy growth. further identification to follow. gram negative rod #3. moderate growth. further identification to follow. sensitivities: mic expressed in mcg/ml _________________________________________________________ non-fermenter, not pseudomonas aeruginosa | gram negative rod #2 | | gram negative rod #3 | | | 9:16 pm blood culture aerobic bottle (pending): anaerobic bottle (pending): 9:18 pm fluid,other pancreatic drainage. **final report ** gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram positive cocci. in pairs and clusters. fluid culture (final ): due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site (including a screen for pseudomonas aeruginosa, staphylococcus aureus and beta streptococcus). enterococcus sp.. moderate growth. sensitive to linezolid and synercid. resistant to minocycline. stenotrophomonas (xanthomonas) maltophilia. sparse growth. staphylococcus, coagulase negative. rare growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus sp. | stenotrophomonas (xanthomonas) maltoph | | ampicillin------------ =>32 r chloramphenicol------- 8 s levofloxacin---------- =>8 r penicillin------------ =>64 r trimethoprim/sulfa---- 2 s vancomycin------------ =>32 r anaerobic culture (final ): no anaerobes isolated. 9:18 pm blood culture site: a line 1 of 2. **final report ** aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. 9:18 pm blood culture 2 of 2. l sc. **final report ** aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. brief hospital course: overall developments may be summarized by system as follows: (active issues from the present illness denoted by asterisk) neuro: ?????? depression ?????? chronic abdominal pain pulm: . *ventilator dependence at night due with daytime trach collar ?????? *hospital acquired pneumonia ?????? chronic severe interstitial pneumonitis ?????? asthma ?????? parital diaphragmatic paralysis cv: ?????? cor pulmonale history (ef 60%) ?????? endocarditis ?????? mitral valve prolapse ?????? pericarditis fen/gi: ?????? *microperforation of cecum with pneumatosis ?????? *necrotic, infected acute on chronic pancreatitis with pseudocysts growing vre and stenotrophomonas; ?????? *failure to tolerate po or tf diet due to bloating and pain ?????? gerd s/p nissen fundoplication heme/id: ?????? *sepsis from infected pancreatitis and colonic microperforation. ?????? *oral thrush currently on fluconazole ?????? *shingles of the left lower abdomen s/p course of acyclovir additional detail on active issues by system as follows: neuro: pain was managed with iv agents through the majority of the admission. in the last week, he was transitioned to his usual po regimen. he has tolerated this well. the pt. has described relief from abdominal cramping with diazepam. this has been helpful but he has had 2 episodes of delirium as a result. mr has been occasionally tearful. psychiatry was consulted regarding his depression who recommended continuation of his wellbutrin. pulm: the patient's usual schedule of overnight simv with daytime trach mask was resumed by . he has had a gradual return to his baseline pulmonary status. bibasilar consolidation consistent with aspiration pneumonia was seen on cxr on . sputum cultures have yielded gram negative rods difficult to speciate. this is currently being treated with a course of levaquin. fen/gi: the ct findings of cecal dilatation and pneumatosis were followed with serial abdominal exams and interval ct scans with consultation from the colorectal surgery team. microperforation of cecum was identified on subsequent scans but the overall appearance improved with time. at present, observation is recommended for this process. with respect to the pancreas, the hepatobiliary surgery team has managed the patient. linezolid was restarted on arrival and was discontinued for a total 4 week course to treat vre. a course of bactrim was also completed to treat stenotrophomonas from the drain as well. the pancreatic drain was inadvertanly lost on . interval ct scan on showed no drainable collection. at present, the patient's pancreas is considered stable and may be followed in the standard fashion for pancreatitis with pseudocysts. enteral feeding was attempted via the g-j tube alone, in combination with po regulars, and with regulars alone. the patient has failed to tolerate any combination citing bloating and pain. it was concluded that enteral feeding at present is unfeasible. a period of bowel rest of at least 1 month has been elected with tpn for the interim. the patient may take po clears for comfort and some meds are given po to minimize daily ivf volume. heme/id: apart from the id issues discussed above, the patient has also been treated for shingles based on clinical suspicion (acyclovir) and oral thrush (currently on fluconazole). medications on admission: xanax 0.5 q6 prn protonix 40 iv bid tylenol prn xopenex nebs q6 heparin sq tid morphine 480 q3 pg dulcolax 10 pr flexeril 10 tid lidoderm patch *3 zofran 4 q6 prn prednisone 10 po bid discharge medications: 1. levalbuterol hcl 0.63 mg/3 ml solution sig: one (1) puff inhalation q6 (). 2. lidocaine 5 % adhesive patch, medicated sig: one (1) adhesive patch, medicated topical qd (once a day). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q3-4h () as needed. 4. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed. 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 6. morphine sulfate 15 mg tablet sig: 1-2 tablets po q3-4h () as needed. 7. morphine sulfate 30 mg cap, 24hr sust release pellets sig: one (1) cap, 24hr sust release pellets po q6h (every 6 hours). 8. hydrocortisone 0.5 % ointment sig: one (1) appl topical tid (3 times a day) as needed for pruritis. 9. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours). 10. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 11. montelukast sodium 10 mg tablet sig: one (1) tablet po qd (once a day). 12. prednisone 20 mg tablet sig: one (1) tablet po qd (once a day). 13. fluconazole 100 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 13 days. 14. insulin regular human 100 unit/ml solution sig: per sliding scale units injection every six (6) hours. 15. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 16. diazepam 5 mg/ml solution sig: five (5) mg injection qhs prn (). 17. diazepam 5 mg/ml solution sig: 2.5-5 mg injection q6h (every 6 hours) as needed. 18. ondansetron hcl 2 mg/ml solution sig: four (4) mg intravenous q3-4h () as needed. discharge disposition: extended care facility: - discharge diagnosis: neuro: ??????depression ??????chronic abdominal pain pulm: ??????hospital acquired pneumonia* ??????chronic severe interstitial pneumonitis ??????asthma ??????parital diaphragmatic paralysis ??????ventilator dependence at night due with daytime trach collar cv: ??????cor pulmonale history (ef 60%) ??????endocarditis ??????mitral valve prolapse ??????pericarditis fen/gi: ??????*microperforation of cecum with pneumatosis ??????*necrotic, infected acute on chronic pancreatitis with pseudocysts growing vre and stenotrophomonas; ??????*failure to tolerate po or tf diet due to bloating and pain ??????gerd s/p nissen fundoplication heme/id: ??????*sepsis from infected pancreatitis and colonic microperforation. ??????*oral thrush currently on fluconazole ??????*shingles of the left lower abdomen s/p course of acyclovir . macrocytic anemia discharge condition: fair discharge instructions: none followup instructions: on transfer to hospital: family physician: , md gastroenterology: , md pulmonary: sew- , md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances arterial catheterization pulmonary artery wedge monitoring injection or infusion of oxazolidinone class of antibiotics diagnoses: mitral valve disorders asthma, unspecified type, unspecified candidiasis of mouth pneumonitis due to inhalation of food or vomitus postinflammatory pulmonary fibrosis chronic pancreatitis acute pancreatitis tracheostomy status other specified disorders of intestine 

Answer: The patient is high likely exposed to