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: history of present illness: the patient is a 60-year-old gentleman with a history of left hip replacement in , bladder cancer, and degenerative joint disease who presented to hospital on with neck pain and back pain times one week that radiated to his legs and a pustular rash over his arms bilaterally and his left leg. he was admitted for a fever of unknown origin and was subsequently found to have methicillin-resistant staphylococcus aureus bacteremia, for which he was treated with oxacillin and levofloxacin. on , he was transferred to for further evaluation. the patient was also noted to have a septic right ankle and suspected left wrist infection. of note, the patient was complaining of one month of low back pain and headache with total spine and neck pain. his temperature maximum prior to admission was 103.1 degrees fahrenheit. the patient was noted to have arthralgias and myalgias as well as tachycardia at the outside hospital. the patient had a transthoracic echocardiogram done at the outside hospital which was negative for vegetations. he had low-grade hemolysis with slight anemia. a bone scan was done also at the outside hospital which was negative for osteomyelitis, discitis, or infection of the prior hip surgery. the patient also had a magnetic resonance imaging done of his head which was negative for acute infarction and negative for abnormal parenchymal or left meningeal enhancement. past medical history: (the patient's past medical history included) 1. bladder cancer. 2. degenerative joint disease. 3. hyperlipidemia. 4. left hip surgery replacement secondary to degenerative joint disease in . 5. low back pain. 6. status post herniorrhaphy in . medications on admission: (his medications on admission were) 1. oxacillin 2 g intravenously q.4h. 2. levofloxacin 500 mg intravenously once per day. 3. rifampin 900 mg by mouth once per day. 4. protonix 40 mg by mouth once per day. 5. morphine 2 mg to 4 mg intravenously q.2h. as needed. 6. heparin 5000 units subcutaneously q.12h. 7. toradol 15 mg intravenously q.6h. as needed. 8. ativan 0.5 mg by mouth q.6h. as needed. 9. bowel regimen. allergies: no known drug allergies. social history: the patient lives in . he works as a stock broker. no tobacco. positive alcohol of one to two drinks per day. family history: family history was noncontributory. physical examination on presentation: the patient's physical examination on admission revealed vital signs with a temperature of 100.9 degrees fahrenheit, his blood pressure was 147/78, his heart rate was 102, his respiratory rate was 20, and his oxygen saturation was 97% on 4 liters nasal cannula. in general, the patient was anxious and awake. alert and oriented times three. in no significant distress. head, eyes, ears, nose, and throat examination revealed the mucous membranes were moist. pupils were equal, round, and reactive to light. extraocular muscles were intact. the neck was supple. no lymphadenopathy. the lungs were clear to auscultation bilaterally. cardiovascular examination revealed positive first heart sound and positive second heart sound. a systolic ejection murmur at the left upper sternal border. no gallops. no additional heart sounds. the abdomen was soft, nontender, and nondistended. positive bowel sounds. no masses. extremity examination revealed no clubbing or cyanosis. there was 1+ lower extremity edema to the midshin bilaterally. skin examination revealed an erythematous left arm with papular lesions in a heterogenous distribution. a papular nontender rash without sloughing skin was present in the bilateral inner thighs without extension to genitals. pertinent laboratory values on presentation: pertinent laboratories and studies on admission revealed his white blood cell count was 19.8, his hematocrit was 27, and his platelets were 364. chemistry-7 revealed his sodium was 140, potassium was 4, chloride was 106, bicarbonate was 20, blood urea nitrogen was 24, creatinine was 0.8, and his blood glucose was 132. calcium was 7.2, magnesium was 2.7, and his phosphorous was 4.7. his liver function tests revealed his albumin was low at 1.9. his alkaline phosphatase was elevated at 382. his total bilirubin was elevated at 3.7. his direct bilirubin was 2.1. his ast was elevated at 81. his alt was elevated at 117. his creatine kinase was elevated at 425. his troponin was less than 0.01. dr.. 12-abj dictated by: medquist36 procedure: imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges lumbar and lumbosacral fusion of the anterior column, posterior technique excisional debridement of wound, infection, or burn local excision of lesion or tissue of bone, other bones arthrocentesis other cervical fusion of the anterior column, anterior technique excision of intervertebral disc fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae diagnoses: unspecified essential hypertension unspecified septicemia cellulitis and abscess of leg, except foot personal history of malignant neoplasm of bladder intraspinal abscess acute osteomyelitis, other specified sites other and unspecified disc disorder, lumbar region other disorders of muscle, ligament, and fascia other and unspecified disc disorder, cervical region 

Answer: The patient is high likely exposed to