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: no known allergies / adverse drug reactions attending: chief complaint: confusion and shaking major surgical or invasive procedure: endotracheal intubation lumbar puncture bronchoscopy history of present illness: the pt is a 89-year-old man with history of progressive ms utis who presents with seizure. his wife reported that for the past 2 days that he appeared "foggy" and somewhat weaker which are his usual symptoms of an underlying infection. he was last seen well at 9 pm when he went to bed. this morning she had difficulty waking him up. then, he began having shaking of his upper extremities which lasted about 2 minutes. when ems arrived, he was unresponsive, pupils were pinpoint and so he was given narcan. he was taken to . he was noted to be minimally responsive, occasionally groaning to verbal stimuli. head ct was done which did not show acute process. chest x-ray shows a left lower lobe infiltrate. he was given ceftriaxone 1 g and vancomycin 1 g. when he arrived to ed, he was responsive to tactile stimuli but non verbal, moving all extremities, and unable to follow commands. he had another seizure with desaturation to 78%. he received ativan 2 mg and dilantin 1 g. he was intubated. he was noted to be hyponatremic (na 121) and was given 100 ml 3% nacl. he was recently admitted to in with encephalopathy and tactile and visual hallucinations. he was found to have mrsa positive uti which was treated with a course of vancomycin. after treatment for the uti, his behavior and hallucinations recovered. during that admission, he had episodes of falling asleep while talking. he was evaluated for seizure with eeg which was negative for seizure. on review of systems, the wife reports for fever, headache, nausea, or vomiting. past medical history: - ms - h/o uti - foley catheter, changed monthly - hld social history: - tobacco: ex smoker, about pack year, smoked cig x 10-20 years, quit in - etoh: rare, last drink was a can of beer with wife, about 4 days ago - illicits: denies family history: - non-contributory physical exam: on admission initial vitals signs: t 95.6 hr 58 bp 124/74 rr 16 94% 4 l general: unresponsive heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: unresponsive to voice or sternal rub -cranial nerves: pupils 3 mm (initially reactive but upon repeat examination his pupils were not reactive). oculocephalic reflex intact. no facial droop, face appears symmetric. positive corneals. -motor: no spontaneous movement. triple flexion in left leg to noxious stimuli. otherwise, no movement in the other extremities. -sensory: triple flexion in left leg to noxious stimuli. -dtrs: difficult to elicit throughout. bilateral upgoing toes. -coordination: patient unable. -gait: patient unable. on discharge alert, attentive, oriented x3 ms: language was dysarthric but fluent, no paraphasias and normal comprehension and repetition cn: normal motor: upper extremities - full strength; lower extremities - 0/5 sensation: intact b/l to touch on lowers pertinent results: mri: 1. negative susceptibility foci in the left parietal region limit assessment of the details in the adjacent brain parenchyma. study is also limited due to motion on some sequences. within this limitation, there is no large area of decreased diffusion to suggest an acute infarct or obvious area of abnormal enhancement to suggest a mass lesion. follwo up as clinically indicated. 2. unchanged appearance of the small flair hyperintense foci in the centrum semiovale and in the periventricular location in the parietal lobes on both sides, a few in the right frontal lobe without associated enhancement, representing the previously noted demyelinating lesions. 3. coronal mp-rage and t2 sequences are limited due to motion. the left hippocampus is slightly smaller than the right on some of the images, however, the significance of this finding is not certain. to correlate with eeg. evaluation for other structural abnormalities is limited due to the suboptimal quality. this can be repeated when the patient is cooperative, if necessary. 4. pl. see prior cta for details reg. intracranial arteries- ? mild decreased in enhancement/size of the m2 branches diffusely and bilaterally without flow limiting stenosis/occlusion. 5. mucosal thickening with fluid in the ethmoid, maxillary and frontal sinuses as described above. eeg: this is an abnormal continuous eeg due to the presence of an unreactive, extremely low voltage hz delta frequency background. however, compared to the previous recording, the background appears of slightly higher voltage consistent with a slight improvement. this pattern is consistent with a severe diffuse encephalopathy. there were no focal abnormalities or epileptiform features seen. micro: blood cx: neg lp: normal - benign bronch 10:06 pm bronchoalveolar lavage lll. **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. 2+ (1-5 per 1000x field): gram negative rod(s). smear reviewed; results confirmed. respiratory culture (final ): 10,000-100,000 organisms/ml. commensal respiratory flora. brief hospital course: sepsis was admitted to the neuro-icu after he became less responsive and had shaking movements. he was found to be hypotensive and hypothermic and was intubated for concern of repiratory protection. he was in the neuro-icu and had an lp, blood cultures and a bronch that were not revealing. he had urine cultures from before admission that were significant for yeast >100,000 colonies. he was treated with a full course of zosyn, vancomycin and fluconazole. he was extubated and had some dysarthria secondary to vocal cord edema. he was seen by pt and felt to be at his baseline. he was discharged home with vna to check on his foley. he was asked to follow up with neurology, infectious disease (for his persistent infections), and urology (for a more long-term solution to his foley). he was started on keppra 1000 mg for the concern of seizures. he had a 24-hour eeg that was recorded as low voltage and ecephalopathic with no seizures. medications on admission: surgilube topical gel use as directed daily vitamin c 1,000 mg tab (dose uncertain) simvastatin 10 mg tab 1 tablet(s) by mouth once a day methenamine hippurate 1 gram tab 1 tablet(s) by mouth twice a day oxybutynin chloride 5 mg tab 1 tablet(s) by mouth three times a day multistix 7 strips test urine 2-3 times daily to get to ph 5.5 or 5.0 discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. keppra 500 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*2* 3. oxybutynin chloride 5 mg tablet sig: one (1) tablet po three times a day. 4. simvastatin 10 mg tablet sig: one (1) tablet po once a day. 5. methenamine hippurate 1 gram tablet sig: one (1) tablet po twice a day. 6. vitamin c 1,000 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: area vna discharge diagnosis: sepsis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the neurology service at for unresponsiveness and shaking and intubated and in the neuro-icu. you had low blood pressures and low temperatures and it was felt that you had an infection likely from your urinary tract. you were followed by the infectious disease service and received a full course of antibiotics. you will need to see urology to make an appointment for long-term solution to your urinary which has had multiple infections in the past. there was concern that you had a seizure on presentation and you were started on keppra 1000 mg po bid. please continue this medication and talk to your neurologist about when this can be stopped. followup instructions: provider: , md phone: date/time: 10:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: unspecified septicemia severe sepsis candidiasis of other urogenital sites other convulsions personal history of tobacco use other and unspecified hyperlipidemia other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus septic shock methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site do not resuscitate status urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure encephalopathy, unspecified multiple sclerosis other disorders of neurohypophysis infection and inflammatory reaction due to indwelling urinary catheter edema of larynx neurogenic bladder nos 

Answer: The patient is high likely exposed to