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: patient recorded as having no known allergies to drugs attending: chief complaint: aflutter major surgical or invasive procedure: none history of present illness: 73 yo male resident of with h/o vre and mrsa bacteremia, osteomyelitis, cad s/p cabg, hypertension, and recent trach placement presents with asymptomatic aflutter and lethargy. his heart rate was not responsive to iv lopressor 10mg x3 and metop 25 mg po x1. rate continued to be in the 120's. he was started on a dilt gtt, with decrease in his sbp to the 110's from 130's. heart rate minimally responsive with rates in 110-120's. . he received a dose of unasyn (recent urine culture with acinetobacter sensitive to unasyn), linezolid (recent vre bacteremia). given po flagyl for a recent c diff infection. first set of cardiac enzymes; ck 23, trop 0.04. wbc count 14 with 10% bands. blood and urine cultures sent in ed. also given 1l ns bolus. . at baseline pt requires trach mask ~15 l. . currently denies any f/ch, chest pain/sob, n/v, abd pain, not aware of flutter. no dysuria. not oriented. past medical history: 1. hyperlipidemia 2. cad s/p mi s/p cabg in and . last stress was an adenosine stress in showing fixed mid-lateral wall defect 3. chf with normal ef (last echo ) 4. mild aortic stenosis 5. mild mitral regurgitation 6. hypertension 7. chronic atrial fibrillation/flutter since on coumadin 8. right foot cellulitis 9. osteoarthritis 10. h/o mrsa epidural infection 11. parkinson's disease 12. s/p trach and peg during last admission for sepsis () . past surgical history: 1. cabg x2 in and 2. multiple toes right foot amputated from dry gangrene following aneurysm rupture in right leg 3. right leg aneurysm repair 4. tonsillectomy 5. appy social history: lives at . no tob, no etoh, no illicit drug family history: nc physical exam: physical exam: tm 101.8 bp 108/45 hr 115 rr 18 sat 90 on 15l 40% cool mist. gen: nad, lethargic male, arousable, follows commands. hennt: eomi, perrl, anicteric, perrl, mm dry. neck: jvd, tacheostomy with thick green sputum. cv: tachy rr, distant heart sounds. unable to appreciate any m/r/g lungs: rhonchorous breath sounds b/l. no wheezes, crackles at bases. abd: soft, nt/nd, +bs, no hsm, peg site c/d/i, no erythema. back: surgical scar appreciated, rectal tube in place, stage one sacral decub ulcer. : no edema, no clubbing, no cyanosis, dp/pt 1+ b/l. right lower with scar in the lower leg/muscle atrophy, amputated toes in right foot, remaining third digit. neuro: a&ox1, cnii-xii grosslyt intact, ue/le muscle strength in both upper , cogwheel rigidity, in lower extremities. sensation intact to light touch. . pertinent results: admission labs: 05:00am blood wbc-14.9* rbc-3.85* hgb-12.6* hct-33.8* mcv-88 mch-32.7* mchc-37.2* rdw-18.5* plt ct-440 05:00am blood neuts-67 bands-10* lymphs-14* monos-6 eos-3 baso-0 atyps-0 metas-0 myelos-0 05:00am blood hypochr-normal anisocy-1+ poiklo-normal macrocy-normal microcy-1+ polychr-normal 05:00am blood pt-42.5* ptt-38.1* inr(pt)-4.8* 05:00am blood plt smr-high plt ct-440 05:00am blood glucose-116* urean-29* creat-1.1 na-136 k-4.5 cl-104 hco3-20* angap-17 05:00am blood ck(cpk)-23* 10:30am blood ck(cpk)-58 04:45am blood ck(cpk)-23* 05:00am blood ck-mb-notdone probnp-7417* 05:13am blood ctropnt-0.04* 10:30am blood ck-mb-notdone ctropnt-0.07* 04:45am blood ck-mb-notdone ctropnt-0.04* 09:00pm blood calcium-8.1* phos-3.4 mg-1.4* 05:00am blood digoxin-0.8* 10:44am blood type-art o2 flow-15 po2-61* pco2-33* ph-7.42 calhco3-22 base xs--1 intubat-not intuba comment-trach 10:44pm blood type-art po2-113* pco2-36 ph-7.37 calhco3-22 base xs--3 intubat-not intuba 05:07am blood lactate-1.6 10:44am blood lactate-1.4 10:44pm blood lactate-0.9 studies: cxr : report cut off. ecg: a flutter at 92bpm. . cxr : new opacities in the right lower lobe and right upper lobe. this may either represent evolving pneumonia or aspiration. findings communicated to dr. . . cxr : no evidence for pneumonia. brief hospital course: (for further details of icu admission, please see addendum to be completed by dr. ) 73 yo male resident of with h/o vre and mrsa bacteremia, osteomyelitis, cad s/p cabg, hypertension, and recent trach placement admitted to icu with asymptomatic aflutter and lethargy. he was placed on dilt gtt for rate control, and received a dose of unasyn (recent urine culture with acinetobacter sensitive to unasyn), linezolid (recent vre bacteremia), and po flagyl for a recent c diff infection. patient was given fluid, including prbc x 2 units with appropriate improvement in hct. he was also noted to have had an elevated inr, which did not improve with vit k, so today he was given a unit of ffp. he improved clinically, abx were scaled back, and currently on cipro and flagyl, afebrile and with improved wbc count. pt was in paroxysmal aflutter, which was adequately rate controlled on po meds. he was called out to the floor. . the patient was recently admitted for a month, during which time he was treated for vre line infection with 14 days of linezolid, as well as 5 days of zosyn for acintobacter uti. he was intubated for hypoxic respiratory distress, and was unable to be extubated, and was trach'd. he was also noted to have been in and out of aflutter during that admission, which prompted starting digoxin for added rate control. on the floor, he was noted to have episodes of atrial flutter into the 120s. his beta blocker was increased, and consideration was made for cardioversion or ablation; ep was curbsided and said that the patient would be a poor candidate for amiodarone or dccv. his metoprolol was increased and his rate was better controlled in the 80s. on , he developed a fever to 102. urine and blood were sent for cultures, and he was started empirically on linezolid for possible uti given his history of vre. urine cultures grew out ecoli sensitive to ciprofloxacin and vre sensitive to linezolid. blood cultures remained ngtd. stool cultures confirmed the diagnosis of cdiff. initial cxr had no evidence of pna. repeat cxr showed patchy area of aspiration vs. pna. a cxr a few days later, did not have any infiltrates. pt was continued on flagyl for treatment of cdiff. pt was given linezolid and cipro for treatment of uti. of note, pt was also noted to have some scrotal erythema and edema, first noted on , which did not appear progress. linezolid would cover cellulitis as well. his foley catheter was removed and he had a condom cath placed. pt had intermittent episodes of fever and elevated wbc, while on linezolid, flagyl, and cipro. repeat urine and blood cultures were negative. pt remained afebrile for several days with a decreasing wbc count prior to discharge. medications on admission: 1. bisacodyl 10 mg po daily as needed 2. docusate sodium 150 mg/15 po bid as needed 3. simvastatin 80 mg po daily 4. digoxin 125 mcg po daily 5. acetaminophen 160 mg/5 ml solution po q4-6h as needed. 6. metoprolol tartrate 100 mg po tid 7. albuterol 1 puff inhalation q2h 8. ipratropium 1 puff q6h 9. captopril 25 mg po tid 10. miconazole nitrate 2 % powder appl topical tid as needed. 11. aspirin 81 mg chewable po daily 12. pantoprazole 40 mg daily 13. heparin 5,000 injection tid 14. warfarin 2.5 mg po daily 15. carbidopa-levodopa 25-100 mg 0.5 tablet po qid 16. ibuprofen 600 mg po q8h as needed. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. carbidopa-levodopa 25-100 mg tablet sig: 0.5 tablet po qid (4 times a day). 7. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation qid (4 times a day). 8. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 21 days. 9. lansoprazole 30 mg susp,delayed release for recon sig: one (1) susp po daily (daily). 10. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 11. zolpidem 5 mg tablet sig: 0.5 tablet po hs (at bedtime). 12. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. 13. warfarin 3 mg tablet sig: one (1) tablet po hs (at bedtime). 14. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. 15. metoprolol tartrate 50 mg tablet sig: two (2) tablet po q8h (every 8 hours): please give at 4am, 12pm, 8pm. discharge disposition: extended care facility: - discharge diagnosis: primary diagnoses vre/ecoli uti cdiff colitis atrial flutter with rvr secondary diagnoses: cad chf aortic stenosis htn atrial flutter parkinson's syndrome uti cdiff colitis discharge condition: stable discharge instructions: please continue all medications as prescribed. followup instructions: follow up with your primary care physician 1-2 weeks. procedure: enteral infusion of concentrated nutritional substances transfusion of packed cells injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified unspecified essential hypertension aortocoronary bypass status atrial flutter paralysis agitans intestinal infection due to clostridium difficile infection with microorganisms without mention of resistance to multiple drugs mitral valve insufficiency and aortic valve stenosis hypovolemia gastrostomy status chronic respiratory failure tracheostomy status 

Answer: The patient is high likely exposed to