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: aspirin / codeine / nsaids attending: chief complaint: s/p fall major surgical or invasive procedure: : orif right femur periprosthetic fracture : i&d of right hip hematoma history of present illness: mr. is a 50 year old man who suffered a right acetabular fracture and underwent operative repair on after being involved in a motor vehicle crash. he went on to develop post-traumatic arthritis and underwent a right total hip replacement on . he was intoxicated and suffered a fall on . he was found by his wife on in the morning and taken to a local hospital. he was found to have a right femur periprosthetic fracture and was then transferred to the for further evaluation. past medical history: pmh: asthma, c2-c7 fx, djd, h/o alcoholism, peripheral neuropathy, depression, benign pancreatic tumor, ibs . psh: s/p appy, s/p whipple, s/p anterior fusion c4-6 & posterior fusion c3-7, r acetabular fracture orif , r total hip replacement social history: married, lives with wife does office work + etoh abuse + tobacco family history: noncontributory physical exam: upon admission vital signs: 100.2 97.3 97 132/82 20 97% ra general: appears to be in mild distress from pain, pleasant, asking for pain medication heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mm dry. op clear. neck supple, no lad, no thyromegaly. vertical scar present posteriorly with firm nodule at base of neck. cardiac: rrr. normal s1, s2. no m,r,g. lungs: cta b/l abdomen: nabs. soft, nt, nd. no hsm extremities: + edema on r thigh, +ttp over fracture site, trace rle edema with 2+ pedal pulses b/l. skin: no rashes neuro: a&ox3. appropriate. + tremor of upper extremities, preserved sensation throughout. 4+/5 strength in hands, in prox. ue, lle and unable to lift r leg pain/fracture. psych: listens and responds to questions appropriately, pleasant pertinent results: 06:35am blood wbc-6.2 rbc-3.54* hgb-9.8* hct-29.6* mcv-84 mch-27.8 mchc-33.1 rdw-16.0* plt ct-259 07:10am blood wbc-5.6 rbc-3.53* hgb-9.5* hct-29.6* mcv-84 mch-27.0 mchc-32.2 rdw-16.2* plt ct-264 06:25am blood wbc-7.3 rbc-3.91* hgb-10.8* hct-33.1* mcv-85 mch-27.6 mchc-32.6 rdw-16.4* plt ct-343 06:10am blood hct-27.6* 06:25am blood hct-27.3* 07:20am blood wbc-7.7# rbc-3.35* hgb-9.5* hct-28.1* mcv-84 mch-28.2 mchc-33.6 rdw-16.8* plt ct-358 01:28pm blood hct-32.7* 07:15am blood wbc-4.6 rbc-3.58* hgb-10.1* hct-30.6* mcv-86 mch-28.2 mchc-32.9 rdw-17.0* plt ct-341 05:50am blood wbc-4.4 rbc-3.43* hgb-9.4* hct-29.2* mcv-85 mch-27.4 mchc-32.3 rdw-17.0* plt ct-352 03:40pm blood wbc-4.8 rbc-3.18* hgb-8.9* hct-26.9* mcv-85 mch-28.1 mchc-33.2 rdw-16.9* plt ct-292 07:00am blood wbc-4.4 rbc-3.64* hgb-9.9* hct-30.9* mcv-85 mch-27.1 mchc-32.0 rdw-16.8* plt ct-215 07:35am blood wbc-4.5 rbc-3.46* hgb-9.3* hct-28.7* mcv-83 mch-27.0 mchc-32.5 rdw-17.0* plt ct-156 06:30am blood wbc-7.4 rbc-3.45* hgb-9.7* hct-28.5* mcv-83 mch-28.2 mchc-34.2 rdw-16.9* plt ct-105* 06:25am blood wbc-11.7*# rbc-3.74* hgb-10.1* hct-30.2* mcv-81* mch-27.1 mchc-33.6 rdw-16.6* plt ct-127* 03:12am blood wbc-7.0 rbc-4.22* hgb-11.5* hct-34.1* mcv-81* mch-27.3 mchc-33.8 rdw-16.7* plt ct-104* 09:17pm blood wbc-5.1 rbc-4.10* hgb-11.3* hct-32.8* mcv-80* mch-27.6 mchc-34.5 rdw-16.4* plt ct-92* 05:55am blood wbc-4.2 rbc-3.69* hgb-9.9* hct-30.4* mcv-82 mch-26.9* mchc-32.7 rdw-17.4* plt ct-122* 06:20am blood wbc-4.2 rbc-3.56* hgb-9.3* hct-28.6* mcv-80* mch-26.1* mchc-32.4 rdw-16.6* plt ct-105* 06:15am blood wbc-5.5 rbc-3.68* hgb-9.8* hct-30.0* mcv-82 mch-26.6* mchc-32.7 rdw-17.0* plt ct-107* 06:30am blood wbc-6.6 rbc-3.71* hgb-9.8* hct-30.3* mcv-82 mch-26.5* mchc-32.4 rdw-16.8* plt ct-92* 11:45am blood wbc-8.8 rbc-4.06* hgb-10.7* hct-32.5* mcv-80* mch-26.3* mchc-32.9 rdw-16.4* plt ct-112* 06:35am blood wbc-11.9* rbc-4.28* hgb-11.1* hct-33.6* mcv-79* mch-26.0* mchc-33.1 rdw-16.3* plt ct-141* 08:55pm blood wbc-14.4*# rbc-4.86# hgb-12.8*# hct-37.8*# mcv-78* mch-26.4*# mchc-33.9 rdw-16.9* plt ct-208# 07:35am blood pt-14.2* ptt-29.2 inr(pt)-1.2* 06:35am blood glucose-110* urean-2* creat-0.7 na-132* k-4.4 cl-98 hco3-27 angap-11 07:10am blood glucose-109* urean-3* creat-0.7 na-129* k-3.7 cl-97 hco3-28 angap-8 06:25am blood glucose-113* urean-4* creat-0.7 na-129* k-4.3 cl-93* hco3-27 angap-13 05:15pm blood glucose-111* urean-4* creat-0.7 na-122* k-4.2 cl-89* hco3-26 angap-11 06:10am blood glucose-105 urean-3* creat-0.6 na-122* k-4.0 cl-87* hco3-27 angap-12 07:20am blood glucose-98 urean-4* creat-0.6 na-131* k-4.4 cl-98 hco3-26 angap-11 07:15am blood glucose-116* urean-3* creat-0.6 na-134 k-3.5 cl-98 hco3-26 angap-14 03:40pm blood glucose-113* urean-3* creat-0.6 na-132* k-3.6 cl-97 hco3-27 angap-12 07:00am blood glucose-100 urean-2* creat-0.6 na-132* k-3.7 cl-99 hco3-25 angap-12 07:35am blood glucose-100 urean-3* creat-0.6 na-128* k-3.3 cl-96 hco3-25 angap-10 03:12am blood glucose-111* urean-5* creat-0.5 na-131* k-4.2 cl-99 hco3-26 angap-10 09:35am blood alt-11 ast-32 ld(ldh)-225 alkphos-243* totbili-0.7 08:55pm blood alt-30 ast-58* alkphos-148* totbili-0.7 06:41pm blood vanco-7.2* 05:30pm blood vanco-10.1 08:55pm blood asa-neg ethanol-163* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 05:55am blood osmolal-267* 09:35am blood crp-47.7* brief hospital course: mr. presented to the on via transfer from a local hospital after suffering a fall at home resulting in a right femur periprosthetic fracture. he was evaluated by the orthopaedic and medical services. due to his alcohol withdrawal he was admitted to the medical service for pre-operative clearance. on he was taken to the operating room and underwent an orif of his right femur periprosthetic fracture. he was transfused 4 units of packed red blood cells due to acute blood loss anemia. he was transferred from the operating room, intubated to the intensive care unit for pain control and extubation. on he was transferred from the intensive care unit to the floor for further care. chronic pain service was consulted to help with his pain control. on his surgical drains were removed. on he was started on iv ancef due to cellulitis around his wound. on he returned to the operating room and underwent an i&d of his right hip hematoma. unfortunately his wound culture was positive for pseudomonas and cornybacterium. infectious disease was consulted for help with antibiotic management. he was placed on vancomycin and zosyn for coverage. on a picc line was placed for long term antibiotics. on his vancomycin was increased to 1250 mg q12hrs due to a low trough. during his hospital stay he was started on salt replacement and fluid restrictions as his sodium levels were decreased. he will need further monitoring of this. through out his stay he was seen by social work due to his alcohol abuse and physical therapy to help with his strength and mobility. the rest of his hospital stay was uneventful with his lab data and vital signs within normal limits and his pain controlled. he is being discharged today in stable condition. medications on admission: folic acid 1mg daily lisinopril 5mg geodon 50mg qhs vitamin b1 colace prn senna prn tylenol 1000mg po q6 lorazepam 1 mg fentanyl patch 75 mcg/hr tp q72h oxcarbazepine 600 mg po bid temazepam 30 mg po hs:prn lasix 20mg daily lisinopril 5mg daily discharge medications: 1. outpatient lab work please draw weekly cbc, bun, cr, lft's, and vancomycin trough please fax results to infectious disease attention dr. **trough should be done prior to am dose 2. picc care per protocol 3. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) 1250mg intravenous q 12h (every 12 hours) for 6 weeks: start date end date . 4. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: one (1) 4.5gm intravenous q8h (every 8 hours) for 6 weeks: start date end date . 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 9. oxcarbazepine 600 mg tablet sig: one (1) tablet po bid (2 times a day). 10. ziprasidone hcl 60 mg capsule sig: one (1) capsule po hs (at bedtime): hold for sedation. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 13. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 14. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 15. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 16. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 17. acetaminophen 500 mg tablet sig: 1-2 tablets po tid (3 times a day). 18. morphine 15 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). 19. hydromorphone 4 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 20. fentanyl 100 mcg/hr patch 72 hr sig: one (1) 125mcg patch transdermal q48 hours () as needed for pain. 21. enoxaparin 40 mg/0.4 ml syringe sig: one (1) 40mg syringe subcutaneous q24h (every 24 hours) for 2 weeks. 22. sodium chloride 1 gram tablet sig: one (1) tablet po tid (3 times a day). 23. senna 8.6 mg tablet sig: two (2) tablet po at bedtime. discharge disposition: extended care facility: healthcare, nh discharge diagnosis: s/p fall right periprosthetic femur fracture acute blood loss anemia discharge condition: stable discharge instructions: continue to be touchdown weight bearing on your right leg continue your lovenox injections as instructed please take all medications as prescribed if you have any increased redness, drainage, or swelling, or if you have a temperature greater than 101.5, please call the office or come to the emergency department you have been prescribed a narcotic pain medication. please take only as directed and do not drive or operate any machinery while taking this medication. there is a 72 hour (monday through friday, 9am to 4pm) response time for prescription refil requests. there will be no prescription refils on saturdays, sundays, or holidays. please plan accordingly. physical therapy: activity: as tolerated right lower extremity: touchdown weight bearing treatment frequency: staples out 14 days after surgery dry dressing daily followup instructions: please follow up with , np in orthopaedics next thursday, please call to schedule that appointment. please follow up with dr. in infectious disease in 4 weeks, prior to stopping antibiotics. please call to schedule that appointment. appointments already scheduled prior to admission provider: , orthopedic private practice phone: date/time: 1:30 procedure: venous catheterization, not elsewhere classified open reduction of fracture with internal fixation, femur transfusion of packed cells other arthrotomy, hip diagnoses: thrombocytopenia, unspecified other chronic pain other postoperative infection urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia hyposmolality and/or hyponatremia hematoma complicating a procedure asthma, unspecified type, unspecified depressive disorder, not elsewhere classified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure cellulitis and abscess of leg, except foot osteoarthrosis, unspecified whether generalized or localized, site unspecified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities fall from other slipping, tripping, or stumbling closed fracture of shaft of femur other specified bacterial infections in conditions classified elsewhere and of unspecified site, other specified bacteria pseudomonas infection in conditions classified elsewhere and of unspecified site hip joint replacement alcohol withdrawal irritable bowel syndrome arthrodesis status acute alcoholic intoxication in alcoholism, continuous chronic ulcer of other specified sites cervicalgia mononeuritis of upper limb, unspecified traumatic arthropathy, pelvic region and thigh 

Answer: The patient is high likely exposed to