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: right parietal wound dehiscence. csf leak. perforated diverticulitis. major surgical or invasive procedure: lumbar drain placement exploratory laparotomy abdominal washtou sigmoid colectomy and hartmans pouch lumbar drain placement ct-guided aspiration for pelvic abscess reveision right craniotomy revsion of bone flap emergent intubation picc line placement history of present illness: 57yo right handed male with seizure history since , s/p craniotomies x 3 (most recently ) for oligodendroglioma. the patient began having generalized tonic- clonic seizures in , which at the time were thought to be related to asthma medications. at this time, his head ct was negative, and he was treated with dilantin and phenobarbital. however, he continued to have left arm focal motor seizures and problems thinking. in he stopped his medication and had a generalized tonic- clonic seizure in 12/94. he was diagnosed by biopsy with oligodendroglioma, and gross total resection by dr. in 95 revealed a low-grade oligodendroglioma. he was followed by dr. , with serial mri's. in , he was requiring more ativan to control his seizures, and was increasingly disoriented and forgetful with headaches. he had a repeat total resection in by dr. at which revealed anaplastic oligodendroglioma grade iii. he had radiation following the resection and was doing well on monthly temodar until when he had a marked change in behavior, his balance was off, speech slurred, and he had difficulty using the computer. a head mri on revealed increasing tumor infiltration with increased edema and mass effect. he underwent a right craniotomy with resection and gliadel wafers on at by dr. . came for neurosurgery follow up on , and had been having clear fluid leaking from his incision, as well as frontal headache, imbalance, bumping into things with his left leg and worsening tremors. he was admitted for lumbar drain placement past medical history: right parietal oligodendroglioma, as above status post craniotomy x3 (', ', ') hernia surgery x 3 right hand ganglion cyst removed asthma social history: lives w wife, has home health assistance. employment: on short term disability, has boat which he enjoys as hobby physical exam: rrr cta abdomen soft nontender and nondistended alert and oriented times 3 speech fluent, comprehension intact pupils equal round and reactive to light, extraocular movements intact face symmetric tongue midline no pronator drift strength 5/5 throughout normal tone 2+ reflexes throughout toes downgoing bilaterally no dysmetria pertinent results: admission labs: wbc-6.3 rbc-4.17* hgb-13.7* hct-40.2 mcv-96 mch-32.7* mchc-34.0 rdw-13.6 plt ct-143* pt-11.9 ptt-21.1* inr(pt)-0.9 glucose-207* urean-17 creat-0.9 na-134 k-4.6 cl-93* hco3-35* angap-11 calcium-8.3* phos-1.8*# mg-2.1 discharge labs: wbc-6.5 rbc-3.20* hgb-10.5* hct-30.7* mcv-96 mch-32.8* mchc-34.2 rdw-14.3 plt ct-227 pt-13.4 ptt-24.6 inr(pt)-1.1 glucose-117* urean-12 creat-0.6 na-140 k-4.2 cl-102 hco3-32* angap-10 calcium-9.0 phos-3.9 mg-2.0 pathology: sigmoid colon: diverticular disease of the colon: 1. multiple diverticula. 2. rupture of diverticulum with pericolic abscess. ct head : impression: 1) overall, a slight decrease in the mass effect and edema associated with the postoperative changes. 2) slight increase in epidural fluid collection adjacent to the craniotomy site. ct abdomen : impression: small residual collection anterior to the rectum, smaller than on the prior study, and without substantial fluid components to allow drainage. wound culture (final ): (pelvic abscess) 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.. sparse growth. pseudomonas aeruginosa. sparse growth. corynebacterium species (diphtheroids). sparse growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus sp. | pseudomonas aeruginosa | | ampicillin------------ <=2 s cefepime-------------- 2 s ceftazidime----------- 4 s ciprofloxacin--------- <=0.25 s gentamicin------------ 2 s imipenem-------------- 8 i levofloxacin---------- 1 s meropenem------------- 4 s penicillin------------ 2 s piperacillin---------- 8 s piperacillin/tazo----- 8 s tobramycin------------ <=1 s vancomycin------------ <=1 s wound culture (final ): (from or revision craniotomy) staph aureus coag +. sparse growth. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. please contact the microbiology laboratory () immediately if sensitivity to clindamycin is required on this patient's isolate. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s brief hospital course: patient was admitted on after having drainage from his incision for the last couple of days. he was seen in the brain tumor clinic on and stitches were placed in the incision,however it continued to leak. he had a lumbar drain placed. he c/o of abd pain and distension on he had a kub done which was negative. on he continued to c/o of epigastric pain had a chest x-ray done to due to decreased lung sounds. the chest x-ray showed free air. general surgery was consulted and the patient was taken to the or for exploratory laproratomy. he was found to have a perforated sigmoid diverticulum. he had a colostomy and partial colectomy. patient recovered well from colocetomy. he was found to have an abd abcess which was drained via ct guidance on . on his lumbar drain pulled out. he had to have it replaced, however, because his head incision began to leak again. on he was taken back to the or for debridement of his head wound with removal of the remaining gliadel waffers. he tolerated the procedure well, postop however he had a grand mal seizure and was intubated and sent to the icu. id was consulted for both the abd abcess and possible meningitis given the large amount of wbc in the csf cultures. patient was placed on vancomycin 1gm iv q12 and zosyn. he was kept on antibiotics until . neurologically he slowly woke up after the seizures and was extubated on . he was transfered to the step down unit and had his lumbar drain slowly weaned. the lumbar drain was d/ced on . he had a head ct which remains stable and head wound remain dry. neurologically he is awake and alert and oriented x3 he is in all muscle group bilat. he follows commands, he is out of bed ambulating with max assist. pt and ot are recommending rehab. he will follow up with dr the general surgeon in two weeks and follow up in the brain tumor clinic in two weeks for stitch removal. h ewas switched to oral cipro for the pelvic abcess and will continue it until he has his followup with infectious disease in 2 weeks. medications on admission: neurontin, keppra, lamictal, decadron, multivitamin, , calcium discharge medications: 1. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed. 3. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours) as needed. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 6. lamotrigine 100 mg tablet sig: 1.5 tablets po bid (2 times a day). 7. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). 8. ibuprofen 400 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. tablet(s) 12. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 13. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 14. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). 15. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed): 51-150 0 units 151-200 2 units 201-250 4 units 251-300 6 units 301-350 8 units 351-400 10 units >400 md . 16. hydralazine hcl 20 mg/ml solution sig: 0.5 syringe injection q4hr () as needed for sbp>150. disp:*qs syringe* refills:*0* discharge disposition: extended care facility: hospital discharge diagnosis: cerebrospinal fluid leak chronic steroid use wound infection perforated sigmoid diverticulum status post exploratory laparotomy status post sigmoid colectomy, hartmans pouch and washout post operative fever fever status post reveision right craniotomy and revsion of bone flap change in mental status seizure palsy with left sided weakness respiratory failure requiring intubation methicillin resistant staph aureus infection of central nervous system pelvic abscess oligodendroglioma asthma s/p craniotomy x 3 hernia surgery x 3 discharge condition: good discharge instructions: call with any spiking fevers, leakage from your head wound, increase in headaches, confusion, blurry vision severe neck stiffness, redness, swelling, or discharge around your wound site call your general surgeon if you experience increased abdominal pain, vomiting, decreased or increased ostomy output. followup instructions: 1. dr. or dr. in infectious disese in 2 weeks. call for an appointment 2. dr in general surgery, 1 week, call his office for an appointment. 3. follow up in 1 week at brain tumor clinic. call for an appointment procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung spinal tap incision of lung insertion of endotracheal tube temporary colostomy percutaneous abdominal drainage arterial catheterization open and other sigmoidectomy other repair of cerebral meninges diagnoses: other postoperative infection long-term (current) use of steroids infection with microorganisms resistant to penicillins disruption of internal operation (surgical) wound unspecified osteomyelitis, other specified sites other nervous system complications acute respiratory failure methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site malignant neoplasm of parietal lobe grand mal status personal history of irradiation, presenting hazards to health diverticulitis of colon (without mention of hemorrhage) abscess of intestine 

Answer: The patient is high likely exposed to