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: sepsis, respiratory failure major surgical or invasive procedure: none history of present illness: 76 y/o m with pmhx as noted below, transferred to from on with hypoxia, hypotension, and fever. the patient was living independently with his wife prior to when he sufferred a fall on coumadin which led to bilateral sdh/sah and a right mca stroke. the patient required intubation during this first hospital stay secondary to respiratory failure. he subsequently had a tracheostomy and peg placed. the patient developed a mrsa bacteremia and was started on vancomycin. he was discharged to rehab facility in good condition after a month long hospital course. on the patient returned to for headaches and fevers. the patient was found to have a reaccumulated subdural hematoma, a temp to 103.8, and was started on vanc, ceftriaxone, flagyl, (having had completed a fourteen day course of vanco on for mrsa pneumonia) switched to vanco, ceftaz, flagyl on to better cover pseudomonas after subdural hematoma evacuation. the patient was subsequently found to have blood cultures positive for vanco resistent enterococcus facecium and was started on linezolid. urine was negative for infection, chest x-ray showed likely failure and possible pneumonia. the patient was discharged to on . two days prior to admission, the patient was noted to have nausea and vomiting at the rehab facility. on the patient had an episode of sudden desats, hypotension, hypoglycemia with a fsbg of 50 and spiked a fever to 99.2. the patient was brought to the ed via ems. upon arrival he was started on levophed and given an amp of d50. he was empirically started on levo, vanco, and flagyl. a right subclavian line was placed and a resulting pneumothorax was evacuated through right chest tube placement. the patient was resuscitated with 4l ivf and his urine output slowly increased. cxr showed a patchy lll opacity. past medical history: cad s/p mi pvd htn occluded right carotid htn myelodysplasia-s/p tx with procrit and transfusion scc head and neck s/p xrth/o cva-right carotid occlusion h/o squamous cell carcinoma s/p radiation with pet/ct showing complete remission ivc filter placed social history: + tobacco before injury, was working full time, completely independent, able to carry on conversation. family history: non-contributory physical exam: physical exam: at the time of discharge: gen: nad, responsive to simple commands, nods yes and no to questions with verbalization, tracheostomy in place skin: widespread miliaria on back, stage ii sacral decub, not infected appearing with dressing in place, left heel decub right picc, left peripheral line, non infected appearing with no-erythema or discharge heent: mm dry, perlla, eomi, no jvd, no carotid bruits, no lymphadenopathy, trach in place cranieotomy scar on scalp lungs: coarse breath sounds bilaterally with no wheeze heart: rr, s1 and s2wnl, + holosystolic at apex->axilla abd: +b/s, soft, nd, nt, peg intact-no tenderness, erythema extr: no le extremity edema, trace bilateral ue edema, non-tender left heel ulcer and left knee excoriation pulses: brisk pulses throughout pertinent results: ct head w/o contrast 1:14 am findings: again are noted bilateral subdural collections left greater than right. these are unchanged in appearance compared to the prior studies. there is persistent mild mass effect, also unchanged. hypodensities are seen in the periventricular white matter consistent with small vessel ischemic disease. in addition, there are hypodensities in the subcortical white matter consistent with lacunar infarcts. there is no new acute intracranial hemorrhage or hydrocephalus. grey white matter differentiation appears preserved. echo study date of conclusions: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 60-70%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. no definite vegetations seen. however, the absence of a vegetation by 2d echocardiography does not exclude endocarditis if clinically suggested. unilat up ext veins us left port 2:30 pm impression: no evidence of left upper extremity deep vein thrombosis. 10:30am blood wbc-7.7 rbc-3.02* hgb-9.5* hct-26.5* mcv-88 mch-31.6 mchc-36.1* rdw-14.3 plt ct-95* 10:30am blood plt ct-95* 02:51am blood glucose-103 urean-30* creat-0.7 na-138 k-3.8 cl-102 hco3-26 angap-14 03:48am blood calcium-8.9 phos-2.6* mg-1.8 brief hospital course: 1. hypoxic resp failure c/b trach: it was thought the patient's respiratory failure was most likely related to a lll aspiration pna (vs chemical pneumonitis). the ddx also included pe but this was considered unlikely since the patient has an ivc filter (placed ). on presentation the patient was placed on ac vent control. at the time of discharge he had successfully been weened to trach mask. with a goal of q3hour suctioning. a red cap was able to be placed over the patient's trach. he could potentially be decannulated at this time, but the presence of the tracheostomy would facilitate assistance with ventilation if the patient should require it. the decision to keep or remove the trach should be left up to the family. 2. history of recent vre: the patient was started on linezolid and will require 2 additional weeks of therapy at the time of discharge on to complete a 6 week course. his platelets will need to be closely monitored given his history of myelodysplasia. 3. fevers: the patient was initially treated for his likely aspiration pna with levo/flagyl. on hd #4, the patient spiked to >101. his left femoral line was d/c. culture of the catheter tip revealed growth of klebsiella pneumo suceptible to zosyn but resistant to levo. the pt was changed to zosyn and was treated for 5 days. at the time of discharge the patient had been afebrile for over 1 week. 4. cv: hx of a fib with rvr and htn. the patient had one episode of a fib with spontaneous conversion to nsr after receiving diltiazem. he will be discharged on metoprolol 100 mg tid. he has an ivc filter in place. no anti-coagulation given history of multiple intracranial bleeds. 5. hypothyroidism: the patient takes synthryoid daily. this should be continued and a tsh should be repeated as an outpatient and the medication dosage adjusted if necessary. 5. fen: patient has tolerated tube feeds using his peg throughout his hospital stay. daily monitoring of lytes with repleation as necessary. discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 3. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours): last dose should be . tablet(s) 4. levothyroxine sodium 50 mcg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 6. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). 7. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 8. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 9. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 10. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. discharge disposition: extended care facility: - discharge diagnosis: primary: hypoxic respiratory failure secondary: aspiration pneumonia congestive heart failure klebsiella line infection vre endocarditis myelodysplasia anemia of chronic disease atrial fibrillation discharge condition: stable. requiring q 4 hour suctioning. tolerating trach mask well.mobilizing secretions. interactive. discharge instructions: please give patient all medications as directed. followup instructions: follow up with your pcp on discharge from rehabilitation. please recheck tsh as an outpatient. md procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances transfusion of packed cells transfusion of platelets injection or infusion of oxazolidinone class of antibiotics diagnoses: congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site other pulmonary insufficiency, not elsewhere classified severe sepsis unspecified acquired hypothyroidism atrial fibrillation pneumonitis due to inhalation of food or vomitus iatrogenic pneumothorax other specified septicemias septic shock pressure ulcer, lower back acute and subacute bacterial endocarditis infection and inflammatory reaction due to other vascular device, implant, and graft streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] pressure ulcer, heel tracheostomy status 

Answer: The patient is high likely exposed to