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: chronic r frontal scalp wound major surgical or invasive procedure: : 1. debridement and removal of calvarial bone flap. 2. placement of titanium mesh cranioplasty. 3. debridement of scalp open wound. 4. soft tissue reconstruction with right radial forearm free flap with subsequently split thickness skin graft. history of present illness: the patient is a 60y.o. man who suffered a myocardial infarction in that required him to undergo angioplasty and stent placement and ongoing coumadin therapy. he subsequently developed an acute subdural hematoma on the right side that required emergent evacuation and craniectomy that was performed at the . following adequate clinic stabilization, his cranial bone flap was replaced; however, he subsequently developed a chronic draining wound in his right frontal scalp that has persisted for the subsequent seven years. he has been followed intermittently by dr. in the plastic surgery clinic and was last seen by dr. in his clinic on . during the course of that evaluation, the patient was recommended for a ct scan that showed necrosis of the central portion of the patient's right frontal/temporal bone flap that appears to be associated with full thickness bone loss at the central portion of the flap. he presented on for cranioplasty and free flap scalp reconstruction. past medical history: - cad s/p mi with pci () - r frontal ich () in setting of anticoagulation for mi - aml s/p chemo in , in remission - h/o seizures - anal fissure - osa - htn - hyperlipidemia - h/o 'mrsa infection' in - depression social history: no etoh or smoking. the patient is married, lives at home with his wife and works as an office manager. family history: mother - died at 83 of cirrhosis surgical complications of father - died at 57 secondary to cad physical exam: pre-op: avss gen: well appearing, nad heent: obvious depression in the superior frontal region of his scalp with an associated, approximately 1 cm diameter draining sinus tract that is productive of fibrinous material. there is no surrounding erythema, but there is significant chronic inflammatory tissue surrounding this tract site. lungs: cta heart: rrr abd: soft, n-t, n-d pertinent results: ct head w/o contrast 4:48 pm findings: comparison is made to head ct from and head mr from . the previously seen craniotomy bone flap has been removed and there is a new mesh in the craniotomy defect. there is overlying soft tissue air as well as a new scalp flap. surgical clips are seen within the flap. there is a tiny amount of air deep to the mesh. there is heterogeneous high- density material immediately under the mesh, which may represent post-surgical fluid, but if there is concern for infection, this could be further evaluated with mr. again seen is encephalomalacia of the adjacent right frontal lobe. there are no intracranial hemorrhages. again seen is a dilated csf space in the left middle cranial fossa, consistent with an arachnoid cyst. the ventricles and extra-axial csf spaces are unchanged in size. the visualized orbits appear normal. the visualized paranasal sinuses are clear. impression: no intracranial hemorrhages. tte (complete) done the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate to severe focal left ventricular hypokinesis with akinesis of the anteroseptum and anterior walls and hypokinesis of the inferoseptum and anterolateral walls (lvef ?30 %). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. the mitral valve leaflets are not well seen. trivial mitral regurgitation is seen. 11:29am hgb-13.0* calchct-39 08:50pm wbc-9.7# rbc-3.49* hgb-11.6* hct-33.3* mcv-95 mch-33.1* mchc-34.7 rdw-13.0 08:50pm ck-mb-17* mb indx-1.0 ctropnt-<0.01 brief hospital course: the patient was admitted on for cranioplasty and free radial scalp flap for chronic, non-healing scalp wound. the infected cranial graft was removed and a titanium mesh placed. next a free flap was taken from the r radial forearm and transposed to the scalp. a split thickness skin graft from the thigh was used for the radial wound. a lumbar drain was placed intra-op by neurosurgery to minimize pressure on the repair. the patient was transferred to the icu ventilated following surgery for post op management. he was extubated on pod#1. flap doppler checks were performed frequently post-operatively and showed good pulses. he was transferred to the floor on . neuro: on pod#1 the patient had 2 witnessed generalized tonic-clinic seizures. he was treated acutely with ativan and neurology was called. the patient reported missing an unspecified number of tegretol doses prior to admission. the patient was loaded with dilantin and put on a course of dilantin and tegretol. tegretol levels were drawn to follow the level which remained subtherapeutic for most of the hospital course and required 2 additional loading doses. ativan was used to bridge between the dilantin and tegretol, and the dilantin was tapered off, being discontinued on . tegretol level was increased for discharge with follow up with patient's primary neurologist on . lumbar drain: post op 20cc/hour were drained with clamping of the drain in the interim. this was tapered to 10cc/h after 48h and the drain was d/c'd on without complication. cardiology: the patient was tachycardic post-op and required beta blockade and diltiazem to reduce his rate. he did remain normotensive post-op. id:the patient was initially covered with vancomycin and zosyn. or tissue cultures grew mrsa. blood cultures and csf cultures had no growth.zosyn was d/c'd on following reports from the or cultures. rifampin was started on for additional coverage per id consult's recommendation. wound: the radial donor site was initially treated with a vac dressing. this was taken down on and the wound was dressed with xerform and kerlix and changed daily. the graft took well an continued to heal without complication. the stsg donor site was dressed with xeroform and allowed to dry. nutrition: the patient started a clear liquid diet on pod#1 and a regular heart healthy diet on pod#2. medications on admission: atenolol 12.5mg qd carbamazepine 400mg lipitor 40mg qhs asa 81mg qd mvi, fish oil discharge medications: 1. outpatient lab work weekly cbc with diff, electrolytes, lfts, esr and crp. 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. vancomycin 500 mg recon soln sig: three (3) recon soln intravenous q 12h (every 12 hours) for 4 weeks. disp:*56 recon soln(s)* refills:*0* 4. rifampin 150 mg capsule sig: three (3) capsule po twice a day for 4 weeks. disp:*168 capsule(s)* refills:*0* 5. lorazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 7. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). 8. lipitor 40 mg tablet sig: one (1) tablet po at bedtime. 9. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous twice a day as needed: flush iv bid and prn. disp:*60 ml(s)* refills:*2* 10. normal saline flush 0.9 % syringe sig: five (5) cc injection twice a day for 4 weeks: with iv meds and prn . disp:*75 flushes* refills:*2* 11. carbamazepine 200 mg tablet sig: five (5) tablet po twice a day. disp:*300 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: chronic scalp wound. discharge condition: good. tolerating a regular diet. pain well controlled on oral medication. discharge instructions: take medications as directed. resume a regular diet. change the dressing on your arm daily with xerform, kerlix and ace bandage. the dressing on your thigh will fall off on its own. call your physician for fever >101.5, discoloration of the scalp flap, pain, redness, swelling or drainage at the wound sites, or any other symptoms that may concern you. followup instructions: follow up with dr. in the office in 1 week. call for appointment:( you have an appointment with dr. , your neurologist on at 12:30pm to follow up your anti-epileptic medication regimen. you should have a tegretol level drawn at this time. you will need weekly lab draws while you are on rifampin (until ) which include cbc with differential, bun/creatinine, lfts, esr, crp. please fax the results of these test to the infectious disease nurse at . call with questions regarding the antibiotics or labs. procedure: other skin graft to other sites other cranial osteoplasty excision of muscle or fascia for graft bone graft to skull other craniectomy other immobilization, pressure, and attention to wound diagnoses: congestive heart failure, unspecified unspecified essential hypertension infection with microorganisms resistant to penicillins percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site old myocardial infarction chronic systolic heart failure epilepsy, unspecified, without mention of intractable epilepsy personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits other specified complications of procedures not elsewhere classified anemia in neoplastic disease chronic osteomyelitis, other specified sites non-healing surgical wound acute myeloid leukemia, in remission 

Answer: The patient is high likely exposed to