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: documented allergies to penicillin, ciprofloxacin, insulin, lithium, and vancomycin (reactions not stated). on exam, neuro: pt awake and oriented x3, very appropriate. speech slurred at times, possibly because pt does not have dentures in, and also has dry mucouos membrane but refusing mouthcare. noted vigorous trembling which pt states is normal for him. mildly anxious at times, resettles with reassurance. complaining of pain to left lower quad, stating it comes and goes, worse on palpation, ranging on 0-10 scale. heat pack ineffective, fentanyl providing temporary relief. pt turning self to position of comfort prn. moaning much of the night. resp: tachypneic to 40s, shallow, but pt not visably distressed, and denying dyspnea. chest clear apart from some intermittant upper airway rhonchi. diminished bibasally. pt has vigorous, non productive cough. requested "robitussin" but is npo. 02 via cannula prn. abg showed poor oxygenation, no acidosis. sa02 94%. hemodynamics: st 1-teens to low 120s. had a burst of hr 180s, responded to 5mg metoprolol, repeated dose once. remains on scheduled metoprolol, when bp adequate to dose. episodes of hypotension, pt mentating throughout. cvp <5. poor skin turgur. mouth dry. urine output borderline. received fluid boluses as charted (1000mls ns and 500mls lr) with transient response. peripheries thin, warm, pulses palpable. hct holding above 30. endocrine: pt is not on sliding scale, has documented allergy to insulin, but blood sugars < 120. fluids/lytes: receiving ns at 125mls/ hr with boluses as stated. noted phos elevated. gi: abd is distended. there is an old midline incision with some ecchymosis around it. there is a feeding tube in the lt upper quad presently to gravity with thick brown-bilious drainage. the insertion site is slightly pink, with thick brown ooze at site and on old dressing (site cleansed with ns and dsd applied). the abd is soft, but pt is frequently coughing so it is difficult to palpate and get a good exam. bowel sounds are hypoactive. small bm x1 (thick green-brown stool). npo. protonix given. id: noted history of mrsa and vre. nursed in contact precautions. imipenem given. renal: urine output clear yellow, volume borderline. noted history of chronic renal insufficiency. skin: thin and frail but skin intact. many bony prominances at risk. skin care attended and pt repositioning self prn. social: no contact. plan: scope in am. fentanyl prn. continue seriel hcts and cardiac markers. procedure: endoscopic control of gastric or duodenal bleeding diagnoses: iron deficiency anemia secondary to blood loss (chronic) atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene unspecified gastritis and gastroduodenitis, with hemorrhage paralytic ileus dehydration bipolar disorder, unspecified disorders of copper metabolism 

Answer: The patient is high likely exposed to