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: history of present illness: this is a 57-year-old man with past medical history significant for recurrent pancreatitis with pancreatic ductal stricture, hypertension, increased cholesterol, peripheral vascular disease admitted for distal pancreatectomy and splenectomy for presence of pancreatic mass. patient is a man, who in the past has been in overall poor health, who has had 7-8 episodes of pancreatitis requiring hospitalization since . during this time he would be in the hospital for 3-4 days, go home and eat, and return with pain shortly thereafter. upon imaging by dr. , a stricture was identified in the distal pancreatic duct, which was temporarily treated with a stent. the stent was left in place for a period of time and then was removed. medications on admission: 1. atenolol 100 mg p.o. b.i.d. 2. clonidine 0.2 mg p.o. b.i.d. 3. neurontin 400 mg p.o. q.i.d. 4. hydralazine. 5. lopid. 6. imipramine. 7. darvocet. 8. dilaudid. 9. aspirin. physical examination: vital signs: temperature 96.8, heart rate 86, blood pressure 164/84, respiratory rate 23, and patient was 99 percent on room air. patient was noted to be in no apparent distress and to be comfortable. heart was a regular rate and rhythm with no murmurs, rubs, or gallops. lungs were clear to auscultation bilaterally with no wheezes, rales, or rhonchi. abdomen was soft, nondistended, normoactive bowel sounds, it was nontender. neurologically, patient was within normal limits throughout. patient has incisions in the neck, abdomen, and legs. hospital course: thus, the patient at this time was admitted to for surgical treatment of this likely mass in the tail of the pancreas. cta showed pancreatic tail mass that had been increasing in size near the tail of the pancreas. the plan at this time was for likely distal pancreatectomy and possible splenectomy. patient was prepared properly in the preoperative period and was noted to be of small risk for this procedure. laboratory values were within normal limits at this time, and the patient was brought to the operating room for distal pancreatectomy and splenectomy. after extensive lysis of adhesions in the operating room, the splenic artery was suture ligated. the pancreas and splenic vein were divided with a ta stapler and oversewn and the specimen was removed. patient tolerated the procedure well. estimated blood loss was 800 cc and he received no transfusions. he was extubated and eventually brought to the floor. he received a total of three doses of kefzol in the perioperative period and received beta blockers both pre and postoperatively. patient was hypertensive postoperatively and on postoperative day number two, became tachycardic to the 120s. ekg showed st depression in leads v2 through v5. ck's were elevated as was his troponin. he was started on aspirin and transferred to a monitored setting for better management of his heart rate and blood pressure with iv beta blockers and nitroglycerin. cardiology was consulted and played an integral part in his management. his ck's were trending down. it was felt that he had completed a cardiac event and catheterization was delayed. on postoperative day four, he became agitated, tachypneic, and had decreasing oxygen saturations on 100 percent fio2. he was intubated and a cta was negative for pulmonary embolism, but there was evidence of pneumonia and chf. he was treated with empiric antibiotics and lasix, and his respiratory status improved. two days later he began having diarrhea and was found to have a clostridium difficile infection. he was treated with p.o. and p.r. vancomycin as he had an allergy to flagyl. he remained intubated over the next five days, where he had fevers and an elevated white blood cell count. sputum cultures grew out mrsa and he was treated with a course of iv vancomycin. he was extubated for a short amount of time, but then became agitated, tachypneic, tachycardic despite esmolol drip with elevated blood pressure. ck's and troponins again became elevated and he was begun on heparin. repeat echocardiogram showed new anterior wall motion abnormalities and he was taken for cardiac catheterization. his catheterization showed a right dominant system with 100 percent occlusion of his right coronary artery and 80 percent stenosis of his left main coronary artery, which was stented. he was continued on plavix and aspirin postcatheterization and then was eventually extubated. he then improved from a respiratory standpoint and was getting physical therapy on the floor, and was noted to be progressing well during this time. apparently, he will likely be discharged to rehabilitation. during this time on the floor, patient was also noted to have symptoms of depression and anxiety, and psychiatry was consulted. psychiatry suggestions at this time were to discharge imipramine and to decrease his mirtazapine dose from 30 mg q.d. to 7.5 mg q.h.s. these two medications were implicated by psychiatry to be possibly causing some anticholinergic symptoms in this patient. psychiatry's recommendations were followed, and the above stated adjustments were made. on , the patient was noted to be stable and to have vital signs within normal limits. on physical exam, to be in no apparent distress. to be comfortable. his heart is regular rate and rhythm with no murmurs, rubs, or gallops. lungs are clear to auscultation bilaterally. his abdomen is nondistended with normoactive bowel sounds and to be nontender throughout with a well-healing wound without drainage or erythema. patient's activity level at this time also seem to be improving as he had been noted to be walking 3-5x/day in the days leading up to his discharge with his spirits seeming to be improved. on the day of discharge, patient had been noted to be now tolerating a full diet for a period of two days. patient at this time also received his immunizations against pneumococcal, hemophilus influenza b, and the meningococcal vaccine. discharge diagnoses: distal pancreatic mass status post distal pancreatectomy. splenectomy. hypertension. gastritis. hypercholesterolemia. peripheral vascular disease status post aortobifemoral bypass. gastroesophageal reflux disease. coronary artery disease. discharge condition: stable. discharge instructions: the patient was instructed to call if having increasing abdominal pain, fevers, chills, nausea, vomiting, or increased drainage or redness from his wound site or if there are any other questions or concerns. discharge medications: 1. albuterol 1-2 puffs q.6h prn for respiratory distress. 2. albumin/ipratropium two puffs q.6h prn. 3. aspirin 325 mg p.o. q.d. 4. atorvastatin 40 mg p.o. q.d. 5. atenolol 150 mg p.o. b.i.d. 6. clonidine patch one patch q thursday. 7. plavix 75 mg p.o. b.i.d. 8. gabapentin 400 mg p.o. q.i.d. 9. losartan 50 mg p.o. q.d. 10. remeron 7.5 mg p.o. q.h.s. 11. protonix 40 mg p.o. q.d. disposition: the patient will be discharged to rehabilitation facility. follow-up instructions: the patient is to followup with dr. in two weeks. , procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances left heart cardiac catheterization insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis other lysis of peritoneal adhesions pulmonary artery wedge monitoring total splenectomy transfusion of packed cells distal pancreatectomy insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care congestive heart failure, unspecified cardiac complications, not elsewhere classified peritoneal adhesions (postoperative) (postinfection) intestinal infection due to clostridium difficile methicillin susceptible pneumonia due to staphylococcus aureus hematemesis acute pancreatitis 

Answer: The patient is high likely exposed to