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: osh transfer from hospital for hd access and possible need for tips major surgical or invasive procedure: tunneled right subclavian hemodialysis line placement history of present illness: 43 yom with etoh liver disease and recent initiation of hd, who is being admitted from for poor venous access in the setting of coagulopathy and possible tips procedure. he was was admitted on after his hd catheter "slipped out" while sleeping and had some bleeding. on , he had a tunneled hd cath placed by ir on the right, which was subsequently removed for bleeding. hd was attempted on but could not be comleted due to poor flow thorugh the line. the line was heparinized and then had some oozing requiring "multiple units" of rbc, plts, ffp and ddavp. the catheter was removed and a suture was placed on ; the bleeding subsequently stopped. he was hypotensive with sbp to the 60's around this time for which he was transiently on phenylephrine. . prior to transfer on , he had two units ffp at 8 am for inr 1.9. he has not had hd in 8 days, though he has been stable on room air and has had stable electrolytes. . on , he was started empirically on ceftazidime for possible sbp (no tap done; benign exam always; added to vanco that was previously started for for line infection; numerous blood and urine cultures have been negative). . of note, he had blood cultures from hd drawn on that grew mrsa and was started on vancomycin. at a clinic appointment on with dr. , he reported low bp and temp to 103; he was started on a z-pack, though subsequently had blood cultures that grew out mrsa. he was changed from lactulose to rifaximin 400mg tid at this appointment given the degree of his diarrhea. . note that wbc noted to be 30.2 in an omr note from gi on (this is from outside labs drawn at hd). . also of note, patient was recently admitted from with acute etoh hepatitis and hematemesis, at which point he was started on hd (though does have some residual urine function). egd showed , erosive esophagitis and portal gastropathy but no varices. past medical history: (#) recent bacteremia per above (12/5 blood cultures from hd) (#) etoh abuse with h/o seziures ? during intoxication (#) etoh liver disease-- acute etoh hepatitis in (was not started on corticosteroids due to gi bleed, uti and ); was started on pentoxyphyline to prevent hrs with a planned 4 week course from (last day ); negative hepatitis a and b serologies, as well as a hepatitis c serology (#) hemodialysis dependent-- since last admission, dx multifactorial with atn +/1 nsaids +/- hrs; getting hd through tunneled line (until this admission) with hd mwf (#) gastroesophageal reflux disease (#) seizures in setting of heavy alcohol consumption, seen by a neurologist who did not feel that it was a primary seizure disorder (first ) (#) mva - right femur fracture with placement, pelvic fracture (#) asthma social history: never smoker, drank vodka daily until 3 weeks ago. never has used iv drugs. lives with girlfriend, . has 2 children, daughter 17, son, 16 who live with their mother who the patient is still very close to. pt formerly worked at mass electric. family history: mother - deceased alcoholic liver disease father - deceased cancer, diagnosed in his 40s. no other family history of cancer. physical exam: vs on arrival to the icu: temp 95.9, hr 101, bp 88/39, rr 17, 98% on room air general: awake, conversant heent: iceteric sclera, good dentition, op clear lungs: crackles at bases that cleared with deep inspiration, otherwise clear b/l cardio: rr, ii/vi sem at rusb, no r/g, no jvd abd: + bs, soft, somewhat obese and distended with slight fluid wave, liver marin inches below costal margin, no splenomegaly appreciated extremities: 3+ le edema symmetric to mid-calf, no erythema or ttp skin: jaundiced, dry with some lotion on extremities, no petechiae or rashes; ecchymoses right anterior chest from tunneled line, one suture (placed ); piv in forearms b/l neuro: aa, oriented but slight cognitive deficits with somewhat increased speech latency, cn ii - xii normal, slight resting tremor in ue, no asterixis or myoclonus, moving all extremities pertinent results: on transfer from osh, notable for wbc 16.0, hct 24 (after 1 unit prbc), inr 1.9 (then 2 units ffp), plts , k 3.8, cr 9.3 on arrival, notable for . microbiology: bcx x 1: pending (needs to be followed up as outpatient) bcx; negative (; telephone ) . 4:55p 135 101 54 ------------ 81 3.8 18 8.4 &#8710; . ca: 9.0 mg: 2.1 p: 7.2 &#8710; alt: 36 ap: 132 tbili: 38.6 alb: 2.6 ast: 96 vanco: 28.0 . .........8.1 10.5 ------ 69 ........21.9 n:81.4 l:13.6 m:4.0 e:0.8 bas:0.3 pt: 19.0 ptt: 54.8 inr: 1.7 brief hospital course: 43 yom with etoh liver disease and coagulopathy, on hd with no access currently line dysfunction and inability to replace prior to transfer from osh on . #. hemodialysis-dependent: throughout hospitalization, legs remained edematous but was breathing and speaking comfortably on room air and electrolytes remained stable. right subclavian tunnelled line was replaced by ir on . there was some slight oozing around the site, but hematocrit remained stable s/p 2 units total prbc during hospitalization. patient last had hd on , next dialysis planned for saturday . continued on nephrocaps, epogen. held sevelemer on discharge. pentoxyfilline also stopped as no further indication for use per renal (had finished one month course). #. elevated wbc: wbc had been elevated for several weeks now; slightly hypothermic on admission although no localizing symptoms and line had been pulled for a few days on admission. nonfocal exam; ceftazidime was started empirically at osh which was not continued. he was otherwise afebrile and hd stable throughout hospitalization (note his sbp's were in low 90's and asymptomatic during his stay, likely his baseline). on discharge, wbc was 11.3, patient asymptomatic and afebrile. he has a blood culture from that is still pending and should be followed up as outpatient. #. mrsa bactermia: per blood cultures from hemodialysis line on ; has been on vanco hd dosing starting in early (unclear exactly when). line now pulled and completed 14 days of abx. vancomycin was discontinued on discharge. #. etoh liver disease: also with h/o gib (portal hypertensive gastropathy and erosive esophagitis on recent egd's; no varices). appeared to have slight encephalopathy on exam this admission. no indication for tips acutely. cont ppi, lactulose, rifaximin. medications on admission: medications on transfer: vancomycin 1 g iv (last given ; trough on ? 26) ceftazidime 2 g qod (started 1217 --> written to be given for one week for c/f sbp) desmopressin 25 mcg x 2 on epo nephrocaps morphine prn hydromorphone iv q3 hours prn lactulose 30 ml midodrine 7.5 mg tid protonix 40 mg po/iv bid pentoxyphylline 400 mg po tid vitamin k sq (given ) ambien prn . home medications: sucralfate protonix 40 mg lactulose midodrine 7.5 mg tid nephrocaps trental 200 mg qd ambien qhs folate discharge medications: 1. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed for titrate to bm's. 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 3. midodrine 2.5 mg tablet sig: three (3) tablet po tid (3 times a day). 4. epoetin alfa injection 5. sucralfate oral 6. nephrocaps 1 mg capsule sig: one (1) capsule po once a day. discharge disposition: home with service facility: discharge diagnosis: primary: end stage renal disease need for dialysis catheter alcoholic cirrhosis and coagulopathy . secondary: etoh hepatitis discharge condition: mental status:clear and coherent but profoundly jaundiced level of consciousness:alert and interactive activity status:ambulatory - requires walker or cane discharge instructions: you were admitted due to difficulty obtaining dialysis access and you have had a tunneled hemodialysis line placed in your right subclavian vein. it is important for you to monitor the line site for any signs of bleeding, inflammation, redness or increasing pain. you have received hemodialysis here and you should return to your dialysis home site on saturday at 6am. it is essential for you to avoid all alcohol in order to prevent further liver injury. . please note the following changes to your medications: 1. stop the trental (pentoxifylline) 2. stop the sevelamer until otherwise instructed at hd . followup instructions: please keep your follow up appointments as listed below: provider: phone: date/time: 10:00 please call dr. at to schedule a follow up appointment in the new year. procedure: hemodialysis venous catheterization for renal dialysis transfusion of packed cells transfusion of other serum diagnoses: acidosis end stage renal disease renal dialysis status esophageal reflux alcoholic cirrhosis of liver acute kidney failure, unspecified asthma, unspecified type, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site other and unspecified coagulation defects other complications due to renal dialysis device, implant, and graft other and unspecified alcohol dependence, continuous acute alcoholic hepatitis spontaneous bacterial peritonitis 

Answer: The patient is high likely exposed to