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: fever major surgical or invasive procedure: none history of present illness: patient is a 52 yo m with recent hypercarbic hypoxic failure s/p tracheostomy on mechanical ventilation, insulin dependent diabetes, hypertension, obstructive sleep apnea, and chf who presents with fever x 2-3 days with no obvious source. patient was recently admitted with hypercarbic hypoxic respiratory failure requiring intubuation and subsequent tracheostomy. found to have mrsa pna refractory to 24 d of treatment-- then switched to linezolid. during his last hospital course, he was found to be in renal failure thought to be from atn as it improved with improved bp. he was discharged on linezolid, and continued at rehab ()scheduled to end . of note, picc line was changed to midline with picc line tip cx negative. he was started on cefepime, iv flagyl, po vanco, in addition to the linezolid all during the 5 day rehab stay. past medical history: past medical history: 1. morbid obesity. 2. hypertension. 3. obstructive sleep apnea on cpap 12 with 2 liters of supplemental o2 (not currently using). on 5l nc at home. 4. insulin-dependent diabetes (followed at . seen by an ophthalmologist once a year. he has not seen a podiatrist in over two years. : hemoglobin a1c 8.6, urine albumin to creatinine 31.6). 5. chf (ef indeterminate on most recent echo). 6. polycythemia. 7. ? h/o copd (he has never had pulmonary function testing). 8. degenerative disc disease. 9. diabetic neuropathy. 10. venous stasis/leg ulcers. 11. right knee with torn cartilage (?meniscal injury). 12. history of left hip pain status post fall one year ago using lidoderm patches. 13. hyperlipidemia (last cholesterol : tc 157, tg 238, hdl 45, ldl 76) . past surgical history: 1. status post splenectomy secondary to motor vehicle accident (he is unclear of his vaccination status, he is not sure when he last received the pneumovax). 2. status post vascular repair of his right groin (details unclear). 3. tracheostomy social history: he is married, but is estranged from his wife. works part-time for a property management company. he walks with a cane at baseline he denies current tobacco use. he smoked briefly for 2 years, however quit over 10 years ago. he drinks etoh occasionally. he has never been a heavy drinker. he denies illicit drug use. family history: family history: his mother has hypertension. his father died from complications of diabetes and hypertension. he did not have coronary artery disease. he has four brothers, all which are healthy. he has 2 boys aged 21 and 27, both healthy. his uncle is status post heart transplant (details unknown). physical exam: v/s t 101 bp 140/80 p 85, 300 cc of yellow clear urine in foley catheter vent setting: ac 12, tv 550, peep 5, fio2 of 45% sat 93% gen: trached, rigoring heent: op clear, stage 2, dime sized ulcer, no drainage, tracheostomy site clean lungs: difficult lung exam, cta x 2 heart: s1 s2 no m/r/g abdomen: soft, obese, vertical scar and scar on rlq, +bs, foley in place extremities: venous stasis changes b/l, good pt/dp pulses neuro: able to follow simple commands, squeezes hand for responses pertinent results: prior culture data: urine cx- enterococcus to vanc respiratory cx - mrsa catheter tip culture neg from blood cx - ngtd osh: wbc 15.2, hct 48, na 153, co2 33, ldh 343 brief hospital course: patient is a 52 yo m with recent hypercarbic hypoxic failure s/p tracheostomy on mechanical ventilation, insulin dependent diabetes, hypertension, obstructive sleep apnea, and chf who presents with fever x 2 days. respiratory failure - did well on sbt and able to last 2 hours on trach mask. did well on passy muir valve and able to eat regular diet while on valve. should continue to wean off vent while at rehab. fever - resolved while patient was hospitalized. not on antibiotics. stool was negative for c diff x 2. blood cultures ngtd. cxr without signs of pneumonia. hypernatremia - got free water boluses through ng tube. na was 146 at the time of discharge. should be checked again over the weekend and twice a week after that. elevated cpk- neg mb fraction and mildly elevated troponin, denied chest pain. troponins trended down during admission. diabetes- insulin dependent diabetes, baseline lantus 75 and humalog sliding scale. code status- full medications on admission: atorvastatin 40' asa 81' ipratrop/albut fluticasone docusate heparin sc lactulose tylenol prn miconazole powder biscodyl senna linezolid insulin sliding scale fentanyl patch 100 mcg/hr q72 (weaned by 25 mcg) lasix 40' naloxone for constipation metoprolol 25''' captopril 25''' haldol prn iv prn famoditine oxymetazoline nasal spray discharge disposition: extended care facility: for the aged - macu discharge diagnosis: respiratory failure fevers discharge condition: fair; tolerating trach mask for 2 hours periods discharge instructions: --continue to wean ventilation at rehab. --when you are on trach mask and have the passy muir valve on you can eat regular food. --please check sodium twice a week and give free water boluses as needed for hypernatremia followup instructions: provider: function lab phone: date/time: 2:00 provider: , intepretation billing date/time: 2:00 provider: . / dr. phone: date/time: 2:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes long-term (current) use of insulin pressure ulcer, other site morbid obesity hyperosmolality and/or hypernatremia chronic respiratory failure tracheostomy status venous (peripheral) insufficiency, unspecified polycythemia vera 

Answer: The patient is high likely exposed to