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: tachypnea at nursing home major surgical or invasive procedure: none history of present illness: hpi: (pt non-verbal non-responsive at baseline) 78 yo m nh resident w/ h/o dm, htn, cva, who had an attack of hypoglycemia on which resolved with juice administration. next morning he was tachypneic and required nrb. hence transferred to ed. in the ed was hypotensive to 80s, which resolved with 2l ns. thought to be sepsis and started on vanc, levo and flagyl. per family, h/o cough w/ yellowish sputum production without fever, chills. was admitted to micu. . in micu, abx changed to vanc and zosyn. also received 4 l ns for hypotension. patient had afib with rvr and heart rate was stabilized with iv diltiazem and lopressor. pt was stabilized and transferred to floor . on floor, he triggered for hr in 150s. also was found to have vomit in mouth and chest with satts in low 90s on 8l. was transferred to micu for presumed aspiration. . continued on vanc and zosyn. lopressor ineffective in controlling hr. hence continued on dilt 30 qid. pt stable and hence transferred back to floor. past medical history: dm2 (hgba1c 6.0% ) htn tobacco abuse cri (followed by dr. , b/l cre 1.5) gout cataracts glaucoma s/p left inguinal hernia repair h/o tuberculosis (while in in his 30's, denies ever being treated) social history: retired machinist, moved to the united states 13 years ago from . he lives in a nursing home. his daughter lives nearby. long-time smoker. he denies any alcohol or illicit drug use. family history: noncontributory physical exam: vs: t 97.1 hr 94(91-104) bp 152/73 (151-173/61-84) rr 24 o2 sat 98% face mask 35% o2. gen: elderly male, lying in bed, non-verbal, non responsive to deep stimuli, tachphyneic heent: perrl, no jvd, no lad, mmm neck: supple heart: irregularly irregular, no m/r/g pulm: ctabl ant abd: soft, nt, nd, + bs, gtube in place ext: no peripheral edema, distal pulses 2+ neuro: awake, unable to assess motor or sensory function pertinent results: urine : staphylococcus, coagulase negative | gentamicin------------ <=0.5 s levofloxacin---------- =>8 r nitrofurantoin-------- <=16 s oxacillin------------- =>4 r penicillin------------ =>0.5 r tetracycline---------- <=1 s vancomycin------------ 2 s . bcx : coag negative staph in bottles sputum cx : moderate growth of mrsa . diagnostics: ecg: atrial fibrillation with a rate of 143 twf in iii, v6, avf . cxr :bilateral consolidations due to pneumonia or aspiration . cxr : worsening left perihilar and right lower lobe opacities highly suspect for aspiration versus multifocal pneumonia. . cxr :: no interval change. diffuse airspace opacities consistent with known multifocal pneumonia. . sputum : gram stain (final ): <10 pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram positive rod(s). quality of specimen cannot be assessed. respiratory culture (final ): moderate growth oropharyngeal flora. gram negative rod(s). sparse growth. . mrsa screen : mrsa screen (final ): positive for methicillin resistant staph aureus . blood culture : aerobic bottle (final ): reported by phone to @ 2035 on - cc6d. staphylococcus, coagulase negative. isolated from one set only. sensitivities performed on request.. anaerobic bottle (final ): no growth. brief hospital course: a/p: 78 yo male with h/o htn, dm, cva, afib w/ rvr p/w hypoglycemia, hypotension. was treated for aspiration pneumonia and suspected sepsis. was in micu twice and was finally transferred to floor for further care. . #tachypnea/hypoxia: patient had a known multifocal pna, with mrsa in his sputum. had witnessed aspration of his vomit. cxr showed bilat consolidation. pt was afebrile and wbc count was wnl. was hypotensive on presentation and hence considered to be in sepsis. was started on vanc, zosyn and flagyl initially. on transfer to the micu, the flagyl was discontinued. on discharge the antibiotics were converted to po abx. hence vanc and zosyn were d/c'd and linezolid and ciproflox were started. the patient will be treated for total 14 days. hence will be on linezolid and ciproflox for 7 more days from discharge. the o2 satts improved after starting the abx. as mentioned above, pt was afebrile with nl wbc count.aspiration precautions were followed . #afib with rvr: identified during this admission. hr ranged from 90 to 170. pt used to convert to sinus rhythm by himself sometimes and then would go back into afib. was started on dilt 30 qid and was uptitrated to 60 qid. the hr was well controlled at this dose with patient in sinus rhythm. will require anticoagulation with coumadin. coumadin was held during this admission as inr was supratherapeutic. will need to restart once inr becomes therapeutic. . #hypertension: admitted with hypotension, which was thought to be from sepsis. received 2 l ns in ed and bp returned to . was hypertensive later in the course. was treated with dilt 60 qid. . #s/p cva: patient was anticoagulated. was supratherapeutic on coumadin. hence it was held. will need to restart once inr becomes therapeutic. . #fen: continue tube feeds. npo as aspiration risk. will need to check electrolytes daily and replete accordingly as his potassium, magnesium and phosphate were low during this admission. . #prophylaxis: no need of heparin sq as inr was supratherapeutic, bowel regimen, famotidine . #code: dnr/dni. . #communication: with patient and family. daughter () . medications on admission: hydrochlorothiazide 50 mg po daily insulin sliding scale docusate sodium (liquid) 100 mg po bid famotidine 20 mg po bid piperacillin-tazobactam na 4.5 gm iv q8h vancomycin hcl 1000 mg iv q 12h diltiazem 30 mg po qid discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). tablet(s) 2. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 3. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 4. diltiazem hcl 60 mg tablet sig: one (1) tablet po qid (4 times a day): hld for hr <60, sbp <90. 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po twice a day for 7 days. 6. linezolid 600 mg tablet sig: one (1) tablet po twice a day for 7 days. discharge disposition: extended care facility: - discharge diagnosis: aspiration pneumonia atrial fibrillation . dm2 htn tobacco abuse cri gout cataracts glaucoma s/p left inguinal hernia repair h/o tuberculosis (while in in his 30's, denies ever being treated) discharge condition: stable discharge instructions: you were diagnosed with pneumonia and hence will be treated with antibiotics for total 14 days. . if you have chest pain, shortness of breath, palpitations, dizziness, fever, chills, cough, pain in stomach, nausea or vomitting please call your doctor or go to the emergency room followup instructions: please make a follow up appointment with your primary care provider dr () within 2 weeks of discharge . please check serum potassium, magnesium and phosphate regularly as these have been low during this hospitalization. please replete these electrolytes accordingly. . we have held the coumadin as patient's inr was supratherapeutic. please restart it when the inr becomes therapeutic. . please follow aspiration precautions. procedure: enteral infusion of concentrated nutritional substances diagnoses: tobacco use disorder congestive heart failure, unspecified unspecified septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation sepsis chronic kidney disease, unspecified pneumonitis due to inhalation of food or vomitus diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to