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: keflex attending: chief complaint: gib major surgical or invasive procedure: hd intubation cvl placement history of present illness: mr. a 69-year-old gentleman with a pmh significant for cryptogenic cirrhosis admitted for brbpr, arf, and ecg changes. the patient initially presented to the osh ed from his nursing home for generalized weakness. at the osh, he received narcan with good response. he was then noted to have a hct of 32.1 with associated melenic stools. at that time, ecg demosntrating x mm ste in the inferolateral leads. the patient received 2 units prbc, 1 unit ffp, 1l ivf, and was transferred to for further evaluation. . in the ed, initial vs 97.2 110 117/63 18 98%2l nc. he was noted to have gross blood in the rectal vault, and labs notable for a hct of 33.9, creatinine of 4.5 from 1.6, and a tnt of 0.2 without ck unchanged. liver was consulted, and ngl demonstrated gastric contents without gross blood or coffee grounds. cardiology was faxed the ecg, and the ste were to be stable and representign demand ischemia. the patient was transfused an additional 2 units ffp, started on a ppi gtt and octreotide gtt, had and was then admitted to the micu for further management. . of note, the patient was recently admitted to under neurosurgery from for shoulder pain felt by neurosurgery and orthopedics to be due to djd, with his hospital course complicated by a uti speciated as mrsa with treatment plan of 7d ciprofloxacin. on the day of discharge, the patient's creatinine was found to be 1.6 from 1.1-1.2 prior. past medical history: cirrochis, obestity, htn, gout, bradycardia, hypothyroidism. social history: lives at . tobacco - none. etoh - none. denies any iv, illicit, or herbal drug use. family history: nc physical exam: vs: 97 116/61 23 93%ra gen: nad heent: ngt in place cv: irregular s1+s2 pulm: ctab abd: s/nd/nd +bs hematoma over left periumbilical area ext: trace pitting edema bilaterally. signs of chronic venous stasis. neuro: oriented to person. -asterixis. right pupil with cornea and strabismus with dropped lid, chronic per patient since a child. pertinent results: 05:49pm blood wbc-3.9* rbc-2.59* hgb-8.6* hct-24.7* mcv-95 mch-33.1* mchc-34.7 rdw-17.3* plt ct-39* 03:15am blood neuts-81.5* lymphs-12.3* monos-5.2 eos-0.6 baso-0.3 05:49pm blood pt-22.5* ptt-48.2* inr(pt)-2.1* 02:47pm blood glucose-145* urean-137* creat-5.9* na-139 k-3.8 cl-106 hco3-22 angap-15 03:15am blood glucose-152* urean-130* creat-5.8* na-139 k-3.6 cl-104 hco3-20* angap-19 03:51am blood glucose-157* urean-151* creat-6.5* na-140 k-4.3 cl-109* hco3-16* angap-19 01:43pm blood glucose-156* urean-147* creat-6.7* na-140 k-4.3 cl-108 hco3-17* angap-19 11:30pm blood glucose-101* urean-103* creat-4.5*# na-132* k-5.1 cl-98 hco3-21* angap-18 03:15am blood alt-37 ast-87* alkphos-93 totbili-2.2* 09:18pm blood ck-mb-2 ctropnt-0.19* 12:21pm blood ck-mb-2 ctropnt-0.19* 11:30pm blood ctropnt-0.20* 02:47pm blood calcium-8.9 phos-5.2* mg-2.6 12:21pm blood caltibc-109* ferritn-599* trf-84* 12:21pm blood hbsag-negative hbsab-negative hbcab-negative hav ab-negative 12:21pm blood ama-negative smooth-positive * 06:02am blood crp-156.3* 12:21pm blood -negative 04:38pm blood pep-polyclonal igg-3110* iga-1482* igm-65 ife-no monoclo 08:58pm blood type-art po2-60* pco2-48* ph-7.49* caltco2-38* base xs-11 tte (): the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve. mild (1+) aortic regurgitation is seen. no mass or vegetation is seen on the mitral valve. the pulmonary artery systolic pressure could not be determined. there is a moderate sized pericardial effusion. in supine position, there is little fluid around the apex and lateral lv, but ~2 cm posterior to the right atrium. there is very brief right atrial diastolic collapse without any echocardiographic signs of tamponade. impression: no vegetations seen. mild aortic regurgitation. mild symmetric lvh with vigorous biventricular systolic function. pericardial effusion as described above. ct chest: 1. bilateral basal lung consolidation / atelectasis. 2. cirrhotic macronodular liver with sequelae of portal hypertension with extensive splenic collaterals with splenorenal shunt and splenomegaly. no evidence for ascites. 3. no evidence for intra-abdominal free fluid, collection or abscess. 4. scattered diverticula of the sigmoid colon without evidence for acute diverticulitis. 5. incompletely characterized left lower pole hypodense lesion. renal us advised to compare with prior from as a renal abscess cannot be fully excluded. 6. non-obstructing 3mm left renal calculus cth: no acute intracranial pathology. abdominal u/s: 1. limited examination demonstrating patency of the portal vein, with hepatofugal flow. 2. marked splenomegaly.. 3. gallbladder sludge. 4. limited evaluation of the kidneys but no evidence of hydronephrosis. brief hospital course: mr. a 69 year old gentleman with a pmh significant for cryptogenic cirrhosis admitted for brbpr with hospital course complicated by acute renal failure, high grade mrsa bacteremia, and respiratory failure requiring intubation. 1. bradycardic pea arrest: patient had witnessed bradycardic pea arrest with rn at the bedside. cpr and first round of epinephrine given immediately, and pea cardiac arrest algorythmn performed with multiple rounds of epinephrine, atropine, bicarb, insulin/d50, and calcium administered. abg during cardiac arrest 7.49/48/60, k 4.5, hct 25. pericardiocentesis attempted with <5 ml blood returned. patient expired at 9:05 pm on . attending, pcp made aware. family notified and declined post-mortem exam. 2. acute renal failure: felt to be due to atn given numerous muddy brown casts. renal ultrasound did not show any vascular lesions or hydronephrosis. the patient was followed by renal during his hospitalization, and hd was attempted on but aborted in setting of hypotension. urine output initially fluid responsive, but patient became increasingly anuric during his hospital course. 3. mrsa bacteremia: patient noted to have mrsa on urine culture from neurosurgery admission 1 week prior. he was subsequently found to have a high grade mrsa bacteremia with mrsa or gpc in clusters isolated in sputum, urine, and joint arthrocentesis. patient was followed by id and plastic surgery for wrist tap. he was treated with vancomycin, dosed by level. he had a tte during his admission that did not demonstrate any vegetations, but did demonstrate a moderate sized pericardial effusion with posterior assymetry. cth, ct neck, and ct torso failed to isolate a fluid collection or abscess. 4. respiratory failure: patient was intubated during icu course given increased work of breathing and pulmonary edema in setting of renal failure. 5. gib: while gi bleed was initially impetus for icu admission, patient did not have active gi bleeding during admission. 6. cirrhosis: due to unclear etiology. hepatology followed during admission. medications on admission: allopurinol 100 mg daily hydralazine 25 mg po tid feso4 famotidine 20 mg po bid metoprolol 50 mg po bid mvi heparin sq levothyroxine 125 mcg daily bisacodyl 10 mg daily colace cipro 500 mg po bid x8 days (d/c on ) acetaminophen 500 mg po q6h senna fentaynl 100 mcg/hr patch q72h hydromorphone 2-4 mg q6h prn ibuprofen 400 mg prn bacitracin ointment discharge medications: patient expired discharge disposition: expired discharge diagnosis: patient expired discharge condition: patient expired discharge instructions: patient expired followup instructions: patient expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube hemodialysis other electric countershock of heart venous catheterization for renal dialysis arterial catheterization arthrocentesis diagnoses: acidosis hyperpotassemia acute kidney failure with lesion of tubular necrosis unspecified pleural effusion urinary tract infection, site not specified cirrhosis of liver without mention of alcohol unspecified acquired hypothyroidism gout, unspecified atrial flutter acute respiratory failure cardiac arrest bacteremia blood in stool ventricular fibrillation obesity, unspecified hepatic encephalopathy hypotension of hemodialysis other acute and subacute forms of ischemic heart disease, other methicillin resistant pneumonia due to staphylococcus aureus personal history, urinary (tract) infection physical restraints status pyogenic arthritis, forearm osteoarthrosis, localized, not specified whether primary or secondary, shoulder region hemarthrosis, forearm 

Answer: The patient is high likely exposed to