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: mr is a 26 year old right-handed man who was recently hospitalized at from through for multiple injuries sustained after a motor vehicle accident. for the details please refer to previous discharge summary. in summary, on , the patient sustained an unrestrained 28 feet ejection. he sustained a severe head injury with a reported coma scale of 14 at the scene. the patient developed a retrograde amnesia of the events preeceding the accident of about one hour and post traumatic amnesia for about two months. he also developed traumatic aortic dissection, liver laceration, severe pulmonary contusion. he was intubated for two and a half months due to recurrent pneumonias. other injuries included bilateral orbital fractures, pelvic fracture, left radial fracture, pneumo and hemothorax. after a prolonged hospital stay, the patient underwent rehabilitation at hospital. on while at hospital, he had a generalized tonic-clonic seizure. at that time, it was decided to transfer him to for further management. he had a second seizure en- route and a third in emergency room. in the er he was treated with a total of 8 mg of ativan, 1 gm of dilantin. his magnesioum level was 1.1 mg/dl. he was intubated in the emergency room and treated with 20 mg/kg/dose of phenobarbital. his head ct was normal. a csf sample obtained by lumbar puncture showed three white blood cells, 1500 red blood cells. a second tube was clear and colorless. blood cultures from showed coagulase negative staphylococcus as well as coagulase negative staphylococcus which was resistant to cephalin. he was extubated on and tranferred to the neurology service for further management. past medical history: none. medications on transfer to floor: 1. vancomycin 1 gm q. 12 2. labetalol 200 mg q. 8, hold for systolic blood pressure of less than 110 3. dilantin 100/100/150 4. lovenox 13 mg subcutaneously b.i.d. 5. protonix 40 mg q. day 6. clonidine patch 0.1 mg q.d. 7. fentanyl patch 25 mcg q.d. 8. tube feeds at 50 cc/hr allergies: penicillin physical examination: physical examination on admission on , general examination revealed temperature 101.2, his temperature reached maximum of 104.1. blood pressure was 130/64, heart rate 131, respirations 18. the patient appeared agitated and restless, moving all extremities. lungs with coarse breathsounds bilaterally. cardiac examination was notable for regular rate and rhythm, tachycardiac to auscultation. abdomen was soft, no tenderness to palpation. no cyanosis or edema of extremities. neurological examination: on mental status examination the patient was drowsy, but arousable, moved eyes to name, grunting, could not tell the examiner where he was, his name or the date. he did not follow any commands. on cranial nerves examination, discs were normal, pupils were 8 mm and reactive. extraocular movements intact. visual fields were full grossly to threat. face was symmetric with palatal elevation of tongue. motor, moving all extremities, withdraws to pain times four. motor examination persistent. reflexes, reflexes were 2+ bilaterally at biceps, triceps and brachioradialis, patella, ankle and toes downgoing on both sides. laboratory data: laboratory values showed an inr of 1.5, chest x-ray showed a questionable left lower lobe atelectasis or infiltrate. computerized tomography scan did not show any obvious infarct or hemorrhage. hospital course: the patient was initially managed in the neurological intensive care unit where he remained intubated until , the morning of which he was extubated as his condition improved and he was transferred to the floor for further management. 1. generalized tonic clonic seizure assessment and management: -the patient was initially treated with 350 mg/die of dilantin however, his ptn levels were repeatedly below the expected range. on , he had a ptn level of 4.9 ug/dl and therfore he received an additional 600 mg bolus. his daily dilantin dose was also increased to 250 mg . due to his history of liver damage, there was concern that the amount of free ptn would be higher as expected by the total serum ptn level. therefore, a free ptn level was obtained and it is pending at the time of the present dictation. during the present hospital course the patient did not have any other seizures. a mri scan showed very small hemorrhages in the right frontotemporal and left parietal lobes consistent with his history of head injury. 2. aortic graft/repair -because of the central lines infection with coagulase negative staphylococcus and his initial fevers, the patient was started on vancomycin and the infectious disease service was consulted. on , his vancomycin peak was elevated. the dose of vancomycin was then decreased from 1 gm q. 12 to 7 and 15 mg q. 12. he needs to complete a 10 day course of vancomycin for prophylactic reasons until . as per infectious disease recommendation, he needs to get three independent sets of blood cultures after he finishes his course of vancomycin and will need close follow-ups because of the possibility of the aortic graft being infected is real and is of concern. the patient is to continue to meet a target systolic blood pressure of less than 150 systolic. he is to follow up with dr. , from the cardiothoracic surgery service. he will also remain on sternal precautions of lifting no more than 5 pounds until . 3. infectious disease -as mentioned above, the patient will need to complete a course of vancomycin 150 mg q. 12 until . until then, the dose of vancomycin will be adjusted according to his blood levels. the patient did very well after extubation. on neurological examination, he was alert and appropriate. his motor exam showed deltoids 4- on the left, 4 on the right; biceps 4 bilaterally; triceps 4 bilaterally; wrist extensors 4 bilaterally; finger extensors were 4 bilaterally; iliopsoas was 4+ bilaterally; hamstring 4 bilaterally; quadriceps 4 bilaterally; anterior tibialis was 3+ on left, none on the right; gastrocnemius was 4- on the left, none on the right; em could not be elicited bilaterally. laboratory data at time of dictation: his magnesium was 1.8. all of his blood cultures subsequent to the intial positive ones are pending at this time. his pt was 13.2, ptt was 39.0, inr was 1.2. magnesium was 1.6. tibc was 222. reticulocyte count 0.2, haptoglobin 266, ferritin was pending, transferrin was 171, ldh was 201, total bilirubin 0.3, iron 49. vancomycin peak was 57. trough was still pending at time of dictation. blood cultures were pending. the hematology team concluded that he may have a thalassemic trait that is clinically irrelevant at the present time. they do no reccomend further workup at the present time. he will continue on subcutaneous heparin until he can ambulate on his own. discharge medications: 1. vancomycin 750 mg q. 12, this may have to be adjusted depending on the peak and trough level after third dose tomorrow evening 2. labetalol 200 mg q. 8, hold for systolic blood pressure less than 110 3. dilantin 250 mg q. day, this may have to be adjusted after tomorrows value 4. heparin subcutaneous 5000 units b.i.d. 5. protonix 14 mg q. day 6. clonidine 0.1 mg q. week, patch 7. fentanyl 25 mcg q. 72 hours 8. tube feed at 50 cc/hr goal 9. captopril 12.5 mg t.i.d. prn to keep blood pressure less than 150 systolic follow up: 1. the patient is to follow up with dr. in cardiothoracic surgery as mentioned above. 2. he is to be on strict blood pressure control regimen, or systolic less than 150 as mentioned above. 3. he should get three sets of independent blood draws after vancomycin is stopped to make sure that he doesn't have any nidus infectious that could potentially seed aortic graft. 4. he is to continue receiving subcutaneous heparin until he is fully ambulatory. 5. he is to follow up with his primary care provider as soon as he leaves the rehabilitation facility. 6. he is to arrange visit with a neurologist as needed. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: methicillin susceptible staphylococcus aureus septicemia acute respiratory failure infection and inflammatory reaction due to other vascular device, implant, and graft febrile convulsions (simple), unspecified 

Answer: The patient is high likely exposed to