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: the patient is a 59 year-old male with a history of a small bowel obstruction in of the year who presented on the day of admission with nausea and vomiting one day. he had two bowel movements the day prior. he was not passing any flatus. he had no complaints of any abdominal pain and complaining of some mild shortness of breath. there was no history of any aspiration. past medical history: significant for sarcoid, gout, history of compression fractures, history of syncope, chronic renal insufficiency, orthostatic hypertension, osteoporosis, status post cholecystectomy in , history of mrsa, line sepsis. medications on admission: advil, allopurinol, celexa, potassium, oxycontin, prilosec, temazepam, testosterone, vicodin. allergies: colchicine. physical examination: on examination he had an ng tube placed in the emergency room with relief of nausea. he was in no apparent distress. sclera were anicteric. his mucous membranes were dry. he had a left cervical lymph node that was palpable. his chest was decreased throughout. his heart was regular in rhythm. his abdomen was soft, nontender, nondistended. he had a large midline scar. his extremities were without edema. his rectal exam was guaiac negative without any palpable masses. he was overall moderately cachectic. laboratories on admission: white count 19,000 with 90% neutrophils and a hematocrit of 37, platelet count 408. chem 7 137/4.3, 101/21, 38/1.2 and 106. alt 25, ast 30, alkaline phosphatase 30, amylase 54, total bilirubin 0l.4, albumin 3.7, lipase 28. his chest x-ray demonstrated left lower lobe infiltrate. his kub demonstrated air fluid levels. he was admitted to the medical service for a left lower infiltrate with a question of small bowel obstruction or ileus. he had an ng tube that was placed, a low wall resection and was placed on iv fluids and was given morphine for his complaints of back pain. hospital cousre: he continued to have moderate ng tube output that were decreasing. he was passing gas and having a bowel movement on hospital day one, however, he had an increasing white count of 24,000. ct scan was ordered, however, he developed acute respiratory distress and was started on heparin for presumptive pulmonary embolism. at that time of the evening he did not get a ct scan. on hospital day two he continued to complain of some shortness of breath. he was on subq heparin. he got a cat scan that day that demonstrated dilated loops of small bowel with a possible transition point. later in the day he actually was found minimally responsive and hypoxic with an acidotic with a gas of 7.0. he was immediately intubated on the floor and brought to the medical intensive care unit. on that evening and following into the day he required increasing doses of pressors and iv fluid. his urine output decreased. his ng tube outputs were increased as well and with this deterioration and along with his medical condition along with his cat scan findings he was taken to the operating room where a low midline incisions and multiple dilated loops of small bowel were found along with an area of a closed group obstruction of a loop of about 15 cm of bowel that was ischemic. this was resected in the operating room and the patient was reanastomosed primarily. he tolerated the procedure overall very well. of note on the ct scan he had a massive amount of bilateral basilar infiltrates secondary to aspiration, which he had prior to his episode requiring intubation. he was brought to the surgical intensive care unit and was started on broad spectrum antibiotics. 1. neurologically. he was sedated initially with propofol, ativan and morphine, which are all off now. he is increasing mental status. he is awake, alert and he is slightly slow to respond, but follows all commands. 2. pulmonary. his cultures have demonstrated mrsa for which he is on vanco. he needs to complete a fourteen day course. he is on day nine of that at this point in time, which is the 16th. he requires chest pt and suctioning for his decreased ability of cough and he is also receiving atrovent and albuterol nebs. 3. cardiac. from a cardiac standpoint he has been remarkably stable with a normal blood pressure. he obviously does not require any pressors at this time and he is stable. 4. gastrointestinal. he was started on tube feeds, which he is on goal at 60. the exact type will be documented in the page one via a post caloric feeding tube. he is to remain npo, but to continue follow up tube feeds until his follow up appointment, which will also be documented on the page one. 5. genitourinary. he has been remarkably stable with good urine output. he was diuresed adequately with intermittent doses of lasix. he is not getting a standard dose of lasix at this time. his creatinine on the 16th is 0.8, but his bun is elevated at 57. 6. hematologic. his hematocrit have been stable between 31 and 33. they are 33 today. he has been receiving subq heparin and venodyne boots for deep venous thrombosis prophylaxis. 7. infectious disease. he is on as mentioned vancomycin for a bronchioalveolar lavage and a sputum culture that demonstrated staph aureus. he did also have a pleural tap on the right side to demonstrate if there is any infection, which there has not been. he has also had stool sent off for c-diff. 8. endocrine. he is requiring sliding scale regular insulin. his finger stick in the morning today was 101. otherwise his electrolytes have all been stable. discharge medications: he is on vancomycin 1 gram iv q 24 hours, atrovent mdi four to six puffs q 4 hours prn. he is on albuterol four to six puffs mdi q 4 hours prn. he is on sliding scale regular insulin. colace 100 mg b.i.d. per feeding tube. subq heparin 5000 units b.i.d., vitamin c 500 mg b.i.d., multi vitamin elixir q day, reglan 10 mg q.i.d. via the feeding tube q.i.d. as mentioned he has been getting intermittent doses of potassium and lasix, however, none at this moment in time. the patient is to follow up in general surgery clinic. this will be documented on the page one. overall his status is good. he will be discharged to a rehab facility. of note he does need good chest physical therapy in order to maintain good pulmonary toilet. , m.d. dictated by: medquist36 d: 09:57 t: 09:55 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other partial resection of small intestine insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances thoracentesis other lysis of peritoneal adhesions diagnoses: infection with microorganisms resistant to penicillins sarcoidosis pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified unspecified disorder of kidney and ureter methicillin susceptible pneumonia due to staphylococcus aureus acute vascular insufficiency of intestine intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 

Answer: The patient is high likely exposed to