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: hypotension major surgical or invasive procedure: central line placement at right internal jugular history of present illness: 75 yo male with advanced gastric ca recently started on chemotherapy presenting and hypotensiona nd episode of unresponsivenes after diarrhea and narcotics + megace. pt was seen on by his oncologist where he was determine to be hypovolemic and received a total of 3 l ivf between we and fri but still c/o poor po intake secondary to abdominal pain and fullness, nausea, and decreased appetite. this morning upon awakening pt was lethargic. he took mso4, dilaudid and an unspecified dose of megace. he then became flushed and pale, had copious diarrhea (non-bloody), then became unresponsive. ems called and he was found with sbp 80. narcan given with improvement in mental status but in pt was persistently hypotensive requiring 6 l ivf and levophed. labs notable for anc 500 and lactate 17. sepsis protocol was initiated. pt given flagyl, levofloxacin, and cefepime and sent to . past medical history: 1. metastatic gastric adenocarcinoma 2. portal vein obstruction 3. portal hypertention 4. biliary obstruction -s/p ercp 5. esophagitis 6. gout social history: lives with his wife at home. he has 1-2 drinks a night and denies any illicit drug use. he quit smoking in , but has a 30 pack year history. family history: non contributory physical exam: vs: t96.7 bp 84/49 hr 112 rr20 t95% 15l mask gen: fatigued appearing, in nad, feeling slightly confused but a+o heent: anicteric, op dry neck: supple, flat jvp cv: tachy rr, nl s1 s2, soft diastolic murmur at lsb lungs: diminished bs @ bases abd: soft, distended, tympanic on r epigastic, dull to percussion on luq and llq with mild ttp llq. no masses, well healed midline scar ext: 1+ pitting edema ble neuro: a+ox2, moving all extremities symmetrically pertinent results: 10:50pm ld(ldh)-300* 09:47pm lactate-10.1* 07:30pm type-art temp-37.3 rates-/20 o2 flow-4 po2-95 pco2-31* ph-7.22* total co2-13* base xs--13 intubated-not intuba comments-nasal 07:30pm lactate-11.1* 06:10pm urine color-yellow appear-clear sp -1.020 06:10pm urine blood-mod nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 06:10pm urine rbc-0-2 wbc-0 bacteria-none yeast-none epi-0-2 04:48pm lactate-16.5* 03:46pm lactate-17.2* 03:28pm glucose-539* urea n-40* creat-2.2*# sodium-127* potassium-4.5 chloride-86* total co2-9* anion gap-37* 03:28pm alt(sgpt)-16 ast(sgot)-37 ck(cpk)-85 alk phos-320* amylase-47 tot bili-0.8 03:28pm lipase-32 03:28pm ck-mb-9 ctropnt-<0.01 03:28pm albumin-3.0* calcium-9.0 phosphate-6.5*# magnesium-2.3 03:28pm cortisol-57.9* 03:28pm crp-6.18* 03:28pm pt-15.8* ptt-32.4 inr(pt)-1.7 03:28pm gran ct-540* cxr () impression: the tip of the ij line had advanced since the previous study and is in the right atrium. worsening partial atelectasis of the lower lobes bilaterally as well as the right upper lobe. 4:25 pm blood culture #2. aerobic bottle (preliminary): reported by phone to at 11:45 on . staphylococcus, coagulase negative. final sensitivities. sensitivities: mic expressed in mcg/ml _________________________________________________________ staphylococcus, coagulase negative | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin-------------<=0.25 s penicillin------------ 0.25 r anaerobic bottle (preliminary): staphylococcus, coagulase negative. sensitivities performed from aerobic bottle. 11:12 am stool consistency: watery source: stool. fecal culture (final ): no enteric gram negative rods found. no salmonella or shigella found. campylobacter culture (final ): no campylobacter found. ova + parasites (final ): no ova and parasites seen. . few macrophages. . this test does not reliably detect cryptosporidium, cyclospora or microsporidium. while most cases of giardia are detected by routine o+p, the giardia antigen test may enhance detection when organisms are rare. clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. viral culture (preliminary): no virus isolated so far. brief hospital course: pt admitted to the icu after being hypotensive and being found with altered mental status. pt received 6 l iv fluids in the ed and more aggressive volume rescuscitation was done at the floor. pt's mental status improved but still oriented x2. pt was requiring levophed to keep the map>60. iv zosyn was started to cover for gram negative enterococcus coverage due to history of . patient was breathing in the 90's with face mask. immediately after pt was admitted, discussion was held with the family and patient management was changed to cmo. pt was awake and alert during this discussion, and he was requesting for comfort measure only and did not want any more aggressive treatment. all of the medications were held except for the morphine drip. blood cx result was positive for coag negative staph aureus, but not treatment was initiated. pt remained on morphine drip over 2 days without any oxygen support. pt was transferred to the regular floor on the monrning of , and pt immediately passed away upon arrival. discharge disposition: home discharge diagnosis: sepsis coag negative staph bacteremia gastric adenocarcinoma discharge condition: pt deceased procedure: venous catheterization, not elsewhere classified diagnoses: acidosis malignant neoplasm of liver, secondary acute kidney failure, unspecified acquired coagulation factor deficiency septic shock other staphylococcal septicemia acquired hypertrophic pyloric stenosis malignant neoplasm of stomach, unspecified site 

Answer: The patient is high likely exposed to