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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain major surgical or invasive procedure: total abdominal colectomy ileostomy splenorrhapy arterial line placement bronchoalveolar lavage nasogastric tube placement endotracheal intubation history of present illness: mr. is a spanish-speaking only -year-old gentleman who presents today for evaluation of abdominal pain, nausea, and vomiting. he reportedly experienced acute onset of mid-abdominal pain around noon today. he had an associated episode of non-bilious, non-bloody emesis. his abdomen has been distended the past few days and he has been constipated (no bowel movement in the last 5 days). he continues to pass small amounts of gas. his pmh from omr shows that he has had prior episodes of diverticulitis but his daughter today denied previous episodes. he was recently hospitalized for a streptococcal pneumonia complicated by respiratory distress requiring intubation. past medical history: recent strep pna (admit , intubated) cad s/p mi yrs ago s/p ptca asthma/copd on home o2 syncope s/p pacemaker implant diverticulitis gout mild chronic renal insufficiency (baseline cr ~1.4) elevated psa urinary retention hpl htn gerd social history: lives with wife. 3 grown children. smoked 1 ppd x 40 years, quit 20 years ago. family history: noncontributory physical exam: vitals: 101.5 72 129/64 22 87% gen: a&o, nad heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: appears short of breath with labored breathing, rhonchorous abd: soft, severely distended and tympanitic, diffusely tender, dre: diminished rectal tone, large amount of stool in rectal vault, initially guaiac negative but after manual disimpaction, fresh blood coating the stool was noted ext: no le edema, le warm and well perfused pertinent results: 05:52pm blood wbc-14.0*# rbc-4.00* hgb-13.4* hct-37.9* mcv-95 mch-33.5* mchc-35.3* rdw-14.1 plt ct-248 05:52pm blood neuts-91.4* lymphs-4.9* monos-3.2 eos-0.1 baso-0.3 05:52pm blood plt ct-248 03:22am blood pt-17.4* ptt-31.6 inr(pt)-1.6* 03:22am blood fibrino-309 05:52pm blood glucose-100 urean-35* creat-2.2* na-138 k-4.0 cl-100 hco3-29 angap-13 05:52pm blood alt-29 ast-35 alkphos-84 totbili-0.5 04:49pm blood ck(cpk)-1353* 05:25am blood ck-mb-5 ctropnt-0.04* 04:45pm blood probnp-1223* 04:49pm blood ck-mb-24* mb indx-1.8 ctropnt-0.38* 05:52pm blood albumin-3.8 calcium-9.9 phos-3.7 mg-1.9 01:28am blood tsh-3.2 06:05pm blood lactate-1.9 01:37am blood freeca-1.13 01:37am blood hgb-11.5* calchct-35 o2 sat-98 brief hospital course: gi/gu: the patient presented with abdominal pain and a ct abd/pelvis showed diffuse wall thickening of the proximal to mid sigmoid colon with associated surrounding fat stranding, most consistent with colitis. due to his deteriorating status in the ed thought to be secondary to sepsis from this acute abdominal process, he was taken emergently to the or for exploratory laparotomy. in the or, he was found to have an enlarged, necrotic but not yet perforated loop of sigmoid colon with the rest of the colon deeply congested and compromised. a total abdominal colectomy, ileostomy, and splenorrhapy was performed. the skin was closed with surgical staples and an ileostomy appliance applied; ebl was 350 ml and the patient was returned to the tsicu in critical condition. cv: after total abdominal colectomy, the patient developed atrial fibrillation with rapid ventricular response. he was initially rate controlled with a diltiazem drip. he had intermittent episodes of atrial fibrillation and hypotension. once a tee established the absence of thrombus, the patient was cardioverted with amiodarone but continued to have intermittent return to atrial fibrillation. his cardiac enzymes were elevated, which was attributed to cardiac enzyme leak from the stress of surgery, hypotension, and tachycardia vs. a small perioperative mi. he was started on aspirin, but catheterization was not a possibility at the time given inability to anticoagulate. resp: the patient developed hypoxia and increased work of breathing in the ed requiring intubation. his respiratory distress was thought to be due to sepsis from an acute intraabdominal process, and the patient was taken to the or for an exploratory laparatomy, which resulted in a total abdominal colectomy, ileostomy and splenorrhapy. the patient remained intubated after surgery. he was extubuated, but had to be reintubated 2 days later for worsening respiratory status. cxr and bronchoalveolar lavage revealed mrsa pneumonia. he was treated with vancomycin, cefepime and ciprofloxacin. after several days of antibiotic therapy without much clinical improvement, the family approached the team with the wish to change mr. status to comfort measures only and to extubate him. the extended family was present in discussions with the attending physician, after extensive conversation about options for care, elected for extubation and comfort measures. the patient was extubated and expired shortly thereafter from respiratory failure. neuro: the patient's was sedated for intubation. his mental status deteriorated with his clinical status. renal: the patient was thought to have acute on chronic renal insufficiency. his cr trended down to 1.8 from a baseline of 2.2 over his hospital course. his urine output was monited with a foley and his electrolytes repleted. heme: following surgery patient's hematocrit trended down, he was transfused 1u prbc during his hospital course. id: cxr and bronchoalveolar lavage revealed mrsa pneumonia. he was treated with vancomycin, cefepime and ciprofloxacin. medications on admission: lipitor 10mg daily advair diskus 250-50 twice daily senna prn duoneb prn asa 81mg daily tylenol prn diltiazem 240 mg daily proventil 90 q4hrs prn lasix 20mg daily finasteride 5mg daily nitroglycerin sl prn amlodipine 5mg daily ranitidine 150mg daily metoprolol succinate 50mg daily discharge medications: none discharge disposition: expired discharge diagnosis: diverticulitis perforated bowel sepsis pneumonia discharge condition: deceased discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances other electric countershock of heart arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus ileostomy, not otherwise specified repair and plastic operations on spleen open total intra-abdominal colectomy diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery esophageal reflux acute kidney failure, unspecified severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation personal history of tobacco use percutaneous transluminal coronary angioplasty status constipation, unspecified other and unspecified hyperlipidemia hemorrhage complicating a procedure acute respiratory failure old myocardial infarction retention of urine, unspecified cardiac pacemaker in situ altered mental status chronic obstructive asthma, unspecified do not resuscitate status acute myocardial infarction of unspecified site, initial episode of care streptococcal septicemia acute vascular insufficiency of intestine precipitous drop in hematocrit peritoneal abscess diverticulitis of colon (without mention of hemorrhage) other dependence on machines, supplemental oxygen chronic kidney disease, stage ii (mild) methicillin resistant pneumonia due to staphylococcus aureus elevated prostate specific antigen [psa] injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma 

Answer: The patient is high likely exposed to