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 63-year-old male with a known history of coronary artery disease, status post a silent myocardial infarction in , who presented to hospital emergency department this morning with 8/10 chest pain, epigastric distress, nausea, and shortness of breath. he had st depressions laterally and st elevations in v1. these resolved with intravenous nitroglycerin and lopressor in the emergency department. he was taken for cardiac catheterization which revealed 3 plus calcified lad with a 95 percent proximal occlusion, a 70 to 80 percent proximal circumflex lesion, and 100 percent occluded rca with collaterals. echocardiogram revealed 1 to 2 plus mitral regurgitation, trace tricuspid regurgitation, and an left ventricular ejection fraction of 30 percent. he was placed on intravenous integrilin and transferred to for coronary artery bypass grafting. past medical history: 1. coronary artery disease. 2. myocardial infarction. 3. hypertension. 4. hypercholesterolemia. 5. sleep apnea (with bipap). 6. status post abdominal aortic aneurysm repair with two endovascular stents followed by surgical repair with a questionable open bypass of the left femoral artery in at hospital. 7. status post carpal tunnel repair in with a brief period of postoperative atrial fibrillation. the patient admits to not taking his medications at that time. he was treated with coumadin for one month without further atrial fibrillation. social history: the patient quit smoking nine years ago. he had an 80-pack-year history. he admitted for four to six beers a day for significant alcohol abuse. he is married and lives with his wife and works as a plant manager. medications at home: atenolol 100 mg p.o. once daily, lipitor 40 mg p.o. once daily, aspirin 325 mg p.o. once daily, vitamin d, and fifth medicine is unclear. medications on transfer: at hospital he was started on intravenous integrilin, lopressor, aspirin, heparin, intravenous nitroglycerin, and antacids. allergies: he has no known drug allergies. physical examination on presentation: neurologically, he was grossly intact without any carotid bruits. his lungs had a few bibasilar crackles. his heart was regular in rate and rhythm with s1 and s2. no murmurs noted. his abdomen was slightly firm, distended, and nontender. his extremities were warm without any edema with positive peripheral pulses. suof hospital course: the patient was referred to dr. on intravenous integrilin, nitroglycerin, and heparin. he had epigastric discomfort since his admission which was increasing. intravenous nitroglycerin was also increased. this was discussed with dr. and an emergent cardiology consultation was ordered, but the patient continued to have chest pain. he was seen by a cardiologist. he continued to have chest pain. it was determined the patient was unable to have an intraaortic balloon pump placed for his continuing chest pain due to his three endovascular stents. the patient was seen by dr. of cardiology when he was admitted. preoperative laboratories were as follows. sodium was 137, potassium was 3.5, chloride was 99, bicarbonate was 30, blood urea nitrogen was 11, creatinine was 0.7, with a blood sugar of 165. white count was 12.3, hematocrit was 42.9, and platelet count was 204,000. ck's went from 125 to 284 to 725 with troponin's from less than 0.04 to 1.75 to 3.38; ruling the patient in for a significant myocardial infarction. th was taken to the operating room emergently that evening and underwent emergent coronary artery bypass grafting times three with a lima to the lad, a vein graft to the pda, and a vein graft to the om by dr. . he was taken to the cardiothoracic intensive care unit in critical condition on an epinephrine drip at 0.05 mcg/kg/min, a nitroglycerin drip at 0.5 mcg/kg/min, a titrated propofol drip, and a neo-synephrine drip at 1 mcg/kg/min. in the immediate postoperative period the patient developed several problems. the first was atrial fibrillation which was treated with an amiodarone bolus and started on an intravenous drip. he ultimately required cardioversion by anesthesia and then later repeat cardioversion by electrophysiology. the second significant incident was the patient's liver function tests rose dramatically given his significant alcohol abuse. a critical care consultation was also called. the patient was clearly undergoing alcohol withdrawal and developed delirium tremens. he was continued on amiodarone. within a day or two he was also seen by the clinical nutrition team as the critical care team was evaluating his nutritional status and liver function. he remained in the cardiothoracic intensive care unit all that week. on , he continued with an inability to wean from the respirator. he developed atelectasis which was apparent on his chest x-ray and significant copious secretions. he was awake and was on cpap with pressure support but continued to require significant pulmonary toilet and was unable to wean from the ventilator. given these secretions, blood cultures were also sent in addition to sputum cultures. an evaluation by dr. of the critical care pulmonary service was obtained. the patient's blood cultures grew out gram-positive cocci and sputum secretions grew out coagulase- positive staphylococcus. the patient was started empirically the next day on vancomycin, levaquin, and fluconazole. an infectious disease consultation was called. the patient was seen by infectious disease on . please refer to their official consultation note. in addition, the patient remained on amiodarone, digoxin, and was started on carvedilol for beta blockade and management of his atrial fibrillation which continued to be an issue. clearly, given his respiratory failure, there was great concern about the process going on in his lungs. when the cultures came back, the sensitivities showed a sensitivity to oxacillin. the bronchoscopy secretion and alveolar lavage which was done by dr. showed methicillin-resistant staphylococcus aureus. blood cultures showed methicillin-sensitive staphylococcus aureus that came back on . the patient was changed over. his vancomycin, levofloxacin, and fluconazole were stopped given the lack of sensitivities to his bacteria, and he was switched to intravenous oxacillin. the patient was also initially evaluated by physical therapy. he had again failed an extubation wean; again failed in his ability to attempt to wean for extubation on prior to his bronchoscopy which necessitated a pulmonary consultation. given the fact that the patient had very little mobility at that time, heparin was also started for anticoagulation in preparation for coumadin starting for anticoagulation for his atrial fibrillation. additional blood cultures and sensitivities came back, and the patient was switched back to vancomycin approximately on . on , he continued to markedly improve on the cpap and was ultimately extubated. the patient continued to have mental status issues with confusion and disorientation - from which he would rapidly reorient but then become significantly confused again. the patient had some doses of haldol to help with this and continued to be dosed with coumadin once daily in an effort to get him anticoagulated. finally, on , the patient was transferred to two. the patient had been treated all along for his delirium tremens and alcohol withdrawal under the direction of the critical care team and was on an ativan drip. on , his white count increased from 12.2 to 12.5. his hematocrit remained stable at 34.6 with a normal platelet count. his creatinine was 0.8. a transesophageal echocardiogram was ordered to rule out endocarditis, and this was done by cardiology. this was performed on prior to his discharge and showed no vegetations, a mildly thickened aortic valve, a mildly thickened mitral valve, with mild 1 plus mitral regurgitation, and no evidence of endocarditis. the patient continued to be evaluated and worked on by physical therapy and the nurses for significant pulmonary toilet as well as physical therapy while he was out on the floor. he remained on a heparin drip as he became therapeutic with his coumadin. he was receiving albuterol as needed, and combivent, and flovent to assist with his pulmonary toilet. he also remained on carvedilol. lisinopril had been started at 5 mg also. the patient continued to rapidly improve on postoperative day 22. he was encouraged to ambulate and to increase his oral intake. if the patient ruled out for endocarditis - which he did - he was to be switched over from intravenous vancomycin to oral linezolid and then planned for discharge to home. on postoperative day 23 - the day prior to his discharge - his laboratories were as follows. white count was 10.9, the hematocrit was 31.3, and the platelet count was 407,000. the pt was 17.2, ptt was 64.3, and inr was 1.9 on both heparin and coumadin. sodium was 137, potassium was 5.2, chloride was 96, bicarbonate was 30, blood urea nitrogen was 19, creatinine was 1.1, with a blood sugar of 109. the patient's weight was 71.6 (down from his preoperative weight of 81 kilograms). he was saturating 94 percent on room air and was hemodynamically stable and doing very well with a blood pressure of 110/66. the respiratory rate was 18. in a sinus rhythm at 68. he was alert and oriented and nonfocal. his lungs were clear bilaterally. his sternum was stable with no drainage or erythema. he had bowel sounds. no peripheral edema. his left leg incision saphenous vein graft site was healing well. his central venous line had been removed. the pacing wires had been removed. no chest tubes were in place as these had been removed days before. he was switched over to linezolid 600 mg p.o. twice daily. heparin was discontinued. the patient received coumadin 3-mg dose that evening in preparation for increasing his inr. his heparin was discontinued that night. he was gain evaluated by case management so he could be discharged to home with vna services. discharge disposition: on postoperative day - the patient was discharged to home with vna services. he was in a sinus rhythm at 73. the blood pressure was 97/51 and was saturating 97 percent on room air with an unremarkable and much improved physical examination. discharge diagnoses: 1. status post emergent coronary artery bypass grafting times three. 2. coronary artery disease. 3. ethanol abuse and status post withdrawal. 4. myocardial infarction. 5. hypertension. 6. hypercholesterolemia. 7. sleep apnea (with bipap). 8. status post abdominal aortic aneurysm with three endovascular stents. 9. status post left femoral open bypass. 10. status post carpal tunnel repair on the right. 11. atrial fibrillation. 12. pneumonia with bacteremia. 13. respiratory failure status post surgery. discharge status: the patient was discharged to home on . condition on discharge: stable. discharge followup: 1. the patient was instructed to come to the clinic approximately two weeks post discharge. 2. the patient was instructed to see his cardiologist - dr. - in approximately two to three weeks post discharge. 3. the patient was instructed to see dr. in the office in four weeks for his postoperative surgical visit. medications on admission: 1. carvedilol 3.125 mg p.o. twice daily. 2. lisinopril p.o. once daily. 3. amiodarone 400 mg p.o. twice daily for one week; then 400 mg p.o. once daily for one week; then 200 mg p.o. once daily. 4. digoxin 0.125 mg p.o. once daily. 5. fluticasone propionate 110-mcg actuation aerosol 2 puffs inhaled twice daily. 6. albuterol ipratropium 103/18 mcg actuation aerosol 1 to 2 puffs inhaled q.6h. 7. multivitamin capsules one capsule p.o. once daily. 8. enteric coated aspirin 81 mg p.o. once daily 9. colace 100 mg p.o. twice daily. 10. percocet 5/325 one to two tablets p.o. q.6h. as needed (for pain). 11. coumadin 1 mg p.o. once daily (for , , and ); then the patient was instructed to check with dr. - his cardiologist - for continued dosing beyond and blood draws to evaluate his inr therapeutic level. 12. linezolid 600 mg p.o. twice daily (for 18 days with the last dose scheduled for ). , m.d. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances other electric countershock of heart non-invasive mechanical ventilation arterial catheterization closed [endoscopic] biopsy of bronchus transfusion of packed cells infusion of vasopressor agent diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified pleural effusion unspecified essential hypertension atrial fibrillation pulmonary collapse bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site unspecified sleep apnea methicillin susceptible pneumonia due to staphylococcus aureus other and unspecified alcohol dependence, unspecified other nonspecific abnormal serum enzyme levels alcohol withdrawal delirium 

Answer: The patient is high likely exposed to