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: aspirin / nifedipine attending: chief complaint: fever, increased pain and right leg discharge. major surgical or invasive procedure: debridement and flap closure by vascular surgery. picc line placement history of present illness: mr. is a 38 year old gentleman with pmh significant for paraplegic gunshot wounds, bilateral bka/aka with history of recurrent osteomyelitis on vanc/flagyl with noncompliance now presents with increase pain & worsening ulcer on aka stump. of note, the patient has had numerous admissions for iv antibiotics and increased ulcer pain who has left ama without completing his antibiotic course. currently, he is complaining of increased pain, stump drainage and smell, and fevers to 101 oral at home. the patient has a significant history of le osteomyelitis s/p left bka and more recent incomplete treatment of rle osteomyelitis. bone biopsy in of rle demonstrated mrsa, corneybacterium, bacteroides with recommended treatment of 6 weeks of vanco and flagyl, but the patient failed to complete the recommended course. of note, the patient has yet to complete a full 6 week course of antibiotics. the patient has left ama and since has had a number of admissions with presentation for the same problem with repeated history of leaving ama prior to completion of therapy including elopement from with right ij in place. the patient was also recently discharge from on ama after receiving vanco and flagyl but refusing picc line placement as well as dispo to rehab. the patient has been seen by orthopoedics at (dr. as well as id with recommendation that surgery would not be considered until patient has completed his 6 week course of antibiotics given patient may require extensive surgery including possible hemi-pelvectomy. he has a history of le osteomyelitis s/p left bka and right aka with more recently partially treated rle osteo. bone biopsy of the patient's right lower extremity was performed in with micro revealing mrsa, corneybacterium, bacteroides with recommendation for 6 weeks treatment course with vanc and flagyl. he has never completed the recommended 6 week course of vanc, flagyl per our records. the patient has left ama and since has had a number of admissions with presentation for the same problem with repeated history of leaving ama prior to completion of therapy including elopement from with right ij in place. in the ed, vs 99.1 114/68 18 98%ra. in the ed, the patient initially had sbp in the 80s, which was fluid responsive to 2l ivf. he was treated with vanco and pip/tazo as well as morphine for pain. ed labs were significant for wbc of 27.2. vascular and orthopedic surgery were consulted in the ed. currently, he continues to complain of right stump pain that radiates to his lower back. ros is otherwise negative for cp/sob, n/v/d, ha, abd pain, palpitations. past medical history: - paraplegia secondary to gunshot wound - neurogenic bladder/bowel, suprapubic catheter - s/p colostomy - right aka--osteomyelitis - left bka--osteomyelitis - sickle cell trait - psoriasis - history of mrsa - history of esbl klebsiella uti, no esbl in at - hx of cva in , right facial droop - osteomyelitis of right aka stump - biopsy of bone on --mrsa, corneybacterium, bacteroides, got two weeks vancomycin/flagyl back in and then left ama - re-admitted and got course of vancomycin/flagyl again over that time and again left ama - admitted to for the same, pulled out own picc and again left ama - admitted , eloped with picc in place social history: social history: patient currently lives with his aunt : denies etoh: denies : history of heroin and cocaine use, reports last use 2 months ago family history: non contributory vis a vis current issues physical exam: vs: t 99 p 82 r 18 bp 100/68 98%ra gen: somnolent, nad heent: perrl, eomi, sclerae anicteric, mmm, op clear without lesions or exudate, neck supple. cv: nl s1+s2, no m/r/g pulm: ctab abd: s/nt/nd, +bs, colostomy back in place without surrounding erythema. back: neg cva tenderness, scar across l mid back ext: hypopigmented buttocks and legs. left aka without signs of infection. right bka - open wound with discharge, foul smelling. neuro:aox3 pertinent results: 05:14am blood wbc-10.6 rbc-2.93* hgb-7.2* hct-22.2* mcv-76* mch-24.8* mchc-32.7 rdw-20.8* plt ct-406 05:59am blood pt-13.1 ptt-32.5 inr(pt)-1.1 05:14am blood glucose-94 urean-6 creat-0.4* na-139 k-3.7 cl-104 hco3-30 angap-9 07:15am blood alt-14 ast-29 ld(ldh)-307* ck(cpk)-176* alkphos-112 totbili-0.5 05:14am blood calcium-8.0* phos-2.9 mg-1.7 07:15am blood crp-192.3* 09:01am blood vanco-8.0* 07:15am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg right femur/knee large soft tissue ulceration in the distal aspect of the right lower extremity with deformity of the proximal right femur including ankylosis of the right hip and severe sclerosis and new bone formation distally. the degree of bony changes limits evaluation for osteomyelitis. no definite evidence of osteomyelitis is seen, although there does appear to be increased bone resorption compared to the most recent comparison radiograph. ct pelvis interval further osseous destruction of distal femoral stump and interval increase in size of surrounding soft tissue phlegmon and fluid collections brief hospital course: mr. is a 38 year old male with pmh significant for paraplegic gunshot wounds, bilateral bka/aka with history of recurrent osteomyelitis on vanc/flagyl with noncompliance now presents with increase pain & worsening ulcer on aka stump. 1. right nonhealing above the knee amputation: patient left ama on after failing to complete vanco and flagyl therapy. he presented with worsening wound, pain, and fever at home. he was evaluated by vascular surgery who took the patient to the or and debrided the wound and performed a flap closure. he initially was treated with vancomycin and pip/tazobactam, which was converted post-operatively to vancomycin and amp/sulbactam. the patient's hct dropped from 29-->24 post operatively, and the patient was given 2 u on . on his hct was noted to be 21.8 but the patient refused ongoing hct checks and blood transfusions. subsequently on the patient triggered on the floor for hr 130s, sbp 88. his hct was found to be 20.8 and he was noted to have active bleeding from his stump site. he was transfused an additional 2 u of blood, given 1 l ns and vascular evaluated him and changed the dressing. he was transferred to the micu for hypotension where he was monitored until when vascular took him to the or for revision of his stump wound. over the day on he was transfused 8 more units of prbc. he had arterial bleeding ligated and his wound was closed with resolution of his bleeding. after his ligation he remained without bleeding from the site and his hct increased to 30 on the day of discharge without requiring further transfusion. he was followed by id, who recommend at least 6 weeks of parenteral antibiotic therapy and he is was supposed be discharged on vanc (goal vanc trough of 15 to 20) and amp/sulbactam. he had a bed at the for monday , however he eloped on . 2. uti: patient has past klebsiella esbl uti. urinalysis performed demonstrated >100k proteus that is pansensitive. the uti is covered by his amp/sulbactam. 3. anemia: patient has documented , although anemia of chronic disease also likely contributing to patient's anemia. he required multiple transfusions during his hospital stay with stabilization a few days after revision of his wound. his last hematocrit was stable at 30.1. medications on admission: calcipotriene 0.005 % cream discharge medications: patient eloped and therefore did not get prescriptions for his medications. the medications he should have been discharged with were: 1. calcipotriene 0.005 % cream sig: one (1) appl topical (2 times a day). 2. ampicillin-sulbactam 1.5 gram recon soln sig: one (1) recon soln injection q6h (every 6 hours) for 6 weeks. 3. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 8h (every 8 hours) for 6 weeks. 4. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 5. morphine sulfate 1-2 mg iv q4-6h:prn pain start: hold for sedation 6. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 7. oxybutynin chloride 5 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for bladder spasm. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 9. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). discharge disposition: extended care discharge diagnosis: primary - nonhealing right leg wound secondary - paraplegia secondary to gunshot wound neurogenic bladder/bowel, suprapubic catheter s/p colostomy right aka--osteomyelitis left bka--osteomyelitis sickle cell trait psoriasis history of mrsa history of esbl klebsiella uti, no esbl in at osteomyelitis of right aka stump discharge condition: patient eloped with a picc line in place. discharge instructions: patient eloped therefore we were unable to give him discharge instructions. followup instructions: you have been scheduled for a follow up appointment with vascular surgery: provider: , md phone: date/time: 11:15 you will also need to follow up with infectious disease and an appointment has been made for you: provider: , md phone: date/time: 10:00. procedure: venous catheterization, not elsewhere classified injection or infusion of other therapeutic or prophylactic substance injection of antibiotic transfusion of packed cells transfusion of packed cells transfusion of packed cells suture of artery repair of entropion or ectropion with wedge resection revision of amputation stump diagnoses: anemia of other chronic disease urinary tract infection, site not specified acute posthemorrhagic anemia infection with microorganisms resistant to penicillins cocaine abuse, unspecified hemorrhage complicating a procedure hypotension, unspecified methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site personal history of noncompliance with medical treatment, presenting hazards to health opioid abuse, unspecified below knee amputation status paraplegia proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site gangrene infection (chronic) of amputation stump disruption of external operation (surgical) wound ulcer of other part of lower limb late effect of spinal cord injury chronic osteomyelitis, pelvic region and thigh attention to colostomy other amputation stump complication late effects of injury purposely inflicted by other person neurogenic bladder nos major osseous defects attention to cystostomy sickle-cell trait antisocial personality disorder neurogenic bowel 

Answer: The patient is high likely exposed to