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 an unfortunate 76 year old gentleman unrestrained driver of an suv who was rear-ended at a moderate to high speed. the patient's car jumped out of a curve and hit a brick wall with significant front end damage. air bags were deployed. the patient had positive loss of consciousness with no recall of the events. he was found by the paramedics and transferred here to the for further evaluation. upon arrival, he was complaining of face pain, neck pain and shoulder pain. he denied any headache, chest pain or shortness of breath. he had facial lacerations that were not actively bleeding. he also had epistaxis of bilateral nares with a right eyelid significant swelling. his initial trauma evaluation revealed that he sustained fractures of the nasal bones as well as the spleen, of c4 and 5 cervical spine with anterior widening of the fracture of the right facet joint. he was stabilized in the trauma bay and neurosurgery spine service was called for consultation as well as ophthalmology and ent. at that time, he was denying blurry vision, numbness, weakness, tingling or any other neurological symptoms. he was transferred to the intensive care unit for close monitoring and he was started on a protocol. he was electively intubated on due to oropharyngeal bleeding and high risk of aspiration with initiation of a propofol drip for sedation at that time. the patient was transiently hypotensive to the low 60's over 30's with a map of 40. this improved with fluids and adjustment of his propofol. he was noticed to have a rise in his creatinine and while awaiting cardiac clearance and a renal consultation, the patient remained in the intensive care unit. past medical history: 1. hypertension. 2. prostate cancer. 3. status post brachy therapy. 4. history of breast cancer status post left mastectomy. 5. history of supraventricular tachycardia; he underwent a pre-procedure catheterization which demonstrated 60 to 70% mid left anterior descending with 50 to 60% proximal diagonal to a 60% proximal right coronary artery. no percutaneous transluminal coronary angioplasty was performed. he underwent ablation for supraventricular tachycardia on , for an atypical nodal re-entry. 6. the patient had a history of distant appendectomy. 7. status post left hip replacement. 8. status post bilateral inguinal hernia repair. 9. status post left rotator cuff repair. outpatient medications: 1. tamoxifen. 2. metoprolol. 3. lisinopril. 4. aspirin. 5. magnesium oxide. 6. verapasol. 7. hydrochlorothiazide. 8. colace. 9. folate. 10. colchicine. 11. allopurinol. 12. vitamin b12. allergies: the patient had no known drug allergies. social history: he was a former smoker, quit in ; drinks one to two martinis every day. physical examination: his examination upon admission, he had a blood pressure of 196/90; heart rate of 80; respiratory rate of 18; 99% on two liters nasal cannula; his temperature was 98.6 f. in the trauma bay, he was awake, alert, oriented times three, coma score of 15. neck was in a collar. he was noted to have a laceration on the left side of the nose, hematoma in the right upper and lower eyelids, bleeding from the nose more on the right than the left side, bruise on the left eye, with no bleeding. his mouth and face were stable. trachea in the midline. no crepitus. good respiratory effort and clear to auscultation bilaterally. regular rate and rhythm. abdomen was soft, nontender, no scars. pelvis was stable. back showed no step-offs, no tenderness to palpation. rectal examination showed normal tone, guaiac negative. extremities with superficial abrasions; all peripheral pulses were present. laboratory: his hematocrit upon arrival was 38.4, white blood cell count of 11.6 with a platelet count of 214. his coagulation studies were within normal limits with a lactate of 2.2. his gas showed a ph of 7.49, co2 of 31, o2 of 82, bicarbonate of 24 with a base excess of 1. his chest x-ray was unremarkable. the cervical spine, as stated above, showed a c4-5 sprain injury. pelvis showed no fractures. a head ct scan showed a left temporal lobe subarachnoid hemorrhage with a question of a small subdural hematoma in the right temporal region. there was a right nasal bone fracture. the chest ct scan and the abdomen shows some degenerative joint disease of the thoracic spine and pleural thickening, otherwise the rest of the scans were unremarkable. hospital progress and course: mr. , on , was taken to the operating room by the neurosurgical team after cardiac clearance and underwent a c4-5 anterior fusion with diskectomy and fixation. this included an open reduction of a hyperextension injury followed by a c4-5 aldf with a fibula allograft and ventral screw plate fixation. this patient tolerated well the complicated procedure and he was transferred in stable condition to the surgical intensive care unit. his postoperative course was complicated by a peri-operative myocardial infarction with a high troponin and supraventricular tachycardia that required cardioversion. cardiology was again consulted and they recommended to start him on amiodarone as well as beta blockers. over the course of the next couple of days, he remained waxing and hemodynamically speaking. he was not spiking fevers and we tried to wean him off the ventilatory support. on this effort, he was aggressively diuresed since he was very positive after the surgery. he continued to require suctioning multiple times on the different shifts and he was producing fairly large amounts of bronchial secretions. the patient failed t-piece trials, especially due to the increased bronchial secretions and it was decided clinically at that time to place a tracheostomy. dr. put a #8 portex tracheostomy on . the patient tolerated the procedure well. once the patient had a tracheostomy, he was able to wean much easier and faster and by postoperative day number eight, he was on 100% trache collar, tolerating it well with good o2 saturations. around this time, he was much more awake than prior days; he was following commands. he remained afebrile with moderately elevated white count in the 15,000. he continued to have massive amount of secretions requiring suctioning from the nursing staff fairly frequently. multiple sputum samples were sent for culturing to the microbiology laboratory but nothing grew out initially. he started to spike temperatures and because of the increasing amount of secretions he was started on levofloxacin empirically. over the course of the next couple of days, he was bronchoscoped multiple times and on the 10th, a bronchial alveolar lavage sample was sent to microbiology and finally came positive for methicillin resistant staphylococcus aureus. he was started on vancomycin and the levofloxacin was discontinued. around this time, when the patient continued having increased bronchial secretions, he had sporadic events of cardiac arrhythmias presenting as supraventricular tachycardia to the 130s, always maintaining good blood pressure. once again, cardiology recommended to continue the amiodarone and the beta blockers. on the night of , the patient bradied down to the 40s, requiring atropine to increase his heart rate and the amiodarone as well as the lopressor was held. the patient was started on dopamine and levophed to keep his blood pressure, and a new cardiology evaluation was obtained. their recommendation was to hold the amiodarone and the beta blockers and wean the pressors as tolerated. by the next day he converted to normal sinus rhythm and he was restarted on a lower dose of beta blockers, lopressor 12.5 mg p.o. twice a day or three times a day if blood pressure allowed. a gj tube was placed by interventional radiology and the patient was started on tube feeds. he continued to do well and defervesced from his spiking temperatures. his tube feeds were advanced to impact with fiber at 90 cc with good tolerance and he was continued on the antibiotic therapy. his mental status continued to improve and by postoperative day 23, tolerating tube feeds, being awake, appropriate, following commands and less rhonchorous and not having as much secretions as he was having in the previous days. he was found to be stable enough to be transferred to the regular floor to await rehabilitation placement. the rest of his hospital course, once on the floor, was relatively uneventful, and finally today he was offered a bed on the rehabilitation facility and he is being transferred to this institution to continue his recovery. at the time of discharge, the patient's list of medications included: discharge medications: 1. insulin sliding scale q. six hours. 2. heparin 5000 units subcutaneously q. 12 hours. 3. prevacid oral solution, 30 mg per gj tube once a day. 4. allopurinol 100 mg p.o. q. day. 5. multivitamin 5 ml p.o. per gj-tube q. day. 6. tums 500 mg per g-tube four times a day. 7. aspirin 325 mg per g-tube q. day. 8. lopressor 50 mg per g-tube twice a day. 9. calcium, magnesium and potassium p.r.n. 10. lasix 20 mg per g-tube twice a day. 11. zoloft 50 mg per g-tube q. day. 12. lorazepam 1 mg intravenous q. six hours p.r.n. 13. intravenous vancomycin 750 mg intravenously once a day, was started on . the recommendation is to continue the vancomycin for at least two weeks. discharge instructions: 1. the patient's diet consists at this time of tube feeds that are impact with fiber at 90 cc an hour continuously. 2. he is methicillin resistant staphylococcus aureus positive. 3. recommendation from neurosurgery was to keep the patient on the cervical hard collar until he follows up with clinic and dr. on . up until that time, the patient should not remove the cervical collar by any means. 4. the patient will follow-up in the trauma clinic only as needed. condition at discharge: as stated above, the condition at the time of discharge is stable. discharge status: once again, as stated above, he should make a follow-up appointment for dr. in the neurosurgerical clinic on . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy temporary tracheostomy other cervical fusion of the anterior column, anterior technique excision of intervertebral disc percutaneous [endoscopic] gastrojejunostomy diagnoses: other specified cardiac dysrhythmias methicillin susceptible pneumonia due to staphylococcus aureus acute myocardial infarction of unspecified site, initial episode of care other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of fourth cervical vertebra closed fracture of fifth cervical vertebra closed fracture of nasal bones subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness 

Answer: The patient is high likely exposed to