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: shortness of breath major surgical or invasive procedure: none history of present illness: 44 yo m with pmh of als s/p trach and peg and htn who is transferred from osh after presenting there with increased cough and vent need. pmh includes respiratory arrest in in setting of pna which resulted in his need for chronic trach. patient reports that he normally is vented at night but over the last week has had to use his vent intermittently during the day because of respiratory fatigue and increased cough. for the last 2 days he's needed the vent continuously. at the osh, a chest ct with contrast was done that showed bilateral patchy infiltrates at bases and a lll consolidation. he received ctx and azithro and was transferred here. in the ed here, vs: 98.2 96 118/71 14 98% on cmv 650x14 peep:5 fio2: 40%. he received vanco and levo and was transferred to the icu. upon arrival to the icu, patient reports he's had a cold for the last week and congestion which in the last few days has progressed into sob. he reports no fever or chills, no dysuria, no n/v/d, no ha, no cp, no orthopnea. past medical history: als s/p trach after pea arrest in setting of pna s/p peg - not currently needed tobacco abuse htn social history: lives alone. wheelchair bound. has night nurse and home health aid during the day. smoked 1ppd. drinks 2 beers/week. occasional marijuana use. family history: mother with als physical exam: on admission vs: temp: bp: 133/75 hr:86 98% o2sat on 650x14 f1o2 of 30%. gen: chronically ill appearing m, pleasant, comfortable, nad heent: trach in place. perrl, eomi, anicteric, dry mmm, op without lesions resp: rhonchorous throughout, scattered crackles and decreased breath sounds at the bases cv: regular rate, no mrg abd: peg tube in place with no surrounding erythema. soft, ntnd. no r/g ext: no c/c/e skin: morbilliform rash on back. neuro: aaox3. moves all 4 extremities, lle -, rle 4+/5. pertinent results: 02:15am blood wbc-8.0 rbc-5.06 hgb-15.2 hct-45.5 mcv-90 mch-30.1 mchc-33.5 rdw-13.5 plt ct-243 02:15am blood glucose-90 urean-8 creat-0.3* na-141 k-4.0 cl-106 hco3-23 angap-16 blood cultures x2 no growth to date 11:23 am sputum source: endotracheal. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram positive cocci. in pairs and clusters. 4+ (>10 per 1000x field): gram positive rod(s). respiratory culture (preliminary): brief hospital course: 44 yo m with als s/p trach and peg admitted to the icu with pna requiring additional vent support increased from baseline. 1. pneumonia: he remained hemodynamically stable throughout his admission. he was diagnosed with pneumonia seen on outside hospital ct. he was admitted to the icu because he is chronically vented. ct with contrast was performed and showed no large pe. patient was treated with ceftriaxone and levofloxacin initially, with plans for an 8 day course. blood cultures remained negative. his sputum culture grew staph aureus and his mrsa screen was positive, and his antibiotics were changed to vancomycin, for a total of an 8 day course. a picc line was placed, and patient was discharged with vancomycin to be administered by vna. he was not at his baseline ventilator requirements on discharge, however given that he is vented at night, and has a vent nurse at home for assistance, the patient felt comfortable and was quite eager to go home. he was comfortable managing his ventilator settings by himself, as he had been doing for the 2 weeks prior to admission. 2. als: had not see his neurologist in 2 years. his rilutec was continued. we arranged outpatient neurology follow up for him. medications on admission: metoprolol 12.5mg riutec 50mg po bid ca/vid d mvi discharge medications: 1. riluzole 50 mg tablet sig: one (1) tablet po bid () as needed for als. 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. calcium 500 + d 500 mg(1,250mg) -400 unit tablet sig: one (1) tablet po twice a day. 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po every twelve (12) hours. 5. heparin, porcine (pf) 10 unit/ml syringe sig: three (3) ml intravenous prn (as needed) as needed for line flush. disp:*30 ml(s)* refills:*0* 6. vancomycin 1,000 mg recon soln sig: 1250 (1250) mg intravenous twice a day for 4 days. disp:*4 days* refills:*0* discharge disposition: home with service facility: home therapies discharge diagnosis: community-acquired pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. requiring ventilator support through trach during the day and at night. discharge instructions: you were admitted to with pneumonia and increased need for ventilatory support. you were treated with antibiotics for your pneuomonia (vancomycin). you will need to complete this for a total of 8 days. the last day of your antibiotics will be . changes to your medications: added vancomycin 1250mg iv every 12 hours through followup instructions: you have the following neurology appointment: provider: , md phone: date/time: 9:30 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more central venous catheter placement with guidance diagnoses: tobacco use disorder unspecified essential hypertension amyotrophic lateral sclerosis gastrostomy status tracheostomy status dependence on respirator, status methicillin resistant pneumonia due to staphylococcus aureus wheelchair dependence 

Answer: The patient is high likely exposed to