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: robitussin pediatric / hytrin / hydrochlorothiazide attending: chief complaint: fall major surgical or invasive procedure: hd line placement, intubation history of present illness: 84 year old male with hx of htn, cva, cirrhosis, known ascites, presents s/p fall. patient says that he got up from his couch, felt unsteady, and fell on his right shoulder and back. says he may have felt a little dizzy prior to falling, but is not sure. the fall was unwitnessed. patient doesn't think that he hit his head or lost consciousness, but son reported that there was loc. he had had a beer and a sip of brandy prior to getting up off the couch. he's had other falls in the past. the most recent of which was 1 week ago. says that he had gotten his foot caught on the carpetting and fell. has felt slightly weaker in the past week. denies chest pain, sob, palpitations, n/v. . patient also complains of having diarrhea off and on. he had diarrhea starting this morning, saying that he's had episodes of diarrhea already. last incidence of diarrhea was about 1-2 weeks prior to this one. denies any fevers, abdominal pain, nausea, vomiting. . in the ed, a bedside abdominal ultrasound was done to check for abdominal bleeding, which returned positive. this prompted a ct of the torso which showed no bleed. he received 2 l of fluids in the ed for a lactate of 2.2. lactate improved to 0.9. orthostatics reported to be normal. he was also noted to be hyponatremic at 125. . on the floor patient is feeling comfortable. not complaining of anything other than a little soreness in his shoulder and back from where he fell. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, constipation or abdominal pain. no dysuria. denied arthralgias or myalgias. past medical history: htn bph h/o ascites cva - visual field loss right eye. ?amaurosis. by report, no etiol found. ? h/o one week of right facial weakness. subtle asymmetry on exam. began asa. carotid u/s shows <40% stenosis bilat. branch retinal artery occlusion, rx conservatively (dr. ). previous w/u for embolic source neg. resumed asa. cirrhosis - u/s suggestive of fibrosis allergic rhinitis b12 deficiency anemia etoh abuse social history: drinks 5 beers and has a "couple of shots" of brandy a day, 12 pack year smoking hx quit . retired, worked as a police officer recently widowed family history: sister had rectal cancer, brother with a history of brain cancer. physical exam: on admission: vitals: 98.1, 174/87, 81, 20, 100%4l general: aaox3, nad heent: perrla, eomi, op clear, no jvd, no lad, neck supple lungs: slight dullness to auscultation in right lower lobe, otherwise clear breath sounds, no w/r/r cv: s1s2, rrr, no m/r/g abd: soft, distended, +ascites, nontender, +bs ext: no e/c/c, 1+ peripheral pulses neuro: no nystagmus, cn ii-xii grossly intact, 5/5 strength throughout, good coordination on discharge: pertinent results: 02:50pm glucose-94 urea n-14 creat-1.5* sodium-125* potassium-4.3 chloride-93* total co2-19* anion gap-17 02:50pm alt(sgpt)-13 ast(sgot)-38 alk phos-204* tot bili-0.4 02:50pm ethanol-25* 02:50pm wbc-6.7 rbc-3.82* hgb-10.5* hct-31.3* mcv-82 mch-27.5 mchc-33.6 rdw-15.1 02:50pm pt-13.2 ptt-29.4 inr(pt)-1.1 02:55pm lactate-2.2* 02:42am blood hct-18.2*# 09:42am blood hct-26.7* 05:44am blood pt-22.8* ptt-57.0* inr(pt)-2.2* 03:24am blood glucose-105* urean-75* creat-5.7* na-131* k-4.7 cl-97 hco3-17* angap-22* 03:24am blood alt-11 ast-24 ld(ldh)-145 alkphos-134* totbili-5.9* dirbili-4.5* indbili-1.4 03:24am blood albumin-3.3* calcium-7.5* phos-3.9 mg-2.1 05:47am blood type-art temp-35.5 po2-146* pco2-33* ph-7.30* caltco2-17* base xs--8 intubat-intubated micro: sputum gram stain-final; respiratory culture-preliminary inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient mrsa screen mrsa screen-pending inpatient rapid respiratory viral screen & culture respiratory viral culture-final; respiratory viral antigen screen-final inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient urine legionella urinary antigen -final inpatient rapid respiratory viral screen & culture respiratory viral antigen screen-final; respiratory viral culture-final inpatient blood culture blood culture, routine-pending inpatient sputum gram stain-final; respiratory culture-final inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient pleural fluid gram stain-final; fluid culture-final; anaerobic culture-preliminary inpatient sputum gram stain-final; respiratory culture-final inpatient peritoneal fluid gram stain-final; fluid culture-final; anaerobic culture-preliminary inpatient blood culture blood culture, routine-final inpatient blood culture blood culture, routine-final {staph aureus coag +}; anaerobic bottle gram stain-final; aerobic bottle gram stain-final inpatient urine urine culture-final inpatient blood culture blood culture, routine-final {staph aureus coag +}; aerobic bottle gram stain-final; anaerobic bottle gram stain-final inpatient sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 0.5 s trimethoprim/sulfa---- <=0.5 s stool clostridium difficile toxin a & b test-final inpatient blood culture blood culture, routine-final emergency brief hospital course: medical floors course: mr is an 84 m with htn, h/o prior cva, etoh abuse who presented s/p fall, subsquently found to have mssa bacteremia, sbp and transuduative pleural effusion; transferred to micu on with altered mental status. . # fall. per report appears to have syncopized in setting of hypovolemia (poor po intake as well as diarrhea in days preceding hospitalization). no indication of seizure activity (no incontinence, no post-itcal state) no evidence of cardiac cause as telemetrey monitored without evident, biomarkers negative. ct head: negative. . # cirrhosis/ascites/sbp. regarding risk factors patient with known h/o etoh abuse as well as hep b infection which had been cleared based on serologies. hep c negative. patient without formal diagnosis of cirrhosis in past though hypothesized due to us with nodular liver characterized. on admission physical patient with signs of cirrhosis: tense peri-hepatic ascites, bilateral peripheral edema, splenomegaly, spider angiomas, duputrons contractures. diagnostic paracentitis performed with peritoneal fluid consistent with sbp. patient started on ceftriaxone which was later switched to cipro/flagyl. patient received albumin per sbp protocal. liver consulted for assistance in management. due to preserved synthetic function there was question regarding etiology of ascites ? cirrhosis vs cardiac however demonstrated preserved systolic function with ef>55%. ruq us obtained which demonstrated nodular hepatic architecture, no focal liver lesion, no biliary dilatation, mild splenomegaly, no e/o portal vein thrombosis. . # cough. patient with 3-4months of productive cough which he attributed to allergies. admission ct with moderate right pleural effusion with adjacent compressive atelectasis. patient found to be dyspneic on day 2. diuresis with iv lasix 20mg attempted without improvement of symptoms. decision made to proceed with diagnostic and therapeutic thoracentitis. fluid consistent with exudate ?parapneumonic. urine legionella negative. repeat cxr with improved effusion with rll opacity: atelectasis/fluid though underlying consolidation could not be ruled out. patient initially treated for commmunity-acquired pneumonia with ceftriaxone and azithromycin. id consulted. in setting of multiple infections drug regimen transitioned to naficillin, azithromycin, cipro/flagyl. due to nature of cough concern for pertussis for which the patient was placed in isolation and treated with a 5day course of azithromycin. . # mssa bacteremia. patient spiked a fever on . cultures with gram positive cocci. patient initially placed on vancomycin. switched to nafcillin when speciated out to mssa on . ?source: endocarditis vs skin source as patient with several areas of excoriation on forearm and shins. tee ordered however patient unable to tolerate procedure to examine for vegatations. physical on the floor notable for stable, unchanged murmur, negative for additonal exam findings consistent with endocarditis. id consulted. recommended treating with iv nafcillin for likely 6weeks as endocarditis could not be ruled out. . # acute kidney injury. patient with baseline chronic kidney disease with creatinine at baseline 1.6. on admission, creatinine 1.6. bump in creatinine from 1.6 -> 2.2 noted on . urine labs notable for negative eosinophilia, lytes notable for fena<.1 consistent with pre-renal vs hepatorenal syndrome. renal us negative for hydronephrosis ruling out post-renal obstruction. primary team concerned for hepatorenal syndrome. liver and renal consulted for question hepatorenal syndrome especially in setting of sbp. at that time patient without signs of decompensated liver failure via laboratory data. patient continued on albumin. octreotide and midodrine were not started. renal suggested fluid challenge of 1-2l to rule out pre-renal etiology also question contrast-induced nephropathy as patient received cta on . unable to spin urine to assess for presence of casts. patient did not respond appropriately to fluids and became anuric on . decision made to place a hd catheter on in anticipation of renal replacement. . # htn - patient continued on home amlodipine and atenolol on admission. atenolol switched to metoprolol in setting of . . # diarrhea. per report patient with multiple episodes of diarrhea on day prior to admission. c. diff negative and stool studies negative in house. diarrhea resolved in house. # h/o cva. residual deficits: mild dysarthria. ct head negative on admission for new stroke. patient continued on asa on the floor. . micu course: 1. altered mental status: patient was initially transferred to micu for concern of stroke, though upon discussion with neuro and radiology, imaging did not suggest this. seizure not suspected. more likely toxic metabolic in the setting of liver failure, multiple infections, renal failure, sbo, and gi bleed. patient intubated on early morning of for airway protection in setting of ams. 2. sepsis: patient known to have mssa bacteremia of unclear source (negative , refused tee), for which he had been on vancomycin-->nafcillin. also with sbp, treated with ceftriaxone-->cipro/flagyl. patient hypothermic and hypotensive to systolic pressures in 60's in micu. also ? evidence of retrocardiac opacity on cxr. would have broadened treatment to cover for hcap but family soon after decided not to pursue aggressive measures. transiently on peripheral dopamine before family decided to make patient cmo. 3. acute drop in hematocrit: patient noted to have 10 point hct drop from evening of to , also in setting of coagulopathy (due to liver failure versus early dic). he received a total of 3 units prbc and 1 bag of ffp. ng lavage with blood tinged fluid, no gross blood. no plans to scope for gi bleed in setting of critical illness and multiorgan failure by am of . 4. acute renal failure: thought initially to be due to contract induced nephropathy, though urine sediment never obtained as pt was oliguric during micu stay. urine lytes with na<10, certainly possible that he developed hrs in the setting of sbp and acute liver decompensation. cvvh was not pursued based on goals of care discussion. 5. liver failure: patient with e/o cirrhosis given nodularity of liver and splenomegaly on ultrasound, in addition to presence of ascites. on admission bilirubin 0.4 and inr 1.1, which progressed to bilirubin peaking at 7 and inr peaking at 2.5, suggesting acute liver decompensation. possible precipitants may have been sepsis causing cholestatic picture versus antibiotic effect (ceftriaxone, nafcillin) in a poor substrate. patient not a candidate for transplant per liver team given critical illness and multiorgan failure. 6. goals of care discussion: per discussion with hcp, son, , patient was full code for first 24 hours of course in micu. on , family meeting held with 3 children including hcp, and given critical illness/multiorgan failure as well as low likelihood of meaningful recovery, patient was made comfort measures only at 10am on and expired later in the day. medications on admission: amlodipine 5 mg daily atenolol 100 mg daily finasteride 5 mg daily vitamin b12 asa 81 mg daily iron supplement discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube venous catheterization for renal dialysis thoracentesis arterial catheterization diagnoses: pneumonia, organism unspecified acidosis thrombocytopenia, unspecified acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified cirrhosis of liver without mention of alcohol hepatorenal syndrome hyposmolality and/or hyponatremia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified methicillin susceptible staphylococcus aureus septicemia chronic kidney disease, unspecified pulmonary collapse other sequelae of chronic liver disease other ascites diarrhea encephalopathy, unspecified hypovolemia other and unspecified coagulation defects syncope and collapse alcohol abuse, continuous precipitous drop in hematocrit unspecified intestinal obstruction chronic respiratory failure spontaneous bacterial peritonitis history of fall other specified forms of effusion, except tuberculous late effects of cerebrovascular disease, dysarthria 

Answer: The patient is high likely exposed to