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: acute renal failure major surgical or invasive procedure: tunnelled line placement for hemo dialysis on history of present illness: 85 yo man with several recent hospitalizations for gallstone pancreatitis who was admitted to an osh with blood-loss anemia and renal failure. recent pmhx begins in late when he was admitted here with gallstone pancreatitis. ercp was attempted but they could not cannulate the cbd; symptoms improved with supportive care and the pt was d/c home after one week. sx recurred in mid- when he was admitted to an osh. there he was felt to need a ccy and so was sent here, where an ercp was repeated and the cbd cannulated with sphincterotomy and stone extraction; duodenal ulcers were also incidentally noted during this study. a ct scan showed ? non-enhancing lesion at the head of the pancreas (necrotizing pancreatitis vs. pseudocyst). his hospital course was c/b mrsa bacteremia found on routine blood cxs . a subsequent tee was equivocal (debris with calcifications vs. vegetations), so the plan was made for empiric treatment of endocarditis with vanco x6 weeks through a lue picc. the pt was ultimately discharged from the on to a nh. there he was getting vanco for 7-8 days, also prn lasix for le edema. he was sent in to an osh with a cr of 4.4 (baseline 1.4), hct 25 (baseline 30). his anemia was thought to likely be multifactorial (pud vs. lgib vs. renal failure). he was initially given two unit prbcs with an appropriate response. his fena there was c/w pre-renal azotemia in the setting of total body volume overload. his meds renally dosed and his diuretics were held due to presumed intravascular volume depletion. despite low-salt albumin and the prbc transfusions noted above, his creatinine had increased to 6.0 on the day prior to transfer here. he has also been oliguric (200-400 cc/day for 5-6 days prior to transfer), and he has developed hyperkalemia and pulmonary edema. discussions were held with the patient and his family regarding the initiation of hemodialysis, and ultimately the decision was made to pursue a trial of hemodialysis. he is therefore transferred here for initiation of hemodialysis. of note, the patient has reportedly also had progressive abdominal distension over the 1-2 weeks. a kub done at the osh on the day prior to transfer was suggestive of a partial sbo. at no point, however, has he had n/v or abd pain. he is having bowel movement and passing flatus, and he is tolerating a po diet. his lipase and amylase were also increasing, thus raising the question of recurrent pancreatitis. for these reasons, he was made npo on the night prior to transfer. past medical history: 1. recurrent gallstone pancreatitis s/p cannulation of the cbd and sphincterotomy 2. cholelithiasis 3. presumptive diagnosis of endocarditis and mrsa bacteremia 4. uti 5. gout 6. htn 7. pud 8. copd 9. dyslipidemia 10. dm-ii 11. chronic renal failure 12. achalasia/gerd 13. hiatal hernia 14. brachial nerve injury c/b rue weakness 15. bipedal neuropathy remote injury 16. prostate cancer (untreated) 17. colonic polyps 18. carpal tunnel syndrome 19. glaucoma 20. oa 21. mrsa (blood and sputum) 22. vre (urine) 23. chronic l pleural effusion social history: world war ii veteran. lives in with his wife. has a remote history of heavy alcohol use and now has 1-2 drinks during the weekend. he no longer smokes but also has a remote history of tobacco use. he is a retired salesman. his daughter is , clinical triage nurse. family history: noncontributory. physical exam: temp 97.2, bp 133/64, hr 75, rr 22, spo2 97% 2l nasal cannula gen: pleasant, obese man appearing his stated age and in mild respiratory distress but able to speak in full sentences. heent: ncat, no sinus tenderness, perrl, dry oral mucosa, op clear. neck: soft and supple. cv: irregular rate, normal s1 and s2, no m/r/g, no carotid bruits. pulm: diffuse rhonchi with decreased breath sounds, crackles, and dullness to percussion over the lower third of the lung fields bilaterally. abd: soft, non-tender, distended, active bowel sounds, mild diffuse guarding but no rebound. back: no cva or paraspinal tenderness. ext: 4+ bilateral lower extremity pitting edema, 2+ dp pulses. nodes: no cervical or inguinal adenopathy. skin: telangiectasias over the superior-anterior chest wall, mild diffuse erythema, no other focal lesions. neuro: waxing and mental status with intermittently appropriate responses to questions, very hard of hearing. pertinent results: wbc-12.0 hct-33.5 mcv-94 plt count-323 pt-13.9 ptt-26.8 inr(pt)-1.2 sodium-137 potassium-5.1 chloride-103 total co2-18 urea n-107 creat-6.0 glucose-191 calcium-7.0 magnesium-2.2 phosphate-8.9 albumin-2.5 alt-12 ast-8 alk phos-64 tot bili-0.4 amylase-197 lipase-116 cxr: enlarged cardiac silhouette, prominent vasculature consistent with pulmonary edema, bilateral pleural effusions (l > r), no free air under the diaphragm kub: non-specific bowel gas pattern, no evidence of obstruction brief hospital course: 85 yo man with several recent hospitalizations for gallstone pancreatitis now transferred from osh with acute renal failure. 1. acute renal failure: cr of 6.0 on admission markedly elevated from prior baseline of 1.2. differential initially included intravascular volume depletion vs. atn (contrast nephropathy?) vs. medication toxicity. osh fena of 0.8% was c/w pre-renal etiology. pt was total-body volume overload. this gradually improved with hemo dilysis. as the admission progressed, renal felt etiology more likely to be cholesterol emboli. renal us was done which ruled out obstructive etiology. renal consult was obtained on admission and hemo dialysis was initiated. pt was stabalized on a mon-wed-fri regimen. decision was made not to persue a renal biopsy as pt and family did not want any invasive procedures. hemodialysis became increasingly challenging secondary to hypotension. on , family decided not to continue with dialysis. 2. pancreatitis/pseudocyst: enzymes mildly elevated on admission ( 197, lipase 116). noncontrast ct of abdomen was obtained which was concerning for a pancreatic pseudocyst. surgery was initially consulted but did not feel surgical intervention was warrented. pt was initially kept npo with a ng tube and tpn for nutrition. however, he self discontined the ng tube on . on , the pt developed increased abdominal pain on exam. abdominal film was unremarkable. after extensive discussion with the pt and family, they decided not to persue further imaging including ct scan or mrcp. they declined any invasive intervention no matter the cause of abdominal pain. at that time, the tpn was discontinued. pt was allowed to eat as desired with a pureed diet. however, he took little by mouth. pt was covered throughout the admission with meropenem and was discontinued on the day of discharge. 5. pneumonia: unclear diagnosis at osh, although there was a question of bibasilar infiltrates on admission cxr. he was treated with ceftriaxone and flagyl. he is currently comfortable on room air with prn nebulizer treatments for audible wheezing. 5. anemia: lab panel at osh c/w anemia of chronic disease. hct stable here. 7. mrsa bacteremia: patient was treated with vancomycin dosed by level and was maintained on contact precautions. vancomycin was discontinued when pt was made cmo as levels were no longer obtained. 8. vre: likely simply colonization of urinary tract. 9. access: lue picc, dialysis catheter 10. f/e/n: pos as tolerated. 11. communication: with wife and daughter. 12. code: dnr/dni. cmo status established on after extensive discussions with wife and daughter. 13. disposition: hospice medications on admission: 1. imipenem 250 mg iv every twelve hours 2. metronidazole 500 orally twice daily 3. vancomycin dosed at hemodialysis 4. ferrous sulfate 325 mg daily 5. advair 50/500 one puff twice daily 6. asa 81 mg daily 7. pilocarpine ophthalmic drops 0.5% one both eyes four times daily 8. zinc sulfate 220 mg daily 9. pantoprazole 40 mg daily 10. metoprolol 25 mg twice daily 11. amlexanox 5% 1/4 inch to mouth ulcers three times daily 12. docusate 100 mg twice daily 13. heparin 5000 units twice daily 14. timoptic ophthalmic drops 0.25% one drop left eye twice daily 15. ursodiol 300 mg orally twice daily 16. regular insulin sliding scale 17. sevelamer 2400 mg three times daily 18. morphine sulfate as needed discharge medications: 1. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. disp:*10 nebs* refills:*0* 2. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. disp:*100 cc* refills:*0* 3. scopolamine base 1.5 mg patch 72hr sig: one (1) patch 72hr transdermal q 72 hours (). disp:*10 patch 72hr(s)* refills:*0* 4. morphine sulfate 10 mg/5 ml solution sig: 5-10 cc po q2h (every 2 hours) as needed. disp:*50 cc* refills:*0* 5. lorazepam intensol 2 mg/ml concentrate sig: 0.2-0.4 cc po q2 as needed for agitation, anxiety, tremor. disp:*20 cc* refills:*0* 6. hycosamine sig: 0.2 ml every six (6) hours as needed for end stage congestion: please dispense 1.25mg/ml suspension. disp:*2 cc* refills:*0* discharge disposition: home with service facility: hospice/ health services discharge diagnosis: primary diagnosis: renal failure on hemo dialysis secondary diagnosis: pancreatitis pseudocyst mrsa bacteremia possible mrsa endocarditis htn copd pneumonia gerd type 2 diabetes mellitus glaucoma discharge condition: prognosis poor discharge instructions: none followup instructions: no follow up needed md procedure: parenteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis insertion of (naso-)intestinal tube diagnoses: pneumonia, organism unspecified anemia of other chronic disease congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified candidiasis of mouth bacteremia paralytic ileus atherosclerosis of native arteries of the extremities with gangrene cyst and pseudocyst of pancreas hypotension of hemodialysis 

Answer: The patient is high likely exposed to