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: hypoxia major surgical or invasive procedure: r-sided thoracentesis history of present illness: 82 m w/ a fib (not on coumadin), dyslipidemia, hypertension, alzheimer's disease, who presents with fatigue, cough, slurred speech and a question of a right facial droop. neurology examined patient in ed and thought he was non-focal, facial droop may be old. pt also had cxr showing large right pleural effusion. while in pt desatted to 80s on nrb. deep suctioning resulted in his sats returning to 90s on high flow face mask. patient also had ct revealing near complete collapse of rml & rll. patient was admitted to the icu for monitoring and he did not require intubation or pressors. past medical history: --alzheimers --afib (not on coumadin) --htn --dyslipidemia --copd --gerd --old r occipital infarct social history: lives with girlfriend of 28 years. daughter in charge of his finances, girlfriend does shopping, cooking, helps him with meds, assists with bathing and dressing. has vna that visits. no tobacco or etoh (heavy drinker in the past) family history: non-contributory physical exam: t:97.6 bp:136/95 hr:73 rr:20 02 sat: 95 2l general: laying in bed, nad skin: warm and well perfused, no excoriations or lesions, no rashes heent: at/nc, eomi, perrla, anicteric sclera, pink conjunctiva, dry mm, supple neck, no lad cardiac: rrr, s1/s2, iii/vi sem @ rusb w/o radiation to carotids, jvd @ 8 cm lung: decreased breath sounds on right base and middle lobe, clear to auscultation within l lung lobes abdomen: nondistended, +bs, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly m/s: moving all extremities well, no cyanosis, clubbing or edema, no obvious deformities pulses: 2+ dp pulses bilaterally neuro: r-sided upper lower facial droop, cn ii-vi, viii-xii intact, alert and oriented to person and place pertinent results: imaging: ct head w/o contrast 10:19 pm impression: 1. no evidence of acute intracranial hemorrhage. 2. remote infarct of the right occipital lobe and possible additional lacunar infarctions as described. . chest (portable ap) 9:42 pm impression: large right pleural effusion. an underlying consolidation or other process is not excluded . ct chest w/o contrast 12:01 pm impression: 1. near complete collapse of the right lower and middle lobes, with retained secretions seen in the right main bronchus and throughout the right-sided airways. bronchoscopy is recommended as the patient is at risk for complete right-sided collapse, in order to clear secretions and to exclude a fixed obstructing lesion. findings discussed with dr. at 3 p.m., , . 2. possible aspirated contrast noted within the right lower lobe. 3. likely right renal cyst. . renal u.s. 12:10 pm impression: limited study demonstrating no hydronephrosis on either side. right renal atrophy. . chest (portable ap) 5:05 am impression: no short interval change, with large right pleural effusion. . echo study date of conclusions: the left atrium is moderately dilated. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. there is global hypokinesis with moderate regional left ventricular systolic dysfunction (septal, anterior and apical near akinesis). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. the right ventricular cavity is moderately dilated. right ventricular systolic function is borderline normal. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is no signficant aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests a restrictive filling abnormality, with elevated left atrial pressure. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. . chest (portable ap) 1:53 am impression: 1. no significant interval change to moderate-sized right pleural effusion and atelectasis of right middle and right lower lobes. 2. persistent mild pulmonary edema. . chest (portable ap) 4:26 pm impression: status post right thoracentesis, with small right pleural effusion persisting. no pneumothorax. . mra brain w/o contrast 8:37 am impression: 1. no acute infarct. 2. right occipital encephalomalacic changes and chronic microvessel disease and bilateral centrum semiovale. 3. atherosclerotic disease involving right distal vertebral, bilateral mca with possible mid basilar, short segment moderate stenosis. to consider ct angiogram for better evaluation of these vessels, as this study is limited in accurate assessment due to artifacts. . . micro: blood culture: ngtd . urine culture: staph spp. sputum cx: mrsa . pleural fluid procedure date of negative for malignant cells. culture: no growth to date brief hospital course: 82 m w/ copd who presents with o2 desaturation in setting of large right pleural effusion s/p large volume r thoracentesis. respiratory distress: probably some component of mucous plug given rll & rml with retained bronchial secretions. patient is s/p thoracentesis, which he tolerated well and has been off oxygen since. etiology of large r-sided pleural effusion is unclear, but may be secondary to chronic parapneumonic effusion as a result of chronic aspiration. patient was initially treated with vancomycin/levo/flagyl that was subsequently tailored to just levofloxacin. his pleural fluid was no growth to date at the time of discharge. his sputum culture grew out mrsa and he was started on bactrim in preparation for discharge and azithromycin for atypicals. the patient was also treated with standing albuterol and ipratropium and progressed well throughout the hospital course. his o2 sat became greatly improved s/p thoracocentesis and at the time of discharge he was satting well on room air and during ambulation. . arf: patient with increased creatinine from baseline that resolved with hydration. fena was < 1% suggesting pre-renal etiology. this was follow throughout the hospital course and constant lab values with cr of 1.3 suggests that patient may have a new baseline. . cardiac: - ischemia - patient without history of cad, although does have hx of afib, and patient not on coumadin, perhaps he was thought to be a fall risk. continued patient on aspirin & statin. - pump - ef 30% - continued carvediolol & lisinopril. he was evaluated for icd placement by ep give low ef and brief episode of 9 beat nsvt that was asymptomatic. ep recommended no icd placement at this time given dementia and comorbidities. icd placement can be reevaluated as an outpatient. - rhythm - patient with hx of afib, not on coumadin. carvedilol was continued for rate control. monitored on telemetry and patient has some nsvt and was bradycardic at times, although asymptomatic with both rhythms. as above, patient was evaluated by ep and he is not a candidate for icd at this time. . neuro changes: no focal deficits on exam. patient with hx of stroke, not currently on aggrenox. patient with mri negative for acute stroke (results above) . alzheimers: --continued aricept . gerd --continued ranitidine . after discussion with the patient and the medical staff, and physical therapy, all were in agreement that was a suitable candidate for discharge. medications on admission: --asa 81 --lisinopril 10 mg qd --aricept 10 mg qd --protonix 40 qd --plavix 75 qd --coreg 3.125 qd --ambien 5 mg qhs --pravachol 40 mg qd --klonopin 1 mg tid --albuterol inhaler 2 puffs tid discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*0* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 6. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. atrovent 0.03 % aerosol, spray sig: one (1) nasal every hours as needed. disp:*1 1* refills:*2* 8. ranitidine hcl 150 mg tablet sig: 0.5 tablet po bid (2 times a day). 9. bactrim ds 160-800 mg tablet sig: one (1) tablet po twice a day for 6 days. disp:*12 tablet(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. azithromycin 250 mg capsule sig: one (1) capsule po q24h (every 24 hours) for 6 days. disp:*6 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: primary diagnosis: hypoxia . secondary diagnoses: --alzheimers --afib (not on coumadin) --htn --dyslipidemia --copd --gerd --old r occipital infarct discharge condition: afebrile, stable vital signs, tolerating pos, ambulating with assistance on room air. discharge instructions: you were admitted with shortness of breath and found to have a large right-sided pleural effusion. you were given antibiotics and underwent removal of fluid surrounding the right lung. . 1. please take all medications as prescribed. 2. please go to all medical appointments. 3. please return to the emergency room if you have any concerning symptoms. followup instructions: follow up with your pcp, . on at 2:15pm have your doctor follow up your pleural fluid cultures which at the time of your discharge from the hospital was negative for bacteria. procedure: thoracentesis diagnoses: thrombocytopenia, unspecified esophageal reflux unspecified essential hypertension acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation infection with microorganisms resistant to penicillins other specified cardiac dysrhythmias methicillin susceptible pneumonia due to staphylococcus aureus alzheimer's disease 

Answer: The patient is high likely exposed to