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: intoxication major surgical or invasive procedure: intubation picc line insertion history of present illness: history of present illness: mr. is a 20 y/o m with a history of bipolar disorder, polysubstance abuse who presented to the er after being found at the house of blues, agitated, diaphoretic and with dilated pupils. after speaking with his mother, it was discovered that he has a history of polysubstance abuse, was admitted to hospital in the past few weeks after an episode of intoxication, thought to have taken pcp and , with possible other co-ingestions at that time. after discussion with his mother he has had multiple episodes of stopping his lithium in the past, and recently has been doing several different drugs. his mother states that in his tox screen was positive for cocaine, methamphetamines and alcohol, she also says that she knows that he has been doing and possibly pcp . . in the ed, initial vs were: t-98.4 p-140's bp-130's/80's r-35 o2 sat-100% on ra. patient was given 25mg of haldol and 8mg of ativan, after which he was intubated for airway protection. he had an ekg that had normal axis and intervals, negative serum tox screen, a lithium level of 0.3 and chemistry panel notable for a cr of 1.7, bicarb of 15 with an anion gap of 27. toxicology was consulted who felt that this fit with a sympathomimetic clinical picture, they recommended avoiding further haldol given that it can lower the seizure threshold, sedation with benzodiazepines, and further work up of his acid base status. a head ct was done that preliminarily did not show any acute ich, fracture or other acute process. vs prior to transfer were: 97, 110's/80's, 17, 100% on ventilator settings of 500 x 14, peep of 5, fio2 of 100%, on propofol 100 and versed 8. . on the floor, initial vs were: 96.4, 72, 114/46, 19, 99% on 500 x 16, peep of 5, fio2 of 100%. he is intubated and sedated, not responding to verbal stimuli. review of systems: unable to obtain, patient intubated/sedated past medical history: bipolar disorder polysubstance abuse social history: tobacco: ppd alcohol: frequent illicits: polysubstance abuse including methamphetamines, cocaine, pcp, family history: nc physical exam: vitals: t: 98.2 bp: 118/57 p: 56 r:20 o2: 100%, intubated general: intubated, sedated heent: 4mm pupils, reactive bilaterally, no nystagmus, oral mm dry; 4cm x 4cm area of ecchymoses over right frotal forehead neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilateral anterior lung fields cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly ext: multiple abrasions over lower extremities; some circumferential areas of bilateral feet (related to skin popping?), normal tone skin: warm, no diaphoresis pertinent results: 01:36am urine hours-random 01:36am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 01:00am urine color-straw appear-clear sp -1.011 01:00am urine blood-lg nitrite-neg protein-150 glucose-tr ketone-15 bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 01:00am urine rbc-0-2 wbc- bacteria-few yeast-none epi-0-2 11:40pm glucose-284* urea n-15 creat-1.7* sodium-140 potassium-3.6 chloride-98 total co2-15* anion gap-31* 11:40pm estgfr-using this 11:40pm ck(cpk)-377* 11:40pm lithium-0.3* 11:40pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 11:40pm wbc-16.8* rbc-5.65 hgb-16.8 hct-50.9 mcv-90 mch-29.7 mchc-32.9 rdw-13.4 11:40pm neuts-79.0* lymphs-16.8* monos-3.3 eos-0.3 basos-0.6 11:40pm plt count-460* 7:35 am blood culture **final report ** blood culture, routine (final ): staph aureus coag +. consultations with id are recommended for all blood cultures positive for staphylococcus aureus and species. final sensitivities. this isolate is presumed to be resistant to clindamycin based on the detection of inducible resistance . staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin------------- 0.5 s trimethoprim/sulfa---- <=0.5 s anaerobic bottle gram stain (final ): gram positive cocci in pairs and clusters. reported by phone to dr. 14:10. ----- blood cultures from are negative and from , , , are pending. ----- tte the left atrium and right atrium are normal in cavity size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). transmitral and tissue doppler imaging suggests normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. no masses or vegetations are seen on the aortic valve. the mitral valve appears structurally normal with trivial mitral regurgitation. no mass or vegetation is seen on the mitral valve. there is no pericardial effusion. impression: no vegetations or clinically-significant regurgitant valvular disease seen (excellent-quality study). normal global and regional biventricular systolic function. in presence of high clinical suspicion, absence of vegetations on transthoracic echocardiogram does not exclude endocarditis. rue ultrasound impression: distal right cephalic venous thrombosis. no evidence of dvt within the right upper extremity. brief hospital course: mr. is a 20y/o gentleman who was found down after intoxication with what appeared to be a sympathomimetic toxidrome (he admitted to use). #) overdose: toxicology consulted in the er, who recommended avoiding further haldol given that it can lower the seizure threshold. clinical picture was consistent with a sympathomimetic toxidrome, however tox screen was initially negative for methamphetamines. on second screen in micu methamphetamines were positive. patient was initially intubated in the ed but on was extubated successfully in the micu. on patient was fully awake and appropriate. admited to and marijuana. he was transferred to the medical floor, where he was initially on ciwa protocol but did not require any benzos. he was stable, without symptoms of intoxication or withdrawal. he has been seen by social work; there are plans for him to undergo a wilderness rehab trip in in the future. he is being discharged to inpatient rehab facility. #) rue thrombophlebitis with mssa positive blood culture mr. fevers to 102 when leaving the micu; infectious workup was negative including cxr, ua/urine culture, negative blood cultures. he remained without leukocytosis. he was found to have a palpable cord in his rue at an iv insertion site; the line was removed and ultrasound revealed superficial venous thrombosis. on the day the iv was removed, he had one mssa+ blood culture. id consult was obtained; tte was an excellent quality study showing no vegetations. he had received one day of vancomycin before sensitivities had returned, at which point he was switched to iv nafcillin. the plan is for a 4 week course of iv antibiotics; he is being discharged with a picc line. the cord is still palpable, and he has remained afebrile without signs or symptoms of infection. he has follow-up with infectious disease (dr. on . #) arf: creatinine 1.7 on admission, records from pcp??????s office showed a cr of 1.2 in . continued aggressive ivf hydration given risk for rhabdomyolysis, mildly elevated ck and u/a with large blood but 0-2 rbc??????s. cr did trend down during micu stay and ck trended down as well. he likely had mild rhabdomyolysis and by the time of discharge, his creatinine was 0.9. #) bipolar disorder: per psychiatry recs, his lithium was d/c'd. he remained without any hallucinations or racing thoughts, and he will follow up with psychiatry as an outpatient. medications on admission: none discharge medications: 1. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 2. nafcillin 2 gram recon soln sig: two (2) grams intravenous every four (4) hours for 22 days: day 1 was , last day is (total of 4 weeks). discharge disposition: extended care facility: discharge diagnosis: substance abuse superficial thrombophlebitis bacteremia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital because you were "found down" after ingestion of drugs. you were intubated and given medications, and when you were more stable you were transferred from the icu to the medical floor. you developed a superficial phlebitis (superficial venous clot) which we do not believe is currently infected, but you did have one positive blood culture so you will need 4 weeks of iv antibiotics. you are being discharged with a plan for you to begin treatment for your drug use. please insure that you inspect your right arm regularly and seek medication attention for redness, warmth, swelling or pain at the site of the superficial clot in your right arm. you should also seek medical attention for fever. you should continue to use warm compresses to this area as you are able to. on the day of discharge you had been afebrile and without evidence of infection; please ensure that you see your pcp for visit to insure the you remain in good health. you do not take any medications at home; the only change is that you will need the iv antibiotics (nafcillin) for a total of 4 weeks. followup instructions: primary care: name: ,md when: wednesday 11:30am location: dma- address: one st, , phone: infectious disease: dr. , md 10:30a lm bldg (), basement md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: tobacco use disorder acute kidney failure, unspecified other, mixed, or unspecified drug abuse, unspecified alcohol abuse, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site accidental poisoning by psychodysleptics [hallucinogens] other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities bipolar disorder, unspecified rhabdomyolysis poisoning by psychodysleptics (hallucinogens) hallucinogen abuse, unspecified 

Answer: The patient is high likely exposed to