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: history of present illness: this is a 61-year-old male with a past medical history significant for right upper lobe small cell cancer stage iii, status post chemotherapy and radiation, status post right upper lobe sleeve resection , also with past medical history significant for diabetes mellitus, hypertension, prostate cancer status post radical prostatectomy, gerd, tia 15 years ago, gout and copd. the patient has no known drug allergies. the patient is status post right upper lobe lung sleeve resection on for small cell lung cancer. the patient was discharged home doing well until four days prior to admission when he presented to the emergency room with shortness of breath and fevers. the patient was given levaquin and was then discharged home again. he continued having shortness of breath and productive cough. he was admitted for a follow-up bronchoscopy during which time they found a right middle lobe obstruction secondary to swelling. after the procedure the patient had shortness of breath with an oxygen saturation of 88 as well as rigors and chills. the patient was also found to have poor color. the patient's o2 saturation improved. chest x-ray was obtained and the patient was admitted. the patient underwent surgery . the patient underwent completion pneumonectomy, bronchoscopy and serratus flap closure of right main stem bronchus. postoperative day #1 the patient was afebrile with heart rate of 56, blood pressure 104/56, satting at 99%. chest tube output 500 cc. last gas 7.33, 56, 152, 31 and 100%. on exam lungs were clear to auscultation bilaterally. incision, dressings were clean, dry and intact. heart was regular rate and rhythm. abdomen was soft, nontender, non distended. extremities had no swelling. white count 13.4, hematocrit 38.5, platelet count 394,000, potassium 4.8, bun 13, creatinine .6 with glucose of 188, magnesium 1.8 and cpk of 1410. plan was to wean the oxygen and check an abg later on and continue the pneumonectomy tube. to check an ekg because of the ekg change this morning in which patient had st segment elevations, undergo rule out mi protocol. postoperative day #2 the patient had no events over the last 24 hours, patient remained afebrile. heart rate 60, normal sinus rhythm, blood pressure 105/58, satting at 97% on four liters, last gas 7.39, 52, 96, 33. laboratory data revealed white count 13.2, hematocrit 33.8, platelet count 322,000, pt 12.9, ptt 25.7, inr 1.1, potassium 4.7, bun 15, creatinine .5 with glucose 158 and magnesium 1.7. ck, 840. chest x-ray pending. physical exam was benign. plan was to administer lasix today after transfer to the floor. infectious disease came by to see the patient postop day #2 as well because they were requested to recommend an antibiotic for the right infiltrate to prevent the possibility of a postoperative empyema. their recommendation was to continue with the current iv antibiotics. clindamycin and ceftriaxone will be present. in the remote chance of postoperative infection empyema these antibiotics will be present in the cavity and also by peripheral circulation. postoperative day #3, events over the last 24 hours include atrial fibrillation. patient mildly febrile at 99.2, heart rate 57 and sinus rhythm, blood pressure 102/42, respirations 14, satting at 97% on four liters, last gas 7.47, 46, 86, 34, 8 and 97%. white count 10.9, hematocrit 31.5, platelet count 331,000, inr 1.1, ptt 28, potassium 3.9, bun 14, creatinine .5, glucose 141. physical exam was benign. plan was to check the pt, ptt and to get a chest x-ray today and to continue 20 mg of lasix. id came by to see the patient again today at which time they stated that the patient is already on broad coverage for the lung abscess. strep and staff improving, the tubes will be discontinued after the antibiotics. follow-up of sensitivities on the culture and anticipate a three week course of antibiotics. postoperative day #4, events overnight include a bronchoscopy which was negative for fistula. stump was intact, positive secretions. the patient remained afebrile with a heart rate of 57, sinus rhythm, sinus brady. blood pressure 136/68, satting at 100% on 4 liters nasal cannula. white count 8.8, hematocrit 29.8, platelet count 375,000, cultures from grew out streptococcus, coag positive staph. physical exam was benign. id again came by to see the patient at which time they stated that they were awaiting final staph aureus sensitivities before providing the direction of therapy. postoperative day #5 the patient remained afebrile, heart rate 65 and sinus, blood pressure 106/60, satting at 95% on room air. chest tubes were discontinued. urine output 1700. physical exam was benign. white count 10.9, hematocrit 31.5, platelet count 337,000, potassium 3.9, bun 14, creatinine .5 with a glucose of 141, magnesium 2.1. postoperative day #6 on ceftriaxone and clindamycin overnight events include atrial fibrillation and heparinization for possible pe and a chest ct scan. patient on amio and heparin, afebrile, heart rate 108 and atrial fibrillation, blood pressure 96/68, satting at 97% on three liters. hematocrit 37, ptt 28.4, potassium 4.2. physical exam, lungs were irregularly irregular, otherwise unremarkable. postoperative day #7 the patient remained afebrile, heart rate 56, blood pressure 109/65, satting at 97% on two liters. on lopressor, lasix, ceftriaxone, clindamycin and amiodarone, ptt of 28. physical exam unremarkable. the day prior the patient underwent a spiral ct of the chest to rule out a pe. there was radiographic evidence for peripheral pulmonary emboli in the left lung, patient on heparin. id again came by to see the patient at which time they stated that the patient was clinically stable from an id perspective and to continue the antibiotic regimen for a total of 14 days. if the patient spikes a fever they were to be consulted again. postoperative day #8 the patient remained afebrile, vital signs stable, blood pressure 116/74, satting at 99% on 4 liters. exam was benign. plan was to check the ptt. patient is still on heparin. postoperative day #9 the patient remained afebrile with a heart rate of 63 and sinus rhythm, respirations 18, satting at 96% on 3 liters, blood pressure 122/70. the patient was on heparin, lopressor, amiodarone, clindamycin, ceftriaxone and coumadin. on physical exam, exam was benign. plan was to check the inr, ptt and to continue aggressive pulmonary pt. postoperative day #9, overnight events include atrial fibrillation times one and an unchanged cough. the patient remained afebrile with heart rate of 55 and sinus brady, respirations 20, satting at 95% on three liters, blood pressure 139/88, white count 9.7, hematocrit 33, platelet count 490,000, potassium 4.6, bun 8, creatinine .6 and glucose 115. patient on heparin, coumadin, lopressor, amiodarone, lidocaine, xanax. exam still remained unchanged. postoperative day #10, overnight events included atrial fibrillation and a cough which is improving. the patient was afebrile, heart rate 63, respirations 22, satting at 90% on three liters with a blood pressure of 149/78, hematocrit 34.6, bun 8, creatinine .6, pt 16.5, ptt 83.5 with inr 1.8. patient on heparin, lidocaine, coumadin, xanax, amiodarone. exam, decreased breath sounds with crackles of the chest. continue current management. postoperative day #11 the patient remained afebrile with a heart rate of 62, respirations 18, satting at 94% on two liters, blood pressure 96/59, white count 8.5, hematocrit 30, pt 17.6, ptt 113, inr 2.1. patient on coumadin, lopressor, amiodarone, xanax and lidocaine. exam remained unremarkable. plan was to set up home vna and chest x-ray today. patient was discharged on . discharge diagnosis: 1. right middle lobe abscess. discharge medications: the patient was stable on discharge and was discharged home on the following medications: percocet 1-2 tablets po q 4 hours, robitussin ac 10 cc po q 4 hours, ambien 10 mg po q h.s., glyburide 5 mg po q a.m., amiodarone 400 mg po tid for two days, then 400 mg po bid for 7 days, then 400 mg po q a.m. for 7 days, lopressor 12.5 mg po bid, coumadin 2.5 mg po q h.s. and adjust to keep the inr around 2 to 2.5. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours fiber-optic bronchoscopy fiber-optic bronchoscopy fiber-optic bronchoscopy diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified gout, unspecified atrial fibrillation atrial fibrillation other pulmonary embolism and infarction bronchopneumonia, organism unspecified 

Answer: The patient is high likely exposed to