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: mitral valve endocarditis major surgical or invasive procedure: mitral valve replacement (29mm st. tissue),ligation of left atrial appendage, failed mitral repair/annuloplasty. history of present illness: this 71 year old white male suffered a septic right ankle earlier this year. this after a colostomy in for diverticulitis. he subsequently had blood cultures positve for e. faecalis and mrsa whch was treated with 8 weeks of gentamicin and vancomycin. the ankle culture grew mrsa in . he had a swollen right ankle in , with no signs of infection, but rather a history of edema with standing and resolution during the night. cardiac catheterization was performed earlier which demonstarted no obstructive coronary disease. he was cleared for surgery from an infectious disease standpoint and was admitted for same. past medical history: non insulin diabetes mellitus hypertension hyperlipidemia mitral valve endocarditis h/o diverticular disease benign prostatic hypertrophy glaucoma anemia of chronic disease chronic obstructive pulmonary disease h/o pulmonary embolus s/p ivc filter h/o septic ankle social history: he quit smoking cigarettes 5-7 years ago with >45 pack years of smoking. he did drink heavily at one point but stopped in early . he is married with two adult children and three grandchildren. he is a retired nuclear engineer and was working as a pharmacy technician prior to this illness. family history: both parents died of cva's. his mother passed away of a stroke in her 80's while his father had an aneurysmal bleed in his 80's. both of his parents also had gastrointestinal disorders with his father having diagnosed diverticulitis. physical exam: awake and alert. no complaints. lungs- essentially clear cor- nsr, crisp heart sounds abdomen- benign. stoma pink, functioning. ext- 1+ edema at ankles. wounds- clean and dry. sternum stable. wt:75.6 kg (v.68 preop) pertinent results: 05:39am blood wbc-4.7 rbc-3.44* hgb-9.8* hct-28.7* mcv-83 mch-28.5 mchc-34.2 rdw-14.3 plt ct-127* 05:39am blood plt ct-127* 05:39am blood glucose-96 urean-24* creat-1.3* na-134 k-3.8 05:39am blood mg-2.1 brief hospital course: the patient was admitted and prepared for surgery. on he went to the operating room where an attempt at mitral repair was unsuccessful. therefore, mitral valve replacment was performed. see operative note for details. he weaned from bypass on phenylephrine and propofol. he remained stable, pressor was weaned off and he was extubated uneventfully. vancomycin was continued pending final tissue culture from the valve. he was transferred to the floor where beta blockade was resumed and diuresis continued. cts were removed and temporary pacing wires also in a timely manner. diuretics were continued at discharge as he was still significantly fluid overloaded. operative tissue culture were sterile at final report and vancomycin was discontinued. at discharge he was ambulatory, wounds were healing well and he felt well. medications and discharge instructions were discussed with him prior to going home. medications on admission: timolol ophtht. proscar 5mg/d terazosin 1mg/d lipitor 10mg/d rhinocort omeprazole 20mg/d asa 81mg/d flomax 0.4mg/d alprazolam 05mg hs prn lunesta 3mg hs lasix 20mg/d cyclobenzamine5mg prn albuterol mdi discharge medications: 1. influen tr-split vac (pf) 45 mcg/0.5 ml syringe sig: one (1) ml intramuscular asdir (as directed). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 3. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 8. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*1 1* refills:*2* 9. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic daily (daily). 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 11. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 12. glyburide 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day): twice daily for a week then once a day. disp:*60 tablet(s)* refills:*2* 14. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 15. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. 16. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day: twice a day for a week then daily. disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: mitral valve endocarditits h/o septic arthritis anemia of chronic disease benign prostatic hypertrophy noninsulin dependent diabetes mellitus hypertension chronic obstructive pulmonary disease glaucoma hyperlipidemia s/p hemicolectomy s/p colostomy chronic renal insufficiency diverticular disease discharge condition: good discharge instructions: no lifting more than 10 pounds for 10 weeks no driving for 4 weeks and off all narcotics shower daily, no baths or swimming report any fever more than 100.5, rednees of, or drainage from incisions report any weight gain more than 2 pounds a day or 5 pounds a week no lotions, creams or powders on incisions take all medications as directed followup instructions: dr in 4 weeks () dr. in weeks dr. in 2 weeks please call for appointments procedure: extracorporeal circulation auxiliary to open heart surgery excision or destruction of other lesion or tissue of heart, open approach open and other replacement of mitral valve diagnoses: anemia of other chronic disease mitral valve disorders diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified acute and subacute bacterial endocarditis personal history of venous thrombosis and embolism methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site colostomy status unspecified congenital anomaly of heart 

Answer: The patient is high likely exposed to