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: increased secretions and fever major surgical or invasive procedure: none history of present illness: this is 72m nh patient w/ tracheostomy who was tx from his nh for fevers and worsening secretions. the patient was recently hospitalized at . during this admission at , a r ij had been placed for abx (vanc for 14 days due to mrsa in sputum and urine). in the ed his vitals were as follows: t102 hr 92 bp 193/77 rr31 o2 sat 100%. it was thought that his source of infection was this central line it was removed. peripherals were inserted. ua was negative. ck was elevated at 2432, however troponin was 0.01. his abg was 7.52/34/94. ekg showed ekg of 84, nl axis, no st elevations or depressions. cxr showed no evidence of pneumonia. ct of the head showed 6mm r subdural hematoma which appeared to be chronic (per records this is chronic. sputum and blood cultures were sent. as stated the patient was hospitalized at icu from to . his principal diagnosis was a l mca stroke. he presented with sudden onset of aphasia and right arm weakness. due to his large territory infarct (l mca) anticoagulation was not initiated. the patient's course was also complicated by mrsa in the sputum and urine. beginning on he was scheduled to receive 14 days of vancomycin. the failed swallow and an peg was placed. the patient had been intubated in the ed for unclear reason. following his extubation in the icu, the patient was trached due to copious secretions. past medical history: alzheimer's dementia right subdural hematoma s/p craniotomy pfo mental retardation since young age fall and enucleated eye hx of etoh abuse htn 1 congenital kidney anemia of chronic disease social history: etoh use, no drug use physical exam: t 101.4 hr101 bp142/54 rr31 o2 sat 97% on 0.4fio2 12 lpm gen: ill appearing male lying on side in a contracted state heent: unable to assess mm, patient refused to open mouth, malodorous, tenacious copious yellow sputum coming from trach. heart: nl rate, s1s2, no gmr lungs: coarse breath sounds abd: difficult to assess given patient's rigid state ext: feet were cold, 2+dp bilaterally pertinent results: 7.54/34/63 lactate 1.4 . 10/21/06catheter tip- no growth to date (pending) . sputum cx-moderate growth oropharyngeal flora . sputum culture-pending . blood culture: no growth to date . urine cx: no growth brief hospital course: fevers: initially presented with fevers and copious respiratory secretions. a pulmonary source was suspected. preliminary sputum showed gram positive cocci and gram negative rods and was covered broadly with vancomycin, ceftaz, and clindamycin. vancomycin was changed to linezolid as patient was currently on vancomycin when he became ill and therefore appeared to fail vancomycin. the patient had a central line for 2 weeks, which was pulled as it was a possible source of infection. final cultures for sputum indicated oral flora. blood cultures have been no growth to date. as cultures came back negative and afebrile, broad coverage antibiotics were discontinued although the plan is to continue a 10 day course of levofloxacin. . recent cva: subdural hematoma on ct appears chronic by our records and osh. continue aspirin. statin held for elevated ck (troponin remained within normal limits). ck and lfts decreased while off statin. keppra was continued for seizure prophylaxis. . elevated ck: may be to statin started for cva, lfts and ck improved when statin held. . fen: continued tube feeds through peg. . ppx: heparin sc, ppi . access: central line pulled as it was in for 2 weeks and a likely source of infection. peripheral iv . code full medications on admission: keppra colace aspirin lopressor lovenox vancomycin lipitor senna folic acid mvi discharge medications: 1. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 2. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 10 days. disp:*10 tablet(s)* refills:*0* 5. albuterol 90 mcg/actuation aerosol sig: 2-4 puffs inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. disp:*2 inhaler* refills:*3* 6. therapeutic multivitamin liquid sig: five (5) ml po daily (daily). 7. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 8. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po daily (daily). disp:*1 bottle* refills:*2* 9. enoxaparin 40 mg/0.4 ml syringe sig: forty (40) mg subcutaneous once a day. discharge disposition: extended care facility: - discharge diagnosis: uri discharge condition: afebrile, respiratory status stable on 40% cool mist to trach discharge instructions: take all medications as directed take levofloxacin 500mg po qday x10 days take albuterol nebulizer q6hr as needed for sob/wheeze continue 40% cool mist to trach continue tube feeds. if you become febrile or experience worsening shortness of breath, call your primary care provider or go to the emergency room. followup instructions: follow up blood cultures/catheter tip culture take levofloxacin 500mg by mouth qdaily x10 days continue 40% cool mist to trach albuterol inhaler q6hr as needed for sob/wheeze see your primary care provider for procedure: venous catheterization, not elsewhere classified injection or infusion of oxazolidinone class of antibiotics diagnoses: anemia of other chronic disease chronic airway obstruction, not elsewhere classified infection with microorganisms resistant to penicillins other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure alkalosis ostium secundum type atrial septal defect accidents occurring in other specified places infection and inflammatory reaction due to other vascular device, implant, and graft alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance gastrostomy status tracheostomy status carrier or suspected carrier of other specified bacterial diseases acute upper respiratory infections of unspecified site 

Answer: The patient is high likely exposed to