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: rle ischemia and 2 week h/o cold r foot major surgical or invasive procedure: 1. diagnostic abdominal aortogram and pelvic arteriogram and right lower extremity runoff, contralateral third order catheterization. cpt codes , and . 2. right superficial femoral to peroneal artery bypass with nonreversed saphenous vein, angioscopy and ligation of popliteal artery aneurysm history of present illness: the patient is an 84-year-old male who presented with a 2-week history of progressive acute onset of right foot ischemia secondary to a thrombosed large right popliteal aneurysm. the patient was scheduled for diagnostic arteriogram of the right lower extremity past medical history: pmh: aaa, pvd w/ l iliac aneurysm, r aneurysm approx 5cm, l aneurysm approx 3 cm, chronic afib, htn, benign prostatic hyperplasia (no surgical history) social history: pos smoker pos drinker family history: n/c physical exam: expired pertinent results: 03:56am blood wbc-15.6* rbc-2.87* hgb-9.6* hct-29.2* mcv-102* mch-33.5* mchc-33.0 rdw-17.8* plt ct-186 03:56am blood pt-24.6* ptt-31.0 inr(pt)-2.5* 08:40am blood glucose-155* urean-30* creat-1.0 na-142 k-3.7 cl-102 hco3-32 angap-12 07:50am blood alt-18 ast-21 ck(cpk)-42 amylase-11 totbili-0.4 08:48am blood probnp-4534* 08:40am blood calcium-8.1* phos-3.4 mg-2.0 08:47am blood type-art po2-170* pco2-46* ph-7.46* caltco2-34* base xs-8 07:51am urine color-yellow appear-hazy sp -1.020 urine blood-lg nitrite-neg protein-100 glucose-neg ketone-neg bilirub-neg urobiln-1 ph-8.0 leuks-tr urine rbc-21-50* wbc- bacteri-few yeast-none epi- 5:07 pm catheter tip-iv source: right ij. wound culture (final ): staph aureus coag +. >15 colonies. _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin-------------<=0.25 s penicillin------------ =>0.5 r trimethoprim/sulfa---- s radiology final report chest (portable ap) 4:39 am chest ap: the tip of the left ij line lies in the left innominate vein. there is no pneumothorax. bilateral pleural effusions are again seen, not significantly changed since the prior chest x-ray of . impression: no change since prior chest x-ray. failure persists. cardiology report echo study date of patient/test information: indication: atrial fibrillation/flutter. hypertension. left ventricular function. height: (in) 69 weight (lb): 170 bsa (m2): 1.93 m2 bp (mm hg): 146/69 hr (bpm): 112 status: inpatient date/time: at 14:30 test: portable tte (complete) doppler: full doppler and color doppler contrast: none tape number: 2007w008-0:44 test location: west inpatient floor technical quality: adequate measurements: left atrium - long axis dimension: *5.4 cm (nl <= 4.0 cm) left atrium - four chamber length: *5.8 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.8 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: *1.2 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: *1.2 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 4.5 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 35% to 40% (nl >=55%) aorta - valve level: 2.8 cm (nl <= 3.6 cm) aorta - ascending: 3.0 cm (nl <= 3.4 cm) aortic valve - peak velocity: *3.9 m/sec (nl <= 2.0 m/sec) aortic valve - peak gradient: 72 mm hg aortic valve - mean gradient: 46 mm hg aortic valve - lvot peak vel: 0.70 m/sec aortic valve - lvot diam: 2.2 cm aortic valve - valve area: *0.7 cm2 (nl >= 3.0 cm2) mitral valve - e wave: 1.4 m/sec mitral valve - e wave deceleration time: 125 msec tr gradient (+ ra = pasp): *53 mm hg (nl <= 25 mm hg) pulmonic valve - peak velocity: *1.1 m/sec (nl <= 1.0 m/s) interpretation: findings: right atrium/interatrial septum: mildly dilated ra. small secundum asd. the ivc is normal in diameter with <50% decrease during respiration (estimated rap 11-15mmhg). left ventricle: mild symmetric lvh. normal lv cavity size. moderately depressed lvef. no resting lvot gradient. no vsd. right ventricle: mildly dilated rv cavity. normal rv systolic function. aortic valve: severely thickened/deformed aortic valve leaflets. severe as (aova <0.8cm2). mild (1+) ar. mitral valve: moderately thickened mitral valve leaflets. no mvp. moderate mitral annular calcification. mild thickening of mitral valve chordae. no ms. lv inflow pattern c/w restrictive filling abnormality, with elevated la pressure. tricuspid valve: mildly thickened tricuspid valve leaflets. mild tr. moderate pa systolic hypertension. pulmonic valve/pulmonary artery: no ps. pericardium: no pericardial effusion. general comments: the rhythm appears to be atrial fibrillation. conclusions: a small secundum atrial septal defect is present. the estimated right atrial pressure is 11-15mmhg. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly to moderately depressed with global hypokinesis (the inferior and infero-lateral walls appear slightly more hypokinetic in some views). there is no ventricular septal defect. the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is no mitral valve prolapse. the left ventricular inflow pattern suggests a restrictive filling abnormality, with elevated left atrial pressure. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. cardiology report ecg study date of 4:33:34 pm atrial fibrillation with a mean ventricular response rate, 97 with ventricular premature depolarizations. left ventricular hypertrophy with non-diagnostic repolarization abnormalities consistent with left ventricular strain pattern. compared to the previous tracing of multiple abnormalities persist without major change. intervals axes rate pr qrs qt/qtc p qrs t 97 0 90 -134 brief hospital course: pt admitted had angiogram / no complications. sheah pulled in the usual fashion. pt pre-op'd for surgery cardiology consulted / recommended echo echo: a small secundum atrial septal defect is present. the estimated right atrial pressure is 11-15mmhg. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly to moderately depressed with global hypokinesis (the inferior and infero-lateral walls appear slightly more hypokinetic in some views). there is no ventricular septal defect. the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is no mitral valve prolapse. the left ventricular inflow pattern suggests a restrictive filling abnormality, with elevated left atrial pressure. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. pt underwent a right superficial femoral to peroneal artery bypass with nonreversed saphenous vein, angioscopy and ligation of popliteal artery aneurysm. when foley placed, traumatic placement, noticed pt had blood in urine post foley placement. urology consulted: --upper tracts have been assessed for mass lesions or other causes of hematuria with us which is negative; no need for further imaging studies. --minimize anticoagulation as medically possible. --hand irrigate prn clots, decreased output, or increased urine redness. if urine worsens, will need 3 way placed and cbi initiated. --patient should have foley catheter in place per primary medical team. pt tolerated the procedure well. no complications. because of the severe aortic stenosis. pt was transfered directly to the ticu post operatively. once extubated. he was brought up to the vicu. while in the vicu it was noticed that the pt had a hard time swallowing, pt made npo. a speech and swallow exam was done: the pt had signs of aspiration after the ice chips, thin liquids and nectar thick liquids with overt coughing and drop in o2 sats. this is likely his recent extubation and is expected to improve over time. he is safe at this time to take his pills with purees, recommend he remain npo. pt had difficulty breathing, requiring lasix. a chest x-ray was done: - 1. right ij central line tip in region of svc/ra junction. left lower lobe collapse and/or consolidation and small left effusion, slightly worse compared with . 2. chf findings, worse compared with , with new right effusion vs atelectasis. pt diuresed / on ab to cover presumed pna. pt monitered in vicu status all lines remained. follow-up speech: had signs of aspiration with thin liquids, but was advanced to nectar thick liquids and ground consistency solids. follow-up speech: the pt continues to have intermittent coughing during meals per the pt's family and rn, but the aspiration has been reduced significantly with the nectar thick liquids. fevers / pan cx'd pt had severe respiratory failure. transfered to the sicu. here he was intubated / ng tube placed. cxr: mild improvement in diffuse pulmonary edema with persistent bilateral pleural effusions. lasix / propofol drip resp cx'd via bronchcoscopy: bronchial washings left lung. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. 1+ (<1 per 1000x field): budding yeast with pseudohyphae. respiratory culture (final ): >100,000 organisms/ml. oropharyngeal flora. staph aureus coag +. 10,000-100,000 organisms/ml.. yeast. 10,000-100,000 organisms/ml.. staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin------------- 0.5 s penicillin------------ =>0.5 r culture source: venipuncture. staph aureus coag +. final sensitivities. staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin------------- 0.5 s penicillin------------ =>0.5 r pt respiratorry status worsened. another x-ray was obtained. cxr: comparison is made with the prior chest x-ray of six hours previous. the right lung appears clearer than on the prior occasion with a marked reduction in the size of the right pleural effusion. there is no evidence of pneumothorax. the left pleural effusion persists and may indeed be somewhat larger. the degree of pulmonary edema appears less. discussion was made with the family. pt made cmo pt shortly afterwards. -septecemia -aspiration pna -severe aortic valve stenosis medications on admission: : ultram 100mg qd, coumadin 2mg qt/th/sat/sun and 3mg qm/w, digoxin 0.25mg qd, catapres 0.2mg/friday, fosamax 70mg/sat, lasix 20mg qd discharge medications: n/a - pt expired discharge disposition: expired discharge diagnosis: pt -septecemia -aspiration pna -severe aortic valve stenosis discharge condition: n/a - pt expired discharge instructions: n/a - pt expired followup instructions: n/a - pt expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass closed [endoscopic] biopsy of bronchus aortography pulmonary artery wedge monitoring transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: other postoperative infection congestive heart failure, unspecified unspecified essential hypertension severe sepsis chronic airway obstruction, not elsewhere classified atrial fibrillation aortic valve disorders methicillin susceptible staphylococcus aureus septicemia pulmonary collapse acute respiratory failure long-term (current) use of anticoagulants infection and inflammatory reaction due to other vascular device, implant, and graft abdominal aneurysm without mention of rupture other and unspecified coagulation defects arterial embolism and thrombosis of lower extremity atherosclerosis of native arteries of the extremities with ulceration ulcer of heel and midfoot aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to