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: past medical history: amyotrophic lateral sclerosis diagnosed at age 50 with a tracheostomy at 52 and nasogastric tube at age 52. chronic left lower lobe scarring. pulmonary embolism with ivc filter placed in . status post colon cancer with resection in , with creation of colostomy at . sepsis events requiring hospitalization in and , both thought to be secondary to pneumonia. social history: the patient is a former artist and painter. he has no tobacco and no intravenous drug use. he has been a resident since . as mentioned, his brother, , is very involved. his two children, a son and daughter, are minimally involved. allergies: the patient has no known drug allergies. family history: noncontributory. medications: on presentation to , 1. amikacin 850 mg iv q.d. started . 2. ferrous sulfate 300 mg b.i.d. 3. magnesium oxide 400 mg q.d. 4. zosyn 3.375 g q.6 h. since . 5. potassium chloride 20 meq by g-tube q.d. 6. tequin 150 mg p.o. b.i.d. 7. senokot 2 tablets p.o. q.d. 8. vitamin e 400 units q.d. 9. tylenol p.r.n. 10. lactulose 15 ml via g-tube b.i.d. 11. ativan 0.5 mg iv q.4 h. p.r.n. anxiety. 12. promod tube feedings at 80 cc an hour. 13. free water 350 cc q.8 h. 14. ventilatory settings have been constant simv of 10 to 12, tidal volume 700, peep 5, and oxygen content 30 percent. laboratory data: values on presentation were cbc, which showed a white blood cell count 45.4; however, this was thought to be secondary to intraoperative use of steroids. hematocrit 35.8 and platelets 376,000. urinalysis unremarkable for blood, nitrate, protein, glucose, ketone, bilirubin, and urobilin, however, greater than 50 rbcs and greater than 1000 wbcs. bacteria is noted as many and yeast is noted as none. sodium is 142, potassium 3.7 chloride 113, bicarbonate 16, bun 12, creatinine 0.2, and glucose 179. physical examination: pertinent examination in the post- anesthesia care unit shows a moderately obese man ventilated through the trachea. his motion is limited to his ocular motion and clenching his jaw. he is coherent and oriented and can answer questions, yes, no, indicated through his eyes. pupils are equal, round, and reactive to light. he has no evidence of any anterior or posterior lymph node adenopathy. the lungs are clear to auscultation bilaterally. cardiac examination is unremarkable. abdominal examination is notable for a g-tube in the left upper quadrant. there is a healthy-appearing colostomy with appliance in place in the left lower quadrant. there is a triple-lumen subclavian catheter on his left side. abdominal examination is soft, nontender, good bowel sounds in all four quadrants. lower extremities are again moderately obese. there is a fair amount of swelling, but in general, there is no evidence of any breakdown of his skin on his back or his thighs. hospital course: on , the patient underwent a surgery without any complications. the kidney was noted to be atrophic, but there was no evidence of any frank pus in the kidney. the patient was transferred to the post- anesthesia care unit in stable condition. the ventilator was then rapidly returned to his home settings without any problems. on the night of postoperative day zero, a femoral arterial line was placed after several failed attempts at radial and ulnar arterial lines. arterial blood gas on 30 percent oxygen showed a ph of 7.39, pco2 of 26, po2 of 195, bicarbonate 16, and base excess of negative 7. otherwise, the hospital course through operative day zero was unremarkable. on postoperative day one, the patient was again stable with adequate urine output. consideration was then turned to assessing his antibiotic coverage in light of removal of his kidney. to this effect, infectious disease consultation was requested. in reviewing the patient's case in its entirety, the infectious disease team made note of the fact that the subclavian catheter that the patient had in place had been indeed the same catheter throughout the several septic episodes, having found no record of this having been changed. therefore, on hospital day three, the patient was taken to interventional radiology and a dual lumen picc catheter was placed in his arm. cardiac echocardiogram and subclavian vein echocardiogram were performed to assess for any evidence of any vegetation, which may have been foci for the infection and none were found. the subclavian line was then removed and several sets of surveillance blood cultures had been sent and will continue to be followed. as a final recommendation, infectious disease suggested that the patient's antibiotic coverage be changed from amikacin and zosyn to meropenem 1 g iv q.8 h. a full course of his meropenem would be two weeks, having started this on , and the meropenem should be run until . on postoperative day three, the patient was restarted on his home benzodiazepine regimen p.r.n. on postoperative day four, the patient's tube feeds were started at a rate of 10 cc an hour of promod and gradually advanced to a target rate of 80 cc an hour, checking residuals every six hours. on , the patient was evaluated by dr. and the intensive care unit team and was felt to be a good candidate to return to his long-term care facility. the patient was then transferred to his long-term care facility on . , dictated by: medquist36 d: 18:24:33 t: 22:43:47 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization nephroureterectomy transfusion of packed cells diagnoses: amyotrophic lateral sclerosis personal history of malignant neoplasm of large intestine hydronephrosis calculus of kidney gastrostomy status quadriplegia, unspecified tracheostomy status colostomy status chronic pyelonephritis without lesion of renal medullary necrosis 

Answer: The patient is high likely exposed to