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: brief summary of hospital course (continued): the patient continued to do well throughout the early part of with an increase in the weaning of his ventilator. he was able to get down to a positive end-expiratory pressure of 10 by . the patient continued to have thick sputum exhibited from his tracheostomy. the patient was stable and able to maintain his oxygen saturations at greater than 97%. from a cardiac standpoint, the patient was weaned off almost all of his intravenous lopressor and had to be started on a diltiazem drip and titrated up to a maximum dose to decrease his heart rate. the patient responded poorly to these medications and had to be given several units of packed red blood cells at this time. unfortunately, on , the patient had a systolic blood pressure in the 70s and an increased heart rate. the patient's heart rates ranged in the 120s, and the patient spiked a fever of 101.4 degrees fahrenheit. the patient had all of his lines changed out, was pan-cultured, as well as sputum and urine being sent. the patient was started on flagyl, vancomycin, and levofloxacin for a suspected sepsis. following this episode of sepsis, the patient was once again seen by the infectious disease service who recommended tapping his effusions and ascites to rule out peritonitis. the patient was also changed from vancomycin to linezolid. the only culture that came back positive for the patient at this time was methicillin-resistant staphylococcus aureus which was growing out of his sputum. the patient continued to present in a septic picture with an increased heart rate, rigors, febrile, and tachycardic. fortunately, no further cultures were positive at this time, and the patient was maintained on his broad spectrum antibiotics. in addition, on , the patient was seen by the neurology service to assess his clinical situation. the patient had been very poorly responsive since the discontinuation of his sedatives and paralytics. after multiple images, it was determined that the patient had bilateral watershed strokes. an electroencephalogram was done at this time which indicated that the patient had a very depressed responsiveness and poor brain activity. over the next several days the patient continued along his difficult course of recovery. despite the clinical picture of sepsis, the patient did not grow any further positive blood cultures other than the methicillin-resistant staphylococcus aureus in his sputum. the patient was continued on his hemodialysis for acute renal failure. the patient was seen and evaluated by the neurology stroke team. the formal read of the electroencephalogram done on demonstrated diffuse delta slowing; indicative of an encephalopathic appearance. there was no clear cut evidence for seizures at this time. the patient's head computed tomography did reveal bilateral watershed infarctions but did not affect the hypothalamus. it was determined that an acute stroke was not the cause of the patient's poor responsiveness at this time. on , by this time the patient had been on tracheostomy mask trials; although had been placed back on the ventilator overnight to rest him. the patient did very well on tracheostomy mask and was able to maintain his oxygen saturations at greater than 97%. with a positive trial, the patient was able to remain off the ventilator for the remainder of his course in the intensive care unit. also, the patient did remain on continuous positive airway pressure during the evening for rest. on , the patient was evaluated for a passy-muir valve. the patient was able to tolerate his cuff deflation and placement of the passy-muir valve without difficulty, but he was unable to produce any comprehensible language at this time. by the patient was slowly down to his tracheostomy mask and off of ventilator support completely. the patient was able to maintain stable oxygen saturations with 35% oxygen. from a cardiovascular standpoint, the patient continued to be tachycardic in the range of 100 to 100s and slightly hypertensive with a systolic blood pressure of up to 190 mmhg. the patient was maintained on lopressor to help control his blood pressure. on , the patient was seen and evaluated for a bedside swallow. the patient did not have any overt aspiration, but it was determined that the patient had presented at significantly high risk to advance him to oral intake without a video swallow first. the patient underwent the video swallow on the subsequent day, which indicated that the patient had moderate pharyngeal dysphagia. this unfortunately allowed aspiration of all consistencies that were assessed by the speech and swallow team. the recommendations of the team was to have the patient undergo a percutaneous endoscopic gastrostomy tube or gastrojejunostomy tube with follow up at a rehabilitation facility. by , the patient was off all pressors but remained on broad-spectrum antibiotics. the patient was alert and oriented to himself and to place. he was able to follow commands, and mouth words, and answer "yes" or "no" appropriately to questions. the patient had a normal affect, good gag, and good reflexes. from a respiratory standpoint, the patient had coarse breath sounds in his upper lobes and diminished at the bases. the patient was maintained on 40% oxygen on a tracheostomy mask. the patient still had a significant amount of heavy secretions coming from his tracheostomy, requiring constant suctioning. the patient's ileostomy produced red/golden drainage and positive flatus. the patient's systolic blood pressures were maintained in the 140 to 180 range; depending on his level of activity. he remained in a normal sinus rhythm and without any ectopy. in light of the continuation of the recovery, the patient was screened for continued care in a rehabilitation facility. discharge disposition: on , the patient was discharged to the facility. the patient was instructed to follow up with dr. when he left the rehabilitation facility or earlier if any surgical questions arose. discharge services: (the patient was to be discharged with the following services) 1. occupational therapy. 2. physical therapy. 3. respiratory therapy. 4. speech therapy. major surgical/invasive procedures performed: 1. aortic grafting. 2. femoral-to-femoral bypass. 3. right colectomy. 4. exploratory laparotomy. 5. continuous venovenous hemofiltration dialysis with multiple catheter placements. 6. multiple bronchoscopies. 7. tracheostomy. 8. thoracotomy for intrathoracic bleed; left open temporarily. discharge diagnoses: 1. type a aortic dissection. 2. ischemic bowel. 3. acute renal failure. 4. sepsis. 5. respiratory failure. 6. cardiopulmonary arrest multiple times. 7. methicillin-resistant staphylococcus aureus pneumonia. 8. vancomycin-resistant enterococcus wound infection and bacteremia. 9. coccyx decubitus ulceration. 10. occipital decubitus ulceration. 11. right antecubital phlebitis. 12. hemoptysis secondary to tracheostomy. 13. greater than 75% liver necrosis. 14. multiple cerebral watershed infarctions. 15. pericardial effusions. 16. periaortic effusions medications on discharge: 1. artificial tear ointment. 2. polyvinyl alcohol 1.4% drops 1 to 2 drops both eyes as needed. 3. albuterol 90-mcg inhaler 1 to 2 puffs inhaled q.6h. 4. albuterol sulfate 0.083% solution 1 nebulizer inhaled q.4h. 5. fluticasone 110-mcg inhaler 2 puffs inhaled twice per day. 6. ibuprofen 400-mg tablets one tablet by mouth q.8h. as needed. 7. nystatin 100,000/ml suspension 5 ml by mouth four times per day as needed. 8. insulin one dose injected as directed. 9. aspirin 325-mg tablets one tablet by mouth once per day. 10. zinc sulfate 220-mg tablets one tablet by mouth once per day. 11. ascorbic acid 500 mg by mouth once per day. 12. multivitamin one tablet by mouth once per day. 13. lansoprazole 30 mg by mouth once per day. 14. heparin 5000 units q.8h. 15. calcium acetate 667-mg tablets two tablets by mouth three times per day (with meals). 16. metoclopramide 10-mg tablets one tablet by mouth four times per day (with meals). 17. metoprolol 150 mg by mouth three times per day. 18. amlodipine 10 mg by mouth once per day. 19. dilaudid 0.5 mg to 1 mg q.2-3h. as needed (for pain). 20. metronidazole 500 mg by mouth q.12h. 21. zosyn 2.25 mg intravenously q.8h. 22. diphenhydramine 25 mg by mouth q.6h. as needed (for insomnia). 23. metoprolol 10 mg intravenously q.4h. as needed for a heart rate greater than 110 or a systolic blood pressure of greater than 160. 23. hydralazine 20 mg q.6h. 24. linezolid 600 mg intravenously twice per day. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances hemodialysis other electric countershock of heart closed (percutaneous) [needle] biopsy of liver venous catheterization for renal dialysis other (peripheral) vascular shunt or bypass temporary ileostomy reopening of recent thoracotomy site temporary tracheostomy resection of vessel with replacement, thoracic vessels open and other right hemicolectomy open chest cardiac massage injection or infusion of oxazolidinone class of antibiotics diagnoses: acute kidney failure with lesion of tubular necrosis acute and subacute necrosis of liver hemorrhage complicating a procedure cardiac arrest dissection of aorta, thoracoabdominal acute vascular insufficiency of intestine iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to