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: addendum: this is an addendum to discharge summary dictated on the . original chief complaint and history of present illness, as well as presenting history remain the same. this summary will include the following: additions to the hospital course: agitation remained a final issue for this patient where he experienced episodes of apparent anxiety with some diaphoresis, apparently with no precipitating events, at various points throughout the day. history that was provided by the patient's sister indicated that he did have such episodes of anxiety in the past, prior to hospitalization, where he would suddenly get out of bed, become very agitated and need to walk around the apartment. physical therapy for his symptoms initially consisted of intravenous haldol prn. these were later transitioned to fixed doses of 5 mg haldol given t.i.d. with prn intravenous haldol 10 mg per episode given as well as additional sedation provided with ativan and fentanyl. psychiatry was consulted to evaluate the patient's symptoms. it was felt that his symptoms were primarily due to polypharmacy, at which time efforts were made to simplify his regimen. his outpatient medication of effexor was discontinued. the prn dose of haldol was stopped and the patient is maintained at 5 mg intravenous t.i.d. of haldol. the ativan was discontinued and for any breakthrough anxiety the patient was written for fentanyl at doses of 100 mg q. 1 hour prn. on subsequent day, in discussion with pharmacy, it was felt that patient could be transitioned to longer acting or constant dose of fentanyl and the patient was started on the fentanyl patch at 125 mg per hour. patient responded well to the patch with decreased requirements for fentanyl. in addition, patient was evaluated by physical therapy who felt that given his current level of activity in his bed, that he be transitioned to a regular hospital bed to improve greater mobility as well as more accurate evaluation. patient has been screened by various physical rehabilitation centers and tentatively patient will be going to most likely on the . the plan is for the patient to go to rehabilitation to regain his physical strength as well as to continue possibly weaning off the vent. the decision was made not to proceed with percutaneous endoscopic gastrostomy tube placement given the patient's comorbidities and to have a dobbhoff tube inserted. discharge medications: 1. pantoprazole 30 mg per dobbhoff tube q.d. 2. acetaminophen elixir 160 mg q. 4-6 hours prn. 3. docusate sodium 100 mg b.i.d. 4. senna syrup 5 ml twice a day. 5. amiodarone 400 mg daily. 6. miconazole topical powder applied b.i.d. prn. 7. fluconazole cream applied once or twice a day prn. 8. atrovent mdi 6 puffs q. 4 hours prn. 9. albuterol 90 mcg 4-6 puffs q. 4 hours. 10. subcutaneous heparin at 5000 units q. 8 hours which can be discontinued once the patient is ambulatory. 11. aspirin 325 mg daily. 12. metoprolol 25 mg twice a day. 13. captopril 6.25 mg three times a day. 14. insulin given as nph 8 units in the morning, 7 units in the evenings with q.i.d. regular insulin sliding scale. 15. silver sulfadiazine applied topically twice a day to the arm. 16. citalopram 10 mg q.d. 17. fentanyl patch starting at 125 mg per hour q. 72 hours to be weaned down every week by 25 mg per hour, so week two will be 100 mg per hour, week three 75 mg per hour, week four 50 mg per hour, week five 25 mg per hour, then none for week six on. 18. haldol 5 mg po t.i.d. 19. lactulose 30 ml t.i.d. additional note: the patient had been on a ten day course of intravenous vancomycin for oxacillin resistant staphylococcus coagulase negative, however, which did not require contact precautions. finished this course of antibiotics on the . discharge plan: 1. eventually, the plan is for the patient to transition back to a home setting and continue attempts at weaning at the rehabilitation center. 2. further it is recommended by psychiatry that he be seen by a psychiatrist and followed at rehabilitation. this has been noted in the discharge work sheet as well as the page 1. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube venous catheterization for renal dialysis other intubation of respiratory tract temporary tracheostomy bronchoscopy through artificial stoma replacement of tracheostomy tube other oxygen enrichment diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure cellulitis and abscess of leg, except foot morbid obesity mechanical complication due to other implant and internal device, not elsewhere classified staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus 

Answer: The patient is high likely exposed to