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: morphine attending: chief complaint: pacemaker erythema major surgical or invasive procedure: - removal of infected pacemaker defibrillator, attempted removal of pacing leads. - repair of left common femoral artery and repair of left common femoral vein. - 1. removal of infected pacemaker leads by median sternotomy. 2. repair of laceration to the superior vena cava and innominate vein with bovine pericardial patch. history of present illness: this is a 35 year old male with pmh significant for hypertrophic cardiomyopathy, paroxysmal atrial fibrillation, complete heart block, asd (repaired in ), multiple pacemaker surgeries, s/p aicd revision on here at admitted for infection at the pacemaker site. an ultrasound of the pacemaker pocket revealed a small rim of fluid. however, it was decided that the risk of seeding the pacemaker site by placing a needle through the overlying cellulitis to drain the fluid outweighed the benefits. therefore, a left sided picc was placed and the patient was discharged to hotel on with vna services to administer vancomycin 1500mg iv twice daily. patient presented to holding area on to follow up with cardiologist an decision made to explant hardware. past medical history: asd repair at age 14 months hypertrophic cardiomyopathy complete heart block pacemaker placement , with repositioning and paroxysmal atrial fibrillation lumbar discitis requiring 6 weeks of iv antibiotics laminectomy lung mass, biopsy negative for malignancy migraine anxiety gerd vasectomy social history: he is married and lives with his wife and 2 children. he works as a network engineer in upstate ny. he does not smoke and rarely drinks alcohol. family history: father with hypertrophic cardiomyopathy diagnosed at age 52 along with a brother who was diagnosed at age 31. physical exam: physical exam (vs from inpt scanned record ) pulse: 70 resp: 18 o2 sat: 95% b/p 106/72 height: 71 inches weight: 195 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2 left:2 dp right: 2 left:2 pt : 2 left:2 radial right: 2 left:2 carotid bruit right:n left:n pertinent results: echo pre cpb the left atrium is markedly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is severely depressed (lvef= xx %). the right ventricular cavity is mildly dilated with severe global free wall hypokinesis. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. post cpb: unchanged rv systolic function (still severely depressed). unchanged lv systolic function.(ef 15-20%) (on epinephrine and milrinone) tr is now mild no other change ct scan 1. thrombus identified within the left internal jugular vein. the right internal jugular vein remains patent, although please note that ultrasound is more sensitive. 2. extensive fat stranding and lymph nodes within the left supraclavicular area. icd wires are identified traversing this area and entering the svc. note added at attending review: the heterogeneous density in the left jugular vein may be contrast mixing, rather than clot. the junction of the left jugular with the svc is poorly seen, and no opacification is seen surrounding the icd leads. although poorly visualized, this may indicate thrombosis along this segment. the right jugular and subclavian veins appear patent. 4:39 pm stool consistency: not applicable source: stool. clostridium difficile toxin a & b test (final ): feces negative for c.difficile toxin a & b by eia. (reference range-negative). wound culture (final ): mixed bacterial types (>= 3 colony morphologies) isolated. abbreviated work-up performed isolate(s) identified and susceptibility testing performed because of concomitant positive blood culture(s). comparison of the susceptibility patterns may be helpful to assess clinical significance. staphylococcus, coagulase negative. >15 colonies. please contact the microbiology laboratory () immediately if sensitivity to clindamycin is required on this patient's isolate. sensitivities: mic expressed in mcg/ml _________________________________________________________ staphylococcus, coagulase negative | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 4 r oxacillin-------------<=0.25 s tetracycline---------- <=1 s vancomycin------------ 2 s 06:07am blood wbc-13.9* rbc-3.58* hgb-10.9* hct-33.2* mcv-93 mch-30.6 mchc-32.9 rdw-21.4* plt ct-165 12:40pm blood wbc-5.1 rbc-4.37* hgb-13.1* hct-39.7* mcv-91 mch-30.0 mchc-33.0 rdw-13.8 plt ct-145* 06:07am blood pt-18.2* ptt-30.4 inr(pt)-1.6* 12:40pm blood pt-15.2* inr(pt)-1.3* 06:07am blood urean-59* creat-7.2*# na-135 cl-95* hco3-18* 12:40pm blood glucose-86 urean-12 creat-0.9 na-142 k-4.0 cl-108 hco3-23 angap-15 06:07am blood alt-131* ast-50* ld(ldh)-521* ck(cpk)-251* alkphos-55 amylase-39 totbili-30.5* 12:40pm blood alt-52* ast-31 ld(ldh)-174 alkphos-74 amylase-35 totbili-1.1 06:07am blood albumin-4.6 calcium-8.6 phos-5.6* mg-2.8* 11:22am blood type-art temp-35.8 po2-68* pco2-28* ph-7.38 caltco2-17* base xs--6 intubat-intubated 01:59pm blood type-art po2-88 pco2-29* ph-7.49* caltco2-23 base xs-0 intubat-intubated brief hospital course: mr. was admitted to the on for removal of an infected pacer lead and pacer pocket. vancomycin was continued per the infectious disease service for the infection. he was taken to the operating room where he underwent removal of the infected pacemaker defibrillator and attempted removal of pacing leads. the leads were unable to be removed. he returned to the operating room on and underwent removal of infected pacemaker leads through a median sternotomy on cpb (groin cannulation). he required repair of the superior vena cava and innominate vein with bovine pericardial patch. the vascular surgery service was consulted intraoperatively for repair of the left common femoral artery and left common femoral vein due to the urgent femoral cannulation. please refer to operative note for further surgical details. postoperatively he was taken to the cvicu. he required high doses of several pressors (epi 0.3, vasopressin 3.6, levophed, milrinone) to maintain an adequate blood pressure/hemodynamics. he began to spike fevers to 104 and showing signs of septic shock. vancomycin was continued and zosyn was added. id continued to follow postoperatively with recommendations for antibiotics. his liver and renal function began to deteriorate and cvvh was initiated (total bilirubin up to 28, creatinie bump to 5). amiodarone was initiated for atrial fibrillation. cultures from the generator pocket grew staph aureus, vancomycin was continued and the zosyn was stopped. we then had to stop cvvh as the r groin quinton was clotting (we could not use citrate because of his liver function), but the pt responded faily well to lasix. over the next two days, we made some progress as the patient was completely weaned off the epi and milrinone. he started to defervesce as well and his wbc normalized. his respiratory status was stable on >80% fio2 and the cxr was pristine. however a repeat echo on showed still severly depressed/dilated rv, and lung v/q scan was performed to investigate his sat of 90% on 100% (although we thought that part of it was at least due to shunting / abnormal venous connection). the scan was a low probability for pe. by we had to resume nitric oxide and go back up on levophed, vasopressin (to 3.6), and milrinone o.25 (which with his creatinine of 8 is almost equivalent to 0.675). his respiratory status deteriorated with decreasing sats around 88%, and new b/l pleural effusions on cxr. he continued to spike temps to the 102.2 range. contact was made with for transfer re: possible rvad - tranplant. cvvh was restarted last pm for volume removal, in addition, he had an increasing pressor requirement/worsening hypoxemia and nitric oxide was restarted. chemical paralysis with cisatracurium was initiated for increased ventilatory needs over the past 24 hours. several amps of sodium bicarbonate required for correction of his combined metabolic/respiratory acidosis.epicardial v-wires threshold this am=8 mamp.however, hemodynamic stability is actually improved with his own junctional escape rhythm in the 40s. mr. is currently critically ill with septic shock, tenuous cardiovascular hemodynamics with severe rv failure, early ards-like picture in acute renal failure requiring cvvh. he is being transferred to for possible rvad-transplant. attending physicians and family in agreement of plan. medications on admission: zolpidem 10, quinapril 2.5, famotidine 40 , paroxetine hcl 20, vancomycin 1500 7 days, sotalol 120 , lorazepam 1 q8 prn discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 3. chlorhexidine gluconate 0.12 % mouthwash sig: 1-2 mls mucous membrane (2 times a day). 4. acetaminophen 650 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for temperature >38.0. 5. norepinephrine bitartrate 1 mg/ml solution sig: one (1) intravenous infusion (continuous infusion). 6. insulin regular human 100 unit/ml solution sig: one (1) injection titrate to (titrate to desired clinical effect (please specify)). 7. albuterol sulfate 0.63 mg/3 ml solution for nebulization sig: one (1) inhalation every four (4) hours as needed for wheezing. 8. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 9. vasopressin 20 unit/ml solution sig: one (1) injection infusion (continuous infusion). 10. fentanyl citrate (pf) 50 mcg/ml solution sig: one (1) injection infusion (continuous infusion). 11. midazolam 5 mg/ml solution sig: one (1) injection infusion (continuous infusion). 12. vancomycin 1000 mg iv prn level<20 please check vanco level daily 13. pantoprazole 40 mg iv q12h 14. milrinone 0.25 mcg/kg/min iv infusion 15. metronidazole (flagyl) 500 mg iv q8h 16. piperacillin-tazobactam 4.5 g iv q8h 17. cisatracurium besylate 0.06-0.30 mg/kg/hr iv titrate to adequate paralysis patient should be ventilated and sedated prior to initiating nmbas. 18. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection asdir (as directed). discharge disposition: extended care discharge diagnosis: asd repair at age 14 months hypertrophic cardiomyopathy complete heart block pacemaker placement , with repositioning and , most recent pocket revision (device: virtuoso) paroxysmal atrial fibrillation lumbar discitis requiring 6 weeks of iv antibiotics laminectomy lung mass, biopsy negative for malignancy migraine anxiety gerd vasectomy discharge condition: critical discharge instructions: transfer to outside facility followup instructions: please follow-up with dr. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery intraoperative cardiac pacemaker enteral infusion of concentrated nutritional substances hemodialysis other bronchoscopy atrial cardioversion suture of vein suture of artery repair of blood vessel with tissue patch graft removal of lead(s) [electrode] without replacement revision or removal of pacemaker device diagnoses: pneumonia, organism unspecified esophageal reflux acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified acute posthemorrhagic anemia acute and subacute necrosis of liver hyposmolality and/or hyponatremia severe sepsis hematoma complicating a procedure methicillin susceptible staphylococcus aureus septicemia accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure anxiety state, unspecified atrioventricular block, complete septic shock paralytic ileus other specified disorders of biliary tract automatic implantable cardiac defibrillator in situ cardiac pacemaker in situ surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation other vascular complications of medical care, not elsewhere classified urinary complications, not elsewhere classified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus first degree atrioventricular block unspecified sinusitis (chronic) mixed acid-base balance disorder personal history of sudden cardiac arrest infection and inflammatory reaction due to cardiac device, implant, and graft accidental cut, puncture, perforation or hemorrhage during surgical operation personal history of surgery to heart and great vessels, presenting hazards to health acute venous embolism and thrombosis of deep veins of upper extremity obstructive anomalies of heart, not elsewhere classified 

Answer: The patient is high likely exposed to