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: enterocutaneous fistula, end ileostomy, history of cholecystitis treated with a cholecystostomy tube major surgical or invasive procedure: exploratory laparotomy and lysis of adhesions. 2. enterocutaneous fistula takedown with small bowel resection x2, enterotomy repair, ileostomy takedown with an ileoileostomy, and skin lesion excision. history of present illness: mr. is a 58-year-old gentleman with a history of exploratory laparotomy for small bowel obstruction at an outside hospital in of this year complicated by small bowel injury requiring two subsequent exploratory laparotomies. the patient was transferred to our institution after three laparotomies with an enterocutaneous fistula, respiratory failure and sepsis. the patient was managed nonoperatively with percutaneous drainage and he matured an enterocutaneous fistula which ultimately closed. at the last of the three laparotomies at the outside hospital, he was given an end ileostomy. his post transfer course was complicated by cholecystitis secondary to sludge. he underwent a percutaneous cholecystostomy tube rather than cholecystectomy at that time. he subsequently recovered and was discharged to rehab then eventually home. after discharge, he was offered ileostomy takedown, cholecystectomy and fistula takedown. he was explained the risks and benefits of surgery and agreed to proceed. consent was signed. past medical history: bipolar disorder abdominal surgery as an infant appendectomy recurrent small bowel obstructions cervical fusion social history: 1 pack cigarettes per day drinks per day family history: no colorectal ca physical exam: he is alert and oriented, in no apparent distress. sclerae are nonicteric . trachea is midline with a small punctate area where his tracheostomy tube used to be. his chest is clear to auscultation. heart is regular rate and rhythm. abdomen is soft. the midline incision has a small open area, which is the draining fistula, which has minimal output, and he has a right lower quadrant ileostomy, which is pink, viable, and putting out gas and liquid stool. his extremities are warm without edema, right arm picc line in place without erythema or exudate pertinent results: 03:21pm blood wbc-8.8 rbc-3.22* hgb-9.8* hct-29.2* mcv-91 mch-30.6 mchc-33.7 rdw-15.8* plt ct-174 04:00am blood wbc-14.7* rbc-3.50* hgb-10.6* hct-31.5* mcv-90 mch-30.3 mchc-33.6 rdw-15.6* plt ct-177 02:50am blood wbc-9.7 rbc-3.14* hgb-9.2* hct-28.9* mcv-92 mch-29.2 mchc-31.8 rdw-14.6 plt ct-218 02:00pm blood wbc-11.3* rbc-3.45* hgb-10.9* hct-31.4* mcv-91 mch-31.4 mchc-34.6 rdw-14.5 plt ct-381 03:21pm blood pt-14.6* ptt-31.2 inr(pt)-1.5 10:44am blood pt-13.6* ptt-33.7 inr(pt)-1.2 11:00am blood glucose-122* urean-12 creat-0.5 na-139 k-3.8 cl-105 hco3-28 angap-10 01:13pm blood glucose-100 urean-13 creat-0.6 na-134 k-5.0 cl-99 hco3-27 angap-13 01:58am blood alt-12 ast-19 alkphos-65 totbili-0.6 04:00am blood calcium-7.8* phos-3.5# mg-1.4* 02:50am blood calcium-8.1* phos-3.7 mg-1.6 01:13pm blood calcium-8.6 phos-4.5 mg-1.7 06:20am blood triglyc-156* 01:58am blood tsh-0.66 09:48am blood glucose-104 lactate-2.5* na-136 k-4.2 cl-104 06:55am blood lactate-1.109/19/05 10:37 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): staph aureus coag +. moderate growth. oxacillin sensitivity performed by agar screen. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | oxacillin------------- r name birthdate age sex pathology # , j 58 male report to: dr. description by: dr. /et specimen submitted: cutaneous lesion,gallbladder,small bowel fistula,ectopic bone,terminal ileum ostomy procedure date tissue received report date diagnosed by dr. . /jip diagnosis: i. cutaneous lesion (a): predominantly dermal nevus with irritation changes. ii. gallbladder (b): 1. chronic organizing cholecystitis with fibrosis. 2. no calculi. iii. fistula of small bowel (c-e): 1. segment of small intestine, with suture abscesses and transmural sinus tract at the stapled margin. 2. peritoneal fibrous adhesions and abscess. 3. no neoplasm. iv. ectopic bone (f): 1. fragment of bone with bone marrow. 2. no tumor. v. ileostomy: 1. segment of small intestine with stoma. 2. focal peritoneal fibrous adhesions and suture reaction. note: dr. reviewed slide a. radiology final report abdomen (supine & erect) 4:18 pm abdomen (supine & erect) reason: obstrcution vs ileus medical condition: 58 year old man s/p enterocutaneous fistula takedown and open ccy reason for this examination: obstrcution vs ileus abdomen, two views history of intracutaneous fistula takedown and cholecystectomy with abdominal distention. gas and fecal residue are present throughout the colon and there is no evidence for intestinal obstruction. no free intraperitoneal gas or soft tissue masses. atelectasis is present at the left lung base. impression: no evidence for intestinal obstruction or significant ileus. 2:00 pm swab site: rectal **final report ** r/o vancomycin resistant enterococcus (final ): enterococcus sp.. sparse growth. sensitivity confirmed by sensititre. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus sp. | ampicillin------------ <=2 s chloramphenicol------- 8 s levofloxacin---------- =>8 r penicillin------------ 2 s vancomycin------------ =>32 r brief hospital course: patient underwent a laparotomy with extensive lysis of adhesions, enterocutaneous fistula takedown with small bowel resection x2, enterotomy repair, ileostomy takedown with an ileoileostomy, and skin lesion excision. he was successfully extubated in the operating room and taken to the pacu with an ngt, jp, epidural, central line, and foley. patient required multiple fluid boluses and 2 u prbcs and was tachycardic post-op, so on pod 1 was admitted to the icu for further monitoring. aggressive pumonary toilet was initiated and tpn started on pod #2. late pod #3 was transferred to the floor for resolved tachycardia. pod 6 foley was dc'd. pod 7 epidural was dc'd and patient was given a pca for pain; had flatus. pod 8 sips were started and jp was dc'd. pod 9 & 10 patient received a suppository and and digital disimpaction of stool. clears were started pod 11, patient started having multiple bowel movements. pod 12 diet was advanced to soft solids and received the last day of tpn. patient was discharged in good condition on pod14 with home pt and vna services to changes dressing on open wound . medications on admission: depakote, tpn/fat; florinef, ssri, lopressor, ativan, percocet prn discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 2. valproic acid 250 mg capsule sig: two (2) capsule po q8h (every 8 hours). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 4. fludrocortisone 0.1 mg tablet sig: 0.5 tablet po daily (daily). 5. lorazepam 0.5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. discharge disposition: home with service facility: discharge diagnosis: exploratory laparotomy and lysis of adhesions. 2. enterocutaneous fistula takedown with small bowel resection x2, enterotomy repair, ileostomy takedown with an ileoileostomy, and skin lesion excision. discharge condition: good discharge instructions: please seek medical attention if you experience fever > 101.5, severe nausea, vomitting, pain may shower no driving while on narcotic pain meds no heavy lifting for 4-6 weeks please continue dressing changes with visiting nurse home meds and take new meds as directed followup instructions: please call dr. office at for an appointment procedure: parenteral infusion of concentrated nutritional substances closure of stoma of small intestine reconstruction of eyelid with hair follicle graft other local excision or destruction of lesion or tissue of skin and subcutaneous tissue cholecystectomy other lysis of peritoneal adhesions transfusion of packed cells insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt removal of impacted feces multiple segmental resection of small intestine suture of laceration of small intestine, except duodenum application or administration of an adhesion barrier substance diagnoses: tobacco use disorder mitral valve disorders congestive heart failure, unspecified accidental puncture or laceration during a procedure, not elsewhere classified calculus of gallbladder with other cholecystitis, without mention of obstruction peritoneal adhesions (postoperative) (postinfection) other constipation bipolar disorder, unspecified fistula of intestine, excluding rectum and anus attention to ileostomy benign neoplasm of skin of trunk, except scrotum 

Answer: The patient is high likely exposed to