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: history of present illness: the patient is a 74 year old male who was diagnosed with invasive, moderately to poorly differentiated squamous cell carcinoma of the epiglottis in . this was a t3 n2b m0 lesion. he underwent placement of a gastrostomy tube for tube feedings and subsequently underwent placement of a tracheostomy secondary to stridor. he completed his chemotherapy and radiation therapy on , and was scheduled to have a followup ct scan on the date of preoperative testing. as part of his evaluation for metastatic disease, he underwent a ct scan of the chest and abdomen on . he had no evidence of pulmonary metastasis, however, his liver demonstrated a 6 cm low density mass in the inferior segment of the right lobe of the liver that corresponded to increased uptake on pet scan. no other abnormalities were noted. on a percutaneous ct guided liver biopsy was obtained that was interpreted as hepatocellular carcinoma. he was seen by dr. in clinic for consideration of hepatic resection. his weight has been stable on tube feedings. he was not eating or drinking at the time of admission because of the danger of aspiration. he has significant secretions, but was able to cough them up on his own and had not required recent suctioning. he denies fever, chills, nausea, vomiting, diarrhea, constipation. allergies: the patient is allergic to morphine. medications: medications at home were vioxx 25 mg p.o. q.d., protonix 40 mg p.o. q.d., plavix 75 mg p.o. q.d., pravastatin, hytrin, ambien 5 mg p.o. q.h.s. he was on soft solids tube feeds. social history: the patient had no history of alcohol use. smoked pack of cigarettes per day for 20 years, but quit in . he was a pipe smoker for over 40 years. he had no history of iv drug use, marijuana use, blood transfusions appreciated. past medical history: significant for peripheral vascular disease in . history of hypertension, hypercholesterolemia from . he has a history of mesenteric ischemia diagnosed in . he has a history of carcinoma of the epiglottis as noted above. he had a rotator cuff tear after a fall in . past surgical history: significant for vein stripping in , right femoral/tibial bypass in , bilateral carotid endarterectomies in , right iliac sma bypass graft in , placement of feeding tube in , placement of tracheostomy in . social history: significant for the fact that he has a high school education. he is a service station owner, married and lives with his wife who has alzheimer disease and has four adult children. physical examination: on physical exam his vital signs were blood pressure 94/64, pulse 60, respirations 16, temperature 97.8, height 5'", weight 164.8 pounds. he was an alert male in no acute distress. he was able to talk through his trach valve. heent no scleral icterus. neck with tracheostomy in place, bilateral carotid bruits, bilateral carotid incisions. pulses were 3 plus to 4 plus. lungs were clear to auscultation. cardiac exam was normal s1, s2, no s3, s4, murmurs, rubs or gallops, regular rate and rhythm. abdominal exam was benign, no hepatosplenomegaly, no masses, no tenderness. he had a gastrostomy tube in the left upper quadrant. extremities had no peripheral edema. neurologic grossly intact. laboratory data: laboratory studies on admission included hemoglobin 11.4, hematocrit 34.5, white count 5.7, platelets 251. inr 1.1. sodium 142, potassium 4.7, chloride 103, bicarb 29, bun 28, creatinine 0.8. albumin 4.1, ast 28, alt 44, alka phos 173, total bili 0.5. glucose 97. afp 23.1. cea 12.4. ca19-9 was pending at the time. in summary, the patient was a 74 year old male with a recent diagnosis of t3 n2b m0 squamous cell carcinoma of the epiglottis who completed a course of chemotherapy and radiation therapy on . his tracheostomy and gastrostomy tube remained in place. his weight was stable on tube feeds. relatively active. he also had a 6 cm mass in the inferior right lobe of the liver and underwent a triphasic ct scan on at that visit. he has a lesion in segment 6 of the liver measuring 5.7 x 4.9 cm which was relatively unchanged from the ct scan in . he had a second nodule identified in segment 4b just anterior to the gallbladder and a third, more subtle nodule in the posterior aspect of segment 5 directly anterior to the right splenic vein. chest ct demonstrated no evidence of pulmonary metastasis. hospital course: the patient was brought into the hospital on for pre-op testing. preoperative labs were white count 5.8, hematocrit 33.3, platelet count 197. sodium 140, potassium 4.3, chloride 100, bicarb 30, bun 21, creatinine 0.8, glucose 74. ast 31, alt 63, alka phos 172, t-bili 0.3. afp 23. cea 24. ca19-9 32. pt 12.5, ptt 24.8, inr 1. the patient underwent surgery on with a pre-op diagnosis of hepatocellular carcinoma in segment 6. postoperative diagnosis was the same. the procedure was segmental resection of segments 5 and 6 with cholecystectomy, intra-op ultrasound and left subclavian cvl placement by dr. . iv fluids 4 liters were given, one unit of packed red blood cells. urine output was 260 with 600 estimated blood loss. the patient tolerated the procedure well and was transferred to the unit postoperatively. on post-op day one he was afebrile with stable vital signs. he was placed on post-op unasyn. ng tube was discontinued and a line was also discontinued. jp was placed to bulb suction. the patient was on dilaudid epidural being managed by the acute pain service. on post-op day two the patient was transferred to the floor. unasyn was discontinued. two units of packed red blood cells were given for hematocrit of 26.5. tube feeds were advanced on post-op day three on the floor and the patient was comfortably saturating 98 percent on trach mask. physical therapy began to see and continued to see the patient throughout his hospital course. the patient continued to do well throughout post-op day four. epidural and foley catheter were discontinued. on post-op day five tube feeds were continued and the patient began rehab screening. the patient was noted to be slightly agitated on post-op day six and spiked a temperature on post-op day seven to 102. he was restarted on zosyn. cultures were drawn. urine culture was no growth on . jp gram stain showed no pmns or microorganisms. fluid culture was coag positive staph, bacterium rare growth. central line catheter on was positive for mrsa. jp fluid was also positive for mrsa on . on blood cultures grew coag positive staph over three bottles and and blood cultures continued to be pending. vancomycin was started on . infectious disease was consulted. on postoperative day nine vancomycin was continued. the patient clinically was beginning to improve. a transthoracic echocardiogram was done on postoperative day 10 which showed elongated left atrium, right atrium was moderately dilated, mild symmetric left ventricular hypertrophy with left ventricular cavity size normal, overall left ventricular systolic function was low normal with an ejection fraction of 50 to 55 percent. right ventricular chamber size and free wall motion were normal, although aortic root was moderately dilated. ascending aorta was mildly dilated. aortic valve leaflets were mildly thickened. no aortic regurgitation was seen. mitral valve leaflets were mildly thickened. mild 1 plus mitral regurg was seen. tricuspid valve leaflets were mildly thickened. pulmonary artery systolic pressure could not be determined. there was no pericardial effusion. tube feeds were continued. the patient was discharged to rehab on without event, no complications, on medications of hytrin 2 mg p.o. h.s., vancomycin 750 mg iv q.12, diazepam 5 mg p.o. q.six, rofecoxib 25 mg p.o. q.d., tylenol 325 to 650 mg p.o. q.four to six, ambien 10 mg p.o. h.s., pepcid 20 mg p.o. b.i.d., percocet elixir 5 to 10 ml p.o. q.four to six, glycerin suppository one suppository p.r. p.r.n., albuterol nebulizer solution, insulin sliding scale, heparin 5000 units subcu q.eight, zofran 4 mg iv q.four. discharge diagnoses: hepatocellular carcinoma, segments 5 and 6 resection. hypertension. hypercholesterolemia. peripheral vascular disease. mesenteric ischemia. epiglottic cancer. -femoral-tibial bypass. iliac sma bypass. bilateral cea. tracheostomy and g-tube placement with cvl placement. , md, phd procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances cholecystectomy transfusion of packed cells partial hepatectomy diagnoses: pure hypercholesterolemia unspecified essential hypertension bacteremia calculus of gallbladder with other cholecystitis, without mention of obstruction infection and inflammatory reaction due to other vascular device, implant, and graft malignant neoplasm of liver, primary gastrostomy status tracheostomy status personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to