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: patient is a 79 year old with multiple medical problems including a history of chronic obstructive pulmonary disease, atrial fibrillation who was recently discharged from - on for a history of cellulitis who presented to the emergency room on with increasing dyspnea times one day. the morning of admission the patient was without complaints per the nursing home staff, however having increasing shortness of breath throughout the day. patient noted to be unresponsive at 1:45 p.m. and vital signs recorded at the time were 96.9, 88, 102/66, 22. patient became more responsive with an o2 sat of 85% prior to transfer to the emergency room. wheezes at the time were noted which decreased with combivent nebulizer treatment in the emergency room. in the emergency room patient noted to be in moderate respiratory distress. o2 sats were noted to be in the 80s on face mask. patient also noted to have periorbital cyanosis at nursing home. patient was intubated in the emergency room secondary to decreased o2 saturations and persistent respiratory distress. an arterial blood gas performed at the time demonstrated a ph of 7.27, 54, 98 on 60% fio2, ac 12 x 600. patient was transferred to the medical intensive care unit for continued care. past medical history: 1. copd, prior intubations three times on home o2 two liters to three liters. no pulmonary function tests available. 2. atrial fibrillation. mat ef of 50% on last tte in . 3. hypertension. 4. anemia. 5. status post left kidney donation. 6. prostate cancer status post radiation. 7. peptic ulcer disease status post billroth. 8. venous insufficiency. 9. left leg cellulitis 09/. 10. osteopenia status post multiple compression fractures, on chronic opiates. 11. history of vre. 12. decreased thyroid. 13. history of thigh burns. 14. history of dvt in . medications on last discharge: 1. protonix 40. 2. synthroid 100. 3. oxycodone 10. 4. miconazole 5. oxazepam 6. albuterol. 7. flovent. 8. atrovent. 9. fentanyl. 10. levofloxacin 250 mg p.o. q.d. 11. caco3. allergies: no known drug allergies. social history: patient is a former smoker who currently lives at the . physical examination: vital signs: 98.6, blood pressure 105/63, irregular, respiratory rate 12, heart rate around 60, o2 sats 88% preintubation, 99% post intubation, fio2 post intubation, vent ac 12 x 600 fio2 of 60%, general intubated, sedated, no spontaneous movement, not in acute distress. heent: pupils 2:1 bilateral. neck: supple; jugulovenous pressure flat. cardiovascular: irregularly irregular; no murmurs, rubs, or gallops. respiratory: decreased breath sounds throughout. cardiovascular: midline sternotomy scar. abdomen: midline surgical scar left transverse upper abdomen; positive bowel sounds; nontender, nondistended. extremities: left shin erythema and warmth; 1+ edema. neuro: sedated; pupils 2:1; 1+ deep tendon reflexes. rectal: guaiac positive. social history: lives in . former smoker; quit two years ago. laboratory data: white blood cell count 17, differential neutrophils 75, lymphs 21, monocytes 2. urinalysis: large blood, positive protein, greater than 50 red blood cells, 0 to 2 white blood cell count. electrolytes 142/3.1, 107/19; bun 27/2.2, baseline is 1.2-1.5; glucose 162, inr 3.7; abg 7.27, 54, 98; troponin 0.14; lactate 1.2. chest x-ray: diffuse patchy linear infiltrates, question loculated effusion. ekg: mat at 99, 0.5 mm st segment depressions in v4, v5, low voltage in limb leads, q-waves in 3. hospital course: 1. respiratory failure: patient presented to the emergency room with respiratory failure requiring intubation. patient was extubated on . patient's respiratory failure was considered secondary to copd flare up versus secondary to possible pneumonia. patient was continued on levofloxacin. patient was also provided with vancomycin. patient's sputum subsequently grew up staph aureus. staph aureus is likely a colonization. patient's x-ray reportedly is baseline. patient was continued on albuterol and atrovent. patient's white blood cell count subsequently decreased to 10.6 by . 2. troponin: patient presented with troponin 0.14. patient's enzymes were cycled. patient's troponin decreased in nature. there was likely secondary to demand ischemia. patient showed no ekg changes. 3. renal failure: patient with elevated creatinine from baseline. patient's creatinine responded to volume. patient's creatinine was 1.5 on . 4. cellulitis: patient with a history of cellulitis. patient's cellulitis was actually improved on presentation. however, given possible decompensation, vancomycin was initiated. 5. mat atrial fibrillation: patient with history of mat atrial fibrillation. blood pressures not provided given history of copd. patient is on coumadin; initially held, then reintroduced throughout his hospitalization. patient's coumadin level should be checked as outpatient inr. 6. heme: patient with baseline anemia. patient anemic in physical exam. patient transfused two units on after hematocrit of 24. patient responded appropriately. patient with history of guaiac-positive stools. patient should likely receive an outpatient colonoscopy per primary's team. 7. patient with a history of opiate use. secondary to chronic back pain, multiple fractures. 8. cellulitis: further assessed with a ct. a ct performed demonstrated a fluid density along the anteromedial skin surface which was most consistent with edema. however, the possibility of a fluid conduction could not be excluded by radiology. the patient, however, subsequently resumed refusing mri. the patient's symptoms improved, and it was felt that an mri would be low yield, and the patient did refuse the test. 9. muscle: patient complained of shoulder pain. therefore, an x-ray was performed on . the x-ray of the left shoulder showed diffuse osteopenia catheter-imposed humeral diaphysis most likely representing a picc line. no fractures noted. the humeral head was subluxed superiorly consistent with the chronic rotator cuff tear. access midline was placed on in the left arm, code full. 10. gastrointestinal: of note, patient during his hospitalization, developed possible epididymitis. urology was consulted. patient's symptoms resolved. 11. infectious diseases: patient with diarrhea. patient's c. difficile titer was sent. first one was negative. additional two should be sent. patient was empirically initiated on metronidazole. patient's symptoms have improved. disposition: to . discharge condition: stable. discharge medications: 1. heparin 5000 units subq q. 12 hours. 2. vancomycin 1000 mg iv q. day dose with trough levels. 3. aspirin 325 mg p.o. q.d. 4. fentanyl patch 150 mcg q. 72 hours. 5. pantoprazole 40 mg p.o. q.d. 6. levothyroxine sodium 100 mcg p.o. q.d. 7. trazodone hcl 25 mg p.o. h.s. p.r.n. 8. ipratropium bromine nebulizer, one nebulizer ih q. six. 9. loperamide hcl 2 mg p.o. t.i.d. p.r.n. 10. oxycodone 5 mg p.o. q. 4 to 6 hours p.r.n. 11. prednisone 20 mg p.o. q.d. times five days. 12. metronidazole 500 mg p.o. q. 8 hours times seven days. 13. levofloxacin 250 mg p.o. q.d. times 10 days. 14. hydromorphinol 2 mg p.o. q. 4 to 6 hours p.r.n. 15. miconazole powder 2%, one application topical, b.i.d. p.r.n. discharge instructions: 1. physical therapy, occupational therapy: assistance with activities of daily living. 2. cardiac-healthy diet. 3. keep leg raised and wrapped. 4. coumadin monitoring. 5. vancomycin monitoring. recommendations: 1. colonoscopy possible per outpatient team. 2. follow-up leg clinic should all symptoms deteriorate. , m.d. dictated by: dictated for , intern medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation personal history of malignant neoplasm of prostate obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure cellulitis and abscess of leg, except foot long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to