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: transferred from osh for epidural/abscess major surgical or invasive procedure: evacuation of t5-t6 epidural hematoma/abscess history of present illness: 69yo m with pmh of esrd on hd, dm, mvr, afib, cirrhosis, and prostate cancer, presented to osh last week with lbp and le weakness, found to have a t5-6 epidural abscess with cord compression on mri and gpc bacteremia. he was transferred to on and was taken that night to the or for t5-6 laminectomy and drainage of abscess. his tunneled hd cath was removed and had a temporary femoral line placed today for hd. he was also seen by thoracic surgery for anterior paraspinal abscess, but no surgical intervention is necessary at this time. id consulted and the organism is thought to most likely be coag-neg. staph. and source is thought to be his hd catheter. transferred to medicine service for further workup of source including tee for endocarditis and ct abd/pelv. currently states he feels well, only complaint is mild pain in his back. he denies cp, sob, abdominal pain, feeling feverish, chills, headache, feeling confused, n/v, and le pain. past medical history: esrd, on dialysis atrial fibrillation, rate-controlled social history: married, lives with wife who is debilitated by stroke, h/o etoh abuse- has not used since starting dialysis family history: nc physical exam: t 98.2 hr 80 bp 116/64 rr 20 o2sat 93%ra general- lying in bed, nad, pleasant heent- telangiectasias on face, sclerae anicteric, moist mm neck- no jvd pulm- ctab cv- irregularly irregular, 1/6 sem heard best at lusb abd- distended but soft, bulging flanks, nontender, no peritoneal signs, nabs, no hepatomegaly, umbilical hernia easily reducible and nontender back- dressing in place ext- no peripheral edema, +2 dp pulses neuro- able to move toes r>l, 4+/5 ue strength b/l, decreased sensation to lt in upper thighs, no sensation to lt throughout rest of legs pertinent results: cultures: blood - pending blood - negative blood - negative blood - negative blood - negative urine - neagtive sputum - contaminated imaging: cxr - dense retrocardiac opacity, including a layering pleural effusion as well, although an under lying consolidation or atelectasis could be present. when clinically feasible, pa and lateral could be helpful for further followup. the appearance is unchanged, however. abdominal u/s - massive ascites. left flank marked for paracentesis. brief hospital course: 69yo m with esrd on hd, mvr, afib, and dm, p/w epidural abscess, cord compression, and coag-neg staph bacteremia, with drainage with paraplegia. 1) altered mental status: on morning of , had change in personality and behavior, also with disorientation. his differential included cva, subdural, toxic-metabolic--hyponatremia, elevated ammonia, infection (bacteremia, sbp). psych consult saw the patient and deemed him incompetent to make medical decisions secondary to delirium. later in the morning was more oriented, and noted to be primarily angry and doubtful of his diagnosis. his orientation and attention was intact. labs were negative for electrolyte abnormalities, leukocytosis, elevated ammonia. neurology consult recommended eeg, continued toxic-metabolic w/u, mri head to look for cva, mri c/t/l spine to eval for persistent/new abscess. his eeg was consistent with encephalopathy. he had a diagnostic paracentesis that was negative for sbp. he was found to have a fq-resistant e. coli uti, and was put on ceftriaxone to complete a 14d course. multiple attempts were made to get the mri, but he was unable to tolerate the study. it was performed on and showed a recurrent t5-t6 epidural abscess with destruction of the t5 and t6 vertebrae, and a question of lumbar discitis. his mri head showed an old cerebellar and chronic microvascular infarcts, but no new infarcts. he continued to have attentional deficit and intermittent disorientation to place and time. he was taken to the or for debridement and fusion of his t5-t6 vertebrae. the patient continued to be intermittently delirius after surgery. 2) epidural abscess: he was transferred to medicine s/p drainage of his posterior fluid collection. the abscess fluid culture grew coag-neg staph and he was maintained on vancomycin to treat his bacteremia and osteomyelitis, with the intention of treating for 6 weeks. his most likely source was thought to be his hd line, and it was removed. he also had cord compression with paraplegia as a result of the abscess. thoracic was initially consulted and stated there was no evidence for discrete anterior paraspinal abscess, so no indication for surgical intervention. blood cultures here were negative, as was the cath tip culture negative. a tte showed no visible endocarditis. a tee was not performed as his antibiotic course would adequately treat for endocarditis. a recurrent abscess with osteomyelitis was found on mri as stated above. he also had the possibility of lumbar discitis that appeared to be new when compared to his osh mri, and would have developed while he was on vancomycin. id recommended no change in his antibiotics until after surgery. dr. came and spoke with the patient and his family and it was decided that no further surgical intervention was warranted. further surgery to stabalize his back was risky and painful. the patient decline and elected to be fitted for brace. 3) esrd: he started hd several months ago and had a tunneled line placed at that time. it was pulled this admission as it was thought to likely be the source of his bacteremia, and ultimately his epidural abscess. he initially had a temporary femoral catheter placed, which was later pulled and a new tunneled line was placed by ir. he was maintained on his mwf schedule, had temporary femoral catheter pulled on . he was followed by renal throughout his stay. 4) afib: he is rate-controlled on diltiazem, digoxin, and metoprolol as an outpatient. he stated he had not been on anticoagulation for several years per the patient. further history was obtained from his wife, who stated he had a severe upper gi bleed a year and a half ago, and also had multiple falls over the past several years. he was well rate-controlled throughout his stay. he was maintained on beta blockade perioperatively. 5) respiratory distress - on pt was noted to be tachypneic at 36/m w/ o2 sat 90% 4l/m nc which prompted a trigger. he was treated w/ o2 by nrb, w/ sat increasing to 98%. suctioning returned copious thick secretions, and o2 sat improved to 98% on 4l/m, but pt remained tachypneic w/ increasing confusion. cxr demonstrated lll infiltrate, unchanged from recent imaging. patient transferred to micu for closer monitoring and frequent suctioning. patient was transferred back to regular medical floor after improved respiratory and mental status. patient no longer having copious secretions and is not requiring frequent suctioning. now with o2 sats in high 90's on ra. mental status has also improved. 6) questionable pea arrest - on a code blue was called on the patient and he was transferred to the icu for a questionable pea arrest. patient improved rapidly after event, not likely pea given recovery without need for intervention. possibly a mucus plug or aspiration causing an hypoxic arrest. of note, he has had multiple aspiration events in the past. pe causing pea possible but less likely given rapid improvement and lack of hypoxia. possible that he had a bradycardic event as he had recently had long pauses and been taken off diltiazem and bb. however, in stable afib on telemetry overnight. cardiac enzymes stable so not likely mi. the patient was transferred back to the general medical floor. 6) cirrhosis/ascites: likely secondary to alcohol abuse. his pt/inr was slightly elevated, and his albumin was low. he was not on sbp prophylaxis as an outpatient. no sbp on his diagnostic paracentesis. he was treated empirically with lactulose after he was found to be delirious. his history of gi bleed should be confirmed with his pcp as may be an indication for sbp prophylaxis as an outpatient. 7) mv repair: he is s/p a mv repair in per the patient. his tte showed an annuloplasty ring. a tee to look for endocarditis was not performed as his osteomyelitis antibiotic course would adequately treat endocarditis. 8) anemia: hct was stable throughout his admission. his stools were guaiac negative. code status: after the patient returned to the medical floor from the icu for the 2nd time during his admission, a family meeting was held to address goals of care as his overall medical condition remained tenuous. at the first meeting, the patient and family decided that the patient would be dnr/dni (consistent with the patient statements to multiple family members in the past). over the next few days, the patient continued to express wishes to stop dialysis and all other tests. another family meeting was held including the presence of the patient, and it was decided that the patient would be cmo (including stopping dilaysis). the patient was made cmo on and passed away on . medications on admission: unknown discharge medications: expired on discharge disposition: extended care discharge diagnosis: expired on discharge condition: expired on discharge instructions: expired on followup instructions: expired on md procedure: enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis percutaneous abdominal drainage other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal dorsal and dorsolumbar fusion of the anterior column, anterior technique excision of intervertebral disc incision with removal of foreign body or device from skin and subcutaneous tissue insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae diagnoses: thrombocytopenia, unspecified end stage renal disease mitral valve disorders urinary tract infection, site not specified alcoholic cirrhosis of liver iron deficiency anemia secondary to blood loss (chronic) severe sepsis other and unspecified alcohol dependence, in remission portal hypertension atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled methicillin susceptible staphylococcus aureus septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure pneumonitis due to inhalation of food or vomitus cardiac arrest pressure ulcer, lower back infection and inflammatory reaction due to other vascular device, implant, and graft hepatic encephalopathy intraspinal abscess acute osteomyelitis, other specified sites other and unspecified coagulation defects delirium due to conditions classified elsewhere paraplegia gastroparesis intervertebral disc disorder with myelopathy, thoracic region chronic osteomyelitis, other specified sites peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to