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: left hip pain major surgical or invasive procedure: left total hip replacement - revision history of present illness: mr. was working in his cellar on when he tripped and fell on a step and sustained a left subcapital hip fracture. as you know, this was treated with an uncemented osteonics omnifit hemiarthroplasty on . this was performed through an anterolateral approach. his postoperative course was uneventful. over the ensuing months, he did receive treatment from an orthopedic surgeon in , whereby he was given viscosupplementation injections of the left knee. he did not have any improvement of his knee pain at that time. subsequently, in , he was admitted with pneumonia. at that time, his hip was painful and an x-ray revealed subluxation of the hemiarthroplasty. aspiration was positive for infection. the aspiration white cell count on was 35,500 with 97% polys. the patient was then taken to the operating room by dr. who performed a resection of the hemiarthroplasty, irrigation and debridement, and spacer with antibiotic cement. tissue culture on revealed coagulase negative staphylococcus as well as propionibacterium acnes. the patient was then subsequently treated with intravenous antibiotics and the spectrum was widened to include vancomycin, ceftriaxone, and azithromycin. he was discharged on an antibiotic regimen of vancomycin and ceftriaxone and demonstrated improvement in his fevers and pain. he completed five weeks of intravenous vancomycin. he developed clostridium difficile infection on which was treated with flagyl. for this reason, iv antibiotics were discontinued at five weeks rather than six weeks. mr. now presents for assessment for reimplantation of the hip. past medical history: cad s/p des to rca in prostate cancer s/p radical prostectomy hypertension hypothyroidism dx early glaucoma s/p bilateral ankle surgery carpal tunnel s/p surgical release s/p l hernia repair social history: pt lives with wife in , recently from nursing home. he denies current tobacco use or illicit drug use. admits to occasional glass of wine. used to own a sub shot. family history: nc physical exam: well-appearing, well nourished 78 year old male alert and oriented no acute distress lle: -dressing-c/d/i -incision-c/d/i, +edema and ecchymosis, no drainage -+at, fhl, -silt -brisk cap refill -calf-soft,nontender -nvi distally brief hospital course: icu course: pt transfered to the icu for post op care in setting of hypotension. he was put on low dose pressors for hypotension thought to be hypovolemic in nature surgery and blood loss. he was noted to have anemia and was transfered a total of 5 uprbc over the course of 2 days. pt quickly improved, weaned off pressors, and bp and hct stabalized. he was given vancomycin 1g for septic arthritis. he was tranfered to the ortho service in stable condition. the patient was admitted to the orthopaedic surgery service and was taken to the operating room for above described procedure. please see separately dictated operative report for details. the surgery was uncomplicated and the patient tolerated the procedure well. patient received perioperative iv antibiotics. postoperative course was remarkable for the following: ****** otherwise, pain was initially controlled with a pca followed by a transition to oral pain medications on pod#1. the patient received lovenox for dvt prophylaxis starting on the morning of pod#1. the foley was removed on pod#2 and the patient was voiding independently thereafter. the surgical dressing was changed on pod#2 and the surgical incision was found to be clean and intact without erythema or abnormal drainage. the patient was seen daily by physical therapy. labs were checked throughout the hospital course and repleted accordingly. at the time of discharge the patient was tolerating a regular diet and feeling well. the patient was afebrile with stable vital signs. the patient's hematocrit was acceptable and pain was adequately controlled on an oral regimen. the operative extremity was neurovascularly intact and the wound was benign. the patient's weight-bearing status is weight bearing as tolerated on the operative extremity. mr is discharged to rehab in stable condition with prescriptions for lovenox and hydromorphone. medications on admission: tylenol, asa, colace, flovent, levoxyl, losartan, lovenox, metoprolol succinate, morphine, neurontin, miralax, plavix, simvastatin, tramadol, brimonidine, timolol, travaprost eye gtts, vit b12 discharge medications: 1. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous daily (daily). disp:*21 syringe* refills:*0* 2. gabapentin 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. levothyroxine 175 mcg tablet sig: one (1) tablet po daily (daily). 5. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic (2 times a day). 6. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). 7. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 8. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 9. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day) as needed for constipation. 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: left hip osteomyelitis/septic arthritis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: 1. please return to the emergency department or notify your physician if you experience any of the following: severe pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. please follow up with your primary physician regarding this admission and any new medications and refills. 3. resume your home medications unless otherwise instructed. 4. you have been given medications for pain control. please do not drive, operate heavy machinery, or drink alcohol while taking these medications. as your pain decreases, take fewer tablets and increase the time between doses. this medication can cause constipation, so you should drink plenty of water daily and take a stool softener (such as colace) as needed to prevent this side effect. call your surgeons office 3 days before you are out of medication so that it can be refilled. these medications cannot be called into your pharmacy and must be picked up in the clinic or mailed to your house. please allow an extra 2 days if you would like your medication mailed to your home. 5. you may not drive a car until cleared to do so by your surgeon or your primary physician. 6. please keep your wounds clean. you may shower starting five days after surgery, but no tub baths or swimming for at least four weeks. no dressing is needed if wound continues to be non-draining. any stitches or staples that need to be removed will be taken out by the visiting nurse or rehab facility two weeks after your surgery. 7. please call your surgeon's office to schedule or confirm your follow-up appointment in four weeks. 8. please do not take any non-steroidal anti-inflammatory medications (nsaids such as celebrex, ibuprofen, advil, aleve, motrin, etc). 9. anticoagulation: please continue your lovenox for three weeks to help prevent deep vein thrombosis (blood clots). after completing the lovenox, please take aspirin 325mg twice daily for an additional three weeks. you may restart your plavix once you have finished lovenox. 10. wound care: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two weeks. 11. vna (once at home): home pt/ot, dressing changes as instructed, wound checks, and staple removal at two weeks after surgery. 12. activity: weight bearing as tolerated on the operative extremity. posterior hip precautions. no strenuous exercise or heavy lifting until follow up appointment. physical therapy: weight bearing as tolerated on the operative extremity. posterior hip precautions. no strenuous exercise or heavy lifting until follow up appointment. treatments frequency: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two weeks. followup instructions: provider: , : date/time: 11:40 procedure: venous catheterization, not elsewhere classified other local excision or destruction of lesion of joint, hip insertion or replacement of (cement) spacer diagnoses: hyperpotassemia coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism personal history of malignant neoplasm of prostate unspecified glaucoma percutaneous transluminal coronary angioplasty status unspecified disorder of kidney and ureter other postprocedural status hypovolemia staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus hip joint replacement pyogenic arthritis, pelvic region and thigh unspecified osteomyelitis, pelvic region and thigh ankylosis of joint, pelvic region and thigh 

Answer: The patient is high likely exposed to