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: codeine attending: chief complaint: chest pain/sob major surgical or invasive procedure: right video-assisted thoracoscopy converted to right thoracotomy, decortication of lung and evacuation of retained hemothorax/empyema. percutaneous tracheostomy placement and gastroesophagoscopy with percutaneous gastrostomy tube placement. history of present illness: 84m s/p fall approximately 2 days prior to admission presents as a transfer from osh with chest pain and shortness of breath. pt was found to have an inr of 11 (coumadin for h/o dvt) and multiple rib fractures on exam prior to admission. pt states that his fall was mechanical. past medical history: dvt, right leg in 11/. hypertension, seasonal allergies, copd, elevated cholesterol, osteoarthritis of the hip, bph. social history: no drug abuse family history: nc physical exam: vitals: t 99.7 75 119/61 20 99% exam: pertinent results: 08:25pm wbc-12.0* rbc-3.09* hgb-9.7* hct-28.6* mcv-93 mch-31.5 mchc-34.0 rdw-14.6 brief hospital course: patient was transferred from an osh with known diagnosis of hemothorax and multiple rib fractures and was seen and stabilized in the trauma bay. after receiving ffp to correct his elevated inr, a chest tube was placed with ~1600cc output on placement. he was admitted to the icu for management and his chest tube output was followed. he required 5 units of prbcs to maintain adequate hematocrit, and this was followed and transfused as needed throughout the remainder of his stay. on hd 2, the patient was c/o significant pain and this was affecting his respiratory status/pulmonary toilet so the acute pain service was consulted regarding epidural placement. they determined the patient would be best served by placement of a paravertebral block and this was performed at the bed side. following this, the patient was transferred to the floor for further management. on the floor his respiratory status was adequate, but he continued to complain of significant pain, so he was started on a dilaudid pca. additionally because of his c/o shoulder pain he was evaluated by the orthopedics service, who indicated that no acute intervention was needed, and the patient could follow up with them as an outpatient. on the patient was triggered for mental status changes which were determined to be from his narcotics. additionally, he had some difficulty maintaining his sats and his o2 requirements were increasing. because of this he was transferred to the icu with a plan to have an epidural placed by the acute pain service, which was performed without difficulty. the patient stayed in the icu overnight for monitoring of his blood pressures concern for hypotension given his volume status and new epidural placement. after he was stable and his epidural was functioning he was transferred back to the floor for further management. his epidural was eventually removed and he was placed on an oral regimen. his chest tube was also removed; he is on his home pulmonary meds and prn nebulizers. he was evaluated by physical therapy and is being recommended for rehab after his acute hospital stay. on the patient went into rapid atrial fibrillation and respiratory distress with a fever of 102 f, and altered mental status. he required a total of 15 mg iv lopressor pushed and he returned to sinus rhythm. cxr and stat labs/cultures were sent and he was found to have a leukocytosis. given his acute respiratory distress he required intubation. on , patient brought to or with thoracic surgery for right video-assisted thoracoscopy which was converted to right thoracotomy. three chest tubes were placed in the chest. the most anterior tube was a right-angle tube. the middle tube was and anterior apical tube and the more posterior tube at the skin was a posterior apical tube. the patient was started on tube feeds. his blood cultures 7/10 grew mssa. ucx grew probable enterococcus ~5000/ml. pleural clot cultures demonstrated mrsa. : wife was consented for trach and peg, this was performed without complication after tube feeds were held for the appropriate amount of time preop. pain control still an issue. started roxicet via g tube. tube feeds started via peg tube, patient tolerating this well. + bm's 7/17 l picc line placed. lasix gtt for diuresis. started on diamox for increasing respiratoy acidosis with lasix. chest ct performed. 1 chest tube removed and 2 chest tubes remaining placed to pneumostat by thoracic surgery team. tube feeds advanced to goal of 50cc/hr chest tube x2 placed to pneumostat. continued on vancomycin and zosyn. tube feeds at goal. dispo planning. : no acute events. secretions noted to be thicker, sputum gs and cx sent. : started on seroquel for anxiety/agitation and discontinued zyprexa. patient had high residuals from tube feeds (~500ml), tube feeds were held and peg was clamped. sputum culture growing heavy pseudomonas : tf residuals ~400cc/24hr, decreased rate and thickness. erythromycin 250mg po q6h. anterior chest tube d/c'd : patients chest tube was discontinued and the patient was discharged to a long term acute care facility medications on admission: coumadin, hctz, lipitor, betaxolol, spiriva, flomax discharge medications: 1. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 3. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): apply over right side of chest wall. 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 8. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheeze, sob. 12. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 13. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 14. losartan 50 mg tablet sig: two (2) tablet po daily (daily). 15. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 16. tramadol 50 mg tablet sig: 0.5 tablet po qid (4 times a day). 17. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 18. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). discharge disposition: extended care facility: - discharge diagnosis: s/p fall right rib fractures right hemothorax right gluteal hematoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: * please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: follow up in 2 weeks in clinic, call for an appointment. procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis other bronchoscopy percutaneous [endoscopic] gastrostomy [peg] arterial catheterization decortication of lung temporary tracheostomy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt injection of anesthetic into sympathetic nerve for analgesia injection of anesthetic into sympathetic nerve for analgesia diagnoses: pneumonia, organism unspecified acidosis pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension severe sepsis chronic airway obstruction, not elsewhere classified atrial fibrillation other opiates and related narcotics causing adverse effects in therapeutic use methicillin susceptible staphylococcus aureus septicemia acute respiratory failure long-term (current) use of anticoagulants personal history of venous thrombosis and embolism streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site hypovolemia drug-induced delirium knee joint replacement fall from other slipping, tripping, or stumbling empyema without mention of fistula leukocytosis, unspecified traumatic hemothorax without mention of open wound into thorax osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh closed fracture of five ribs allergic rhinitis due to other allergen 

Answer: The patient is high likely exposed to