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: a 64-year-old white male with multiple medical problems including tracheal stenosis, tracheal malacia, status post recent photodynamic treatment and endobronchial stent, osteoarthritis, coronary artery disease, congestive heart failure, who was transferred with fevers, tachycardia, hypotension, and hypoxemia. the patient has a long history of tracheal stenosis and tracheal malacia following a long period of intubation while hospitalized at from to to for abdominal aortic aneurysm repair complicated by graft infection requiring revision. the patient also has a history of endotracheal cancer discovered at bronchoscopy. the patient underwent laser photodynamic therapy for stenosis endotracheal cancer in by dr. . the patient was admitted from to for elective procedure by dr. as well where he received tracheal and left main bronchus stents complicated by methicillin-resistant staphylococcus aureus bronchitis and diarrhea. the patient was discharged to complete a course of vancomycin, ending on . for the past 10 days the patient had noticed shortness of breath, dyspnea on exertion, and cough productive of blood-tinged yellow sputum. he has also noticed worsening of chronic bilateral left lower extremity edema and paroxysmal nocturnal dyspnea. he denies chest pain or abdominal pain. found unresponsive by his wife earlier this morning. the patient was unable to recall a syncopal or suffered trauma; details unclear. the patient presented to emergency department by emergency medical service who gave the patient lasix 40 intravenously and ms04 without relief. at , the patient had a temperature of 101, heart rate of 140, blood pressure 139/60, respiratory rate 32, spo2 93% on nonrebreather, and a white blood cell count of greater than 20,000. arterial blood gas was 7.26/58/85/23. the patient was given intravenous lasix, nitroglycerin paste, bumex, bipap, albuterol and atrovent nebulizers, and rocephin intravenously. given complicated pulmonary history transferred to for further evaluation and management. in the ambulance, the patient had drop of blood pressure to the 80s for which he was started on a dopamine drip and intravenous fluids. he was given a single dose of vancomycin and levaquin in the emergency department. heart rate was 140, down to 100, blood pressure 106/45, respiratory rate 28, 96% on a nonrebreather. the patient was placed on bipap in the emergency department with improvement in spo2 to upper 90s. complaints of shortness of breath and orthopnea. arterial blood gas was 7.36/53/60/31 on bipap 10 and 5. given complicated pulmonary history and hypoxia the patient was electively intubated by dr. by bronchoscopy. past medical history: 1. tracheal stenosis and tracheal malacia, status post photodynamic therapy in . 2. status post tracheal and left main bronchial stent on . 3. history of tracheal cancer, status post photodynamic therapy. 4. coronary artery disease. 5. congestive heart failure. 6. obstructive sleep apnea, on bipap. 7. status post abdominal aortic aneurysm repair complicated by graft infection, status post revision at from to . 8. reflex sympathetic dystrophy. 9. status post pacemaker for heart block. 10. seizure disorder. 11. history of methicillin-resistant staphylococcus aureus. 12. history of pseudomonal sepsis. 13. history of gastrointestinal bleed. 14. history of acute respiratory distress syndrome. 15. acute tubular necrosis. 16. deep venous thrombosis. 17. c. difficile. 18. right pneumothorax. 19. numerous abdominal surgeries. allergies: no known drug allergies. medications on admission: (on ) 20 meq p.o. q.d. (the patient reports he was taking 60 q.d.), serzone 300 mg p.o. b.i.d., robitussin p.r.n., combivent p.r.n., percocet p.r.n., zinc 220, norvasc 2.5 mg p.o. q.d., neurontin 400 mg p.o. t.i.d., allopurinol 100 mg p.o. q.d., lasix 60 mg p.o. q.d. (the patient reports taking 120 mg p.o. q.d.), oxycontin 80 mg p.o. b.i.d., prednisone 5 mg p.o. q.d., lopressor 25 mg p.o. q.d., zanaflex 8 mg p.o. t.i.d., fluconazole 100 mg p.o. q.d., prilosec 40 mg p.o. q.d., humibid p.r.n., vitamin c, and multivitamin. social history: he lives at home with his wife. a known 10-pack-year history of tobacco; quit in . no alcohol. previously a pilot. physical examination on presentation: temperature 100.7, heart rate in the 100s, blood pressure 100 to 110/40s, respiratory rate 15 to 28, oxygen saturation 99% on peep, 10 on pressure support 5. general, an obese, uncomfortable white male, in mild respiratory distress. heent revealed pupils were equal, round, and reactive to light. mucous membranes were markedly dry. heart was distant, a regular rate and rhythm, without murmur, rubs or gallops. lungs revealed bilateral basilar wet crackles anteriorly decreased breath sounds. abdomen was soft, nontender, and nondistended, decreased bowel sounds. no masses. midline surgical incision was well-healed. extremities revealed 2 to 3+ pitting edema bilaterally. neurologically, alert and oriented times four. motor strength was in the upper and lower extremities bilaterally. laboratory values on presentation: white blood cell count 23.5, hematocrit 40, platelets 204; 77 neutrophils, 4 bands, 5 lymphocytes. sodium 138, potassium 3.2, chloride 99, bicarbonate 27, bun 24 (which was 17 on ), creatinine 1.5 (which was 1.1 on ), glucose 143. creatine phosphokinase 196, mb 6, troponin i was 0.8. urinalysis revealed moderate blood, 0 to 2 red blood cells, rare bacteria, trace protein, 3 to 5 white blood cells. radiology/imaging: electrocardiogram revealed sinus tachycardia at 105, left axis deviation, 0.5-mm st depressions in ii, v4 through v6. chest x-ray revealed possible left lower lobe infiltrate, cephalization, hilar prominent with diffuse bilateral alveolar infiltrates. hospital course: the patient was admitted to the medical intensive care unit. he was quickly weaned off the dopamine. he had a left subclavian placed as well as a arterial line. he had an echocardiogram done which showed left atrium moderately dilated, left ventricular cavity was normal, left ventricular function depressed, but ejection fraction could not be determined, mild aortic regurgitation. the patient was continued on levaquin and vancomycin and started on steroids. thought likely to have a component of congestive heart failure, pneumonia, and sepsis. as blood pressure got better, the patient was able to be gently diuresed. the patient was successfully intubated without a problem. subclavian and arterial line were removed. urine culture was no growth to date. blood cultures showed staphylococcus aureus which ended up being methicillin-resistant staphylococcus aureus. renal function improved quickly and thought likely to be prerenal in etiology. on , the patient was transferred to the floor. he had been ruled out by enzymes for myocardial infarction. on the floor, the patient remained afebrile. oxygen was weaned off. lasix was slowly restarted. norvasc was stopped, and ace inhibitor was started at a low dose as the patient has had congestive heart failure. he was started on captopril 6.25 mg t.i.d. and then changed to mavik 0.5 mg q.d. he underwent bronchoscopy to examine the stents. the stents were patent, but there was much secretions. in addition an tracheal stenosis of 0.5 cm proximal to the stent was found, and it was recommended that likely he would need resection of the stenosis with electric cautery and silicon stent placed at some point. mucomyst was added to outpatient regimen to help with secretions. a peripherally inserted central catheter line was placed without complications, as the patient will need a 14-day course of vancomycin. electrolytes were replaced throughout admission as needed. he was on subcutaneous heparin for prophylaxis as well as protonix, and blood pressure remained stable. on the floor, the patient developed diarrhea with antibiotics. this has happened before, and he had slightly increased abdominal pain which has also happened before, and was nonfocal. clostridium difficile was sent which was negative. the patient subjectively and objectively seemed to improve and was discharged on to home with and physical therapy. condition at discharge: he was stable on discharge. medications on discharge: 1. levaquin 500 mg p.o. q.d. for a total of 14 days. 2. vancomycin 1 g intravenously b.i.d. for a total of 14 days. 3. mavik 0.5 mg p.o. q.d. 4. mucomyst nebulizer 3 cc to 5 cc 10% t.i.d. times 30 days to be renewed by dr. if necessary. 5. diflucan 100 mg p.o. q.d. 6. serzone 300 mg p.o. b.i.d. 7. combivent 2 puffs q.i.d. 8. oxycontin 80 mg p.o. b.i.d. 9. percocet 5/325 one tablet p.o. q.i.d. p.r.n. 10. neurontin 400 mg p.o. t.i.d. 11. prednisone 5 mg p.o. q.d. 12. allopurinol 100 mg p.o. q.d. 13. lasix 40 mg p.o. q.d. 14. lopressor 25 mg p.o. b.i.d. 15. zanaflex 8 mg p.o. t.i.d. 16. nexium 30 p.o. q.d. 17. multivitamin 1 p.o. q.d. 18. vitamin c 500 mg p.o. q.d. 19. 40 meq p.o. q.d. 20. enteric-coated aspirin 81 mg p.o. q.d. 21. robitussin ac 5 cc to 10 cc q.4-6h. p.r.n. discharge diagnoses: 1. methicillin-resistant staphylococcus aureus pneumonia. 2. congestive heart failure. 3. abdominal aortic aneurysm repair in , status post graft infection and tracheal stenosis, status post stent. 4. bronchoscopy with new proximal stent. 5. tracheal carcinoma, status post photodynamic treatment. 6. coronary artery disease, status post stent. 7. hypertension. 8. pacemaker for heart block. 9. reflex sympathetic dystrophy in right lower leg. 10. seizure disorder. 11. depression. 12. many abdominal surgeries. 13. history of acute respiratory distress syndrome. 14. acute tubular necrosis. 15. gastrointestinal bleed. 16. deep venous thrombosis. 17. clostridium difficile. 18. right pneumothorax. discharge disposition: the patient discharged with and physical therapy nebulizer treatment and teaching at home. vancomycin level peak and trough to be checked on as well as a chem-7 as it was slightly low here. dr. office to adjust vancomycin and potassium and lasix. discharge followup: the patient was to follow up with dr. early next week and dr. in his office. he should call next week. , m.d. dictated by: medquist36 d: 19:02 t: 05:54 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other bronchoscopy diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified unspecified essential hypertension unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified infection with microorganisms resistant to penicillins other shock without mention of trauma cardiac pacemaker in situ 

Answer: The patient is high likely exposed to