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: baclofen attending: chief complaint: fever, hypoxia, tachypnea major surgical or invasive procedure: endotracheal intubation central venous catheter placement history of present illness: 79 yo m w/ chf, pvd, s/p aka, s/p ureteral stents and s/p partial penisectomy (distal shaft of penis excised) with indwelling catheter transferred from hospital with fevers, bilateral rhonchi, and hypoxia. . patient intubated so history is limited. daughter but has not seen patient in weeks and was unable to provide history. per hospital records patient had temp 101.8, hr 124, bp 142/80, and 78% on nrb. he was transferred to ed for further management. . in ed, vs hr 125, bp 145/68, rr 30, 99% nrb. patient was found to be minimally responsive, only moaning. he was very tachypneic to 30s and rhonchorous on exam. he was intubated and noted to not have a gag reflex. urology was consulted concern for penile/scrotal infection at area of excision. urology did not feel that there was superficial wound infection and recommended keeping foley to gravity. in the ed his hr ranged 120s-140s, sbp 100s-130s. an ecg was notable for sinus tachy, 123 bpm, w/ twi v3-v6. on labs he had leukocytosis of 14.5 w/ left shift, no bands, lactate 3.2, na 171, cl 131, cr 3.7. ua w/ blood, prot, wbc, bact, and leuks. abg on fio2 100 was 7.45, 34, 212. cxr read to have low lung volumes, no infiltrates. he was written for vanc/cefepime, but due to nursing error received vanc/gent becaus error. he also received 2l ns and started on propafol gtt. has rej and piv. his vitals on transfer are: 94/57, 120s, 99% on vent. past medical history: seizure disorder depression htn pvd s/p bilateral aka cholelithiasis social history: resident of skilled nursing facility. family history: nc physical exam: physical exam on admission general: intubated, responds to sternal rub, otherwise minimally follows commands heent: sclera anicteric, mmm, oropharynx clear neck: intubated, jvp 8cm, no lad lungs: rhonchorous anterior breath sounds cv: tachycardic, normal s1 + s2, no murmurs, rubs, gallops, pmi not displaced abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: scrotal edema, foley in place, wound dressed w/ guaze, no pustulous drainage/fluctuance ext: aka, onychomycosis of the hands, right hand contracted pertinent results: 09:00pm blood glucose-234* urean-82* creat-3.7* na-171* k-4.5 cl-131* hco3-22 angap-23* 04:22am blood glucose-88 urean-27* creat-1.1 na-147* k-3.4 cl-113* hco3-25 angap-12 09:40pm blood type-art tidal v-500 fio2-100 po2-212* pco2-34* ph-7.45 caltco2-24 base xs-0 aado2-493 req o2-80 -assist/con intubat-intubated 12:24pm blood type-art po2-76* pco2-38 ph-7.40 caltco2-24 base xs- 8:40 am sputum source: endotracheal. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (final ): commensal respiratory flora absent. staph aureus coag +. sparse growth. of two colonial morphologies. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. yeast. rare growth. haemophilus influenzae, beta-lactamase negative. sparse growth. beta-lactamse negative: presumptively sensitive to ampicillin. confirmation should be requested in cases of treatment failure in life-threatening infections.. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 4 r oxacillin------------- =>4 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ 1 s . 12:13 pm urine source: catheter. **final report ** urine culture (final ): yeast. >100,000 organisms/ml.. enterococcus sp.. >100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus sp. | ampicillin------------ <=2 s nitrofurantoin-------- <=16 s tetracycline---------- <=1 s vancomycin------------ 1 s ct abd/pelvis 1. multifocal pneumonia with right greater than left parenchymal consolidation. 2. bilateral double-j nephroureteral stents in standard positions. right renal calculi measuring 1.0 cm in the right interpolar region. 3. heterogeneous nodular thyroid. 4. extensive heterotopic calcification and degenerative changes in the shoulders and hips. tte the left atrium is mildly dilated. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: normal global biventricular systolic function. mild mitral and aortic regurgitation. limited study. brief hospital course: #acute hypoxemic respiratory failure - due to multifocal healthcare-associated pneumonia and altered mental status in the setting of hypernatremia. supported with mechanical ventilation from to , antibiotics, and iv fluids. sputum cx grew mrsa and h. influenzae. antibiotics discontinued when the patient was made cmo. . #acute complicated urinary tract infection - urine culture grew >100k enterococcus. treated with vancomycin until made comfort measures only. . #acute kidney injury - resolved with fluid resuscitation. did not require renal replacement therapy. . #hypernatremia - presumably due to poor free water intake. resolved with gradual correction of free water deficit. . #nutrition - given tube feeds while intubated. after extubation, ng tube placed but the patient removed it. not replaced given overall goals of care. eat and drink as desired for comfort. . #goals of care - given the patient's poor functional status and quality of life, the decision was made to pursue comfort measures only (and do not rehospitalize order) after a discussion between the medical team and the patient's daughter/healthcare proxy. hospice services arranged for after discharge. medications on admission: erythromycin eye drops diltiazem 50mg remeron prilosec mvi aspirin iron milk of mag tums nebs discharge medications: 1. morphine 20 mg/5 ml solution sig: 0.5-1 ml po q2h as needed for pain/shortness of breath. 2. zyprexa zydis 5 mg tablet, rapid dissolve sig: tablet, rapid dissolves po every 4-6 hours as needed for anxiety/insomnia. discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: hypoxemic respiratory failure healthcare associated pneumonia acute complicated urinary tract infection acute kidney injury hypernatremia discharge condition: follows simple commands. interacts meaningfully but nonverbal. bedbound. discharge instructions: you were admitted to the hospital with multisystem organ failure and altered mental status due to pneumonia, urinary tract infection, and an elevated sodium level in the blood. after discussions between the medical team and your daughter and healthcare proxy, it was determined that your care would have a comfort-based approach. followup instructions: you should continue to receive comfort care and hospice services after transfer. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances central venous catheter placement with guidance diagnoses: anemia, unspecified acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia severe sepsis other convulsions peripheral vascular disease, unspecified depressive disorder, not elsewhere classified acute respiratory failure other postprocedural status diarrhea encephalopathy, unspecified hyperosmolality and/or hypernatremia pneumonia due to hemophilus influenzae [h. influenzae] chronic diastolic heart failure above knee amputation status mixed acid-base balance disorder methicillin resistant pneumonia due to staphylococcus aureus dermatophytosis of nail 

Answer: The patient is high likely exposed to