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: airway obstruction major surgical or invasive procedure: tracheotomy change , chest tube placement flexible bronchoscopy history of present illness: 68-year-old male who is status post chemo xrt for a t2 n2b right tonsillar squamous cell carcinoma who was recently admmitted for a pneumonia. due to respiratory distress received a tracheotomy on per the orl service. the patient did well post-op and was discharge to rehab. on the day of admission, nursing at rehabilitation noted difficulty with suctioning and on deep suctioning some tracheal bleeding. he was transferred to for evaluation. of note, the patient has a 7 portex cuffed trach tube, a different tube than at discharge. while in the ed, complete clogging of the trach tube was noted on orl evaluation with clots coming from the trach. respiratory was unable to pass a suction. the orl service was consulted for evaluation. outside records from indicate that the patient was 2 receive 2 unit prbcs for a hct of 22 today. also, is wbc count was 25 with c.diff results pending from rehab and was emperically started on flagyl. he was currently receiving vancomycin for mrsa pneumonia. past medical history: hypertension cva- "small strokes," exploratory laparatomy about 20 yrs ago for incarcerated hernia social history: previous gas station maintenance worker, 40 pack-yr history of smoking and current smoker, drank 2-3 beers a day before the dysphagia started. family history: noncontributory. physical exam: vs: hr 110s bp 161/72 t 101 97% on trach mask general: nad, lying in bed heent: tongue slightly protruding, firm mass right jaw and superior neck: radiation changes anterior/right neck. tracheostomy. gurgling sounds with breathing. heart: regular rhythm, tachycardic without murmurs. lungs: diffuse rhonchorous sounds anterior and posterior chest abd: soft, nondistended, peg-tube site is clean dry and intact. skin: warm and dry without rashes. extremities: warm, no edema. psych: alert and oriented with normal affect. pertinent results: admission labs: 07:47pm lactate-1.7 07:00pm glucose-169* urea n-24* creat-0.7 sodium-132* potassium-3.8 chloride-89* total co2-36* anion gap-11 07:00pm ck(cpk)-28* 07:00pm ctropnt-0.04* 07:00pm ck-mb-notdone 07:00pm wbc-23.0*# rbc-3.04* hgb-8.2* hct-25.3* mcv-83# mch-27.1 mchc-32.6 rdw-15.4 discharge labs: 03:43am blood wbc-23.5* rbc-3.39* hgb-9.3* hct-29.3* mcv-86 mch-27.6 mchc-32.0 rdw-14.3 plt ct-594* 03:43am blood glucose-154* urean-14 creat-0.6 na-132* k-4.0 cl-97 hco3-26 angap-13 03:43am blood calcium-8.1* phos-3.5 mg-2.1 brief hospital course: 68yo m squamous cell throat cancer w recent hx of pneumonia and icu stay, s/p trach/peg, presented w tracheostomy tube in false lumen. #) tracheostomy replacement: on presentation patient initially had bleeding around his trach site, and his et tube was found to be full of clots, in the ed, his tracheotomy tube replaced. while changing the tube, a false passage was noted. this passage was not present at discharge. on hd 2, the tracheotomy tube migrated into the false passage and required a second procedure to secure the airway. which was complicated by a left pneumothorax seen on follow-up chest xray, and a chest tube was placed by the sicu team. the chest tube was removed with small residual apical pneumothorax, patient will need repeat chest x-ray in days after discharge to make sure the pneumothorax has not worsened. #) leukocytosis: patient with persistent leukocytosis with white blood cell counts over 20, and he continued to have low grade temps. he was recultured, c.diff was sent, and his repeat sputum culture also showed mrsa, which was thought to be colonization rather then infection. his chest x-ray on the day of discharge showed improvement in lll. #) nutrition: continuous tube feeds were transitioned to bolus tube feeds and the patient appeared to tolerate well with low residuals. #) hypertension: overall his bp was well controlled but he was hypertensive in the morning, so he may need his medications split to morning and evening meds. medications on admission: 1. insulin sliding scale 2. ipratropium bromide neb 1 neb ih q6h:prn wheeze 3. lansoprazole oral disintegrating tab 30 mg po daily 4. lisinopril 5 mg po daily 5. acetaminophen (liquid) 650 mg po q6h:prn pain 6. magnesium sulfate iv sliding scale 7. albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing 8. metronidazole (flagyl) 250 mg po tid 9. atenolol 100 mg po daily 10. oxycodone liquid 5 mg po q4h:prn pain 11. calcium gluconate iv sliding scale 12. chloraseptic throat spray 1 spry po q4h:prn mouth pain 13. senna 1 tab po bid:prn 14. docusate sodium (liquid) 100 mg po bid 15. ferrous sulfate 325 mg po/ng daily 16. sodium chloride nasal spry nu qid 17. furosemide 20 mg po bid 18. heparin 5000 unit sc tid 19. vancomycin 1000 mg iv q 24h discharge medications: 1. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q6h (every 6 hours) as needed for wheezing. 2. ferrous sulfate 300 mg (60 mg iron)/5 ml liquid : five (5) ml po daily (daily): please give via g-tube. 3. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed for wheeze. 4. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 5. insulin regular human 100 unit/ml solution : one (1) injection asdir (as directed). 6. lisinopril 5 mg tablet : one (1) tablet po daily (daily). 7. atenolol 50 mg tablet : two (2) tablet po daily (daily). 8. oxycodone 5 mg/5 ml solution : five (5) ml po q4h (every 4 hours) as needed for pain. 9. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 10. sodium chloride 0.65 % aerosol, spray : sprays nasal qid (4 times a day). 11. acetaminophen 160 mg/5 ml solution : six y (650) mg po q6h (every 6 hours) as needed for pain. 12. phenol 1.4 % aerosol, spray : one (1) spray mucous membrane q4h (every 4 hours) as needed for mouth pain. 13. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg po bid (2 times a day). 14. senna 8.8 mg/5 ml syrup : five (5) ml po bid (2 times a day) as needed for constipation: please give via peg . discharge disposition: extended care facility: & rehab center - discharge diagnosis: respiratory distress discharge condition: at the time of discharge patient had a stable white blood cell count, had been having low grade temps but was not febrile, tolerating his tube feeds, and considered medically stable for discharge to rehab. discharge instructions: *do not change trach tube until . this time is required for maturation of the tracheal tract. dear mr. , you were admitted to the hospital because you were having difficulty breathing. the otolaryngology surgeons and interventional pulmonology doctors helped replace your tracheostomy tube so that you should be able to breathe better. your tracheostomy tube was replaced with a longer tube to help prevent this from happening again in the future. during the replacement of your tracheostomy, the procedure was complicated by a pneumothorax (left lung collapse) and you had a chest tube placed. after the lung reinflated you were able to have the chest tube removed. during your time in the hospital you completed your course of vancomycin for your prior pneumonia and picc line was taken out. no other changes were made to your medication regimen. please call your doctor or return to the hospital if you experience any shortness of breath, difficulty breathing, chest pain, worsening cough or sputum production, blood from around your trach site or any other concerning symptoms. followup instructions: please be sure to keep your scheduled appointments: provider: , md phone: date/time: 10:40 provider: , md phone: date/time: 11:00 procedure: insertion of intercostal catheter for drainage replacement of tracheostomy tube replacement of tracheostomy tube diagnoses: anemia of other chronic disease congestive heart failure, unspecified unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified hyposmolality and/or hyponatremia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure iatrogenic pneumothorax chronic systolic heart failure pressure ulcer, lower back carrier or suspected carrier of methicillin resistant staphylococcus aureus personal history of irradiation, presenting hazards to health other tracheostomy complications pressure ulcer, stage iii methicillin resistant pneumonia due to staphylococcus aureus malignant neoplasm of posterior wall of nasopharynx 

Answer: The patient is high likely exposed to