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: ciprofloxacin attending: chief complaint: urinary retention major surgical or invasive procedure: foley placed central line placement history of present illness: patient is a 88 y/o m with a invasive bladder cancer s/p xrt/chemo, superficial bladder cancer s/p resection and bcg, prostate cancer s/p prostatectomy but with rising psa, and recent urethral stricture disease s/p cku , who presents with urinary retention and rigors over the last few days. he has been evaluated for urinary retention in the past and has had chronic indwelling foleys. in the ed vs were f, hr 121, bp 120/98 99%ra. blood and urine cultures were taken. patient was given tylenol and ceftriaxone. patient was initially going to be admitted to the floor, but then it was noted that repeat sbps were in the 70s. patient was still mentating. rigj was placed. 3l ns were given. past medical history: bladder cancer diabetes mellitus type 2 hypertension peptic ulcer disease cad: mis in and again in with stents in place perforated diverticulum with a colostomy x30 yers now s/p reanastomosis. social history: retired, quit smoking 35 years ago, and drinks alcohol rarely. worked on real estate development. prior to that he was a musician. family history: nc physical exam: pe: nad, appears younger than stated age vs: 97.5 102 84/52 on 0.15 levophed, 97% 3l heent: s/p cataracts bilaterally, perrl, eomi, op dry neck: rij, no lad chest: ctab cardiac: tachy but regular abd: + bs, left abd scar ext: no edema, cool neuro: aaox3, cn 2-12 intact. 5/5 strength throughout except right deltoid . light touch intact. pertinent results: renal ultrasound impression: 1. bilateral hydronephrosis, grade 1 on the right and grade ii on the left. no proximal obstructing mass or stone is identified. 2. bilateral simple renal cysts. 3. limited evaluation of the bladder due to decompression with a foley catheter. the bladder wall appears thickened. . echo the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. overall left ventricular systolic function is normal (lvef 70%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no mass or vegetation is seen on the mitral valve. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. impression: no obvious vegetations seen . blood cultures x2 sensitivities: mic expressed in mcg/ml _________________________________________________________ staphylococcus, coagulase negative | staphylococcus, coagulase negative | | clindamycin-----------<=0.25 s <=0.25 s erythromycin----------<=0.25 s <=0.25 s gentamicin------------ <=0.5 s <=0.5 s levofloxacin---------- =>8 r =>8 r oxacillin------------- =>4 r =>4 r penicillin------------ =>0.5 r =>0.5 r rifampin-------------- <=0.5 s <=0.5 s tetracycline---------- <=1 s <=1 s vancomycin------------ <=1 s <=1 s . creatinine 2.6 -> 2.6 -> 2.6 -> 2.1 -> 1.6 -> 1.3 -> 1.2 -> 1.3 -> 1.1 brief hospital course: micu course: patient arrived with systolic pressures in the 90s on low dose of pressors. an art line was placed. he was started on vancomycin. urology was consulted and initially recommended outpt follow up. patient was weaned off of pressors on in the am. renal u/s showed bilateral hydronephrosis. his blood cultures grew coagulase negative staph. he was hemodynamically stable for >48 hours off of pressors and transfered to the oncology service. . oncology course: coag negative staph: pt remained afebrile and stable white count on the floor. he had a picc placed for iv vanco infusion for total of 14 days. . acute renal failure: pt had acute renal failure likely both post renal and prerenal. he has prostate ca, and hydronephrosis on ultrasound. prerenal causes more likely considering his hypotension while in the micu. this was monitored and resolved. . urinary complaints: patient has had problems with urinary dribbling and retention in the past. here had a foley placed and will be discharged with it per urology and follow up with urology as an outpatient. . bright red blood per rectum: on am, patient had bright red blood per rectum. he got out of bed and on his way to the bathroom had red blood puddled on the floor. no pain. this has happened one time in the past, but with red blood in the toilet. this is likely a result of know radiation proctitis (on colonoscopy ). also has internal hemorrhoids that may contribute. gi was called and recommened sigmoidoscopy with argon gamma ablation only if it recurrs, which it did not. he remained hemodynamically stable and maintained his hct. medications on admission: glipizide, vicodin, hyrdrocort 30 qam 10 q pm, ketoconaazole 400 , crestor, zoloft , lupron given recently. discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. hydrocortisone 20 mg tablet sig: 1.5 tablets po qam (once a day (in the morning)). 4. hydrocortisone 5 mg tablet sig: two (2) tablet po qafternoon (). 5. ketoconazole 200 mg tablet sig: two (2) tablet po bid (2 times a day). 6. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 7. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po once a day. 8. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous q 24h (every 24 hours) for 6 days: please complete on . . discharge disposition: extended care facility: center elmhurst discharge diagnosis: primary: urosepsis hypertension radiation proctitis bladder cancer urethral stricture . secondary diagnosis: diabetes mellitus type 2 peptic ulcer disease cad: mis in and again in with stents in place perforated diverticulum with a colostomy x30 yers now s/p reanastomosis. discharge condition: stable, with foley catheter, ambulating with assistance, and has returned to his baseline condition. discharge instructions: you came to the hospital with fevers and chills. you were found to have a urinary tract infection that had to your blood. you were treated with antibiotics through an iv. on discharge, you have a more permanent iv line called a picc line through which you can complete your course of antibiotics at rehab. . you also had one episode of rectal bleeding. this was thought to be secondary to radiation proctitis. you should make a follow up appointment with your gastroenterologist in the next few months if this happens again. . you are also being discharged with a foley catheter. you should keep this until your appointment with dr. , the urologist, scheduled for monday . . please call your doctor or return to the hospital if you have more fevers or chills, bleeding from your rectum or any other concerning symptoms. followup instructions: provider: , md phone: date/time: 11:00 please follow up with the urologist, dr. , on monday at 9am. his clinic is in the building . if you need to reschedule, please call his office at . provider: , md phone: date/time: 1:10 procedure: venous catheterization, not elsewhere classified arterial catheterization diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified sepsis blood in stool malignant neoplasm of prostate retention of urine, unspecified pressure ulcer, lower back hydronephrosis other specified disorders of rectum and anus internal hemorrhoids without mention of complication peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction other staphylococcal septicemia malignant neoplasm of other specified sites of bladder 

Answer: The patient is high likely exposed to