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: methotrexate, pcn, heparin agents pmh: aortic coarctation s/p homograft at age 13, s/p ascending to descending aorta bypass , c/b sternal wound dehiscence and infection., chf, hypcholesterolemia, asthma, psoriatic arthritis, s/p trach , s/p peg , mrsa, vre, esbl klebsiella infection, hx of hit, s/p cholecystectomy, s/p appendectomy, s/p right inguinal hernia repair, s/p nasal surgery for deviated septum, s/p lens implants, s/p l2-l3 and l4-l5 sacral fusion, picc line placed , anemia, baseline hct 20-24, hx of afib ros: see resp: pt trached and vented on ac 50% 500/16 5 peep, team unable to place a-line (difficult stick) o2 sats 96-100% suctioned for thick tan secretions. lungs w/ coarse breath sounds, receiving alb/atrovent 's by resp therapy. cxr done - bilaterl pleural effusions, pulm edema cv/fluids: on levophed, currently weaning down to .071 mcg/kg/, pt received a total of 3 liters of ivf. lactate level 1.7 mixed venous o2 sat~73. bp 94-100/60 hr 70-80 st no vea noted. id: afebrile, pt diaphoretic, bed changed x 2, wbc 13.0 pt on meropenem, vanco, bactrim d'cd. cultures x 2 drawn (from new left ij) multiple attempts to draw peripherally - unable, urine and sputum cx's sent. need stool cx. on stool for c-diff negative. right upper arm picc line (apparently line was pulled out to a midline from ) line d'cd and tip sent for culture on steroids. gi: npo, peg , area slightly red - cleansed with ns, bacitracin applied, dsd. small amt of golden loose stool to start on tpn abd obese, +bs gu: foley patent, bag changed, draining >30 cc/hr bun 19 crt 0.6 endo: started on an insulin gtt, currently @ 3 units/hr, fs 150-160 range. adjust accordingly neuro: pt and oriented to person, place. nodding on/off, appears to have overall discomfort with turning, procedures, etc. settles easily. pt medicated w/ 2 mg iv ativan, 100 mcg fentanyl for line insertion. skin: ordered for kinear bed. with breakdown - area cleansed and duoderm applied, pt kept off back, right thigh w/ old site - left open to air, chest - pt has hernia. skin flaking, scaly, cream applied. pt very diaphoretic. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances thoracentesis non-invasive mechanical ventilation bronchoscopy through artificial stoma transfusion of packed cells injection or infusion of oxazolidinone class of antibiotics diagnoses: anemia of other chronic disease pneumonia due to other gram-negative bacteria congestive heart failure, unspecified severe sepsis anxiety state, unspecified acute respiratory failure septic shock pressure ulcer, lower back other septicemia due to gram-negative organisms pneumonia due to klebsiella pneumoniae chronic respiratory failure tracheostomy status other ventral hernia without mention of obstruction or gangrene mediastinitis coarctation of aorta (preductal) (postductal) personal history of surgery to heart and great vessels, presenting hazards to health 

Answer: The patient is high likely exposed to