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: morphine sulfate attending: chief complaint: worsening shortness of breath with mild to moderate exertion major surgical or invasive procedure: cabgx3. vein grafts to left anterior descending, obtuse marginal one and two. (left internal mammary artery without flow) explor lap/ open ccy and gjtube placement permacath hd line placed tracheostomy w takeback for bleeding history of present illness: 84 year old male with history of mvp, moderate mr, mild ai, tr, mild pulmonary hypertension on recent echo complaining of worsening shortness of breath. he underwent a cardiac catheterization at that showed three vessel disease. he was then transferred to for further cardiac evaluation and referral for cardiac revascularization. past medical history: cad, with +ett mi years ago hyperlipidemia oa/osteoporosis chronic sinusitis rheumatoid arthritis mvp with moderate mr cri social history: lives at home with wife, denies alcohol or tobacco use (quit 40 years ago) family history: noncontributory physical exam: 84 year old male in nad status post cardiac catheterization lying in bed heent- perrl cvs- s1/s2 no m/r/g pulm- b/s cta abd-s/nt/nd vascular- no carotid bruits, varicosities. left groin hematoma with distal pulses present, groin hematoma expanding on admission pertinent results: 05:57pm urine color-straw appear-clear sp -1.015 05:57pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-sm 05:57pm urine rbc-* wbc-* bacteri-few yeast-none epi-0 07:43pm wbc-14.8* rbc-2.56* hgb-7.8* hct-24.1* mcv-94 mch-30.6 mchc-32.5 rdw-16.9* 07:43pm glucose-148* urea n-23* creat-1.5* sodium-140 potassium-5.2* chloride-112* total co2-17* anion gap-16 09:21pm type-art po2-154* pco2-25* ph-7.43 total co2-17* base xs--5 10:03pm alt(sgpt)-13 ast(sgot)-15 ld(ldh)-168 ck(cpk)-53 alk phos-54 tot bili-0.4 ct abdomen w/o contrast 8:53 pm reason for this examination:r/o retroperitoneal hematoma impression: 1. no evidence for retroperitoneal hematoma. 2. right inguinal hernia containing a small section of small bowel at its proximal most aspect. no evidence for bowel obstruction or ischemia. 3. diffuse atherosclerotic disease throughout the aorta. carotid series complete 10:49 am reason: pre-op cabg assess for stenosis history: 84-year-old man preop cabg, assess for stenosis. right ijv line. findings: the cervical portions of the carotid and vertebral arteries were examined with duplex ultrasound bilaterally. wall thickening is present in the right carotid artery. the peak systolic velocities of the right internal, common, and external carotid arteries are 72, 47 and 43 cm/sec respectively. the right ica-cca ratio is 1.53. mild wall thickening is seen in the left carotid artery. the peak systolic velocities of the left internal, common, and external carotid arteries are 64, 61 and 46 cm/sec respectively. the left ica-cca ratio is 1.04. there is appropriate antegrade flow in the left vertebral artery. the right vertebral artery could not be visualized. overall, visibility on the right was less clear than on the left. this nonvisualization most likely related to technical factors. if there is concern for a vertebral artery stenosis on the right (i.e., the patient has symptoms referable to the posterior circulation of the brain), then a follow-up study or an alternative study (such as a cta or mra) could clarify. impression: minor wall thickening in the carotid arteries with no significant carotid stenosis (evaluated as less than 40% stenosis bilaterally). cardiology report echo study date of conclusions: the left atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular ejection fraction is preserved (lvef 60%), although the inferior and posterior walls appear hypokinetic. no masses or thrombi are seen in the left ventricle. 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. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate to severe (3+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. ct head w/o contrast 9:41 am reason: s/p cabg, now unresponsive, neuro changes, eval for stroke, bleed findings: the patient is intubated. there is generalized cerebral atrophy. there is no intracranial hemorrhage, abnormal extra-axial fluid collection, mass effect or midline shift. the ventricles are symmetric, and the cisterns are patent. minimal fluid or focal thickening is present in the sphenoid and right maxillary sinus, possibly related to endotracheal intubation. impression: no intracranial hemorrhage or mass effect. cardiology report ecg study date of 7:47:46 pm baseline artifact. sinus rhythm. borderline low limb lead voltage. marked left axis deviation consistent with left anterior fascicular block. right bundle-branch block. probable underlying inferolateral myocardial infarction. non-specific st-t wave changes consistent with ischemia, etc. no previous tracing available for comparison. clinical correlation is suggested. ,: radiology detail - ccc record # final report indications: 84-year-old man with coronary artery disease status post coronary artery bypass graft surgery with rising creatinine, lactate, and leukocytosis. comparisons: . technique: axial non-contrast ct images of the abdomen and pelvis were obtained with oral contrast, and sagittal and coronal reconstructions were also performed. ct of the abdomen without iv contrast: the lung bases show a few patchy ground-glass opacities, which may represent pulmonary venous congestion. there is a nasogastric tube in the stomach, and a left-sided chest tube. there are smaller, but persistent, bilateral pleural effusions. there is also a tiny pneumothorax on the left. there is new ascites surrounding the liver. the gallbladder is distended, with pericholecystic fluid seen. the wall cannot be seen on this non-contrast study. the liver is unremarkable. the pancreas, adrenal glands, and spleen are within normal limits. there are unchanged bilateral renal cysts. the left kidney again demonstrates an atrophic appearance, compared to the right side. there is no mesenteric or retroperitoneal lymphadenopathy, or free air. the stomach and small bowel are within normal limits. again noted is thickening of the splenic flexure of the colon and descending colon and sigmoid. the distribution of the thickening raises possibility of ischemic colitis. ct of the pelvis without intravenous contrast: again noted is a nonobstructing right-sided inguinal hernia. there is a foley catheter in the bladder. the sigmoid demonstrates wall thickening with slight stranding. the aorta and iliac vessels are calcified. there is no pelvic or inguinal lymphadenopathy. bone windows: again noted are marked degenerative changes of the lumbar spine, but no suspicious lytic or blastic lesions. impression: 1. new gallbladder distention and pericholecystic fluid, as well as perihepatic ascites. these findings are suspicious for acalculous cholecystitis in this clinical setting, but correlation with clinical factors and an ultrasound, if clinically indicated, is advised. 2. colitis of the descending and sigmoid colon. this distribution raises the question of ischemic colitis. findings were discussed with dr. at 12:20 on . the study and the report were reviewed by the staff radiologist. dr. dr. approved: sun 12:55 am procedure date: ,: radiology detail - ccc record # final report indication: 84-year-old man with mental status changes. unresponsive. status post cabg. technique: non-contrast head ct. comparison: none. findings: the patient is intubated. there is generalized cerebral atrophy. there is no intracranial hemorrhage, abnormal extra-axial fluid collection, mass effect or midline shift. the ventricles are symmetric, and the cisterns are patent. minimal fluid or focal thickening is present in the sphenoid and right maxillary sinus, possibly related to endotracheal intubation. impression: no intracranial hemorrhage or mass effect. the study and the report were reviewed by the staff radiologist. dr. dr. . brief hospital course: mr. was transferred to the from an osh after undergoing cardiac catheterization which revealed three vessel disease (90% stenosed lcx, 80% stenosed lad, 100% occluded rca, ef 42%). due to the severity of his disease the cardiac surgery team was consulted for cardiac revascularization. upon arrival at the a left groin hematoma was noted on physical exam, with intact distal pulses. initially the patient was stable. he then became hypotensive with sbp in the 60's. the patient was quickly resuscitated with fluid boluses and was transferred to the csru for observation. the patient was conscious throughout and ekg's did not show any signs of ischemia. ct abd/pelvis did not demonstrate any retroperitoneal bleeding. the patient was then transfused four units of prbc's. pre-op carotid ultrasound did not show any hemodynamically significant stenosis. on hospital day (hod) 2 the patient was transferred to the floor while awaiting his mvr/cabg. he was placed on a nitroglycerin drip for coronary vasodilation. echo showed lvef of 60% and 3+ mr. his preop urinalysis was suspicious for infection. a urine culture was obtained that revealed coagulase negative staphylococcus sensitive to levaquin. he was subsequently placed on cipro for seven days. preoperatively the patient exhibited some confusion and restlessness. he was easily orientable, however on hod 4 a 1:1 sitter was ordered. mr. was usually oriented to person only and required prompting for further orientation. on hod 5 he was given 10mg vitamin k x2 doses for an inr of 1.7. on the morning of hod 6 mr. inr was 1.3 and he underwent cabgx3 (svg to lad, svg to om1, svg to om2) no mvr was performed. his left internal mammary artery was found to have no flow. postoperatively he was taken to the cardiac surgery intensive care unit for monitoring. on post operative day one mr. was very agitated when his propofol was weaned, however he was hypotensive when sedated. he was placed on haldol for agitiation, and propofol titrated to maintain sedation without hypotension. ct scan of the head was performed and did not show any intracranial hemorrhage or mass effect. extubated on pod #5 with some postop afib. sputum culture showed mrsa. he was transferred to the floor on pod #7. on pod #10, he began to complain of abd. tenderness. ct scan of abdomen was done and general surgery consult obtained. this revealed colonic thickening with stranding consistent with an ischemic process. he was kept npo and remained on abx per gen. . over the next several days his diet was advanced. on , a picc line was placed and on he was on a full liquid diet. on , he had some respiratory distress and was transferred back to the csru. over the next several days, a swan was replaced, bronchoscopy was done, tee done, and a repeat ct of the abdomen. he required pressors and was reintubated on . gi consult was obtained, and he concomitantly started cvvhd on . pressure support wean was started, and he was weaned from his iv pressor support. he was extubated on , and re-intubated on for respiratory distress.the following day, his wbc started to rise significantly and blood cultures showed vre. he became somewhat acidotic, and general surgery performed urgent exploratory laparatomy with cholecystectomy and gj tube placement. he was slow to wake from this second general anesthetic. on , a permacath was placed for hemodialysis. the following day, tracheostomy was done and the patient was also taken back to the or for bleeding at the trach site.the trach tube was replaced at that time. he was weaned from pressure support on the ventilator to trach collar over the next 48 hours and remains on trach collar now. he appears to respond to commands appropriately, but is withdrawn and somewhat depressed. on exam , his belly is soft, bs are coarse, and there is scant bloody drainage when the trach is suctioned. gj tube became obstructed last week and the patient went to interventional radiology for definitive intervention on the tube on . both tubes are patent, but a dobhoff tube was placed, and can be removed once at rehabilitation and patency of g-j tube confirmed. (stopped ) medications on admission: plavix 75mg (stopped ) benacor 20mg qd atenolol 12.5mg qd folic acid 1mg qd flexeril 10mg qd ultram 50mg qd mvi qd methotrexate 6 tabs each week discharge medications: 3. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs qs one month* refills:*2* 8. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*qs qs one month* refills:*2* 1. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs qs one month* refills:*2* 6. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*qs qs one month* refills:*2* 7. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. nystatin 100,000 unit/ml suspension sig: ten (10) ml po qid (4 times a day) as needed. 10. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 11. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: five hundred (500) mg intravenous q12h (every 12 hours): thru . 12. prevacid 30 mg susp,delayed release for recon sig: thirty (30) mg po once a day. 13. linezolid 600 mg/300 ml parenteral solution sig: six hundred (600) mg intravenous q12h (every 12 hours): thru . 14. cefepime 1 g recon soln sig: five hundred (500) mg intravenous q24h (every 24 hours): thru . 1. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs qs one month* refills:*2* 6. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*qs qs one month* refills:*2* 7. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. nystatin 100,000 unit/ml suspension sig: ten (10) ml po qid (4 times a day) as needed. 10. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 11. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: five hundred (500) mg intravenous q12h (every 12 hours): thru . 12. prevacid 30 mg susp,delayed release for recon sig: thirty (30) mg po once a day. 13. linezolid 600 mg/300 ml parenteral solution sig: six hundred (600) mg intravenous q12h (every 12 hours): thru . 14. cefepime 1 g recon soln sig: five hundred (500) mg intravenous q24h (every 24 hours): thru . 1. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs qs one month* refills:*2* 6. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*qs qs one month* refills:*2* 7. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. nystatin 100,000 unit/ml suspension sig: ten (10) ml po qid (4 times a day) as needed. 10. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 11. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: five hundred (500) mg intravenous q12h (every 12 hours): thru . 12. prevacid 30 mg susp,delayed release for recon sig: thirty (30) mg po once a day. 13. linezolid 600 mg/300 ml parenteral solution sig: six hundred (600) mg intravenous q12h (every 12 hours): thru . 14. cefepime 1 g recon soln sig: five hundred (500) mg intravenous q24h (every 24 hours): thru . discharge disposition: extended care facility: & rehab center - discharge diagnosis: cad mi approximately 40 years ago hyperlipidemia oa cri moderate mr/mvp mild ai, tr, pulmonary hypertension discharge condition: good discharge instructions: shower, wash incisions with mild soap and water and pat dry. no lotions, creams or powders to incisions. call with fever, redness or drainage from incision, or weight gain more than 2 pounds in one day or five pounds in one week. no lifting more than 10 pounds. no driving until follow up with surgeon. followup instructions: follow up with dr. in weeks ( follow up with dr. in weeks ( follow up with dr. in 4 weeks ( procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous [endoscopic] gastrostomy [peg] cholecystectomy temporary tracheostomy closed [endoscopic] biopsy of bronchus revision of tracheostomy replacement of gastrostomy tube injection or infusion of nesiritide injection or infusion of oxazolidinone class of antibiotics diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified atrial fibrillation infection with microorganisms resistant to penicillins hematoma complicating a procedure hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure bacteremia methicillin susceptible pneumonia due to staphylococcus aureus acute cholecystitis unspecified intestinal obstruction chronic cholecystitis other tracheostomy complications 

Answer: The patient is high likely exposed to