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: history of present illness: the patient is a 78 year old male with a known history of valvular disease, mitral regurgitation with a recent admission at for chest pain and positive stress test. catheterization after he was transferred to revealed a 50% left main lesion and three vessel coronary artery disease with a normal ejection fraction and 2+ mitral regurgitation. past medical history: his past medical history was significant for dyspnea on exertion, fatigue times six months, glaucoma, benign prostatic hypertrophy, bladder polyp resection, hernia repair, bilateral carpal tunnel syndrome repair, transurethral resection of prostate and a remote head injury. medications on admission: 1. aspirin one tablet each day. 2. lisinopril 2.5 mg a day. 3. nitroglycerin 0.4 mcg once daily. 4. flomax 0.4 mg q.h.s. 5. protonix 40 mg p.o. once daily. 6. zoloft 50 mg p.o. once daily. 7. eye drops, name unknown. laboratory data: his laboratories on admission were white blood cell count 7.0, hematocrit 37.0, and platelet count 120,000. chem7 revealed sodium 139, potassium 4.1, chloride 102, bicarbonate 25, blood urea nitrogen 13 and creatinine 0.9. normal coagulation studies. hospital course: the patient was taken to the operating room on , for a coronary artery bypass graft times two, left internal mammary artery to left anterior descending, saphenous vein graft to om with a mitral valve repair. the patient did well with the procedure and an evh was performed on the right thigh. postoperatively, the patient was transferred to the csru, weaned off drips and was extubated. on postoperative day number one, he was doing well, requiring only a small amount of tone with neo-synephrine and insulin drip. plan was made to discontinue swan on day one and discontinue his chest tube. his hematocrit had drifted down to 23.0 on postoperative day one for which he got two units of red blood cells which brought his hematocrit back up to 28.0 appropriately. his blood urea nitrogen and creatinine on postoperative day two were 15 and 0.8 and he was in no distress whatsoever and was doing well. the foley was discontinued on day two as well as central line and he was transferred to the floor. cartia intensive care unit. on , it was noted that the patient had thick sputum and vomiting. heart rate was in the 120s, pale color, blood pressure as high as 200/90. the patient was in respiratory distress and was transferred back to the csru. on that night, he was intubated and a line and central line were placed to help monitor him. chest tube was inserted to help drain an effusion on the left side. he had some atrial fibrillation and an amiodarone drip was started. tube feeds were begun. he spiked and cultures were performed which revealed negative growth. on postoperative day number five, at this point we had started the patient on broad spectrum antibiotics, given chest x-ray showing a likely picture of possible aspiration, some vancomycin, levofloxacin and flagyl. he was aggressively cultured. he was back on neo-synephrine, amiodarone and propofol and was tolerating tube feeds. no major changes were made. the patient remained in csru without any acute issues. postoperative day six, antibiotics were continued. we weaned off the neo-synephrine. cultures were still negative and decision was made to keep him intubated, p.r.n. pain control, stable with amiodarone and pulmonary we tried to wean him. he was on aspirin and deep vein thrombosis prophylaxis. postoperative day vancomycin, levofloxacin and flagyl day six. his atrial fibrillation, the amiodarone was rebolused. a new central line was placed. hematocrit was 28.0, blood urea nitrogen and creatinine normal. cultures from when he was transferred back to the intensive care unit came back negative blood, negative sputum, negative stool. he had amiodarone continuing and continuous lopressor p.o. and he was weaned, pressors weaned and tube feeds were a go. on postoperative day ten, the patient remained in a lot of atrial fibrillation and was weaned off neo-synephrine and heparin drip was started. the patient was doing well. insulin was started for high sugars. on postoperative day eleven, vancomycin, levofloxacin and flagyl day number nine. the amiodarone was changed back to intravenous from p.o. which had been performed after his atrial fibrillation. he had some abdominal distention, tenderness, and general surgery was consulted and ultrasound revealed no evidence of cholecystitis or gallstone disease. liver function tests correlated this as well as ultrasound and cat scan. white blood cell count at this point was 14.7, hematocrit 26.7, platelet count 255,000 and blood urea nitrogen was 33 and creatinine 0.6. the patient was doing well. on postoperative day twelve, the patient continued on heparin drip. no acute moves were made. physical therapy was consulted. the patient was doing well. on , the patient was extubated and was doing well. he received aggressive chest physical therapy and tolerated it well. his saturation still remained 70 po2 and his saturations were 95 to 100%. he showed no evidence of respiratory distress. his arterial blood gases were drawn in follow-up as well as physical therapy being called who agreed with the plan disposition for rehabilitation. on , the patient was doing well and it was noted that he had some left upper extremity swelling. ultrasound was done to rule out deep vein thrombosis which it did. the patient on , has a bed at rehabilitation and is going to be scheduled to go there. medications on discharge: 1. potassium chloride 20 meq p.o. twice a day given so long as potassium is greater than 4.5. 2. colace 100 mg p.o. twice a day. 3. milk of magnesia p.r.n. as needed. 4. bisacodyl 10 mg suppository pr p.r.n. 5. flomax 0.4 mg q.h.s. 6. zoloft 50 mg p.o. once daily. 7. prednisolone acetate ophthalmic drops four times a day. 8. ocular one drop o.s. four times a day. 9. ******* one drop o.d. once daily. 10. levofloxacin 500 mg p.o. q24hours for a total of fourteen day antibiotic course. 11. vancomycin one gram q12hours for a total of two week course. 12. reglan 10 mg intravenous q4hours. 13. flagyl 500 mg p.o. three times a day for a total fourteen day course. 14. tylenol 650 mg to 1000 mg q6-8hours p.r.n. 15. ******** 25 mg p.o. once daily. 16. percocet elixir 5 to 10 cc q4-6hours p.r.n. 17. ipratropium bromide nebulizer one to two nebulizers every four hours around the clock until 14th and then p.r.n. 18. albuterol nebulizers one to two nebulizers every four hours around the clock until 14th and then p.r.n. 19. metoprolol 25 mg p.o. twice a day. 20. furosemide 20 mg intravenously twice a day times seven days and then reevaluate for body fluid status and make decision to continue or not. 21. amiodarone 400 mg p.o. once daily. 22. insulin sliding scale starting at 150 to get 2 units, greater than 200 to get 4 units, greater than 250, to get 6 units, greater than 300 to get 8 units and house officer on call should be notified. all these antibiotics should include hospital days when counting the two week course. neurologically, the patient is intact at this point. he was sedated while he was intubated and postoperatively he was moving all four extremities without evidence of any ischemia in the brain or any neurologic damage. cardiac - the patient had bouts of atrial fibrillation while in the hospital. he was started on amiodarone and blockaded with lopressor which he tolerated well and he was transferred to the floor out of the intensive care unit with that. respiratory - the patient's chest tubes have been discontinued and the chest tubes were then replaced during the second admission to the intensive care unit. otherwise, at baseline he does not have a very good respiratory status and around the clock inhalers of both albuterol and ipratropium are being used on him in order to maximize his respiratory status as well as aggressive chest physical therapy. gastrointestinal - the patient is not tolerating diet and requiring tube feeds for the last ten days. infectious disease - the patient had increased white count during hospital stay as well as fever to 103 on , and pancultures revealed nothing. the patient was started on vancomycin, levofloxacin, flagyl empirically and none of the cultures showed anything after discussion with the cardiac team. the patient is to go on a total of two weeks of antibiotics as noted on page one. renal - the patient had no renal issues and did well. hematology - the patient was transfused two units of blood during his hospital stay. otherwise, he had a stable hematocrit. no evidence of oozing or bleeding. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] (aorto)coronary bypass of one coronary artery arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified pleural effusion congestive heart failure, unspecified atrial fibrillation pneumonitis due to inhalation of food or vomitus methicillin susceptible pneumonia due to staphylococcus aureus infection and inflammatory reaction due to other vascular device, implant, and graft 

Answer: The patient is high likely exposed to