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: new onset sob and fevers major surgical or invasive procedure: none history of present illness: 73 yo female with tissue avr in ( ) presented to med. ctr. on from extended care facility with new onset sob and fevers. had prior hospitalization at med with fever and weakness. had + blood cultures there for strep. had 4 week course of vanco, gentamicin and ceftriaxone. tee at that time showed no vegetations. she then developed c. diff. and was treated with flagyl and discharged back to her ecf. bone marrow asp. for wbc 0.6 done on at . results were pending. echo on showed vegetation on mv, no significant mr. bcs + for staph from picc line which has since been removed.became hypotensive on , and transferred to icu for dopamine and levophed drips. gentamicin and vancomycin restarted. dopa weaned off . developed afib on and started on po digoxin. uo remained low at time of surgical evaluation.transferred in to for definitive treatment. past medical history: avr ( tissue) strep bacteremia c. diff. htn chf ibs dm 2 thrombocytopenia elev. chol. anemia gi bleed with colon avm bilat. tkr tah cholecystectomy social history: remote smoker physical exam: awake, alert and oriented 98.5 117/71 hr 72 rr 20 perrl, sclera anicteric right ij tlc rhonchi in lungs abd obese, soft, nt, no organomegaly extrems with edema, and + distal pulses pertinent results: tte at osh: ef 65-75%, poss. av vegetation, mac, mild to mod. mr, mv vegetation, mild to mod. tr. 02:11am blood wbc-23.4* rbc-3.17* hgb-10.1* hct-30.1* mcv-95 mch-31.8 mchc-33.4 rdw-18.7* plt ct-147* 02:22am blood neuts-86.5* lymphs-8.2* monos-4.7 eos-0.1 baso-0.4 02:22am blood hypochr-1+ anisocy-2+ poiklo-1+ macrocy-2+ 02:11am blood pt-18.3* ptt-42.0* inr(pt)-1.7* 02:11am blood plt ct-147* 01:54am blood fibrino-183 02:11am blood urean-32* creat-3.0* na-128* cl-93* hco3-27 01:26am blood alt-27 ast-60* alkphos-122* amylase-63 totbili-2.0* 01:26am blood lipase-55 02:11am blood calcium-8.5 phos-3.7 mg-2.3 03:09am blood caltibc-135* trf-104* 03:14pm blood digoxin-1.8 06:04am blood type-art po2-87 pco2-46* ph-7.41 calhco3-30 base xs-3 02:27am blood freeca-1.12 brief hospital course: admitted here on . blood cultures repeated, echo done, and id/hematology/cardiology consults obtained. abx therapy continued for endocarditis. dr. consulted from cardiac surgery. she remained in afib/flutter. tee showed mv vegetation, no abscess and good lv function. levophed weaning continued and flagyl restarted. she received lovenox for prophylaxis and afib. dental consult completed and cath done . this revealed normal coronaries and surgery was planned for the following week.wound care ( skin impairments) and social work consults also done.received a feeding tube and had line changed on . wbcs rose to 23.9. dr. had a detailed discussion with patient and family about significant risks/ benefits of future surgery.could not tolerate levophed weaning completely. creatinine rose on , and urine output began to decrease on with creat now 2.5, rising to 3.0 on . patient stated she wished to have care withdrawn on and refused dialysis or intubation. this was discussed by dr. with the patient and family and it was her wish to have comfort measures only and dnr instituted. she was alert and oriented at the time of her decision. morphine drip started and levophed drip/tube feeds discontinued.family remained at her side.pt. expired at 3:05 pm on and pronounced by dr. . medications on admission: nexium 20 mg daily gentamicin 50 mg q 8 hours vancomycin 1 gm every 18 hours kcl 20 daily digoxin 0.125 mg daily insulin gtt lasix 40 mg daily levophed 0.15 mcg/kg/min discharge medications: none discharge disposition: expired discharge diagnosis: endocarditis sepsis renal failure afib htn chf niddm ibs thrombocytopenia elev. chol. anemia prior gi bleed with colonic avm prior avr discharge condition: expired discharge instructions: none procedure: venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances infusion of vasopressor agent diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation intestinal infection due to clostridium difficile paralytic ileus acute and subacute bacterial endocarditis other disorders of plasma protein metabolism other specified antibiotics causing adverse effects in therapeutic use below knee amputation status infection and inflammatory reaction due to cardiac device, implant, and graft dermatophytosis of groin and perianal area chronic ulcer of other specified sites 

Answer: The patient is high likely exposed to