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: this is an 83-year-old female status post right femoral-popliteal bypass in which then failed six months later, history of congestive heart failure, coronary artery disease, peripheral vascular disease, history of myocardial infarction in , who presented with a two-week history of swelling of the lower extremities and painful ulcerations of the toes in the right lower extremity. she also complained of posterior thigh and calf pain; this was unclear whether this pain was at rest or with ambulation. she did have some rest pain and some discomfort at 10-15 feet walking. she denied chest pain and shortness of breath. she is a resident of center. past medical history: femoral-popliteal bypass, right, in , occluded. pacemaker two years ago. congestive heart failure. ejection fraction reported at 25%. coronary artery disease. history of myocardial infarction in . history of hypertension. history of hypercholesterolemia. history of disease status post lumbar sympathectomy. history of chronic renal insufficiency with a baseline creatinine of 1.5 to 2.0. history of chronic obstructive pulmonary disease. history of peptic ulcer disease with melena. history of mrsa. history of neuropathic pain. past surgical history: tonsillectomy. hysterectomy. appendectomy. right finger amputation secondary to trauma. right femoral-popliteal bypass graft, failed. allergies: no known drug allergies. medications on admission: enteric coated aspirin 81 mg q.d., wellbutrin 75/37.5 mg, 75 in the morning, and 37.5 in the afternoon, os-cal 500 mg b.i.d., colace 100 mg b.i.d., lasix 20 mg monday and wednesday, isordil 5 mg b.i.d., prevacid 30 mg q.d., zestril 10 mg b.i.d., multivitamin, vitamin c q.d., zocor 40 mg q.d., mylanta p.r.n., compazine p.r.n., milk of magnesia p.r.n., tylenol p.r.n., darvocet p.r.n. physical examination: vital signs: temperature 95??????, blood pressure 180/70, heart rate 78. general: the patient was an alert, oriented female in no acute distress. left arm was with bruises and well-healing lower extremity ulcerations. heart: distant sounds. regular, rate and rhythm. chest: with a left pacemaker implantation in the anterior chest. lungs clear to auscultation. abdomen: unremarkable. extremities: left index finger missing. left arm with bruising and left lower extremities with excoriations. the left foot was with ulcerations on all five toes. there was pitting edema bilaterally, left greater than right. there was tenderness of the toes on palpation. pulse exam showed carotids palpable with no bruits. radials palpable. femoral dopplerable. popliteals dopplerable. dorsalis pedis pulses monophasic and posterior tibial biphasic signals only. laboratory data: on admission white count was 5.6, hematocrit 44.1, platelet count 130; pt and inr were normal; bun 38, creatinine 1.7, potassium 5.1, glucose 153. hospital course: the patient was continued on her current preadmission medications. cardiology was requested to see the patient in anticipation for potential revascularization. they felt that she was intermediate risk and will require persantine thallium prior to surgery to rule out any significant coronary artery disease. pain mibi demonstrated a moderate fixed inferior and inferolateral wall persantine defect. the ejection fraction was 15%. chest x-ray on admission showed left lower lobe opacification concerning for pneumonia. there may be a small associated pleural effusion. she had a dual-chamber pacemaker and leads adequately positioned. she had cardiomegaly with no evidence of failure. the patient underwent arterial study on which demonstrate severe ostial stenosis of the renal arteries bilaterally. the was significant ostial stenosis of the origin of the celiac and superior mesenteric arteries, occlusion of the right iliac and femoral arteries, and occlusion of the left hypogastric artery. the patient had diffuse calcified left common and external iliac arteries and significant stenosis of bilateral subclavian arteries. the patient had episodes preprocedure of left brachial artery spasm which with incomplete response of intra-arterial vasodilators. a ct of the head was obtained at the same time requested for mental status changes, and this was negative for any acute intracranial hemorrhage or infarct. postinterventional procedure, the patient was noted to have changes in her left arm pulses with absence of the pulse, associated with the mental status changes, and she had dysarthria. this was the reason for the head ct. the patient was begun on intravenous heparin with a u bolus and a 600 u/hr with serial ptts to maintain her ptt at 50-60. the patient underwent on an urgent left brachial artery exploration with thrombectomy and a right axillo-bifemoral bypass with 6 mm ptfe. the patient required 6 u of packed cells intraoperatively, 2 , and 1 u platelets. the intraoperative findings was a thrombus at the proximal left brachial artery. the right axial artery inflow was good. the bilateral sfas were occluded. the bilateral profundas were patent, and the right profunda was endarterectomized. the patient had bilateral dopplerable dorsalis pedis pulses at the end of this procedure. her postoperative hematocrit was 38.1. her bun and creatinine remained stable. her total ck was 808. chest x-ray was without pneumothorax. electrocardiogram was with no acute ischemic changes. she was transferred to the sicu for continued monitoring and care. on postoperative day #1, there were no overnight events. she remained in the sicu intubated and sedated but responding appropriately to pain. t-max was 99.3??????, heart rate was 60-70, blood pressure 110/58, respirations 22, oxygen saturation 98%, cvp 5, pap 54/25, wedge 10, index 1.3, svr 26.11. she was on dobutamine 5 mcg/kg/min for inotropic support. her postoperative hematocrit was 40.6, ptt 49.3, inr 1.8, bun 36, creatinine 1.7; cks rose to 1700, mbs were 34, troponin was 1.4. on postoperative day #2, she remained hemodynamically stable but intubated. she was weaned off her dobutamine. diuresis was continued. on postoperative day #3, there were no overnight events. she was extubated. her gases were 7.44, 32, 65, 22, base excess 0. hematocrit remained stable at 38.2, bun 51, creatinine 2.4, potassium 3.7, which was supplemented; inr 1.8, ptt 55. her pulse exam remained unchanged. her urine had e. coli urinary tract infection which was treated with levaquin. she was begun on p.o. intake. protonix was converted to p.o. she was transferred to the vicu for continued monitoring and care. nutritional services evaluated the patient and felt that she was not meeting her caloric needs, and if she remains with poor intake, recommendations were to start tube feeds until p.o. intake was adequate. the patient continued with clinical improvement in her mental status. on postoperative day #4, her exam remained unchanged. her mental status continued to improve. her pulse exam was unchanged. tube feeds were begun, and they were at goal. she was continued on her levofloxacin. on postoperative day #6, the patient removed her ng tube, and this was replaced. bun was 63, creatinine improved to 2.0. lopressor was converted from iv to p.o.. she was continued on hydration. levofloxacin was continued. case management was involved for anticipation of discharge planning. respiratory therapy recommended treatment with albuterol and atrovent nebulizers and pulmonary toileting. the patient remained afebrile, and hematocrit remained stable. on postoperative day #7, she was delined and transferred to the regular nursing floor. speech and swallow was requested to see the patient on , because of questions whether the patient was aspirating. the bedside exam showed frank aspirations, and recommendations were to make the patient npo and continue feeding by tube. tpn was begun at this time on . over the next 24-48 hours, the patient's respiratory status improve with being npo. her triple line was changed on . gi was consulted on , for placement of peg. they felt that the patient was a candidate for peg placement and discussed the options with the daughter-in-law. medicine was consulted on because of hyponatremia, and recommendations were for free water and adjustment in her tpn osmolarity. her maximum sodium was 151. with adjustment in her tpn and free water replacement, her hyponatremia resolved over the next 48 hours. neurology was requested to see the patient on , because of mental status changes. they felt most of this was related to her hyponatremia, pneumonia, and the current treatment plan was adequate but to consider decreasing sedation medications. the patient underwent peg placement in interventional radiology on . her constipation was relieved with enemas and digital disimpaction. the patient continued to have episodes of hypoxia. the etiology was probably pulmonary versus cardiac. tpn will be continued for several days until tube feeds were met at goal rate before discontinuing. consideration to transfer the patient to the medical service was discussed. further addendum to the discharge summary will be made at the time of the patient's discharge. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass percutaneous [endoscopic] gastrostomy [peg] incision of vessel, upper limb vessels endarterectomy, lower limb arteries replacement of (naso-)gastric or esophagostomy tube injection or infusion of oxazolidinone class of antibiotics diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified ulcer of other part of foot pneumonitis due to inhalation of food or vomitus peripheral vascular complications, not elsewhere classified methicillin susceptible pneumonia due to staphylococcus aureus atherosclerosis of native arteries of the extremities with gangrene arterial embolism and thrombosis of upper extremity 

Answer: The patient is high likely exposed to