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 74-year-old female with a past medical history significant for coronary artery disease status post cabg x2, aortic stenosis, status post aortic valve replacement on coumadin with recent prosthetic valve thrombosis, status post tpa thrombolysis, congestive heart failure with an ejection fraction of less than 20% with 2+ mitral regurgitation, and 2+ tricuspid regurgitation, and history of ventricular fibrillation arrest requiring pacemaker and icd placement, now presents from rehabilitation with acute renal failure and hypertension requiring pressors. the patient is status post a prolonged hospital course from to for non-st elevation myocardial infarction requiring a redo cabg. the patient's postoperative course was complicated by renal failure requiring cvvh, worsening heart failure requiring intra-aortic balloon pump complicated by rectus sheath hematoma, failure to wean from the ventilator requiring tracheostomy placement, atrial fibrillation requiring amiodarone, ventricular fibrillation arrest, requiring icd placement, and prosthetic aortic valve thrombus requiring tpa thrombolysis complicated by icd pocket hematoma. the patient was discharged to rehabilitation early , however, returned to the hospital from for icd pocket infection with methicillin-sensitive staphylococcus aureus. the patient underwent removal of the icd and was started on oxacillin for treatment of mssa cellulitis. the hospital course was complicated by congestive heart failure and the patient was discharged to rehabilitation on on diuretics including zaroxolyn, lasix, and aldactone, as well as oxacillin to complete a three week course. the patient was doing well initially at rehabilitation, however, several days postdischarge, was noted to have progressively increasing bun and creatinine (creatinine 3.4, bun 106), and hyponatremia with confusion. the patient's diuretics were initially reduced, however, the patient's renal failure was thought to be secondary to worsened congestive heart failure with a total body volume overload and ineffective renal perfusion. more aggressive diuresis was attempted, however, with minimal effect. the patient subsequently became hypotensive and was brought to an outside hospital emergency department, where she received normal saline boluses, and was started on dopamine secondary to systolic blood pressures in the 60s. the patient was subsequently transferred to the emergency department, where a chest x-ray revealed diffuse bilateral infiltrates consistent with worsened heart failure. the patient was transferred to the medical intensive care unit with hemodynamic instability. past medical history: 1. coronary artery bypass graft in with redo cabg in . the patient underwent repeat cardiac catheterization on for acute graft closure with ptca and stenting of the lima to the left anterior descending artery and saphenous vein graft to the diag. 2. congestive heart failure with biventricular failure, ejection fraction less than 20% with severe global right ventricular free wall hypokinesis, 2+ mitral regurgitation, 2+ tricuspid regurgitation. 3. atrial fibrillation with rapid ventricular response. 4. ventricular fibrillation arrest status post icd placement with dual pacer. 5. bilateral carotid endarterectomy. 6. hypertension. 7. diabetes mellitus. 8. peripheral vascular disease. 9. status post rectus sheath hematoma. 10. icd pocket infection status post icd and pacer removal. 11. failure to wean from ventilator status post tracheostomy and peg tube placement in . 12. depression. 13. hypothyroidism secondary to amiodarone. 14. aortic stenosis status post bileaflet aortic valve (st. replacement) complicated by valve thrombosis requiring tpa thrombolysis. medications on admission: 1. amiodarone 400 mg po q day. 2. synthroid 25 mg po q day. 3. coumadin 5 mg po q hs. 4. reglan 10 mg po tid. 5. lansoprazole 30 mg po q day. 6. aspirin 81 mg po q day. 7. enalapril 2.5 mg po bid. 8. lipitor 10 mg po q day. 9. lasix 100 mg iv bid. 10. aldactone 25 mg po q day. 11. zaroxolyn 5 mg po bid. 12. vitamin c. 13. multivitamin. 14. zinc 270 mg po q day. 15. sliding scale insulin qid. 16. glipizide 10 mg po q day. 17. albuterol mdi q4h prn. 18. colace 100 mg po bid. 19. dulcolax 10 mg po prn. 20. oxacillin. allergies: no known drug allergies. social history: the patient is a widow with a 15 pack year tobacco history (quit 15 years ago), and no history of alcohol use. physical examination on admission: temperature 98.5, heart rate 80, respiratory rate 26, oxygen saturation is 89-94%, fio2 of 40%. in general, the patient is an obtunded, chronically debilitated woman. heent exam: normocephalic, atraumatic. anicteric sclerae. pupils are equal, round, and reactive to light and accommodation. moist mucous membranes, clear oropharynx. neck examination supple with no jugular venous distention or lymphadenopathy. cardiac examination: 3/6 systolic ejection murmur at the left upper sternal border radiating to the neck, otherwise normal s1, s2. pulmonary examination: coarse breath sounds throughout anteriorly. no wheezes or rales appreciated. abdominal examination is distended with normoactive bowel sounds, soft, no rebound or guarding. peg tube in place with guaiac positive rectal examination. extremities: cool with no edema appreciated. skin examination: icd pocket dressing in place, clean, dry, and intact with left thigh dressing in place secondary to a saphenous vein graft harvest site infection with failure to heal. minimal serous drainage and pressure ulcers on bilateral heels. laboratories and studies on admission: complete blood count with a white blood cell count of 22.8, hematocrit 31.6, 24 on repeat, and platelets of 203. white blood cell differential with 93% polys, 3.3% lymphocytes, 3.2% monocytes, and no eosinophils. chem-7 with a sodium of 127, potassium 4.6, chloride 87, bicarb 23, bun 115, and creatinine of 3.0 with a glucose of 180. coags with a pt of 17.4, inr 2.0, and ptt of 28.2. lfts with a total bilirubin of 1.3, alt 140, ast 70, alkaline phosphatase 857, amylase 103, calcium 9.3, phosphate 6.3, and magnesium 2.7. in addition, urinalysis with large blood, trace leukocyte esterase, greater than 50 red blood cells, 21-50 white cells, many bacteria, no yeast, and squamous cells (chronic foley). chest x-ray with diffuse patchy infiltrates, no pneumothorax and right ij and picc line in place. portable abdominal x-ray with no dilated loops of bowel. arterial blood gas on assist control tidal volume 500, peep of 5, respiratory rate 18, fio2 of 100% with a ph of 7.28, pco2 62, and po2 of 52. hospital course: the patient underwent a very complicated hospital course. was complicated by hypoxic and hypercarbic respiratory failure secondary to congestive heart failure and concomitant pneumonia requiring continuous ventilatory support, sepsis requiring pressors, and acute persistent renal failure. a swan-ganz catheter was placed on for hemodynamic monitoring with evidence of increased pulmonary capillary wedge pressure, decreased vascular resistance and decreased cardiac output consistent with concomitant sepsis and heart failure. the patient was continued on oxacillin for methicillin-sensitive staphylococcus aureus cellulitis, and placed on empiric broad-spectrum antibiotics for sepsis of unknown etiology. multiple blood cultures, urine cultures, and sputum cultures were obtained without growth throughout the hospitalization. on presentation, patient was noted to have a lower gastrointestinal bleed thought secondary to mesenteric ischemia in the setting of hypotension. the patient's hematocrit dropped as low as 24 requiring multiple blood transfusions, however, the patient was felt too unstable to undergo colonoscopy. the patient's gastrointestinal bleed stabilized. on , the patient developed atrial fibrillation with a rapid ventricular rate and hemodynamic compromise. after multiple unsuccessful attempts at dc cardioversion, the patient was started on digoxin with adequate heart rate control. secondary to excessive intravenous fluid boluses in the setting of sepsis, the patient became totally body volume overload with increasing oxygen requirement. aggressive diuresis with intravenous lasix and zaroxolyn was attempted without effect. the electrophysiology, heart failure, as well as infectious disease services were consulted for further input. on , the patient complained of abdominal pain with increasing abdominal distention and decreased bowel sounds. an abdominal and pelvic ct scan was obtained with evidence of new large rectus sheath hematoma with bladder compression. the patient's heparin was held, however, the patient's hematocrit continued to decrease requiring continuous blood transfusion. general surgery was consulted without surgical options and the patient's hematoma continued to grow. on , the patient developed ventricular fibrillation arrest at a rate of 200 with no detectable blood pressure. a code was called, cpr performed with multiple rounds of shocks, epinephrine, atropine, as well as amiodarone loading. after approximately 45 minutes of acls, the patient developed sinus rhythm with a systolic blood pressure in the 150s on dopamine, amiodarone, as well as morphine. the patient remained unresponsive, the family was , and made aware of the situation and continued to express wishes for continued full support. after 20 minutes, however, the patient again developed ventricular fibrillation. cpr was again performed with multiple shocks, epinephrine, and atropine. the code was called by dr. secondary to refractory ventricular fibrillation. at 10:05 am, on , the patient ceased spontaneous breathing and expired. discharge/expiration diagnoses: 1. coronary artery disease status post coronary artery bypass graft surgery. 2. systolic congestive heart failure. 3. atrial fibrillation with rapid ventricular rate. 4. aortic stenosis status post aortic valve replacement. 5. aortic valve thrombosis status post tpa thrombolysis. 6. ventricular fibrillation arrest. 7. status post icd placement and removal. 8. hypertension. 9. methicillin-sensitive staphylococcus aureus cellulitis. 10. acute renal failure secondary to acute tubular necrosis. 11. hypoxic and hypercarbic respiratory failure. 12. rectus sheath hematoma. 13. peripheral vascular disease. 14. diabetes mellitus. 15. hypothyroidism. 16. sepsis with hypotension requiring pressors. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization atrial cardioversion atrial cardioversion pulmonary artery wedge monitoring diagnoses: pneumonia due to other gram-negative bacteria congestive heart failure, unspecified unspecified septicemia unspecified protein-calorie malnutrition other shock without mention of trauma ventricular fibrillation acute systolic heart failure 

Answer: The patient is high likely exposed to