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: hydralazine hcl / iodine; iodine containing attending: chief complaint: fever, abdominal pain major surgical or invasive procedure: 1. jump graft replacement of arteriovenous graft with removal of infected portion of arteriovenous graft () 2. right internal jugular hd tunnelled line () 3. right internal jugular temporary hd line () history of present illness: briefly, mrs. is a 62 year old female with a past medical history significant for esrd on mwf hd, dm 2, htn, copd, carotid stenosis s/p pci and pvd admitted for fever and found to have mssa bacteremia from an infected av graft s/p avg revision. the patient underwent "jump graft" procedure on that was complicated by edema and bleeding. in addition, her hospital course has been complicated by a new o2 requirement felt to be atelectasis versus volume overload. past medical history: -esrd, secondary to htn and dm, on hd m/w/f via left upper arm av graft created , considering transplant with extended criteria donor -type 2 dm, c/b nephropathy and retinopathy -htn -anemia -pvd, s/p left extremity arteriography, left superficial femoral artery, popliteal and anterior tibial angioplasty -hyperlipidemia -copd -s/p pci of carotid stenosis with stent to l ica, on asa and plavix -s/p cholecystectomy -s/p c-section -s/p surgery for retinopathy, cataracts social history: ms. is married and lives with her husband and daughter. she is independent in adls and ambulatory with a cane. she denies tobacco, alcohol, or illicit drugs. family history: significant dm, heart disease. sister on hd. physical exam: vs: tc 98.5, tm 99.3, 142/44, 80, 18, 97%1l ga: awake, nad heent: eomi, perrl, minimally reactive pupils, b/l lens transplant, mmm, oropharynx clear without erythema or exudate, no lad, no jvd, neck supple, no conjunctival hemorrhage cv: rrr, nl s1+s2, no m/r/g lung: ctab, no wheezes, rales or rhonchi abd: soft, nt, nd, +bs, no rebound or guarding, no hsm extremities: w/wp, no c/c/e, 2+ dp/pt pulses bilaterally, lue with dressing w/serous drainage in place over avg revision skin: warm, dry and intact with no rashes. l knee with hypopigmented area from fall neuro/psych: a+ox3. cn ii-xii grossly intact with no focal deficit. moving all extremities. strength, sensation and movement symmetric. gait not observed. pertinent results: admission labs: 08:38pm lactate-1.7 k+-4.8 08:25pm glucose-245* urea n-55* creat-8.7*# sodium-135 potassium-5.2* chloride-91* total co2-27 anion gap-22* 08:25pm wbc-11.4*# rbc-4.02* hgb-12.0 hct-34.9* mcv-87 mch-30.0 mchc-34.5 rdw-15.4 08:25pm neuts-85.8* lymphs-7.8* monos-4.3 eos-1.6 basos-0.6 08:25pm plt count-243 . discharge labs: 07:54am blood wbc-11.8* rbc-3.34* hgb-9.8* hct-28.5* mcv-85 mch-29.2 mchc-34.3 rdw-16.5* plt ct-292 07:54am blood glucose-100 urean-19 creat-5.1*# na-142 k-3.7 cl-96 hco3-35* angap-15 07:54am blood calcium-8.8 phos-3.4 mg-2.1 . microbiology: blood cultures (4/4 bottles): staph aureus coag + clindamycin----------- r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 2 s rifampin-------------- <=0.5 s tetracycline---------- <=1 s trimethoprim/sulfa---- <=0.5 s . imaging: ct torso: impression: 1. mild perinephric fat stranding bilaterally, without hydronephrosis or nephrolithiasis. recommend correlation with urinalysis. 2. small right upper lobe pulmonary nodules. these may represent the residual of consolidation which was previously present in that location. nevertheless, followup to exclude pulmonary nodules is recommended with a dedicated ct scan of the chest in approximately 6-12 months. 3. unchanged partially calcified nodularity of the right adrenal gland. 4. uterine fibroids. 5. atherosclerotic disease. . transthoracic echo: the left atrium is normal in size. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. left ventricular systolic function is hyperdynamic (ef>75%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. no vegetation seen (cannot definitively exclude). compared with the prior study (images reviewed) of , findings are similar. . transesophageal echo: impression: no evidence of endocarditis. hyperdynamic left ventricle with symmetric left ventricular hypertrophy. . mr /thoracic spine w/o cont: non-enhanced examination, with: 1. no finding to suggest thoracolumbar vertebral osteomyelitis, discitis or paraspinal, or epidural fluid collection or abscess. 2. transitional anatomy at the lumbosacral junction, with numbering convention, as described above. 3. diffusely and uniformly hypointense vertebral bone marrow signal, likely related to the esrd on hemodialysis. 4. t8-9 and t9-10 left paracentral and foraminal protrusions, respectively, without spinal cord or exiting neural impingement. 5. normal thoracic spinal cord caliber and intrinsic signal intensity. 6. l4-5: disc degeneration with moderate bulging and bilateral subarticular zone stenosis without definite neural impingement. brief hospital course: # mssa bacteremia/avg infection: ms. was transferred to the micu shortly after admission for hypotension, fever and altered mental status concerning for sepsis. initially, she was covered empirically with vancomycin and piperacillin/tazobactam. antibiotics were changed to nafcillin 2 g iv q4 hours once blood cultures returned mssa. the source was felt to be an infected av graft in her left arm. on she was taken to the or and had placement of a jump graft in the left arm by the transplant surgery service. on tuesday , she had a hemodialysis session through a temporary hd line in the right ij. during this hd session, she felt unwell with abdominal pain and developed a fever shortly thereafter. blood cultures were sent, as there was concern for a transient bacteremia. tte from and tee from showed no evidence of endocarditis. she intermittently complained of back and neck pain similar to her previous arthritis pain, but an mri of the thoracic and lumbar spine showed no evidence of thoracolumbar vertebral osteomyelitis, discitis, or paraspinal or epidural fluid collection or abscess. the day prior to discharge the patient was switched to cefazolin which will be dosed on dialysis days for a total 6 week course. # bleeding/anemia: patient had ongoing oozing/bleeding from avg site. hematocrit trended down but ultimately stabilized. she likely has uremic platelets and requires aspirin and plavix for disease s/p pci. received three total doses of ddavp as well as erythropoietin with hemodialysis. # esrd: patient initially had a right internal jugular temporary line but had repeated problems with clotting of the line. the av graft was accessed for dialysis occasionally. she had a rij hd tunnelled line placed on . she received nephrocaps and her calcium acetate dose was increased to 1334mg tid with meals per renal recommendations. # htn: home antihypertensives were held during most of the admission, but the patient began to have sbps in the low 200s. her outpatient regimen was restarted prior to discharge. # hypoxia: likely secondary to atelectasis. patient performed incentive spirometry and was weaned to room air. denied any shortness of breath on discharge. # dm2: patient's disease c/b nephropathy and retinopathy. continued humalog 75/25 12 units . # hld: continued on atorvastatin. # cad/pvd: continued on aspirin, atorvastatin, and clopidogrel. # copd: continued ipratropium-albuterol nebs as needed for shortness of breath. # arthritis: patient had intermittent neck and back pain and was treated with tramadol 50 mg q6h prn. #prophylaxis: the patient received heparin products. #code: full code medications on admission: asa 325 mg daily atorvastatin 80 mg daily calcitriol .25 mg mwf ca acetate 6667 tidac clopidogrel 75 mg qd humalog 75/25 12 units ipratropium-albuterol nebs prn sob labetalol 200 mg lisionpril 20 mg (hold am dose prior to hd) loperamine 2 mg qid prn diarrhea tramadol 50 mg prn b complex-vit c-folate 1 cap daily docusate, senna amlodipine 10 mg daily discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 2. calcitriol 0.25 mcg capsule sig: one (1) capsule po mwf (monday-wednesday-friday). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. lisinopril 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 8. outpatient lab work weekly lab work (cbc, bun, cr, lfts). all laboratory results should be faxed to infectious disease r.ns. at (. 9. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) treatment inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 10. ipratropium bromide 0.02 % solution sig: one (1) treatment inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 11. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for back pain. 12. labetalol 200 mg tablet sig: one (1) tablet po bid (2 times a day). 13. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). :*180 capsule(s)* refills:*2* 14. insulin lispro protam & lispro 100 unit/ml (75-25) suspension sig: twelve (12) units subcutaneous twice a day. 15. cefazolin 1 gram recon soln sig: 2 grams qmon/wed, 3 grams qfri intravenous qmwf: dosed after hd. stop after . :*qs * refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnoses: methicillin-sensitive staphylococcus aureus sepsis arteriovenous graft infection end-stage renal disease secondary diagnoses: hypertension anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: 1. you were admitted for a fever and found to have an infection in your blood from your infected a-v graft. this infected graft was replaced and you were started on antibiotics. you will need to complete a 6 week course of antibiotics and have weekly lab work done. - ancef (cefazolin) 2g iv every monday & wednesday after dialysis, 3g iv every friday after dialysis (stop after ) - weekly lab work (cbc, bun, cr, lfts). all laboratory results should be faxed to infectious disease r.ns. at (. 2. you had ongoing bleeding from the site of your a-v graft revision and this was followed by the transplant surgeons. as a result of this your red blood counts were low. you should follow up your blood counts with your pcp. 3. it is very important that you take your medications as prescribed. 4. it is very important that you keep all of your doctors . followup instructions: department: transplant center when: monday at 10:30 am with: , md building: lm campus: west best parking: garage department: infectious disease when: monday at 10:10 am with: , md building: lm campus: west best parking: garage department: infectious disease when: monday at 11:30 am with: , md building: lm bldg () campus: west best parking: garage procedure: diagnostic ultrasound of heart hemodialysis venous catheterization for renal dialysis revision of arteriovenous shunt for renal dialysis diagnoses: anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere renal dialysis status chronic airway obstruction, not elsewhere classified methicillin susceptible staphylococcus aureus septicemia sepsis pulmonary collapse occlusion and stenosis of carotid artery without mention of cerebral infarction hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other respiratory complications infection and inflammatory reaction due to other vascular device, implant, and graft atherosclerosis of native arteries of the extremities, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy arthropathy, unspecified, site unspecified chronic total occlusion of artery of the extremities 

Answer: The patient is high likely exposed to