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: sulfonamides / lasix attending: chief complaint: fever, lethargy, swelling under chin, respiratory distress major surgical or invasive procedure: none history of present illness: pt is 78 yo nh resident found to have fever (102.3) for 3 days and cellulitis of the chin. presented to the ed on with the above complaints. also lethargic. was intubated in the ed for stidor and respiratory distress. past medical history: * diabetes * hypercholesterolemia * chf: ef> 60% with lae, 1+ mr ; prior admissions for overload * hx of sacral decubitus ulcer * hx of gastric ulcer * osteomyelitis of the l4-l5 s/p laminectomy * cryptogenic cirrhosis * osteoarthritis * hypertension * cad (details unknown) * h/o spontaneous ptx (with ct placement) * nutritional deficiency * hx of mrsa social history: lives in x 3 years, daughter and son visit everyday. former 25 pack-year smoking hx. no alcohol. retired in schools. family history: sister and daughter with cryptogenic cirrhosis physical exam: 100.1, 97.8, 65, 91/38, 12 99% intubated vent ac fio2 50% peeop 5 cta rrr abd: soft, nt, nd neck: swollen, erythematous, no crepitous heent: mmm, no obvious abscess or cellulitis pertinent results: 10:50am blood wbc-8.6 rbc-2.82* hgb-9.8* hct-27.4* mcv-97 mch-34.9*# mchc-35.9*# rdw-13.6 plt ct-106* 10:50am blood neuts-80* bands-2 lymphs-6* monos-11 eos-0 baso-0 atyps-0 metas-1* myelos-0 10:50am blood pt-14.0* ptt-24.8 inr(pt)-1.3 10:50am blood glucose-212* urean-16 creat-0.7 na-134 k-4.6 cl-100 hco3-20* angap-19 10:50am blood alt-26 ast-41* ck(cpk)-32 alkphos-139* amylase-45 totbili-2.5* 10:50am blood ck-mb-notdone ctropnt-<0.01 . radiology final report ct neck w/contrast (eg:parotids) 1:02 pm ct of the neck with contrast: the subcutaneous soft tissues of the anterior neck are swollen with diffuse fat stranding thickening and ill defined imaging of the fasical planes. the process extends from the level of the clavicular heads to the angle of mandible, and is more prominent on the right side. blurring of the fat planes between the anterior strap muscles with increased asymmetric soft tissue infiltration both anterior and posterior to the hyoid bone is noted, again largely right sided some suggestion of small ~1 cm fluid collections posterior to the right submandibular gland and adjacent to the right portion of the hyoid bone are found. soft tissue stranding extends to the right carotid sheath, blurring the fat plane. however, both the internal jugular and carotid vasculature within the neck enhance normally, with no evidence of filling defects or irregularity. the patient is intubated, likely accounting for a large amount of fluid secretions within the nasopharynx, oropharynx, nasal cavity, and right inferior maxillary sinus. the base of the brain is unremarkable. no suspicious bone lesions are found. lung apices are clear. impression: marked edema and stranding of the soft tissues of the anterior neck as described, more prominent on the right side, most consistent with cellulitis/fasciitis in light of the provided history of infectious signs and symptoms. possible small, early fluid loculations adjacent to the right submandiblaur gland and right portion of the hyoid bone. . radiology final report neck,soft tissue us port 12:48 pm comparison: ct scan from . ultrasound of the soft tissues of the neck: there is edema of the strap muscles, which is slightly more conspicuous deep neck soft tissues above the hyoid, without any discrete fluid collections. impression: edematous changes within the strap muscles in the soft tissues of the right neck, without any discrete fluid collections. results were discussed with the covering resident after the study was performed. . brief hospital course: the patient was admited to the general surgery service under dr. and placed in the sicu. iv antibiotics were started (vanco, zosyn, clindamycin). ent was consulted who agreed with iv abx and following the patient wihtout surgery if unless her condition worsened. on hd 2 the cellulitis was improved and vent weaning began. on decadron was started to help with laryngeal swelling per the reccommendation of ent; ng tube placement was unsuccessful. there continued to be improvement in the neck swelling/erythema and airwayu swelling. pt was extubated on without event. on the patient was started on a full liquid diet and transfered to the floor with continued improvement of her clinical course. the antibiotics were continued. a picc line was placed on . the morning of the patient was found to be in rate controlled afib. given her rate control, multiple comorbidities, and return to nsr, we opted not to anticoagulate. there was worsening of the patients baseline anemia (hct lowest 22.4). this anemia of acute disease was observed; given no signs of hypovolemia, we opted not to transfuse. on the patient was tolerating a regular diet, was afebrile, and had no signs of cellulitis. she was discharged to back to her nursing home to finish a 14-day course of vanco/zosyn. clindamycin was stopped per id recommendations. medications on admission: tylenol, aldactone, insulin, doxepin, benadryl, nirtofuratone, protonix, reglan, albuterol discharge medications: 1. piperacillin-tazobactam 4.5 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 8 days. disp:*24 recon soln(s)* refills:*0* 2. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 24h (every 24 hours) for 8 days. disp:*8 1gm/200ml* refills:*0* 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours). 6. multivitamin capsule sig: one (1) cap po daily (daily). 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 9. insulin regular human 100 unit/ml solution sig: as directed injection asdir (as directed). discharge disposition: extended care facility: center - discharge diagnosis: neck cellulitis discharge condition: good discharge instructions: restart you home medications as usual. regular diet. you may resume activity as tolerated. * increasing pain * fever (>101.5 f) or vomiting * inability to eat or drink * return of erythema/swelling of neck * other symptoms concerning to you followup instructions: call dr. office for a follow-up appointment ( md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: thrombocytopenia, unspecified anemia, unspecified pure hypercholesterolemia mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension cirrhosis of liver without mention of alcohol other pulmonary insufficiency, not elsewhere classified atrial fibrillation stridor cellulitis and abscess of neck 

Answer: The patient is high likely exposed to