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: ampicillin / indocin / adhesive tape / penicillins / tetracycline / levaquin / prednisone / neurontin attending: chief complaint: wound drainaige and dehiscence major surgical or invasive procedure: incision and debridement of wound history of present illness: 58f with complicated pmh s/p open procedure for l2 fracture-dislocation. presented on with 2 days of "wetness" on her back, +chills, no fevers, no new weakness or paresthesias. past medical history: -afib -dm2 -peripheral neuropathy -lumbosacral radiculopathy -breast cancer , s/p xrt/chemo -cervical cancer -thrombocytopenia, treated with rituxin at (dr. -anemia -anxiety and depression -s/p ccy -s/p splenectomy social history: widowed, lives alone but has not lived at home since , has been at . quit smoking . no etoh or illicits. family history: mother died of lung cancer, father died of dm and renal failure physical exam: pe: 96.4 62 112/45 16 98% nad, aox3 inferior posterior lumbar wound dehissence with erythema without crepitus or induration, staples removed, sutures in fascia exposed, yellow discharge. delt bic tri wre ffl fe io ip quad ham ta l 5 5 5 5 5 5 5 3* 5 5 5 5 5 r 5 5 5 5 5 5 5 3* 5 4+ 5 5 5 hip adduction 5- bilaterally but with *giveway weakness/pain, hip abduction 5 bilaterally -sensory: no deficits to light touch. decreased pinprick, cold sensation, vibratory sense, and proprioception in distal lower extremities with gradient. -dtrs: tri pat ach l 2 2 2 0 0 r 2 2 2 0 0 plantar response was mute bilaterally. straight leg raise test:positive on lle test: negative babinski: down bil clonus: negative perianal sensation: wnl rectal tone: wnl estimated level of cooperation: good estimated reliability of exam: good pertinent results: 05:00pm wbc-7.9 rbc-3.65* hgb-9.8* hct-29.9* mcv-82 mch-26.9* mchc-32.9 rdw-14.9 05:00pm neuts-83.5* lymphs-9.5* monos-4.6 eos-1.9 basos-0.4 brief hospital course: patient was admitted to the spine surgery service and taken to the operating room on for an incision and debridement of her surgical wound. refer to the dictated operative note for further details. the surgery was without complication, however the patient remained intubated and sedated post-operatively and was transferred to the sicu. patient was concurrently started on iv vancomycin and cefepime for empiric coverage. patient was weaned off sedation and extubated on pod#1. on patient was taken back to the operating room for a second i&d, this second procedure was without complication and patient was transferred back to the sicu. on patient was transferred from the icu to the floor. on patient was taken back to the or for wound closure. on microbiology confirmed infectious species as coag negative staph, oxacillin resistant. a picc line was requested for 6 weeks of vancomycin therapy as recommended by id. patient was discharged on to an extended care facility for inpatient rehab, her expected length of stay is less than 30 days. medications on admission: albuterol inhaler fosamax xanax 2 mg qhs and 0.5 mg prn cymbalta 30 mg daily advair diskus lidocaine patch folate synthroid 25 mcg daily lisinopril 2.5 mg daily topamax 600 mg requip 0.5 mg qhs reglan 10 mg daily metoprolol tartate 25 mg tid omeprazole 20 mg daily oxycodone er 40 mg and ir 5 mg q4 prn pain hiss lovenox ppx bowel regimen discharge medications: 1. metoprolol tartrate 12.5 mg po bid hold for sbp<100, hr<55 2. topiramate (topamax) 600 mg po bid 3. vancomycin 750 mg iv q 12h 4. ropinirole 0.5 mg po tid 5. omeprazole 40 mg po daily 6. miconazole powder 2% 1 appl tp apply to fungal rash under pannus 7. docusate sodium 100 mg po bid rx *colace 100 mg 1 capsule(s) by mouth twice a day disp #*30 capsule refills:*0 8. duloxetine 30 mg po bid 9. fluticasone-salmeterol diskus (100/50) 1 inh ih 10. levothyroxine sodium 25 mcg po daily 11. lidocaine 5% patch 1 ptch td daily 12. enoxaparin sodium 40 mg sc q12h 13. sodium chloride 0.9% flush 10 ml iv prn line flush picc, non-heparin dependent: flush with 10 ml normal saline daily and prn per lumen. 14. oxycodone (immediate release) 5-10 mg po q3h:prn pain hold for sedation, hold for rr < 12 rx *oxecta 5 mg tablet(s) by mouth every three (3) hours disp #*120 tablet refills:*0 15. alprazolam 1 mg po qhs:prn anxiety discharge disposition: extended care facility: hills discharge diagnosis: 1. wound dehiscence. 2. wound infection. 3. hyperextension fracture dislocation status post posterior instrumentation. discharge condition: stable alert and oriented to person, place and time non-ambulatory discharge instructions: you have undergone the following operation: lumbar decompression with fusion and incision and debridement of post operative wound infection immediately after the operation: - activity: you should not lift anything greater than 10 lbs for 2 weeks. you will be more comfortable if you do not sit or stand more than ~45 minutes without getting up and walking around. - rehabilitation/ physical therapy: o 2-3 times a day you should go for a walk for 15-30 minutes as part of your recovery. you can walk as much as you can tolerate. o limit any kind of lifting. - diet: eat a normal healthy diet. you may have some constipation after surgery. you have been given medication to help with this issue. - brace: you may have been given a brace. this brace is to be worn when you are walking. you may take it off when sitting in a chair or while lying in bed. - wound care: remove the dressing in 2 days. if the incision is draining cover it with a new sterile dressing. if it is dry then you can leave the incision open to the air. once the incision is completely dry (usually 2-3 days after the operation) you may take a shower. do not soak the incision in a bath or pool. if the incision starts draining at anytime after surgery, do not get the incision wet. cover it with a sterile dressing. call the office. - you should resume taking your normal home medications. - you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in or fax narcotic prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. followup instructions: o please call the office and make an appointment for 2 weeks after the day of your operation if this has not been done already. o at the 2-week visit we will check your incision, take baseline x-rays and answer any questions. we may at that time start physical therapy. o we will then see you at 6 weeks from the day of the operation and at that time release you to full activity. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. procedure: nonexcisional debridement of wound, infection or burn open biopsy of soft tissue open biopsy of soft tissue biopsy of bone, other bones diagnoses: other postoperative infection unspecified acquired hypothyroidism candidiasis of other urogenital sites atrial fibrillation infection with microorganisms resistant to penicillins personal history of malignant neoplasm of breast unspecified osteomyelitis, other specified sites diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes morbid obesity surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation personal history of malignant neoplasm of cervix uteri other alteration of consciousness disruption of external operation (surgical) wound arthrodesis status other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes personal history, urinary (tract) infection personal history of pathologic fracture body mass index 45.0-49.9, adult 

Answer: The patient is high likely exposed to