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 a 77-year-old female that presented to the emergency room on with right foot ulcers over the dorsum of her foot and heel with associated fevers. the patient, of note, had had a recent right total hip replacement and total knee replacement and had suffered a severely comminuted segmental femur fracture that was periprosthetic in nature in of this year. this had been repaired with open reduction and internal fixation of the right femur, and she also had had a traction pin during this time. now these ulcers were in the area of this traction pin, and she had noticed that over the last 2-3 days prior to her presentation, she had also experienced some chills. she also noted increased swelling and redness over the dorsum of her right foot and toes that was beginning to extend up her ankles. she had been due to see dr. on , however came to the emergency room due to the progression of these symptoms. her family was also able to provide a significant amount of history and also noted that they thought the swelling and redness had increased. originally, it was contained to the dorsum of her foot near where the traction had taken placed and had now migrated slightly up her ankle. physical examination on admission: temperature in the emergency room was 99.8 degrees fahrenheit, heart rate 90, blood pressure 110/53, respiratory rate of 16, and she was 93% on room air. she was in no apparent distress and was comfortable and was well-appearing in general. her lungs were clear to auscultation bilaterally without any wheezes, rales or rhonchi. her heart was in regular rate and rhythm, with no murmurs, rubs or gallops. her abdomen was soft, nontender and nondistended. she was noted to be obese. on her vascular exam, she had palpable femoral pulses bilaterally and dopplerable popliteals bilaterally, and monophasic dorsalis pedis and posterior tibialis pulses bilaterally. she was noted to have a significant eschar over the dorsum and one over her heel with significant erythema progressing up above both malleoli with 2+ pitting edema there. there was also noted to be some malodorous, purulent material that was able to be expressed from the borders of the ulcer. the area was also noted to be warm to the touch, and the patient did not have any tenderness to palpation in these areas. her affect and mood were normal. past medical history: consisted of aortic stenosis, congestive heart failure with ef of 55% on echocardiogram, atrial fibrillation for which she was on warfarin, chronic obstructive pulmonary disease, mitral valve regurgitation, positive antibody, osteoporosis, venous stasis, peripheral neuropathy, history of clostridium difficile in the past and spinal stenosis. medications on admission: amiodarone 200 mg once a day, lasix 80 mg every other day p.o., prilosec 20 mg once daily, prednisone 10 mg once daily, toprol 25 mg once daily, coumadin 5 mg once daily, ferrous sulfate 325 mg once daily, ipratropium, neurontin 600 mg t.i.d., potassium chloride 20 mg b.i.d. and latanoprost eye drops. pertinent laboratories on admission: her white count was 18.4 in the emergency room with hematocrit of 33.4, and a platelet count of 447. electrolytes were within normal limits with a creatinine of 0.8 which was at her baseline, and a blood sugar of 113. her urinalysis was negative at this time. hospital course: at this time, the patient was admitted to the vascular service under dr. care for further evaluation and treatment. she was seen also by the orthopedic service during this time who followed the patient closely. the patient was started on broad-spectrum antibiotics which included vancomycin and gentamicin which were dosed appropriately by levels, and evaluation continued with plain films of the right foot that showed extensive soft tissue swelling but no evidence of osteomyelitis. we also assessed her for deep vein thrombosis at this time and this was negative. she was noted to have defervesced by hospital day #2 with her temperature maximum at 99.3, and she reported that she was feeling better at this time. on hospital day 3, an angiogram was performed by dr. to evaluate the circulation in her right leg to evaluate her ability to heal this ulcer. an abdominal aortogram with right lower extremity runoff was performed. at this time, the findings included a normal infrarenal abdominal aorta with patent iliac arteries and patent common femoral artery on the right side with normal deep femoral and superficial femoral arteries. the disease was noted to be localized to the posterior tibialis which occluded early in the runoff and was noted to be heavily calcified. no pedal vessels were visualized during this angiography. the patient was then continued on antibiotics, however continued to have difficulty healing this wound on her right heel and over the dorsum of her foot. microbiology had now come back from this wound which revealed a growth of proteus of moderate amounts and enterococcus of moderate amounts. this was done fro the dorsum of the right foot along with some sparse staph growth. these were sensitive to everything but ampicillin and ciprofloxacin. the patient was continued on the antibiotics that she was started on admission, vancomycin and gentamicin. it was then determined, based on the patient's lack of improvement in terms of these ulcers, and the fact that she now appeared to be having slightly increasing erythema, that the distal right lower extremity would be unsalvageable. she had also positive blood cultures at this time which grew back coagulase-negative staph that was resistant to oxacillin, and the fact that she was occluded in both her posterior tibial and dorsalis pedis arteries with no possibility for reconstruction, so she was brought to the operating room on hospital day #8, , for a right below-the-knee amputation which she tolerated well, and in the postoperative period there were no issues until the morning of postoperative day 1, when the patient became acutely short of breath while in the vascular intensive care unit on far-11. the patient was, at this point, evaluated, and a chest x-ray was performed which revealed mild fluid overload. the patient was not hemodynamically unstable during this time; however, it was determined that the patient would be best served by being transferred to the surgical intensive care unit. she was transferred there, and later that day spiked a temperature of 102.3 degrees fahrenheit, for which another set of pancultures were sent. the patient's antibiotic coverage was broadened to include vancomycin, levofloxacin and flagyl at this time which she remained on until discharge. the patient underwent a full work-up at this time because she briefly required vasopressor agents including levophed at a fairly low dose. she was able to be weaned off this without significant difficulty. she did also have a cortisone stim test which she passed, and she did not require extra exogenous steroids. she was, however, given a stress dose of solu medrol 10 mg for 3 days, and then was able to be transferred back to her regular dose of prednisone. the patient continued to improve in the postoperative day period, and after successfully diuresing off some extra fluid, she was deemed fit for transfer to the floor. by the time she was discharged, however, she had yet to be moved to the floor, and of note, further studies during her stay in the intensive care unit including a cat scan of the abdomen which revealed a questionable hypodense lesion at the level of the ampulla and the head of the pancreas. an mrc was recommended to exclude a mass. the patient was deemed not fit for this study at this time due to the fact that she had been recently on vasopressor agents, and the fact that this was considered to be a questionable finding upon discussion with the radiologist, and there was no other significant intra- abdominal pathology at that time. there were noted to be small pleural effusions bilaterally. her microbiology at the time of discharge revealed 2 negative blood cultures, most recently from , 8 days before discharge, and 2 negative mrsa screens, and a negative swab for vancomycin resistant enterococcus. the patient felt significantly better and was working with physical therapy and was able to be transferred from bed-to-chair during this time. in terms of her amputation site, this was examined daily by the vascular surgical staff and dr. , and it was noted to be very clean without any significant signs of hematoma or infection. there was never any erythema at the incision site, and there were staples in place which are to stay in for a month. the patient's spirits had also improved. she was taking a cardiac heart healthy diet at this time and was eager to be discharged, and on the morning of a bed had been found at a rehabilitation facility for her to go to. discharge instructions: patient will be discharged to a worsening pains, fevers, chills, nausea, vomiting, shortness of breath, chest pain, redness or drainage from or around the wound in the patient's right stump. the patient is to take medications as directed including coumadin 5 mg once a daily with daily inr checks until this level is stable, with goal inr between 2.0 and 3.0. final diagnosis: peripheral vascular disease, atrial fibrillation, peripheral neuropathy, osteoporosis, chronic obstructive pulmonary disease, aortic stenosis, spinal stenosis. recommended follow-up: patient to follow-up with dr. in days and to call to have an appointment scheduled at (. major surgical or invasive procedures: angiography of the right lower extremity and aortogram, right below-the-knee amputation and central venous line placement. discharge condition: stable. discharge medications: amiodarone 200 mg p.o. once daily, toprol xl 25 mg p.o. once daily, gabapentin 600 mg p.o. t.i.d., heparin 5000 units subcu q.i.d., latanoprost drops, dorzolamide-timolol drops, hexavitamin 1 cap p.o. once daily, regular insulin sliding scale--the scale will be printed out and written on the discharge instructions, tylenol p.r.n., fentanyl patch 25 mg/h q.72h., miconazole 1 application topically q.i.d. as needed for raw skin, prednisone 10 mg p.o. once daily, warfarin 5 mg p.o. once daily with daily inr checks until stable inrs on warfarin--goal inr 2.0-3.0, albuterol inhalations p.r.n. disposition: patient will be discharged to rehabilitation facility and to follow-up with dr. . , procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances arteriography of femoral and other lower extremity arteries aortography other amputation below knee diagnoses: congestive heart failure, unspecified unspecified septicemia chronic airway obstruction, not elsewhere classified atrial fibrillation aortic valve disorders sepsis ulcer of other part of foot cellulitis and abscess of leg, except foot atherosclerosis of native arteries of the extremities with gangrene 

Answer: The patient is high likely exposed to