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: patient recorded as having no known allergies to drugs attending: chief complaint: facial and upper extremity swelling major surgical or invasive procedure: insertion of right femoral triple-lumen catheter. insertion of tunneled hemodialysis catheter. re-insertion of right femoral triple-lumen catheter. history of present illness: briefly after review of night float admit note, this is a 65 y.o. female with h/o esrd, dm, chf, and osteomyelitis who was sent to the ed from for increased facial swelling and sob as noted by the staff at . upon interviewing the patient this morning, she does not understand why she is in the hospital. her only complaint is a rash on her buttocks. she has a h/o of chronic diarrhea but no n/v or abdominal pain. . in the ed, she was found to have a decreased o2 sat and started on supplemental o2. in the ed she was found to have a systolic pressure in the 80's and was given 500cc ns bolus. her o2 saturation was also 92 and she was started on 2l nc and it improved to 97%. she was presumed to have a pna and was given 1 dose of levofloxacin and then admitted. . of note, patient had been started on a 10 week course of nafcillin on , per the records. she was still being administered this course via a picc prior to admission. the picc was removed during transfer from ambulance to ed. past medical history: end-stage renal disease on hd hypertension c. diff colitis s/p cholecystectomy appendicitis asthma fluid overload hypothyroidism dm pna with parapneumonic effusion s/p vats with drainage social history: nursing home resident. she needs assistance with her adl's. next of or . lives at 4th. at baseline, knows where she is, reads the paper a little family history: non-contributory. physical exam: vitals: 96.9, 112/70, 93, 20, 97% on 2l general: a&o x3, poor remote memory, nad, without labored breathing heent: eomi, mmm, clear oropharynx pulm: transmitted upper airway sounds, no accessory muscle use, no crackles appreciated cor: rrr, no m/g/r abd: soft, nt, nd, +bs ext: +2 edema in left upper extremity with indurated, non-erythematous skin, non-warm skin. multiple punctate eschars/abrasions on right knee. pertinent results: 06:08am blood wbc-7.4 rbc-2.61* hgb-8.5* hct-27.0* mcv-104* mch-32.5* mchc-31.4 rdw-17.4* plt ct-325 06:08am blood neuts-58.6 lymphs-25.6 monos-11.9* eos-3.6 baso-0.3 11:52am blood ptt-44.7* 06:08am blood plt ct-325 06:08am blood pt-18.1* ptt-60.4* inr(pt)-1.7* 06:08am blood glucose-115* urean-8 creat-2.1* na-140 k-3.7 cl-105 hco3-26 angap-13 12:04am blood glucose-123* urean-8 creat-2.0*# na-137 k-3.5 cl-104 hco3-25 angap-12 06:08am blood calcium-7.5* phos-2.9 mg-1.7 brief hospital course: this is a 65 y.o. female with h/o esrd, dm, chf, and mssa osteomyelitis who was admitted with shortness of breath and facial swelling, presumed secondary to svc thrombosis. . # facial and upper extremity swelling due to svc thrombosis and upper extremity dvt . pt. at risk w/ multiple central access attempts (hd tunneled catheters) and a subtherapeutic inr. ue u/s with recannulization of left ij. when the patient lost peripheral iv access, ir was unable to place a picc, and so a right femoral central line had to be placed for lone access. when ir tried to replace a tunneled hd catheter that she had pulled out, they found complete occlusions of left internal jugular and occlusion at the junction of the r. ijv and r. subclavian. therefore, it necessitated placement of a left femoral tunnelled hd catheter. the above study also showed much flow through tortuous collaterals, which may be suggestive of chronic thrombosis in jugular/subclavian veins. pt. was seen by vascular surgery during the hospitalization and they recommended continuing anticoagulation, follow-up as an outpatient, and a ct venogram if her symptoms worsen. earlier in the admission, there was also concern for upper airway obstruction and stridor but ent evaluated on and found no signs of extrinsic airway compression. her upper airway symptoms improved with 3 doses of decadron. after all the ir procedures, the patient's warfarin was being titrated while bridging with heparin gtt. in the interim, she developed hypotension refractory to fluid boluses. she was found to have an infected right femoral line, at which point it was pulled and she was transferred to the micu. . # access: numerous access problems were encountered during this admission. once she lost her peripheral iv, picc placement was sought at bedside and by ir, both of which failed. the reason for this was revealed during the re-insertion of a tunneled hd catheter, s/p extirpation of the old one. she was found to have thrombus bilateral ijv obstruction and tortuous collateral flow, possibly indicating chronic thrombosis. a femoral line was placed on because of inability to get access anywhere else for her heparin gtt. femoral line placement was complicated by continued episodes of diarrhea, and due to development of inflammation at line site and hypotension, this line was pulled on . . # esrd-hd: the patient pulled out her left tunneled hd catheter (had pulled out her left on a previous admission). a left femoral tunneled hd catheter was placed on and she has tolerated dialysis will through this. patient was maintained on calcium acetate, epo with dialysis, and a low-potassium low-phosphate diet while on the floor. . # chf: ef 40%. upper extremity and facial swelling more likely due to svc thrombosis than to heart failure. had crackles on exam and a bnp that was 70,000 on admission, which was quite suggestive of chf but somewhat difficult to interpret in the setting of renal failure. unable to diurese due to esrd, so volume reduction achieved through hd. prior to discharge, we were planning to restart ace-i and bb at low dose for chf if her pressures were able to tolerate it. we were also careful about giving her no more than 250cc boluses due to chf and esrd. . # id: patient was receiving a prolonged course of antibiotics for mssa osteo/discitis. dr. , her id specialist, was informed of her admission. we obtained esr and crp which were elevated, but per id, these were decreased from previously and not really indicative of continuing osteomyelitis. as a result, abx therapy for osteomyelitis was discontinued. she was maintained on a course of prophylactic metronidazole for a h/o recurrent c. difficile colitis, continued diarrhea and a h/o prolonged abx course, although c. difficile toxins were negative. pt. was scheduled for a follow-up appointment with dr. in the clinic for her osteomyelitis. . # dm2: the patient was maintained on her home regimen of nph with an insulin sliding scale while in house. . # hyperchol: patient was maintained on her home regimen of atorvastatin. . # hypothyroid: the patient's tsh continued to be elevated at 24 on admission and ft4 was also decreased. we spoke with endocrinology regarding an already quite high dose of levothyroxine (225mcg). they felt that there may be a drug interaction or physiologic process that is impairing levothyroxine absorbtion. however, they said it would be alright to raise the dose of levothyroxine further if needed. it was raised to 250mcg per day. patient will need outpatient follow-up of her tsh in 6 weeks. . # ppx: ppi given for gerd. patient was anti-coagulated with warfarin s/p ir procedures and bridged with heparin gtt. . # full code micu course -- as the team was concerned that mrs. had an svc syndrome, the patient underwent an mrv, showing occlusion of both brachiocephalic veins. this was discussed with vascular surgery and ir, who collaborated and decided that a stenting procedure was possible, but that it would only have a 20-30% chance of success and that there was a significant risk of re-occlusion by six months. it was decided that this option would be deferred until there was definitive management of her airway. . in terms of her airway, mrs. probably has a crowded oropharynx at baseline, and this has been significantly worsened by her pronounced swelling from the svc syndrome. she frequently de-satted at night to the 70's on 4l-nc, felt to be due to mixed apnea, both central and obstructive. in addition to this, she was witnessed to aspirate while eating on numerous occasions, once with total occlusion and collapse of the left lung; she was made npo, and multiple attempts at ngt-placement failed. again, her aspiration was ascribed to worsening oropharyngeal crowding from significant edema. in discussion with that patient and her family, as her respiratory status was quite tenuous and the causative factors (svc syndrome and recurrent aspiration) were felt to probably be irreversible, the decision was reached to have her undergo tracheostomy and peg tube placement. . her hypotension continued to be an ongoing problem throughout the micu stay without a clear etiology. she was treated for sepsis given the infected line that brought her to the micu, the site of which grew out multiple gnrs. -stim test showed a normal response. multiple ecg's showed no changes concerning for ischemia. it was felt that the main cause was likely hypovolemia, as she responded to volume challenge; the thought was that she was significantly third-spacing fluid due to her svc syndrome. . there was no etiology found for her hypotension and she was continued on the pressors. finally in discussion with the hcp, it was decided to make her . she died on . medications on admission: -phoslo -metronidazole 250mg tid on non-hd days -pantoprazole 40mg daily -levothyroxine 225mcg daily -tramadol 50mg :prn -nph 7am, 4pm -riss -asa 325mg daily -atorvastatin 80mg daily -clopidogrel 75mg daily -warfarin 7mg daily -epo inpt- -levothyroxine 250mcg daily -loperamide hcl 2 mg po qid:prn -metronidazole 250mg po tid -acetaminophen 325-650mg po q4-6h:prn -miconazole vaginal 1 appl vg hs -nystatin-triamcinolone 1 appl tp :prn -calcium acetate 667mg po tid w/meals -pantoprazole 40mg po q24h -sodium chloride nasal spry nu qid:prn -heparin iv -warfarin 7.5mg po hs -tramadol 50mg po bid:prn discharge medications: expired discharge disposition: extended care facility: - discharge diagnosis: expired discharge condition: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis other bronchoscopy diagnoses: hyperpotassemia end stage renal disease congestive heart failure, unspecified unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure pneumonitis due to inhalation of food or vomitus compression of vein pressure ulcer, lower back infection and inflammatory reaction due to other vascular device, implant, and graft diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled orbital cellulitis 

Answer: The patient is high likely exposed to