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: bactrim attending: chief complaint: fever major surgical or invasive procedure: left above knee amputation history of present illness: 40 year old woman with multiple medical problems including dmi, schf ef 40%, h/o mdr recurrent utis, pvd (s/p b/l ) with non-healing stump wound infection, presents from clinic (saw dr. where she was noted to be febrile and labs revealed acute kidney injury with leukocytosis. she is scheduled for left stump revision to revise non-healing ulcerative wound. she has had several episodes of diarrhea over the past 4 days, no melena/hematochezia or associated abdominal pain, n/v. she denies f/c, cp/sob or cough, dysuria or hematuria. throughout interview she is tearful and stating she has whole body pain, mostly located in arms, shoulder blades, and legs. her stump wound hurts when touched. . in the ed, initial vs 98.5 113 156/86 18 100% ra. labs revealed leukocytosis and with hyperkalemia 7.0 (no ecg changes). she received one set of blood cultures (pt refused second set), empiric vancomycin 1g iv. meropenum was not yet given. she received calcium gluconate, insulin/d50, albuterol and kayexalate for hyperkalemia. past medical history: --diabetes mellitus type i (last a1c was 7.9% ) --peripheral disease s/p bilateral bkas --systolic chf (ef=40% in ) --nstemi in in the setting of --mrsa empyema in left lower lobe and pea at in --recurrent urinary tract infections, growing mdr organisms --depression --chronic anemia --dyslipidemia --hypertriglyceridemia --h/o retinal detachment in os --h/o ards secondary to sepsis --h/o cocaine abuse social history: she lives in an apartment with her 18 yo daughter. she denies etoh use although she has a history of etoh. she smokes cigarettes daily on and off for 10 years. she reports marijuana and cocaine, reportedly last use was 2 years ago (last positive 3/). family history: father with type 2 dm. physical exam: admission physical exam: vs: 97 142/94 134 20 100% ra general: tearful, frustrated by not receiving pain meds in ed. heent: perrla, eomi, mmm, op no lesions or erythema neck: supple heart: rrr, no mrg lungs: cta bilat, no r/rh/wh, resp unlabored. abdomen: soft/nt, mildly distended, no masses or hsm, no r/g extremities: wwp, no c/c/e, 2+ peripheral pulses. skin: open left stump wound with areas of pustular exudate and granulation tissue, painful to the touch, leg is warm, femoral pulse 1+ neuro: a&ox3, cns ii-xii intact, muscle strength 5/5 throughout but limited by pain, sensation grossly intact throughout discharge physical exam: vs: 98.4 144/86 82 18 98% gen: aox3, no apparent distress cv: rrr s1/s2 heard. no murmurs/gallops/rubs. pulm: ctab no crackles or wheezes abd: soft, nt, +bs. no g/rt. extremities: right well-healed. left aka dressing clean and dry skin: warm and dry pertinent results: 08:05pm wbc-12.1* rbc-2.39* hgb-7.6* hct-24.1* mcv-101* mch-31.7 mchc-31.5 rdw-14.5 08:05pm neuts-69.1 lymphs-23.2 monos-3.9 eos-3.2 basos-0.6 08:05pm glucose-164* urea n-35* creat-3.6*# sodium-131* potassium-7.0* chloride-104 total co2-18* anion gap-16 10:08am blood wbc-8.4 rbc-2.70* hgb-8.1* hct-25.8* mcv-96 mch-30.2 mchc-31.6 rdw-15.0 plt ct-826* 04:31am blood pt-14.6* ptt-33.1 inr(pt)-1.3* 08:00am blood glucose-192* urean-14 creat-2.6* na-136 k-5.4* cl-104 hco3-22 angap-15 11:50am blood calcium-8.5 phos-4.0 mg-1.4* 4:19 pm tissue site: bone bone, left aka. **final report ** gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. tissue (final ): reported to and read back by dr. 10:30am. enterococcus sp.. isolated from broth media only, indicating very low numbers of organisms. sensitivity testing performed by sensititre. resistant to vancomycin mic >=256 mcg/ml. staphylococcus, coagulase negative. isolated from broth media only, indicating very low numbers of organisms. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus sp. | ampicillin------------ 16 r linezolid------------- 1 s penicillin g---------- =>16 r tetracycline---------- =>32 r vancomycin------------ r anaerobic culture (final ): no anaerobes isolated. brief hospital course: patient: 40 yo m with dmi, schf ef 40%, h/o mdr recurrent utis, pvd (s/p b/l ) with non-healing stump wound infection, admitted for acute on chronic kidney injury. surgery peformed a left above knee amputation on . acute issues: # left site osteomyelitis vs. myositis: ms. presented to the ed with a warm and painful left stump, as well as fever and leukocytosis. her wound was open with pustular exudate and granulation tissue. wound cultures were taken which were negative for growth. she was started on iv vancomycin and meropenem and received two days of this prior to surgery. infectious disease consult suggested that the wound was the most likely cause of her infection, given a normal urinalysis, chest xray, and negative stool c. diff toxin. surgery was consulted and the decision was made to proceed with an above knee amputation on the left. her inability to heal the left stump was likely related to constant weight bearing. on she underwent a left aka. she was then transferred to the icu for post-op monitoring, and then transferred to the floor for pain management. she was managed with pain control and dressing changes before discharge. # acute on chronic renal failure: on admission, ms. e had increased to 3.6 (baseline 1.7-2.2) and her potassium was 7.0. this was assumed to be related to bactrim as this was a new medication given for her utis. the bactrim was stopped and her creatitine improved. her potassium was intermittently above 6, but this was relieved with kayexalate. there were no changes evident on her ecg. her lisinopril was held due to the . # bone culture - culture of a bone sample from her aka grew enterococcus and coag negative staph. a blood cx from also had coag negative staph. pathology of the amputated bone showed no evidence of osteomyelitis. treated with iv vancomycin which she will continue for an additional two weeks. po vancomycin also provided for history of c dif. chronic issues: # pain control - phantom limb pain as well as surgery pain. pca pump used while admitted for pain control. transitioned to po pain medications similar to outpatinet regimen. discharged on outpatient regimen of ms contin, percocet, oxycodone, gabapentin. . # diabetes mellitus type 1 - glucose was difficult to control while inpatient given her variable po intake. she was discharged on an insulin sliding scale similar to her admission. . # schf - no evidence of heart failure on this admission. continued on outpatient medications. medications on admission: calcium acetate 667 mg po daily citalopram 20 mg po daily gabapentin 800 mg po q8h gabapentin 300 mg po daily morphine sr 15 mg po q8h morphine 10 mg/5 ml po q3h prn omeprazole 20 mg po daily oxycodone 5 mg (2) tablet po q6h prn oxycodone-acetaminophen 5-325 mg po q6h prn trazodone 25 mg po hs prn insomnia aspirin 81 mg po daily lisinopril 10 mg po daily sulfamethoxazole-trimethoprim 800-160 mg po bid cholecalciferol (vitamin d3) 400 unit po daily nicotine 21 mg/24 hr patch 24 hr daily b complex-vitamin c-folic acid 1 mg po daily lantus 100 unit/ml (5) units humalog 100 unit/ml sliding scale discharge medications: 1. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 2. gabapentin 300 mg capsule sig: two (2) capsule po q24h (every 24 hours). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 5. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 6. insulin glargine 100 unit/ml solution sig: five (5) units subcutaneous twice a day. 7. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 8. vancomycin 500 mg recon soln sig: one (1) recon soln intravenous q48h (every 48 hours) for 7 doses: first dose 7/22. disp:*7 recon soln(s)* refills:*0* 9. ms contin 15 mg tablet extended release sig: one (1) tablet extended release po three times a day. disp:*30 tablet extended release(s)* refills:*0* 10. oxycodone 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*40 tablet(s)* refills:*0* 11. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*40 tablet(s)* refills:*0* 12. vancomycin 125 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 21 days. disp:*84 capsule(s)* refills:*0* 13. full electric hospital bed diagnosis: left above knee amputation, right below knee amputation discharge disposition: home with service facility: all care vna of greater discharge diagnosis: left below knee amputation site infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms. , you were admitted for an infection in your left leg. you also had diarrhea for the about a week. this led to a worsening of your kidney function. we discussed your leg with the surgeons and the infectious disease specialists, who felt that your infection was severe and that you would need another surgery. you underwent an above knee amputation on . initially you were transferred to the icu for monitoring, and then transferred back to the floor. we managed your pain with patient controlled analgesia and that transitioned you to oral pain medications. there was concern of an infection in the bone biopsy that was sent from your surgery, so you were sent home on iv antiobiotics medications: continue your home medication regimen as prescribed by dr. start vancomycin orally 125mg every 6 hours for 21 days start vancomycin iv 500mg every other day for 7 doses starting stop lisinopril followup instructions: department: internal medicine when: tuesday at 1:30 pm with: , md building: lm bldg () campus: west best parking: garage department: infectious diseases when: - 11:00am with: ,md name: , location: address: ste 5c, , phone: when: wednesday, :45am md, procedure: venous catheterization, not elsewhere classified repair of entropion or ectropion with wedge resection revision of amputation stump diagnoses: acidosis hyperpotassemia anemia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified polyneuropathy in diabetes depressive disorder, not elsewhere classified chronic kidney disease, unspecified pure hyperglyceridemia other and unspecified hyperlipidemia long-term (current) use of insulin old myocardial infarction chronic systolic heart failure pressure ulcer, lower back streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with peripheral circulatory disorders, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled infection (chronic) of amputation stump sulfonamides causing adverse effects in therapeutic use pressure ulcer, stage ii other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms neurogenic bladder nos amputation of limb(s) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation phantom limb (syndrome) 

Answer: The patient is high likely exposed to