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: penicillins / cipro cystitis / tegretol / bactrim / aspirin / haldol / ketorolac / phenytoin / morphine / ibuprofen / clinoril / ssri's / iodine-iodine containing attending: chief complaint: 1. painful, erythematous surgerical site with drainage 2. nafcillin desensitization protocol major surgical or invasive procedure: incisional vac placement x 2 days desensitization to pcns history of present illness: 63 y/o female with dm2, htn, s/p mvc many yrs ago, s/p left leg reconstruction and tibia autograft now p/w wound infection. the patient reports increased left lower extremity pain preceding this hospitalization for about 6 months. in mid she initially present to the orthopedic clinic complaing of visible hardware along the anterior tibia that had been noted by her podiatrist the week prior. this was thought to be due to the patient scratching the area and causing multiple open wounds over the area. . the patient was taken to the or on for removal of hardware as well as deep, irrigation and debridement down to bone with deep biopsy of soft tissue next to the bone. the bone per operative report did not appear osteomyelitic and the screw was well ankered in the bone. the culture from the tissue grew mssa. . on she was seen in follow up because of increased bleeding from the wound, increased pain and redness. the incision was thought to look good at the time and the patient was given wound care instructions. in addition, the patient was given cephalexin (after verification that she was able to take that given her allergy history), however the patient only took the tablets for about 1 day when she developed hives and pruritus and stopped the cephalexin. . on the the patient presented to the ed because of erythema, warmth, increased pain and drainage from the wound. she also reports a low grade temperature to 100.3 as well as chills. she reports chronic intermittent nightsweats. . she was initially admitted to the orthopedic service. a wound vac is in place, and the plan is to treat with antibiotics for several days and then see if the patient needs a washout. id was consulted and recommended nafcillin 2 gm iv q4h, with allergy consulted for densitization given the patient's hsitory of anaphylaxis. allergy felt that the patient was appropriate for the nafcillin desensitization protcool. the patient's prior reaction to nafcillin was throat swelling. . currently, the patient complains of left lower extremity pain, and well as mild abdominal pain and nausea that she has had for several days. her appetite is preserved. . review of systems: -constitutional: +fever (low-grade) + chills +sweats -cv: no chest pain or discomfort. -resp: no cough or shortness of breath. -gi: +abdominal pain (mild). +nausea. no vomiting or diarrhea. -gu: no dysuria. -neuro: +headache (mild). no weakness, tingling, or numbness. -msk: +pain in left lower extremity -skin: no rash. -heme: no bleeding or bruising -allergy: no pruritis. past medical history: hypertension hyperlipidemia allergic rhinitis diabetes mellitus gerd hypothyroidism chronic osteomyelitis/staph infection (?last in ) h/o renal insufficiency h/o seizures h/o lle lymphedema ptsd, clinical depression mva in -> s/p ~18 orthopedic surgeries of the lower extremities left open tib/fib fracture s/p right ankle triple arthrodesis s/p right total knee replacement s/p cholecystectomy "years ago" s/p tonsilectomy in childhood s/p lumpectomy from right breast (benign); mammograms q 6 months s/p tkr in r pancreatitis umbilical hernia social history: does not smoke or drink. the patient lives alone at handicapped senior housing. she is divorced with no children. family history: non-contributiory physical exam: vs: t 98.7 bp 103/49 hr 78 rr 15 sat 97%/ra gen: no acute distress. heent: anicteric sclerae. moist mucous membranes. op clear. resp: normal respiratory effort. lungs ctab. no wheezes, rales, or rhonchi. cv: rrr. normal s1, s2. ii/vi midsystolic murmur lusb. abd: +bs. soft. non-distended. mildly tender in central abdomen. no rebound or guarding. ext: radial and dp pulses 2+. wound vac in place on left shin. neuro: a+ox3. cn ii-xii intact. strength 5/5 in bilateral upper extremities and right lower extremity. lle strength testing limited by pain. sensation intact distally to light touch. skin: no rash. lle: - dressing - c/d/i - incision - improving. mild erythema and minimal drainage. +edema - +at, fhl, - silt -brisk cap refill -calf-soft, nontender -nvi distally pertinent results: 05:51am blood wbc-6.8 rbc-3.12* hgb-8.4* hct-26.5* mcv-85 mch-26.9* mchc-31.6 rdw-13.6 plt ct-293 05:38am blood wbc-6.3 rbc-3.16* hgb-8.7* hct-27.0* mcv-86 mch-27.4 mchc-32.1 rdw-13.8 plt ct-280 05:34am blood wbc-6.3 rbc-3.44* hgb-9.2* hct-29.7* mcv-87 mch-26.8* mchc-30.9* rdw-13.6 plt ct-309 05:36am blood wbc-5.8 rbc-3.38* hgb-8.9* hct-29.0* mcv-86 mch-26.3* mchc-30.6* rdw-13.6 plt ct-269 04:00pm blood wbc-5.0 rbc-3.51* hgb-9.4* hct-30.1* mcv-86 mch-26.8* mchc-31.3 rdw-13.4 plt ct-284 04:53am blood wbc-4.8 rbc-3.95* hgb-10.5* hct-33.7* mcv-85 mch-26.6* mchc-31.2 rdw-13.3 plt ct-261 05:20am blood wbc-4.7 rbc-3.78* hgb-10.0* hct-32.0* mcv-85 mch-26.5* mchc-31.3 rdw-13.4 plt ct-225 07:30am blood wbc-5.1 rbc-3.80* hgb-10.1* hct-32.3* mcv-85 mch-26.6* mchc-31.4 rdw-13.5 plt ct-280 01:35pm blood wbc-6.1 rbc-3.89* hgb-10.6* hct-32.3* mcv-83 mch-27.1 mchc-32.6 rdw-13.0 plt ct-270 05:51am blood neuts-64.5 lymphs-24.3 monos-5.4 eos-5.4* baso-0.4 05:38am blood neuts-43.8* lymphs-38.8 monos-5.7 eos-10.6* baso-1.1 05:34am blood neuts-51.2 lymphs-33.1 monos-7.0 eos-7.6* baso-1.0 05:51am blood plt ct-293 05:38am blood plt ct-280 07:30am blood esr-72* 01:35pm blood esr-83* 05:51am blood glucose-104* urean-24* creat-1.0 na-140 k-5.0 cl-107 hco3-28 angap-10 05:38am blood glucose-121* urean-20 creat-1.1 na-139 k-4.8 cl-108 hco3-25 angap-11 05:38am blood alt-6 ast-20 ld(ldh)-161 ck(cpk)-25* alkphos-73 totbili-0.2 04:53am blood calcium-9.0 phos-3.7 mg-2.1 07:30am blood crp-18.9* 01:35pm blood crp-22.4* brief hospital course: 63 yo f with dm2, htn, and multiple surgeries to lle since mvc 13 years ago p/w mssa infection of prior surgical site. after consultation with id and allergy, she was referred to the icu for desensitization to nafcillin. she successfully completed the desensitization protocol. . # nafcillin desensitization: nafcillin desensitization protocol is now complete. -appreciate allergy and id recs -nafcillin 2 gm iv q4h -protocol needs to be repeated if patient goes 8 hours without a dose - restart home atenolol as tolerated by blood pressure now that desensitization is complete . # lle wound infection/osteomyelitis: given the patient's infection in hardware that continues into bone, she needs to be treated for osteomyelitis. -wound vac in place x 2 days. clotted off and removed as drainage was minimal at that time. -appreciate ortho and id recs -nafcillin 2 gm iv q4h -> developed eosinophilia. id recs for dapto vs ancef for ongoing treatment. c/s allergy for recs regarding need for desensitization of ancef. -pain control with dilaudid, gabapentin . # htn: currently normotensive. -restart home atenolol as tolerated by blood pressure now that desensitization is complete . # dm2: -hold metformin while inpatient -humalog insulin sliding scale . # allergic rhinitis: -substituting fexofenadine for cetirizine while inpatient ]because cetirizine is non-formulary . # hypothyroidism: -continue levothyroxine . # gerd: -continue omeprazole . # sjogren's syndrome: -continue hydroxychloroquine. . # patient coping: -social work consult . # fen: advanced diet to regular, diabetic medications on admission: atenolol 100 mg daily metformin 500 mg po bid zyrtec 10 mg po daily hydroxychloroquine 200 mg po daily levothyroxine 50 mcg po daily magnesium oxide 400 mg po bid omeprazole 20 mg po daily multivitamin 1 mg po daily gabapentin 200 mg tid dilaudid 2-4 mg q4h:prn compazine 10 mg q6h:prn nausea ultram 100 mg tid (per patient) lorazepam discharge medications: 1. gabapentin 100 mg capsule sig: two (2) capsule po tid (3 times a day). 2. magnesium oxide 400 mg tablet sig: one (1) tablet po bid (2 times a day). 3. hydroxychloroquine 200 mg tablet sig: one (1) tablet po daily (daily). 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever, pain. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 8. lorazepam 1 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety. 9. hydromorphone 4 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain: do not drive while taking this medication. disp:*80 tablet(s)* refills:*0* 10. metformin 500 mg tablet sig: one (1) tablet po twice a day. 11. atenolol 100 mg tablet sig: one (1) tablet po once a day. 12. zyrtec 10 mg tablet sig: one (1) tablet po once a day as needed for allergy symptoms. 13. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for allergies. 14. daptomycin 500 mg recon soln sig: five hundred (500) mg intravenous q24h (every 24 hours): estimated end date: . disp:* mg* refills:*2* 15. sodium chloride 0.9 % 0.9 % syringe sig: ten (10) ml injection per company protocol as needed for line flush. disp:*60 syringes* refills:*2* 16. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush: flush per company protocol. disp:*30 syringes* refills:*2* 17. diphenhydramine hcl 25 mg capsule sig: capsules po q6h (every 6 hours) as needed for pruritus. discharge disposition: home with service facility: homecare discharge diagnosis: infected left distal leg incision discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: 1. please return to the emergency department or notify your physician if you experience any of the following: severe pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. please follow up with your primary physician regarding this admission and any new medications and refills. 3. resume your home medications unless otherwise instructed. 4. you have been given medications for pain control. please do not drive, operate heavy machinery, or drink alcohol while taking these medications. as your pain decreases, take fewer tablets and increase the time between doses. this medication can cause constipation, so you should drink plenty of water daily and take a stool softener (such as colace) as needed to prevent this side effect. call your surgeons office 3 days before you are out of medication so that it can be refilled. these medications cannot be called into your pharmacy and must be picked up in the clinic or mailed to your house. please allow an extra 2 days if you would like your medication mailed to your home. 5. you may not drive a car until cleared to do so by your surgeon or your primary physician. 6. please keep your wounds clean. you may shower starting five (5) days after surgery, but no tub baths or swimming for at least four (4) weeks. no dressing is needed if wound is non-draining. 7. please call your surgeon's office to schedule or confirm your follow-up appointment in three (2) weeks. 8. wound care: please keep your incision clean and dry. please place a wet-to-dry sterile dressing on the wound twice daily. check wound regularly for signs of infection such as redness or thick yellow drainage. 9. vna (once at home): home pt/ot, wet-to-dry dressing changes as instructed twice daily, and wound checks. antibiotic infusions as directed. 10. activity: partial weight bearing on the operative extremity. rom as tolerated. no strenuous exercise or heavy lifting until follow up appointment. mobilize. 11. picc: blood draws and picc line management per facility protocol. physical therapy: pwb with walker/crutches rom as tolerated mobilize treatments frequency: wet-to-dry dressing twice daily wound checks ice and elevation picc - flush line per company protocol - draw labs off picc antibiotic infusion lab draws - check cbc, bun, crea, lfts, esr, crp, ck - check every week (monday) - fax all lab results to infectious disease r.ns. at ( followup instructions: please call to schedule/confirm your follow-up appointment with dr. on . provider: , md phone: date/time: 9:30 provider: , md phone: date/time: 9:30 procedure: venous catheterization, not elsewhere classified immunization for allergy diagnoses: esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism depressive disorder, not elsewhere classified need for desensitization to allergens other and unspecified hyperlipidemia cellulitis and abscess of leg, except foot methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site long-term (current) use of insulin other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation infection and inflammatory reaction due to other internal orthopedic device, implant, and graft posttraumatic stress disorder eosinophilia penicillins causing adverse effects in therapeutic use sicca syndrome chronic osteomyelitis, lower leg other specified pruritic conditions personal history of allergy to penicillin long-term (current) use of antibiotics allergic rhinitis due to other allergen 

Answer: The patient is high likely exposed to