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: demerol / erythromycin base / amoxicillin / bactrim / codeine / lipitor / penicillins / plavix / linezolid / keflex / cipro / protamine attending: chief complaint: non healing infected ulcers, lle major surgical or invasive procedure: operation: 1. ultrasound-guided puncture of the right common femoral artery. 2. contralateral third-order catheterization of the left superficial femoral artery. 3. abdominal aortogram. 4. serial arteriogram of left lower extremity. 5. balloon angioplasty of left superficial femoral artery. 6. stent placement at left superficial femoral artery. 7. perclose closure of right common femoral arteriotomy. history of present illness: this is an 83-year-old female with a nonhealing ulceration of the left medial malleolus, admitted through dr. clinic and planned for angiogram and possible angioplasty and stenting. past medical history: pmh: htn, asthma, copd, hypothyroidism, cad, and diabetes psh: contralateral third order arteriography with abdominal aortogram and unilateral extremity runoff, angioplasty of left popliteal artery, angioplasty of left peroneal artery, cabg , tah, appy social history: denies smoking and etoh use. lives with husband. family history: n/c physical exam: 98.7 115/50 70 100%ra gen- nad, axox3 heart- rrr lungs- cta b/l abd- soft, nt/nd ext- nonhealing left lower extremity ulcers, pulses: rt lt pt/dp dop pertinent results: 07:20am blood wbc-10.5 rbc-4.15* hgb-9.3* hct-31.7* mcv-76* mch-22.4* mchc-29.3* rdw-20.3* plt ct-216 09:10pm blood wbc-9.1 rbc-4.31 hgb-9.2* hct-32.4* mcv-75* mch-21.4*# mchc-28.4*# rdw-18.5* plt ct-271 07:20am blood plt ct-216 09:10pm blood pt-42.1* ptt-34.7 inr(pt)-4.5* 06:21pm blood ck(cpk)-46 07:30am blood calcium-8.3* phos-3.3 mg-1.9 09:10pm blood albumin-3.8 calcium-8.6 phos-3.5 mg-2.5 brief hospital course: admitted thorugh dr. office with infected lle ulcers. started iv abx-vanco (mrsa), wound care and planned for angio. home medications continued. coumadin on hold. coninued wound care and abx. made npo with ivf and consented for angio on underwent serial arteriogram of left lower extremity, balloon angioplasty of left superficial femoral artery, stent placement at left superficial femoral artery. at completion of case-right common femoral perclosed. case complicated by hypotension requiring intubation. transfered to cvicu. remained in cvicu with icu level montioring. continued wound care stable, tolerating diet. loose stools- x4, cdiff negative. continued wound care and iv anitbiotics (vanco). physical therapy working with patient and spouse for home safety evaluation. nutrition consulted for teaching. coccyx area with stage1 ulcer, monitoring and following repostioning protocol : discharged with picc line for 2 additional weeks of vancomycin per id. follow up with id to be decided after vascular clinic appointment. pt to work with patient and family regarding home safety. to note pt vanco trough was 22, her creat was 1.4, vanco changed from 750 q 24 to 500 q 24. creat in down trend to 1.3. labs will be checked at home and faxed to her pcp and office. medications on admission: warfarin, levemir 15 units', humalog ss, dig 0.125', carvedilol 3.125 , mirtazapine 15', furosemide 60 , folic acid 1', levothyroxine 75mcg', omeprazole 20', sertraline 25', trusopt 1 gtt each eye , alphagan 1 drop each eye , fluticasone 50 mcg 2 sprays each nostril , senna, colace discharge medications: 1. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 2. sertraline 50 mg tablet sig: 0.5 tablet po daily (daily). 3. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours). 4. dorzolamide 2 % drops sig: one (1) drop ophthalmic (2 times a day). 5. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 6. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. furosemide 20 mg tablet sig: three (3) tablet po bid (2 times a day). 10. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 11. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 12. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 13. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 14. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain or fever . 15. levemir 100 unit/ml solution sig: 15 units daily subcutaneous at bedtime. 16. humalog scale resume home sliding scale 17. vancomycin 500 mg iv q 24h 18. vancomycin 500 mg recon soln sig: five hundred (500) mg intravenous once a day for 2 weeks. disp:*14 * refills:*0* 19. outpatient lab work please check cbc, chem 7, vancomycin trough q week and fax to dr. . also please check pt/inr twice weekly and prn and send results to dr. phone: fax: 20. picc care 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. 21. coumadin 1 mg tablet sig: one (1) tablet po once a day: adjust for inr to . discharge disposition: home with service facility: vna discharge diagnosis: 83f dm with infected, nhu lle s/p l le angiogram; pta l sfa c stent c/b hypotensive episode required brief intubation pmh: htn, asthma, copd, hypothyroidism, cad, and diabetes psh: contralateral third order arteriography with abdominal aortogram and unilateral extremity runoff, angioplasty of left popliteal artery, angioplasty of left peroneal artery, cabg , tah, appy stsg to medial malleolus of left ankle i&d left foot rt () discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: division of vascular and endovascular surgery lower extremity angioplasty/stent discharge instructions medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? if instructed, take plavix (clopidogrel) 75mg once daily ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated ?????? it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and ultrasound what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office . if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: , md phone: date/time: 10:30 procedure: diagnostic ultrasound of heart insertion of endotracheal tube angioplasty of other non-coronary vessel(s) pulmonary artery wedge monitoring insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: other iatrogenic hypotension anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism aortocoronary bypass status other chronic pulmonary heart diseases other specified cardiac dysrhythmias cellulitis and abscess of leg, except foot pressure ulcer, lower back methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site chronic obstructive asthma, unspecified acute on chronic systolic heart failure below knee amputation status atherosclerosis of native arteries of the extremities with ulceration venous (peripheral) insufficiency, unspecified pressure ulcer, stage i ulcer of ankle 

Answer: The patient is high likely exposed to