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: transfer from osh s/p pea arrest major surgical or invasive procedure: intubation history of present illness: 57 yo woman with prior known pmhx significant for copd (no home o2, no intubations), dm, htn, chf who presented to osh with prodrome of cough/dypnea who initially presented to hospital with dyspnea on exertion and cough for several days. at home, she was found to be 84% o2 sat on ra. ems was called and she was given lasix 40mg in the ambulance, and another 80mg in the er. per report, she coded twice - once in the ed and given ativan and norcuron and intubated, then again in the ccu. reportedly, at 2:43-2:51 am, she had pea arrest and svt requiring epinephrine and dopamine. she then had asystole for 1-2 minutes at ccu with bp 60/30 requiring atropine and epinephrine. then at 3:20 am, right pupil noted to be 5 mm and nonreactive. patient immediately went to head ct for right parietal cortical hypodensity with sulci effacement; however, negative for bleed. . in the ed the patient was hypotensive, and agitated. pressors were running through piv from osh. a right ij was attempted, however, c/b tension ptx. chest tube was placed emergently. later a right subclavian was attempted, and ended up in subclavian artery. vascular surgery evaluated the patient and the line was pulled. finally a femoral line placed and dopamine was started for bp support. neurology evaluated the patient for the finding of a fixed dilated pupil. their impression was that this was due to generalized hypoxic cerebral damage. within 24 hours of admission, her pupil became reactive. past medical history: 1. dm2 c/b microalbumin diagnosed and started on metformin 2. htn 3. chf (diastolic, ef=55%) 4. copd (bullous- no prior intubations) 5. hypercholesterolemia 6. obesity 7. bilateral renal lipomatosis 8. h/o cervical polyps 9. h/o bladder hyperplasia wtih negative biopsy 10. s/p iud removal and endocervical polypectomy- benign social history: she is widowed, lost her husband 4 years ago. former tobacco. etoh is not obtainable family history: nc physical exam: (on transfer from icu to floor) vs: 96.0 - 91 - 117/51 - 18 - 97% (3l); los fluid balance +5653 cc . gen: comfortable, sitting, speaking in complete sentences, nad heent: perrl bilaterally (4-->3mm); eomi bilat; op clear; mmm neck: no jvd cv: rrr, normal s1s2, no m/r/g resp: cta bilat, no w/r/r appreciated abd: nabs, soft, nt, nd, no masses ext: trace pretibial edema bilaterally neuro: cn ii-xii intact bilat; motor tone bilat; sensory exam intact bilat pertinent results: 09:15am blood wbc-14.6* rbc-4.74 hgb-14.9 hct-43.8 mcv-93 mch-31.5 mchc-34.1 rdw-13.4 plt ct-219 09:15am blood neuts-92.3* bands-0 lymphs-5.7* monos-1.7* eos-0.1 baso-0.1 09:15am blood hypochr-normal anisocy-1+ poiklo-1+ macrocy-normal microcy-normal polychr-1+ ovalocy-1+ 09:15am blood plt ct-219 09:15am blood pt-14.1* ptt-32.4 inr(pt)-1.3 09:15am blood glucose-300* urean-23* creat-1.7* na-133 k-5.0 cl-98 hco3-23 angap-17 09:15am blood alt-29 ast-26 ck(cpk)-215* alkphos-124* amylase-30 totbili-0.3 09:15am blood lipase-25 09:15am blood albumin-3.7 calcium-8.6 phos-6.0* mg-1.6 . . 9:46 am blood culture aerobic bottle (final ): no growth. anaerobic bottle (final ): staph aureus coag +. final sensitivities. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. please contact the microbiology laboratory () immediately if sensitivity to clindamycin is required on this patient's isolate. staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s . . tee () the left atrium is normal in size. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm and/or mobile) atheroma in the aortic root. there are complex (>4mm) atheroma in the ascending aorta, atheroma in the aortic arch, and in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. . . tee () the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta and aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is a small filamentous strand attached to the aortic valve consistent with a lambl's excresence (normal variant). trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. no mass or vegetation is seen on the mitral valve. no vegetation/mass is seen on the tricuspid valve or pulmonic valve. there is no pericardial effusion. brief hospital course: . . during her micu course, apparently the patient developed significant subcutaneous air from her chest tube site. the chest tube was placed emergently in the ed, and as a result, the entry wound was large. per report, she became markedly edematous. this later resolved after a second chest tube was placed. the chest tubes were pulled . she was also initially treated with levo/flagyl for presumed community acquired vs. aspiration pneumonia. she was treated for a total 10 day course. she was also treated with high dose steroids initially for copd flare, which have been tapered since. during her icu stay, she also received pressors for continued hypotension. eventually she became hypertensive and required increased doses of ace for bp control. on , the patient was found to have mrsa bacteremia when blood cxs drawn were positive. she was started on vanco with goal levels > 15. the following day, she was also found to have sputum and urine positive for mrsa as well. this was presumed to be vap. further surveillance blood cxs since that time have been negative. . the patient was successfully extubated . at that point, she was no longer hypotensive and was stabilized on vancomycin for ventilator associated mrsa pneumonia and bacteremia. she was transferred to the medicine service for further management. . after transfer to the floor the following issues were addressed: . 1) copd: the patient was doing well s/p extubation . she was continued on prednisone 20 mg po qd, and will need a long taper after discharge (~3 weeks). she was continued on albuterol/atrovent nebs prn. . 2) mrsa pneumonia: this was likely ventilator associated. she was started on vancomycin 1 gm iv q8h. she should be continued on vancomycin for 14 days with levels maintained > 20. . 3) mrsa bacteremia: her bacteremia was most likely secondary to the mrsa pneumonia. follow up surveillance cultures were negative. prior to discharge, a tee was performed which did not reveal evidence of endocarditis. as mentioned above, she will be continued on 2 weeks of vancomycin. . 4) dm: the patient was maintained on an insulin sliding scale during this admission. she was on metformin prior to this admission, and this medication should be restarted eventually. . 5) chf: the patient has diastolic dysfunction with an ef of 55%. she was continued on a metoprolol 50 mg po tid during her course and then transitioned to toprol xl prior to discharge. she was also restarted on aspirin and an ace inhibitor prior to discharge. a lipid panel was sent this admission revealing an ldl of 67, therefore, a statin was not started. . 6) htn: she was restarted on a betablocker and ace inhibitor after her hypotension resolved. . 7) access: a picc line was placed by radiology prior to discharge for long-term vancomycin therapy. . 8) dispo: she was discharged to for long term antibiotic therapy, as well as rehabilitation. medications on admission: meds on admission: kcl 8meq tid zestril 20qd diltiazem cd 180mg po qd lasix 40mg po qd metformin 1gbid propanolol 80bid bactrim combivent inhaler discharge disposition: extended care facility: medical center - discharge diagnosis: 1) mrsa pneumonia 2) mrsa bacteremia 3) hypotension 4) copd 5) diabetes 5) chf discharge condition: stable, improved from the time of admission discharge instructions: please call your doctor or return to the er if you experience significant fever/chills, nausea/vomiting, chest pain, or difficulty breathing. take your medications as prescribed and follow up with your pcp after discharge. followup instructions: please follow up with your primary care physician after discharge from rehab. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances infusion of vasopressor agent diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled obstructive chronic bronchitis with (acute) exacerbation accidental puncture or laceration during a procedure, not elsewhere classified acute respiratory failure pneumonitis due to inhalation of food or vomitus iatrogenic pneumothorax bacteremia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation methicillin susceptible pneumonia due to staphylococcus aureus chronic diastolic heart failure 

Answer: The patient is high likely exposed to