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: septic shock pericarditis pericardial effusion major surgical or invasive procedure: right heart catheterization left heart catheterization intubation pericardiocentesis history of present illness: this is a 77 year old woman with a history of esrd (hd mwf), diabetic nephropathy, and dementia found at her nursing home to be more lethargic than baseline since am when she woke up for hd. her temp was 100.2 but no other symptoms of infection per report or daughter. was transfered to for further evaluation. on arrival she was found to be in altered mental status (but her baseline was poor) and she was intubated for ? airway protection. her ekg showed st elevation in i, ii , avf, v4-6 with std in v1. she was taken to the cath lab. she was started on dopamine 15/min for blood pressure support. she received 325 but no plavix given lack of ogt and no iib/iiia inhibitor given renal failure. cath showed 80-90% lcx lesion and 90% prox rca and received bms. she was transfered to ccu care intubated and on dopamine of 5/min. past medical history: past medical history: 1. end-stage renal disease. anuric. on hd mwf with new l av graft. 2. diabetic nephropathy. 3. noninsulin-dependent diabetes mellitus. 4. hypertension. 5. cholecystectomy. 6. s/p nephrectomy. 7. mixed vascular and alzheimer's dementia. 8. anemia. 9. infected avg lue, i&d . social history: there is no history of alcohol abuse. denies drug use, smoking. family history: there is no family history of premature coronary artery disease or sudden death. has lived at since . physical exam: vs: t 97.1, bp 102/47 , hr 74, rr 17, po2 293 on 100%, (difficult to check sats) on 5 of dopamine gen: intubated, in nad, tracking with eyelids but not following commands. exam limited by intubation, mental status/dementia and post cath position. heent: ncat. perrl, eomi. neck: unable to properly assess jvp. cv: rr, normal s1, s2. ? s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: soft ntnd. no mass. ext: no c/c/e. sheath still in. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: 07:12am blood wbc-15.9*# rbc-2.83*# hgb-8.3*# hct-27.1*# mcv-96 mch-29.4 mchc-30.7* rdw-15.1 plt ct-228# 07:26pm blood hct-28.9* 08:00am blood glucose-308* urean-68* creat-9.0*# na-149* k-5.3* cl-109* hco3-19* angap-26* 07:12am blood ck-mb-3 ctropnt-0.13* 11:10am blood caltibc-104* hapto-411* ferritn-greater th trf-80* 04:25pm blood type-art peep-5 fio2-40 po2-112* pco2-36 ph-7.39 caltco2-23 base xs--2 intubat-intubated 12:42pm urine rbc-21-50* wbc-21-50* bacteri-many yeast-none epi-0-2 blood culture, routine (preliminary): _________________________________________________________ staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 4 r oxacillin------------- 0.5 s penicillin g---------- =>0.5 r catheterization comments: 1. selective coronary angiography of this right-dominant system revealed two-vessel coronary artery disease. the lmca was heavily calcific but without flow-limiting stenoses. the lad had mild diffuse disease and heavy calcification throughout. the ramus was diffusely diseased. the lcx was non-dominant with an 80-90% hazy lesion at its origen with preserved flow. the rca was dominant and heavily calcified and had a 90% lesion at its origin. 2. limited resting hemodynamics demonstrated high-normal right- and left-sided filling pressures with an rvedp of 10 mmhg and an pcwp a-wave of 13 mmhg. 3. successful ptca and stenting of the ostial lcx with a 3.5x16 mm vision bms and the ostial rca with a 4.0x18 mm vision bms. final angiography of both vessels revealed 0% residual stenosis and timi iii flow without angiographically-apparent dissection or distal emboli. final diagnosis: 1. two-vessel coronary artery disease. 2. successful stenting of the ostium lcx and ostium rca with bare metal stents. echo the left atrium and right atrium are normal in cavity size. there is moderate symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef >55%). the estimated cardiac index is borderline low (2.0-2.5l/min/m2). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the abdominal aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is a small pericardial effusion. impression: prominent symmetric left ventricular hypertrophy with normal cavity size and preserved global/regional biventricular systolic function. increased lvedp. mild mitral regurgitation. dilated aorta. compared with her prior study (images reviewed) of , the estimated pulmonary artery systolic pressure is lower. biventricular systolic function is similar. u/s r arm findings: limited study of the right jugular and subclavian line only were performed. complete upper extremity study could not be completed as the clinical team requested early termination of the study. the right jugular vein appears patent demonstrating normal compressibility. echogenic thrombus identified within the right subclavian vein, without evidence of doppler flow. impression: limited study demonstrating thrombus within the right subclavian vein. tte left ventricular systolic function is hyperdynamic (ef>75%). the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. there is a small pericardial effusion. the effusion is echo dense, consistent with blood, inflammation or other cellular elements. the effusion appears loculated. no right ventricular diastolic collapse is seen. compared to the prior study dated , the pericardial effusion appears slightly larger (this may be due to differing imaging angles) with a more echodense effusion. ct abd provisional findings impression: knw wed 5:09 pm 1 no evidence of infection identifed. no colitis or intra-abdominal abcess. brief hospital course: 77 lady with esrd/hd and dementia was admitted with changes in mental status and ste in ekg. status post cath and bms to prox 80-90% lcx and 90 % prox rca. . # cad/ischemia: admission ekg was concerning for stemi and she underwent catheterization w/placement of 2 bms to the lcx and rca. however, given the diffuse nature of the ste, pericarditis remained on the differential, although the lack of preceding infectious sx, lack of fever and st depressions on v1 made that dx less likely. she was loaded with plavix and maintained on that along with and high dose lipitor. repeat ce showed stable ce. ekgs continued to show diffuse ste concerning for bacterial pericarditis given positive blcx for mssa. . # pump: the patient appeared euvolemic but her bp was in the low 80s, requiring a dopamine drip of 5mcg/kg/min. given the relatively good function of the heart seen on rhc, the possibility of sepsis was entertained, especially since her temperature dropped to 95 and her wbc was 20 and a nl svr in the setting of using a pressor. we gave her 1500cc bolus and 1 unit of rbc for a low hct and we were then able to stop the dopamine and her bps remained in the 110s. tte showed an ef of 65% w/nl lv systolic function and symmetric lvh. antihypertensives were held initially. cxr showed no pulmonary edema. . # rhythm: she remained on telemetry and was nsr initially. on , had episode of af w/rvr tx with diltiazem drip and return to nsr; bp dropped to 90s (from 110s) and dilt stopped at this point. remained on and off of af w/o changes in bp due to rvr. . # respiratory: pt was initially quickly weaned from cmv to ps of on 40% fio2 and she maintained pao2 greater than 100; we were unable to maintain sat monitor on her. given the potential for sepsis, we kept her intubated. her bp didn't tolerate sedation well and she became apneic; she was switched back to cmv on 40% fio2. abgs c/w good oxygenation. she remained intubated throughout her stay until her code (read below). . # anemia and drop in hct: pt was admitted with a hct of 27.9 and s/p cath, repeat hct was 23.9; guiaic was negative and hemolysis labs were unremarkable. there were no clear signs of bleed and iron studies were c/w anemia of chronic dz. she was given 1 unit of rbcs which maintained her hct at 28.9. of note, the cath was uncomplicated and w/o significant blood loss. . # htn: initially, we held of antihypertensive as she was requiring dopamine and eventually levophed given her sepsis. . # dm: her initial glucose levels were in the 300s which then leveled b/n 190 and 240. she was maintained on riss and nph 4u . # id: pt reportedly had a temp to 100.2 and initially, had a wbc of 20. this became more concerning when her temp dropped to 95 and her rhc showed an svr of 800 although in the setting of a high pressor requirement. the possibility of sepsis was entertained and she was pan-cx and empirically started on renally dosed cefepime and vancomycin. blcx grew coag positive staph and ucx alpha hemolytic strep and lactobacillus; she was maintained on vanco and added po vanc/iv flagyl as her wbc rose to 31 for potential c.diff. all her access lines were changed and a new l femoral vein was placed for hd; central access in rij/sc failed venous thrombus and failure to advance the guide wire. abd ct sent and showed no abscess. tte re-sent which showed echodense, loculated effusion. blcx grew mssa and switched to nafcillin on ; she was c.diff negative. . # esrd/hd: renal was notified of her admission and hd was deferred on day 1 given her hotn and stable potassium level. she was maintained on her baseline esrd rx. cvvh was started on given concern for rising lytes. # fen: tube feeds were started on . . # prophylaxis: sc heparin, ppi . # code: we had a discussion with her daughter, who is the health care proxy, on and she wished to continue with the full code status. we explained that although her wbc count and fever were decreasing, her direction was unclear. on the morning of she developed agonal respirations and went into pea arrest. a code was called. she received multiple doses of epinephrine and electrical shocks during the code which lasted over one hour. pericardiocentesis was performed during the code as her arrest was believed due to tamponade; serosanguinous fluid was removed. she eventually returned into vt for which she was shocked and cardioverted into nsr. by this time the family had arrived at the hospital. after discussion with her daughter and family, she was made dnr/dni; her pressors were discontinued. her bp and hr slowly dropped and she passed away shortly thereafter, moments after being extubated. medications on admission: 81 mg daily losartan 50 amlodipine 10 daily hydralazine 75 (hold on dialysis day) humulin r ss glipizide 5 mg (3 tabs po qam) renegel 800 mg tid 30 mg daily calcium carbonate 500 mg (2 tabs tid) ativan 0.5 mg prn up to 3x/day ranitidine 150 mg daily colace nephrocaps 1 capsule qd fluoxetine 10mg qd discharge medications: deceased. discharge disposition: expired discharge diagnosis: deceased. discharge condition: deceased. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis pericardiocentesis arterial catheterization angiocardiography of right heart structures transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: anemia in chronic kidney disease end stage renal disease severe sepsis atrial fibrillation methicillin susceptible staphylococcus aureus septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cardiac arrest septic shock alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance other and unspecified infection due to central venous catheter diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled acute pericarditis, unspecified 

Answer: The patient is high likely exposed to