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: hypotension, tachycardia major surgical or invasive procedure: bilateral ij attempts r femoral cvl placement history of present illness: 88f with s/p high grade mrsa endocarditis s/p prolonged hospitalization now on suppressive doxycycline, chf, dm-ii, anuric renal insufficiency on hd, afib not on ac, and s/p being dropped off a stretcher at hd 3 days ago resutling in an ich who presents from hd for management of hypotension to the 60s and tachycardia to the 170s. it appears that she was in afib. over the past few weeks she has had to stop dialysis for hypotension on several occasions. she denies symptoms at those times, but per her son she slurred her words somewhat more. she has also had recurrent bouts of nausea and vomiting in that time. she is diffusely edematous. she denies asymmetric edema. she unfortunately was dropped off of a stretcher and landed on her head three days prior to admission. she was seen in the ed, and was found to have an ich. the family decided to make her cmo and take her home, but continue dialysis. at her hd session today she was hypotensive to the 60s and tachycardic to the 170s. she was transfered to the ed once again. in the ed her initial vital signs were 97.2 87/57 134 18 95% on ra. a cxr showed no focal infiltrates and no pulmonary edema. a rij and lij were attempted, but failed. ultimately, a r femoral cvl was placed. she was started on neosynepherine ggt for hypotension, but continued to drop her sbp. vasopressin, then norepinepherine were then added and titrated to maximum doses with persistent hypotension to the 80s. the patient was asymptomatic the entire time. a repeat head ct showed no interval change in her known ich. she was given vancomycin and pip/tazo for possible sepsis, bolused 750ml ns, and sent to the floor. . on the arrival on the floor she was tachycardic to the 170s. initially, bps were not possible to read on her arms or legs. a large blood pressure cuff was inflated on her arm for a few minutes, and then a small cuff was placed over the area of her arm that had been compressed and was thus less edematous. the bp then read 109/79. she received diltiazem 5mg iv push x 2 and her pulse ccame down to the 90s. her sbp was sustained around 100. . a discussion was held with her son and daughter. dnr/dni status was confirmed. we further agreed not to perform further invassive procedures such as alines. the were told explicitly that if we cannot support her blood pressure with medications, that she may die. . review of systems: (+) per hpi (-) denies fever, chills, night sweats. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: - mrsa endocarditis (on daptomycin x6 weeks, starting ) - s/p cva (intracranial bleed), aphasic - congestive heart failure - gout - diabetes mellitus, type ii - chronic renal insufficiency, anuric, on hemodialysis - osteoporosis - osteoarthritis - htn - pvd - venous insufficiency - bilateral hip fractures, s/p hip replacement (8 yrs ago) - s/p mrsa osteo of the r foot - fell from stretcher, had intraparenchymal hemorrhage, and made cmo social history: - lives with her son - widowed in - tobacco: distant smoking history - alcohol: denies - illicits: denies family history: - mother: deceased mi, htn, cva - father: deceased prostate ca - 3 brothers with cancer physical exam: gen: nad, talking, pale heent: dry mm, no jvd, l ej, ecchymosis bilaterally from attempts at ijs, no cervical, supraclavicular, or axillary lad cv: rr, tachy, no mrg pulm: ctab with mild crackles at the bases l>r abd: bs+, ntnd, no masses or hsm, gas on percussion limbs: 3+ pitting edema, arthritic changes to the fingers skin: stage 2 saccral decubitus neuro: a and o x 2, eomi, moving all limbs, reflexes 1+ at the biceps tendons bilaterally, 2+ at the l patellar tendon and 1+ and the r patellar tendon pertinent results: wbc rbc hb hct mcv rdw plt 7.5 3.92 11.8 36.5 93 17.7 76 7.1 3.96 12.0 37.5 95 16.9 76 6.6 4.25 12.9 40.3 95 16.7 160 . glu bun cr na k cl hco3 131 28 3.2 143 4.4 106 30 139 26 2.8 139 3.8 100 31 185 141 4.1 100 31 . lactate 2.3 2.1 . micro: no recent positive blood or urine cultures . images: chest (portable ap) study date of 5:34 pm an ap radiograph of the chest reveals low lung volumes bilaterally. a dual-lumen central venous line terminates at the cavoatrial junction. there is a left pleural effusion and prominent interstitial markings bilaterally. mild cardiomegaly is noted as well as some fullness to the hila bilaterally. degenerative changes are noted at the right glenohumeral joint. impression: suboptimal image with suggestion of a left pleural effusion, cardiomegaly, and interstitial opacities, together suggestive of hypervolemia. we would recommend repeat evaluation with pa and lateral views for more precise characterization, when clinically feasible. . ct head w/o contrast study date of 1:05 pm there is a linear focus of hyperdensity adjacent to the left lateral ventricle in the corona radiata (2:19) which is new since prior exam and may represent a focus of intraparenchymal hemorrhage. prominence of the ventricles and extra-axial spaces is stable and compatible with age- appropriate volume loss. subcortical and periventricular areas of hypodensity are related to chronic small vessel ischemic disease. there is no mass effect. the basal cisterns and suprasellar cistern are clear. there is no fracture. the visualized mastoid air cells are grossly unremarkable. there is minimal mucosal thickening in the posterior right ethmoid sinus air cell. patient is likely status post bilateral cataract surgery. impression: new focus of hyperdensity in the left corona radiata adjacent to the left lateral ventricle may represent a focus of intraparenchymal hemorrhage. clinical correlation and close followup is recommended. mri can help for further assessment. . ct heat wet read -- no acute changes. . 01:33am blood o2 sat-22 04:27am blood o2 sat-19 brief hospital course: 88f with s/p high grade mrsa endocarditis s/p prolonged hospitalization discharged on suppressive doxycycline, chf, dm-ii, anuric renal insufficiency on hd, afib not on ac, and s/p being dropped off a stretcher at hd 3 days prior to admission resulting in an ich admitted for management of hypotension and tachycardia. given her history of high grade mrsa bacteremia, sepsis was a concern intitially. however, she was febrile for all of her past bacteremias and is afebrile now. alternatively, her hypotension could be due to afib, pe, cardiogenic shock, or adrenal insufficiency. her goals of care are more focused on palliative care. her sbps were initially around 100mmhg on levophed at max dose, neosynepherine at max dose, and vasopressin at max dose. her afib with rvr was rate controlled briefly with diltiazem, and her sbp improved somewhat. she was also extremely edematous. despite three pressors at max doses her blood pressure continued to fall and her mental status worsened. she was treated empirically for sepsis with daptomycin and pip/tazo. a central venous oxygen saturation was 22% consistent with a cardiogenic picture. given her massive edema over the past week and clinical picture, it was ultimately believed that she was in caridogenic shock. she was unresponsive to treatments. given her goals of care prior to admission were comfort, she was made cmo and passed away with her family at the bed side. medications on admission: - doxycycline monohydrate - 100 mg po bid - metoclopramide - 5 mg/5 ml po 30 min prior to meals - nephrocaps - 1 capsule po daily - sertraline - 12.5 mg po qod - sevelamer hcl - 1600 mg tid with meals - acetaminophen - 650 mg po q4h:prn pain - docusate sodium - 100 mg po bid discharge medications: none discharge disposition: expired discharge diagnosis: death discharge condition: death discharge instructions: none followup instructions: none md procedure: venous catheterization, not elsewhere classified diagnoses: end stage renal disease congestive heart failure, unspecified gout, unspecified atrial fibrillation acute on chronic diastolic heart failure peripheral vascular disease, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cardiogenic shock osteoporosis, unspecified late effects of cerebrovascular disease, aphasia hip joint replacement venous (peripheral) insufficiency, unspecified 

Answer: The patient is high likely exposed to