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: codeine / penicillins / percocet / morphine / zomig / celexa attending: chief complaint: nonhealing wounds on buttocks/thigh bilaterally major surgical or invasive procedure: on pt underwent excision of both right buttock and left posterior thigh decubitus ulcers. history of present illness: 55f with recent h/o depression who reported approximately 4 weeks of very limited mobility due to depression. over the course of the 4 weeks pt noted worsening irritation on l thigh and r buttock, but initially assumed irritation was secondary to recent bouts of diarrhea. she was seen at both a wound care clinic as well as an osh, where she was hypotensive, which was concerning for sepsis. pt then transferred to for further management on . pt was started on vanco, clinda, and tigecycline and osh and was immediately admitted to icu upon transfer. on admission, she denied fevers, cp, sob but did endorse chills, decreased appetite and pain in her buttocks. pe at time of admission notable for a large necrotic area on her r buttock and surrounding erythema near her rectum as well as a smaller area of ulceration on l posterior thigh. pt was afebrile on admission and otherwise stable (98.8 78 120/73 28 98%ra). past medical history: htn, hld, mitral regurg, asthma, depression, hcv, osa, fibromyalgia social history: lives on own, not employed, smokes 0.5 packs of cigarettes daily, no etoh family history: mother: cad physical exam: physical exam: vitals: 98.8 78 120/73 28 98%ra gen: a&o, nad heent: no scleral icterus, cv: rrr, no m/g/r pulm: wheezes to auscultation b/l, no w/r/r abd: soft, nondistended, nontender, no rebound or guarding, normoactive bowel sounds, no palpable masses dre: normal tone, no gross or occult blood. r buttock, learge necrotic areas with erythema in the surrounding tissues, close to the rectum ext: no le edema, le warm and well perfused pertinent results: on admission: 9.9 >-----< 341 21.4 abd/pelvis ct (): extensive tissue defect in r buttock with patches of subcutaneous air and stranding. no drainable fluid collections. brief hospital course: ms was admitted to the icu following debridement of her decubitus ulcers given concern for possible acute return to or. she did very well after the first debridement on , coming off the ventilator and pressors soon after. she had an uneventful evening in the icu and her dressing was changed at the bedside pod 1. she tolerated this dressing change fairly well with dilaudid, and the wound bed showed no purulence or necrotic tissue. her antibiotics were held as the wound appeared sterile and she was transferred to the surgical floor that day. hospital course since arriving on the floor was notable only for 1 episode of hypotension (70/30s) overnight on . pt normalized quickly and all test results, notably ekg and cardiac enzymes, following this episode were completely normal. pt experienced no further episodes of hypotension throughout the remainder of her hospital course. pt was discharged on following assessments by psychiatry, pt, and sw, all of whom felt the pt was ready and able to be discharged to a rehab facility for wound care. pt is in agreement with this course of action and was transferred to rehab facility on . medications on admission: clindamycin top , polyethylene glycol prn, ketotifen, nitroglyerin 0.4mg sl q5hr, ca + vit d po bid, cholecalciferol po qd, ranitidine 300 po qhs, maxalt 10mg po bid prn, crestor 10mg po qd, singulair 10mg po qpm, doxycycline 100mg po qhs, nortriptyline 100mg po qhs, lyrica 150mg po bid, 180mg po qd, prazosin 2-6mg po qhs prn, clonazepam 2.2mg po qhs, albuterol 20mg po qd, fentanyl 25mcg qhr transdermal, prozac 40mg po qd, nexium 40mg po qd, lisinopril 40mg po qd, warfarin 5mg po bid, atenolol 50mg po bid, flecainide 50mg po q12, hydrocodone 7.5/730mg po q6hr discharge medications: 1. atenolol 25 mg tablet sig: two (2) tablet po bid (2 times a day). 2. ranitidine hcl 300 mg tablet sig: one (1) tablet po daily (daily). 3. fluoxetine 20 mg capsule sig: three (3) capsule po daily (daily). 4. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 5. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 6. singulair 10 mg tablet sig: one (1) tablet po at bedtime. 7. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 8. bactrim 400-80 mg tablet sig: two (2) tablet po twice a day for 14 days. 9. pt may resume warfarin at home. discharge disposition: extended care facility: willow manor - discharge diagnosis: bilateral decubitus ulcers, r>l. discharge condition: discharge condition: good/stable mental status: aaox3 ambulatory: pt is ambulatory/independent. discharge instructions: pt to be discharged to a rehab facility for help with wound care. * you were admitted to the hospital with pressure ulcers on your buttocks and thigh requiring debridement in the operating room and frequent dressing changes. * your wounds are improving with dressing changes and you will need to be vigilant with wound care. * stay off of your back to give these ulcers time to heal. * we anticipate your stay in rehab for wound care will be less than 30 days. * you have a prescription for a roho cushion to help with pressure distribution when you are sitting. * the psychiatric service recommended stopping your abilify and increasing your fluoxetine to 60 mg daily which has been started. * you will need to follow up with your psychiatrist after discharge to help you with your depression and improve your self esteem. all that will help in the healing process. * continue to eat well and stay well hydrated. increasing your protein intake will help with healing. followup instructions: call the acute care clinic at for a follow up appointment in 1 week. keep your follow up appointment in with your psychiatrist dr. at vangard in . md procedure: venous catheterization, not elsewhere classified excisional debridement of wound, infection, or burn diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) abnormal coagulation profile mitral valve disorders unspecified essential hypertension other and unspecified hyperlipidemia pressure ulcer, other site long-term (current) use of anticoagulants pressure ulcer, buttock personal history of venous thrombosis and embolism chronic obstructive asthma, unspecified anticoagulants causing adverse effects in therapeutic use myalgia and myositis, unspecified pressure ulcer, stage iii cellulitis and abscess of buttock major depressive affective disorder, recurrent episode, moderate 

Answer: The patient is high likely exposed to