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: penicillins / morphine attending: chief complaint: shortness of breath major surgical or invasive procedure: endotracheal intubation picc line placement history of present illness: 40 y/o female with mmp including morbid obesity, htn, chf ef 40%, atrial fibrillation on ac, copd s/p multiple intubations/prior trach, and ethanol abuse who presented to the ed with sob. the patient was found to be in acute respiratory failure and she was emergently intubated in the ed. she was also found to be in atrial fibrillation with rvr and started on an esmolol gtt. there was also a concern for acute chf and she was started on a nitro gtt. she was not accompanied by any family. recent documentation in omr regarding conversations with her pcp indicate that she had felt more sob of late and has not been compliant with her medications. there was also concern expressed about her living situation. . in the ed, vitals upon presentation were: t 101.2, hr 146, bp 112/68, rr 40, and 94-100% (no documentation of oxygen requirement). . ed course: patient was noted to c/o cp and sob x 1 week. she has been unable to sleep and was tearful and anxious. she was given nebulizer treatment, solumedrol, and zofran. she was started on cpap. given worsening respiratory status, she was emergently intubated with anesthesia. she was started on a versed and fentanyl gtt. she was started on a nitro gtt and esmolol gtt. she was also given lasix 80 mg iv x 1. she was also given levaquin 750 mg iv x 1, vancomycin 1 gram iv x 1, and flagyl 500 mg iv x 1. she was transferred to the micu intubated, sedated, and on the above mentioned gtts. . ros: deferred given sedation past medical history: hypertension chf (diastolic) diagnosed , last ef > 55% afib diagnosed , on ac since that time history of hypercarbic respiratory failure morbid obesity influenza mild pulm htn (per recent tte) 2+ tr pfts with a mild restrictive defect h/o hyperglycemia h/o etoh abuse osa on bibap at home obesity hypoventilation syndrome, on home oxygen h/o severe burns at age 5 s/p multiple sking grafts h/o thyroglossal duct cyst s/p b/l breast reduction s/p c-section x 3 depression cocaine abuse (no use in 10 years per records) social history: single mother of two children (aged 19 and 12). history of tobacco but not currently. has been in alcohol rehabilitation last year but no current drinking. last drink 2 months ago per records. she lives with her children and her mother. used cocaine ten years ago. denies any ivdu. lives in , worked as a cashier at . family history: oa physical exam: vitals: t 99 hr 98 bp 135/85 rr 12 100% ac tv 550 fio2 1.00 peep 5 general: 40 y/o f, morbidly obese, intubated and sedated. heent: nc/at. pupils pinpoint to fentanyl gtt, reactive. mmm. et tube in place. neck: diffucult to assess jvp 2/2 to neck girth. cv: irregularly irregular rhythm, no m/r/g. pulm: decreased bs at bases. no wheezes or crackles. abd: soft, obese, nt/nd with normoactive bs. ext: 1+ pitting edema b/l, l > r. neuro: intubated and sedated. skin: no rash. evidence of prior b/l breast reduction scars on chest. evidence of prior burns on chest and b/l legs, evidence of prior skin grafts. pertinent results: cxr cardiomegaly. findings consistent with interval development of pulmonary edema with bilateral pleural effusions. . u/a negative. . ucx negative. . bcx ngtd. . u/s b/l. no dvt . tte the left atrium is normal in size. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is moderately dilated. there is severe global right ventricular free wall hypokinesis. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. trivial mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: dilated right ventricle with severe rv systolic dysfunction. preserved global left ventricular systolic function. moderate tricuspid regurgitation. moderate pulmonary hypertension. compared with the prior study (images reviewed) of , right ventricular function has probably deteriorated, but rv was not as well seen on the prior study. tricuspid regurgitation is more severe. compared with the study from , where rv was better seen, right ventricular function is now worse. brief hospital course: 40 y/o female with mmp including morbid obesity, htn, dchf ef > 55%, atrial fibrillation on ac, copd s/p multiple intubations/prior trach, and ethanol abuse who presented to the ed with sob. she was intubated emergently in the ed and admitted to the micu for respiratory failure. . # respiratory failure the patient was found to be in respiratory failure and was emergently intubated in the ed. the reason for her respiratory failure was multifactorial in etiology. she was found to have a mrsa pna. she received vanc, flagyl, and levofloxacin in the ed. levo and vanc were continued and once a sputum culture grew mrsa, she was continued on a 10 day total course of vancomycin and the levofloxacin was d/c. she has a h/o osa and obesity hypoventilation syndrome. she was also volume overloaded and she was diuresed throughout this admission. on , she self-extubated herself and was reintubated. she was then electively extubated on and was stable since then. she was extremely difficult to wean from the ventilator to hypercarbic respiratory failure in the setting of severe osa and obesity hypoventilation syndrome. she is s/p trach in , removed after discharge at rehab. there was concern that if she was not able to be extubated that she would need another trach. however, it became easier to wean her from the vent which resulted in a successful extubation. she did receive one dose of iv steroids in ed. she underwent bronchoscopy which revealed bronchospastic airways and bronchomalacia. she was continue on inh/nebs and finished a course of steroids. she requires bipap at night, without any supplemental oxygen. . # atrial fibrillation she was initially admitted and found to be in atrial fibrillation with a rvr. she was started on an esmolol gtt in the ed which was not continued in the micu. she was given antihypertensives iv which controlled her hr. her po meds were gradually restarted. she was maintained on a heparin gtt given possibility of a trach. once she was extubated, she was started back on her home dose of coumadin. . # cardiac she was found to have evidence of severe right sided heart disease on tte and cardiology was consulted. her right-sided failure and severe rv disease was felt to be secondary to her severe pulmonary disease. her medications were optimized. . # hallucinations when the pt was extubated, she had some hallucinations. she has a h/o depression with psychotic features. she was started on wellbutrin and her agitation responded well to prn haldol. medications on admission: aspirin 81 mg po daily warfarin 2.5 mg po qhs furosemide 40 mg po daily quetiapine 37.5 mg po qam and qpm quetiapine 50 mg po qhs lisinopril 5 mg po daily metoprolol tartrate 200 mg po daily prilosec otc 20 mg po daily celexa 10 mg po daily albuterol inh advair diskus 100-50 mcg inh colace folic acid thiamine discharge disposition: home discharge diagnosis: primary: mrsa pnemonia obesity-hypoventilation syndrome osa chf exacerbation pulm htn . secondary: atrial fibrillation depression hypertension history of hypercarbic respiratory failure morbid obesity influenza 2+ tr pfts with a mild restrictive defect h/o hyperglycemia h/o etoh abuse h/o severe burns at age 5 s/p multiple sking grafts h/o thyroglossal duct cyst s/p b/l breast reduction s/p c-section x 3 cocaine abuse (no use in 10 years per records) discharge condition: fair ***pt is leaving against medical advice*** discharge instructions: you were admitted for sob and thought to have mrsa pneumonia, obesity-hypoventilation syndrome as well as chf exacerbation. . you have decided to leave against medical advice, despite the risks associated with such a decision and you have been informed of all the possible consequences of this decision including death. . please return to the hospital if you change your mind at any time, or if you have chest pain, shortness of breath, fever .38.5c or if you at any time become concerned about your medical condition. . regarding your chf; weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet . please take your medication as prescibed. the following changes have been made to your medications during your hospital stay: - the following medications have been discontinued: celexa, remeron and lisinopril. please do not take these medications any more. - the following medications have been started: bupropion. please take this medication as directed - we also made a change in the dose of your warfarin from 2.5 mg daily to 5 mg daily. followup instructions: please schedule an appt with your pcp to be seen within weeks . previously sched appts: provider: , md, mph: date/time: 10:30 provider: . phone: date/time: 10:30 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation infection with microorganisms resistant to penicillins obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure primary pulmonary hypertension morbid obesity methicillin susceptible pneumonia due to staphylococcus aureus acute diastolic heart failure sleep related hypoventilation/hypoxemia in conditions classifiable elsewhere 

Answer: The patient is high likely exposed to