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: heart failure and mitral regurgitation major surgical or invasive procedure: tee picc coronary angiography history of present illness: 72 f w/ pmh of htn, p/w slurred speech and weakness x 5-6 days. complained of feeling "weak in the legs", progressively worse over the week prior to presentation. sons also noted that her speech was slurred and thinking was slowed. otherwise, no cp/n/v/lh/sob or fever, though sons note that she is stoic and does not often tell them even if she is experiencing symptoms. on morning of presentation, she was still in bed at 11 am which was unusual for her so sons brought her in to . . in the ed, noted to be in sinus brady in the 30s, with bp as low as 83/65 so received calcium and atropine w/o change so received temp wire. also hypothermic to 89.8. admitted to icu. . total cks were 259->215->136, with ck-mb 56->51->40 and trop t 0.09->0.08->0.10. heparin gtt was initiated. at some point during her stay, she became hypotensive and had low uop and was given 3.5l ivf, and briefly on dopamine gtt. in setting of volume resuscitation, had pulmonary edema and respiratory failure requiring nrb. chf by cxr. echo showed w/ + tr and + mr (mild thickening) and ef 60-65%. pulm pressure 26. . transferred to for catheterization for nstemi and possible mitral valve surgery. . on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope. she has chronic lower extremity edema and scaling for which she wears compression stockings. past medical history: htn le edema, chronic social history: quit smoking 20 yrs ago, w/ 1.5 ppd prior. 3-4 beers per day. lives independently alone. independent w/ adls. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: vs: t 96.0, bp 141/58, hr 80, rr 19, o2 95% on nrb gen: elderly female in nad, resp or otherwise. speaking in full sentences. oriented x3. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 15 cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2-3/6 syst mur @ apex chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. marked bilat crackles 1/2 up. abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: bilateral erythema with scaling. pertinent results: echo: impression: moderate tricuspid regurgitation. mild-moderate mitral regurgitation with with some variation (increase) with paced vs. native conduction. low normal left ventricular systolic function. pulmonary artery systolic hypertension. . cta: conclusion: 1. no central or segmental pulmonary embolism, however, due to atelectasis and bibasal effusions, small subsegmental peripheral pulmonary emboli cannot be excluded in the lower lobes. 2. background emphysema with scattered ground-glass opacities and multifocal fibrosis likely is a combination of interstitial lung disease, consolidation, and fluid overload. . cardiac catheterization: final diagnosis: 1. coronary arteries are normal. 2. normal ventricular function 05:00pm glucose-87 urea n-23* creat-1.3* sodium-139 potassium-3.3 chloride-103 total co2-26 anion gap-13 05:00pm estgfr-using this 05:00pm alt(sgpt)-40 ast(sgot)-72* ck(cpk)-965* alk phos-77 tot bili-0.3 05:00pm ck-mb-23* mb indx-2.4 ctropnt-0.18* 05:00pm calcium-8.8 phosphate-3.2 magnesium-1.4* cholest-220* 05:00pm wbc-8.4 rbc-3.22* hgb-10.3* hct-29.5* mcv-92 mch-32.0 mchc-35.0 rdw-15.4 05:00pm plt count-130* 05:55am blood wbc-5.4 rbc-2.63* hgb-8.4* hct-25.2* mcv-96 mch-31.9 mchc-33.2 rdw-15.2 plt ct-322 06:30am blood neuts-85.5* lymphs-9.7* monos-4.1 eos-0.5 baso-0.2 05:55am blood plt ct-322 06:00am blood plt ct-308# 05:55am blood glucose-96 urean-22* creat-1.3* na-148* k-3.6 cl-113* hco3-27 angap-12 06:00am blood glucose-116* urean-24* creat-1.3* na-149* k-2.9* cl-111* hco3-26 angap-15 05:55am blood alt-30 ast-29 ld(ldh)-261* alkphos-78 amylase-193* totbili-0.4 05:00am blood ck-mb-12* mb indx-2.2 ctropnt-0.19* 05:00pm blood ck-mb-23* mb indx-2.4 ctropnt-0.18* 06:30am blood caltibc-183* vitb12-822 folate-14.7 ferritn-837* trf-141* 02:53am blood hapto-233* brief hospital course: #)bacteremia: patient intially presented to osh with severe hypothermia, bradiacardia and hypotension. at that time she had a temporary pacing wire placed and was given significant iv hydration for her hypotension. on transfer to she was noted to have positive blood cultures for mssa. surveillance cultures have been negative to date. the source of her infection is unclear. one possible source is the multiple cuts on her fingers, another possible source is the central line placed at the osh. it is believed that an infection/sepsis picture is responsible for her initial presentation with slurred speach and weakness. tee performed did not show any evidence of vegitations. she will need a total of three weeks of iv antibiotics. . #)history of slurred speech: she was initially seen by neurology consult at osh and they were concerned for thromboembolic stroke in setting of atrial fibrillation. unclear history of atrial fibrillation as we only have mention of afib on an ekg discussing previous ekgs. mri/mra done did not show any evidence of ischemic insult. neuro consult in house believed the infection most likley caused the difficulty speaking. she is no without symptoms. unclear documentation of afib, but even so, her chads2 score is 2 and at this time we would not favor anticoagulation because of known aneurysm. this will need to be readdressed in the future by her pcp after evaluation of the aneurysm by neurosurgery. she was continued on asa 325mg daily . #)11-mm right posterior communicating artery aneurysm - will need evalutation as outpatient with a neuro surgeon . #)acute systolic and diastolic heart failure: patient initially admitted to ccu with acute pulmonary edema. repeat echo showed only mild to moderate mr and low normal ejection fraction. her shortness of breath was attributed to pulmonary edema from volume repletion in the osh and she was diuresed. patient went for cardiac catheterization which did not show any significant coronary artery disease. temporary wire pacing was initiated for bradycardia and home dose of atenolol was held. bradycardia resolved. cta performed which was negative for pe. at the time of discharge she seemed dry and lasix were not continued. . # cad/ischemia: there were elevated cardiac biomarkers on presentation, cardiac catheterization on with clean coronary arteries. elevation likely secondary to stretched myocardium from fluid overload. . # rhythm: she presented with bradycardia in the 30s. she required a temporary pacer temporarily though this was discontinued after the bradycardia resolved. . #)anemia: unclear baseline hct, 30 at osh, slowly trended down initially during this hospitalization. be from frequent blood draws. hemolysis labs negative. iron studies not consistenet with iron deficiency, likley be anemia of chronic (or acute) disease from acute infection. her hct should be followed by her pcp . #)hypertension: her atenolol was stopped and she was switched to lisinopril for bp control. if needed, her hctz or norvasc can be restarted as an outpatient. . #)rash: patient with chronic rash on lower extremities. she is followed by an outpatient dermatoligist for this compliant. medications on admission: asa 325 hctz 25 norvasc 5 atenolol 75 discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. white petrolatum-mineral oil cream sig: one (1) appl topical (2 times a day). 3. nafcillin in d2.4w 2 gram/50 ml piggyback sig: two (2) grams intravenous every six (6) hours: last dose to be given on . 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. outpatient lab work please have weekly basic metabolic panel while you are receiving nafcillin. 6. outpatient lab work surveillance blood cultures to be checked within 2-3 days after completing your course of antibiotics. discharge disposition: extended care facility: healthcare center discharge diagnosis: primary: hypothermia acute diastolic heart failure. bradycardia s/p temporary pacing wire mssa bacteremia/septicemia. non-thrombotic troponin elevation altered mental status nos 11-mm right posterior communicating artery aneurysm. extensive cerebral small vessel ischemic changes emphysema/interstitial lung disease nos anemia of chronic inflammation / chronic kidney disease lower extremity petechial rash nos anemia of chronic inflammation discharge condition: stable, comfortable on room air and without shortness of breath discharge instructions: you were seen in the hospital for an infection of your blood. initially you were in the intensive care unit because of volume overload. the fluid was removed and your breathing improved. you will need a prolonged course of iv antibiotics to treat your blood infection. followup instructions: please plan to follow up with your primary care physician weeks after hospital discharge. please call dr. ' office to establish this appointment. the phone number is . . you will need to have bloodwork checked once a week for basic metabolic panel while you are being treated with nafcillin. . you will also need to follow up with neurosurgery for the aneurysm seen on your mri. you have an appointment scheduled with dr. in neurosurgery on thursday at 1pm. please call if you have any questions. the office is in the , md procedure: venous catheterization, not elsewhere classified coronary arteriography using two catheters angiocardiography of left heart structures intraoperative cardiac pacemaker left heart cardiac catheterization monitoring of cardiac output by other technique diagnoses: anemia in chronic kidney disease mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified methicillin susceptible staphylococcus aureus septicemia sepsis chronic kidney disease, unspecified other specified cardiac dysrhythmias cerebral aneurysm, nonruptured other emphysema rash and other nonspecific skin eruption acute combined systolic and diastolic heart failure edema 

Answer: The patient is high likely exposed to