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: sulfonamides / e-mycin attending: chief complaint: abdominal pain: the patient was admitted to for acute-on-chronic cholecystitis with cholelithiasis. major surgical or invasive procedure: laparoscopic cholecystectomy . -intestinal tube (dobhoff) placement . -intestinal tube (dobhoff) repositioning . history of present illness: the patient is an 86 yo f with a history of mrsa cholecystitis s/p cholecystostomy tube on which subsequently "fell out" while inhouse but was not replaced as the patient's clinical status had improved. the patient was discharged to a rehabilitation facility on vancomycin via a picc line complicated by a (l)ue dvt now on anticoagulation therapy. she was brought to on with a two-day history of nausea and vomiting of stomach contents of food and fluids. past medical history: hypertension, diverticulitis, lactose intolerance, glaucoma, right l5 radiculopathy, djd, c. difficile colitis, atrial fibrillation, mrsa cholecystitis. social history: lives in alone, her daughters live in the same building. , contact number . smoked, denies any etoh use. has vna who comes in 2 days/week. family history: brothers with diabetes physical exam: upon discharge: vs: t: 98.0 po, bp: 184/94, hr: 88, rr: 20, sao2: 96% ra gen: elderly female very sleepy today but easily arousable. in nad. heent: dubhoff in place in (r) nare. sclerae anicteric. o-p intact. neck: supple. no lymphadenopathy. cv: irregularly, irregular no m/r/g resp: cta b/l anteriorly abd: soft nt/nd ext: anasarcic upper and lower extremities but improving, patient has ace wraps in place for her le edema neuro: sleepy today but able to answer questions appropiately. pertinent results: 05:10am blood wbc-10.6 hct-26.1* 04:53am blood wbc-11.2* rbc-3.17*# hgb-8.8*# hct-27.0* mcv-85 mch-27.8 mchc-32.5 rdw-15.7* plt ct-1031* 06:52am blood wbc-15.0* rbc-2.88* hgb-8.0* hct-24.7* mcv-86 mch-27.8 mchc-32.4 rdw-14.6 plt ct-431 01:00am blood wbc-9.3 rbc-3.62* hgb-10.0* hct-30.7* mcv-85 mch-27.5 mchc-32.4 rdw-14.7 plt ct-644* 05:10am blood pt-22.6* ptt-26.3 inr(pt)-2.2* 01:00am blood pt-33.8* ptt-32.2 inr(pt)-3.5* 05:10am blood glucose-115* urean-23* creat-1.4* na-142 k-3.5 cl-99 hco3-37* angap-10 01:00am blood glucose-102 urean-10 creat-0.6 na-141 k-3.5 cl-104 hco3-26 angap-15 05:10am blood calcium-8.6 phos-3.8 mg-1.5* 04:19am blood calcium-7.8* phos-3.2 mg-0.9* 05:50am blood caltibc-153* vitb12-1035* folate-11.5 ferritn-297* trf-118* . echo the left atrium is mildly dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef 60%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). there is no ventricular septal defect. the right ventricular cavity is mildly dilated with borderline normal free wall function. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no mass or vegetation is seen on the mitral valve. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. no vegetation/mass is seen on the pulmonic valve. there is no pericardial effusion brief hospital course: operations during admission laparoscopic cholecystectomy consultations during admission geriatrics neurosurgery speech/swallow infectious disease brief hospital course by problem 1. acute on chronic cholecystitis: the patient was admitted to as mentioned above with concerns for acute-on-chronic cholecystitis. she underwent a ruq ultrasound and a hida scan, both of which had results concerning for acute-on-chronic cholecystitis. she thus had picc line placed on and was started on iv antibiotics. on she was taken to the operating room where she underwent a laparoscopic cholecystectomy. the procedure was uneventful, she was extubated in the or, and brought to the floor after an uneventful stay in the pacu. on she triggered for poor uop; she was started on diuresis and thought to be in acute renal failure. her jp drain was removed. infectious disease was consulted for antibiotic advice; they recommended either discontinuing antibiotics, monitoring clinically and checking blood cultures off vancomycin, or continuing empiric antibiotic therapy, but re-scan abdomen and follow labs. the later course was followed ultimately with iv vanco and zosyn continued until , when all antibiotics were finally discontinued. 2. post-operative delerium: unfortunately, the patient's postoperative recovery was complicated by prolonged delerium. geriatrics was consulted on 3/22to help manage her delerium. this most likely occurred in the setting of acute renal failure. they recommended to hold her gabapentin, hold her prozac, give prn haldol for delirium, f/u nutrition labs and amylase/lipase. 3. acute renal failure: in the setting of postoperative period; resolved. 4. aspiration: the patient was seen multiple times by speech and swallow for concerns with aspiration. on they advanced her diet to soft diet, 1:1 supervision, alternate sips w/food. unfortunately, the patient has very little appetite. she had a dophoff feeding tube placed and was advanced to goal tube feeds of 45 cc/hr and is tolerating that rate, though with some diarrhea from the tube feeds and initially with nausea and vomiting that required decreasing or holding her tube feeds initially, and then restarting them back. patient went to ir to have dobhoff repositioned post-pyloric. she tolerated the tube feeds without nausea or vomiting since dobhoff repositioned. 5. t12/l1 fracture: the patient had a known t12/l1/ compression fracture. she was seen by neurosurgery for help in management; initially on they recommended a tlso brace, but then when they saw the patient again on they decided that she did not need the tlso brace as the compression factures were stable on xr. 6. dvt: the patient was admitted with a known dvt of her lue. her inr was initially supratherapeutic, and so her coumadin was dosed daily until her inr became therapeutic once again. 7. anasarca: the patient developed increasing anasarca throughout her hospital stay; this is most likely secondary to poor nutritional status in the setting of illness, though she does have some valvular heart disease on echo, documented on . she was placed in hose, which she did not tolerate, then her legs were wrapped with ace bandage, and she was started on a gentle dose of diuresis. ace bandages applied alternating q8hours on with q4hours off. 8. anemia: the patient was noted to be anemic throughout her hospital stay. this is likely a combination of chronic disease, acute blood loss anemia. she received a transfusion of 1 uprbc on with appropriate increase in hct. her stools were guaiaced; a single hemocult was positive on . 9. thrombocytosis: the patient also developed a worsening thrombocytosis of unclear etiology. 10. throughout her stay, the patient was followed by both physical therapy and speech/language pathology. 11. code status: dnr/dni confirmed by daughter . on , the patient was doing well, afebrile with stable viral signs. the patient was tolerating dobhoff tube feeds at goal with minimal po intake, voiding with assistance, and pain was well controlled. a standard piv was placed, and the cvl discontinued. the patient was discharged to the skilled nursing facility east point in , mass. medications on admission: zantac 20 po daily, gabapent 100 po tid, hctz 12.5 po qam, latanoprost 0.005% 1 gtt to each eye , 81 po daily, coumadin 2.5 po daily, lopressor 25 po bid, prozac 10 po daily, colace, senna, dulcolax discharge medications: 1. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 2. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 4. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day) as needed for rash. 5. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 6. xopenex 0.63 mg/3 ml solution for nebulization sig: one (1) neb inhalation q4-6 hours prn. 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 8. acetaminophen 160 mg/5 ml solution sig: six y (650) mg po q6h (every 6 hours) as needed for fever or pain. 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 10. vitamin d 400 unit tablet sig: one (1) tablet po twice a day. 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). 14. warfarin 1 mg tablet sig: one (1) tablet po qsunmonwedfri (). 15. warfarin 1 mg tablet sig: one (1) tablet po qtuethusat (). 16. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 17. zofran 4 mg tablet sig: one (1) tablet po tid prn. 18. insulin lispro 100 unit/ml solution sig: one (1) injection subcutaneous asdir (as directed): as directed per humalog insulin sliding scale. discharge disposition: extended care facility: - discharge diagnosis: 1. mrsa enterococcus acute on chronic cholecystitis 2. post-op delerium 3. history of (l)ue dvt on coumadin 4. anemia 5. ansarca discharge condition: stable discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day with assistance, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please call ( to schedule a follow-up appointment with dr. (surgery) in weeks. please call ( to schedule a follow-up appointment with dr. (pcp) in 2 weeks. procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] laparoscopic cholecystectomy diagnoses: other postoperative infection unspecified essential hypertension unspecified essential hypertension acute posthemorrhagic anemia unspecified protein-calorie malnutrition severe sepsis atrial fibrillation atrial fibrillation unspecified glaucoma acute respiratory failure calculus of gallbladder with other cholecystitis, without mention of obstruction long-term (current) use of anticoagulants long-term (current) use of anticoagulants retention of urine, unspecified personal history of venous thrombosis and embolism personal history of venous thrombosis and embolism delirium due to conditions classified elsewhere calculus of gallbladder with acute cholecystitis, without mention of obstruction adult failure to thrive long-term (current) use of aspirin methicillin resistant staphylococcus aureus septicemia edema 

Answer: The patient is high likely exposed to