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: clindamycin hcl / penicillin v potassium / ethionamide / isoniazid / lisinopril / metformin hcl / niaspan / pyrazinamide attending: chief complaint: angina/doe major surgical or invasive procedure: cabg x4 (lima to lad, svg to diag, svg to pda seq. to plv)/sternal talon closure/tracheal stent history of present illness: 66 year old female with multiple co-morbidities and severe multivessel coronary artery disease, who was recently found to have tracheobronchomalacia and excessive dynamic airway collapse. prior to surgical revascularization, she will undergo central airway stabilization. she currently complains of exertional chest pain and dyspnea on exertion. she admits to pillow orthopnea and worsening fatigue. her routine adls are moderately to severely limited by the above symptoms. of note, she has had multiple hospitalizations for "asthma", receiving repeat courses of antibiotics and steroids. she is currently taking neither. referred for surgical evaluation. past medical history: -coronary artery disease -tracheobronchomalacia -possible asthma, restrictive lung disease -obstructive sleep apnea, on nocturnal cpap -hypertension -hyperlipidemia -diabetes mellitus, insulin dependent -morbid obesity -history of gi bleed, duodenal ulcer -hiatal hernia, gerd -cervical/lumbar disc disease -arthritis -fibromyalgia -history of kidney stones -tmj past surgical history: -polypectomy -esophogeal dilation -hemorrhoidectomy social history: lives with: originally from . now lives in tobacco: remote recreational smoker etoh: denies family history: father died of mi at age 59. sister cabg in her 50's. physical exam: pulse: 96 resp: 22 o2 sat: 98% room air bp right: 142/77 left: 154/81 height: 59.8 inches weight: 220 lbs general: obese female in no acute distress, ambulates with cane skin: dry intact heent: ncat perrla eomi neck: supple full rom - no jvd chest: lungs clear bilaterally heart: rrr irregular murmur - none abdomen: very obese, otherwise soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - none varicosities: none neuro: grossly intact pulses: femoral right: 1 left: 1 dp right: np left: np pt : np left: np radial right: 1 left: 1 carotid bruit: none(patient had difficult time holding breath) pertinent results: 05:00am blood wbc-20.1* rbc-3.92* hgb-10.5* hct-33.6* mcv-86 mch-26.9* mchc-31.4 rdw-19.4* plt ct-645* 01:50pm blood wbc-27.9*# rbc-4.30 hgb-11.6* hct-34.5* mcv-80* mch-27.0 mchc-33.6 rdw-15.9* plt ct-191 02:30am blood pt-13.6* ptt-27.4 inr(pt)-1.2* 01:50pm blood pt-14.1* ptt-31.3 inr(pt)-1.2* 05:00am blood glucose-69* urean-15 creat-1.0 na-137 k-4.2 cl-98 hco3-27 angap-16 02:44pm blood urean-10 creat-0.7 na-141 k-3.0* cl-106 hco3-26 angap-12 echocardiography report , (complete) done at 10:14:33 am preliminary referring physician information , - department of cardiac s , 2a , status: inpatient dob: age (years): 66 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: chest pain. coronary artery disease. hypertension. shortness of breath. icd-9 codes: 402.90, 786.05, 786.51 test information date/time: at 10:14 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2010aw2-: machine: echocardiographic measurements results measurements normal range aorta - annulus: 1.8 cm <= 3.0 cm aorta - sinus level: 2.5 cm <= 3.6 cm aorta - sinotubular ridge: 2.2 cm <= 3.0 cm aorta - ascending: 2.9 cm <= 3.4 cm aorta - arch: 2.1 cm <= 3.0 cm aorta - descending thoracic: 2.0 cm <= 2.5 cm aortic valve - lvot diam: 1.4 cm findings left atrium: mild la enlargement. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal diameter of aorta at the sinus, ascending and arch levels. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). mild (1+) ar. mitral valve: mild (1+) mr. tricuspid valve: mild to moderate +] tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. the patient appears to be in sinus rhythm. the patient is in a ventricularly paced rhythm. the patient has runs of a supraventricular tachycardia. frequent atrial premature beats. frequent ventricular premature beats. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions impressions: the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. mild (1+) aortic regurgitation is seen. mild-moderate (+) mitral regurgitation is seen. post-bypass: pt is on a low dose phenylephrine infusion (<0.3 mcg/kg/min) and is normal sinus rhythm (not being paced). preserved biventricular systolic function without wall motion abnormalities. mild aortic regurgitation and mild-moderate mitral regurgation persist. normal aortic contours. the surgeon, dr. , was notified of the findings in person. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: admitted and underwent tracheal stenting with dr. and cabg with dr. . please refer to dr operative report for further details. transferred to the cvicu in stable condition on titrated phenylephrine and propofol drips. bedside bronchoscopy done . chest tubes removed on . extubated on pod #4. developed rapid atrial fibrillation and was started on amiodarone and lopressor titrated. continued to improve and was transferred to the floor on pod #10. physical therapy was consulted for strength and mobility evaluation. she had persistent fevers and leukocytosis. urine culture revealed 100,000/ml colonies of enterococcus, and sputum grew coag+ staph. she was placed on vancomycin and bactrim. per dr., upon discharge to rehab, antibiotics are to be changed to oral levoquin x 2 week course with follow cbc in 1 week. she continued to progress and on pod#12 she was cleared by dr. for discharge to in . all follow up appoinments were advised. medications on admission: advair 500/50 1 puff twice daily, albuterol inhaler prn, amytriptyline 50 qhs, atenolol 50 qd, diphenhydramine prn allergy, cymbalta 60 qd, vitamin d2, fluticasone nasal spray omeprazole 20 mg po bid, furosemide 20 mg po daily, novolin insulin 50units twice daily, humalog sliding scale, ipratropium bromide nasal spray, isosorbide mononitrate 30 qd, metoclopramide 10mg prn meals, singulair 10 mg po qhs, mupirocin nasal ointment , omeprazole 20 , oxycodone 5mg prn, polyethylene glycol daily, simvastatin 80mg daily, micardis 40mg daily, aspirin 325 daily, discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 3. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 4. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 6. acetylcysteine 20 % (200 mg/ml) solution sig: one (1) ml miscellaneous tid (3 times a day). 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation tid (3 times a day). 8. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 9. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/temp. 12. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 13. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed for constipation. 14. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 15. olanzapine 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for agitation/confusion. 16. insulin lispro 100 unit/ml cartridge sig: one (1) subcutaneous ac: 25 units nph with breakfast/lunch/dinner. 17. regular sig: one (1) subcutaneous achs: per sliding scale. 18. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 19. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 20. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po bid (2 times a day). 21. guaifenesin 100 mg/5 ml syrup sig: fifteen (15) ml po tid (). 22. metoclopramide 10 mg iv q6h:prn nausea 23. furosemide 10 mg/ml solution sig: one (1) injection tid (3 times a day). 24. levoquin sig: five hundred (500) mg po once a day for 14 days. discharge disposition: extended care facility: - discharge diagnosis: -coronary artery disease s/p cabg x4 -tracheobronchomalacia s/p tracheal stent -possible asthma, restrictive lung disease -obstructive sleep apnea, on nocturnal cpap -hypertension -hyperlipidemia -diabetes mellitus, insulin dependent -morbid obesity -history of gi bleed, duodenal ulcer -hiatal hernia, gerd -cervical/lumbar disc disease -arthritis -fibromyalgia -history of kidney stones -tmj discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with po analgesic:ultram incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. wednesday @ 1:15 pm 2a please call to schedule appointments with your: pulmonologist: dr. in 2 weeks #( primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other intubation of respiratory tract diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux urinary tract infection, site not specified unspecified essential hypertension hyposmolality and/or hyponatremia atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene long-term (current) use of insulin osteoporosis, unspecified morbid obesity other diseases of lung, not elsewhere classified streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled chronic obstructive asthma, unspecified other diseases of trachea and bronchus 

Answer: The patient is high likely exposed to