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: history of present illness: the patient is a 48-year-old morbidly obese female with a past medical history significant for insulin-dependent diabetes mellitus complicated by severe gastroparesis (on intermittent total parenteral nutrition), coronary artery disease (status post coronary artery bypass graft in ), sarcoidosis (status post tracheostomy), and multiple admissions for line an urinary tract infections (most recently for a escherichia coli resistant emphysematous cystitis and staphylococcus epidermidis line infection treated with an 8-week course of meropenem and linezolid) who presents with 24 hours of fevers, shaking chills, nausea, vomiting, shortness of breath, and complaints of foul-smelling urine. the patient was recently admitted to from to for emphysematous cystitis with multiple drug resistant escherichia coli. the patient was discharged to a rehabilitation facility and treated with an 8-week course of broad spectrum antibiotic of meropenem and linezolid with reported resolution of the urinary tract infection. the patient was recently discharged from rehabilitation to home; and while at home developed the acute onset of fevers to 103, associated with shaking chills, nausea, vomiting, and shortness of breath. the patient also notes a pustular discharge from her right upper extremity peripherally inserted central catheter line site through which she received total parenteral nutrition. the peripherally inserted central catheter line was placed during her prior hospitalization. in the emergency department, the patient was found febrile to 103.3 and hemodynamically unstable with a blood pressure of 86/39, heart rate was 119, and oxygen saturation was 100% on a 10-liter tracheal mask. while in the emergency department, the patient's blood pressure dropped to a systolic blood pressure in the 60s, and the patient was started on aggressive intravenous hydration as well as dopamine for blood pressure support. the peripherally inserted central catheter line site was noted to be markedly erythematous with pustular discharge. the peripherally inserted central catheter line was removed, and the patient was meropenem and linezolid empirically. an ultrasound of the right upper extremity demonstrated a thrombus of the distal right brachial vein; however, no abscess was noted. past medical history: 1. type 1 diabetes mellitus diagnosed at the age of 16. 2. morbid obesity. 3. history of emphysematous cystitis in with resistant escherichia coli; treated with a course of meropenem. 4. history of vancomycin-resistant staphylococcus epidermidis as well as methicillin-resistant staphylococcus aureus. 5. history of sternotomy; status post osteomyelitis following coronary artery bypass graft in . 6. history of coronary artery disease; status post coronary artery bypass graft in (with left internal mammary artery to the left anterior descending artery, saphenous vein graft to the first obtuse marginal, and saphenous vein graft to second obtuse marginal) with an ejection fraction of 40% in (known to have reversible defects). 7. hypertension. 8. asthma. 9. history of sarcoidosis with upper airway obstruction leading to permanent tracheostomy and history of mucus plugging. 10. history of pleural effusions with atypical cells. 11. history of neurogenic bladder with urinary incontinence as well as retention. 12. history of mild chronic renal insufficiency with proteinuria. 13. history of depression. 14. history of severe gastroparesis; status post gastrojejunostomy tube placement in requiring intermittent total parenteral nutrition. 15. status post cholecystectomy as well as appendectomy. 16. history of small-bowel obstruction; status post small-bowel resection. 17. iron deficiency anemia. 18. history of peripheral neuropathy. 19. history of bilateral vitrectomy and multiple laser surgeries. allergies: allergies included vancomycin (with a reaction of leukocytoclastic vasculitis), paper tape, and intravenous dye. medications on admission: 1. multivitamin one tablet p.o. every day. 2. reglan 10 mg p.o. three times per day. 3. zofran 8 mg p.o. four times per day as needed. 4. compazine 10 mg p.o. four times per day as needed (for nausea). 5. protonix 40 mg p.o. once per day. 6. neurontin 300 mg p.o. q.a.m. and 300 mg p.o. at noon and 400 mg p.o. q.h.s. 7. lopressor 25 mg p.o. twice per day. 8. ultram 50 mg p.o. three times per day. 9. darvocet n twice per day. 10. cogentin 2 mg p.o. twice per day. 11. nph 30 units subcutaneously q.a.m. and 20 units subcutaneously q.p.m. with sliding-scale prior to meals. social history: the patient lives with a partner who is a nurse as well as the partner's mother. she denies current alcohol use and reports a distant history of tobacco use. family history: family history is notable for diabetes mellitus, hypercholesterolemia, and coronary artery disease. physical examination on presentation: physical examination on admission revealed temperature was 103.3, blood pressure was 79/33, heart rate was 99, respiratory rate was 25, and oxygen saturation was 100% on 10-liter tracheal mask. in general, the patient was a morbidly obese female who appeared older than her stated age, in mild distress. head, eyes, ears, nose, and throat examination revealed normocephalic and atraumatic. pupils were equal, round, and reactive to light and accommodation. extraocular movements were intact bilaterally. mucous membranes were dry. the oropharynx was clear. the neck was supple with no lymphadenopathy or jugular venous distention. tracheostomy in place. the lungs were clear to auscultation bilaterally. no wheezes, rhonchi, or rales. cardiovascular examination revealed tachycardic with a regular rhythm. normal first heart sounds and second heart sounds. no murmurs, rubs, or gallops were appreciated. abdominal examination revealed obese, soft, and nontender. jejunostomy tube in place with foul-smelling discharge. extremity examination revealed right upper extremity peripherally inserted central catheter site was indurated with erythema. no fluctuance; however, the presence of pustular discharge. the lower extremities were warm and well perfused with no evidence of edema. neurologic examination revealed awake, alert and oriented times three with a nonfocal neurologic examination. note: the remainder of this dictation including the hospital course will be dictated at a later date. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances injection or infusion of oxazolidinone class of antibiotics diagnoses: urinary tract infection, site not specified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified sarcoidosis methicillin susceptible staphylococcus aureus septicemia defibrination syndrome infection and inflammatory reaction due to other vascular device, implant, and graft diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled arterial embolism and thrombosis of upper extremity 

Answer: The patient is high likely exposed to