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: this is a 55 year old female with multiple medical problems including diabetes mellitus type 1, coronary artery disease, end stage renal disease with calciphylaxis, who had been recently discharged from after a four week hospitalization for methicillin resistant staphylococcus aureus bacteremia/line sepsis/pseudomonal wound infection. this hospital course had been complicated by change in mental status, hypoglycemia, discovery of a right atrial clot. the patient had been discharged on estrianem and vancomycin and flagyl after placement of a tunnel right groin catheter on , and was also on lovenox for the right atrial clot. the patient was transferred to facility on , and there became progressively confused and delirious in the 24 hours prior to readmission to . the patient had been dropping blood pressure to 50/palpable at the time of transfer and was noted on blood cultures there to have one out of two bottles growing gram positive cocci in pairs and clusters from . in the emergency department, the patient's blood pressure was 67/17 and the pulse was 66, respiratory rate 16, oxygen saturation 88% in room air. the patient received fluid bolus with a transient increase in blood pressure and electrocardiogram was obtained and found to be in atrial fibrillation at 75 beats per minute. chest x-ray showed no infiltrate or congestive heart failure. the left internal jugular was placed and the patient was started on dobutamine drip. blood cultures were drawn and the patient was transferred to the intensive care unit. past medical history: 1. end stage renal disease with calciphylaxis. 2. diabetes mellitus type 1. 3. congestive heart failure with a left ventricular ejection fraction of 14% and 3+ mitral regurgitation. 4. chronic atrial fibrillation. 5. coronary artery disease. 6. peripheral vascular disease. 7. history of methicillin resistant staphylococcus aureus bacteremia. 8. history of vre. 9. chronic sacral decubitus ulcer with pseudomonal infection. medications on admission to medical intensive care unit: . digoxin. 2. aspirin. 3. fregmin. 4. simvastatin. 5. metoprolol. 6. vancomycin. 7. flagyl. 8. estrianem. 9. hydroxyzine. 10. colace. 11. senna. 12. tramadol. 13. nephrocaps. 14. folate. 15. epogen. 16. sorbitol. 17. fentanyl. 18. oxycontin. 19. regular insulin sliding scale. 20. bacitracin. 21. colecalcifin. allergies: codeine, vicodin, penicillin, keflex, cephalosporin, dicloxacillin, gentamicin. social history: the patient had been in rehabilitation hospital since , had been widowed in , did not drink or smoke. the health care proxy was . physical examination: on admission, in general, the patient is lethargic but oriented times three. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. mucous membranes are dry. cardiovascular is irregularly irregular with ii/vi systolic murmur at the apex. the abdomen is soft, bowel sounds present, soft with multiple healing wounds and striae. extremities showed necrotic digits on the lower extremities bilaterally, undressed wounds on the lower extremity heels bilaterally, the hips with deep wounds open to muscle and fascia and several wounds with eschar. laboratory data: on admission, the white blood cell count was 10.5, hematocrit 29.3. inr was 2.4. sodium 140, potassium 5.0, chloride 105, bicarbonate 25, blood urea nitrogen 13, creatinine 7.5, glucose 50. hospital course: this is a 55 year old female with multiple medical problems including end stage renal disease complicated by calciphylaxis and deep infected ulcers in multiple places on her body, coronary artery disease, and congestive heart failure, recent history of methicillin resistant staphylococcus aureus and pseudomonal infections, who is readmitted from the facility with hypotension and possible sepsis. 1. hypotension - the patient was admitted with blood pressure of 67/17, initially requiring pressor support with dobutamine. fluid boluses were attempted but the patient was never able to support her blood pressure on her own. the patient's pressor requirement increased over the several days of her stay. she eventually was requiring three pressors for support; neo-synephrine at 6, dopamine at 16, vasopressin at 0.04, even after she had been fluid resuscitated. this refractory hypotension was likely due to gram negative sepsis which the patient and her antibiotics were not able to fight off. 2. sepsis - the patient was found to have klebsiella bacteremia from blood cultures drawn both at the facility and here at and this klebsiella was sensitive only to meropenem and piperacillin/tazobactam. actually, it was a wound culture from the outside hospital that grew the klebsiella initially. the patient was eventually placed on meropenem without any apparent improvement in her clinical status. antibiotics were continued until the decision was eventually made to focus on the patient's comfort. these antibiotics also included vancomycin. 3. end stage renal disease - the patient was felt to have also an infected dialysis catheter and the catheter was removed shortly after her admission. from that point forward, she had no access for dialysis and it was felt by the renal team who was consulted to be unstable for dialysis and so she was not dialyzed during this admission. 4. respiratory - the patient was breathing and oxygenating well, however, given her acidosis and the feeling that we may need to give her additional fluids to support her blood pressure, after discussion with the patient and her proxy, she was electively intubated at that time. the patient remained intubated with no real improvement in her clinical status until such time that it was decided to focus on comfort measures. 5. decision making - the patient was initially quite adamant about her desire that everything be done to try and improve her clinical situation even though the team was quite certain that she had a very, very poor prognosis. extensive discussions were had with the patient and her health care proxy in which the patient conveyed her feelings to the health care proxy. as can be seen from the above, initially very aggressive measures were taken, multiple pressors and multiple antibiotics. the patient's clinical condition, these measures not withstanding, continued to deteriorate over the course of her stay. she became unable to respond to questions and after extensive discussions with the team and the health care proxy, all were in agreement that the prognosis for meaningful comfortable survival was zero as especially given that the patient's ulcerated extremities had become gangrenous. all were in agreement that it was no longer humane to prolong the patient's current pain and postpone her notable passing with heroic measures. at this time, with the patient's proxy's permission, the patient was made "comfort measures only". pressors, antibiotics, and blood draws were stopped. fentanyl was continued for comfort. the team was called to see the patient at 3:00 on , when she stopped breathing. the patient was found to be asystole by monitor. her pupils were fixed. there was no response to sternal rub. there were no breath sounds or heart sounds after two minutes of auscultation. the patient was pronounced dead at 3:17 p.m. on . , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: mitral valve disorders congestive heart failure, unspecified atrial fibrillation acute respiratory failure other shock without mention of trauma other septicemia due to gram-negative organisms infection and inflammatory reaction due to other vascular device, implant, and graft gangrene 

Answer: The patient is high likely exposed to