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: bactrim / demerol / sulfa (sulfonamides) attending: chief complaint: trach irritation major surgical or invasive procedure: tracheostomy decanulation history of present illness: 59 yof w/ a h/o dmii, htn, ckd and recent mvc w/ multiple orthpedic fractures and prolonged sicu course 1 month ago including trach placement presented initially on with irritation at her trach site which had just been downsized. in the er the patient was noted to have a + u/a and was given a dose of levofloxacin, in addition blood cultures were drawn and the patient underwent a cta (as her trach irritation caused some tachypnea) which was negative for pe or infiltrate and only revealed atelectasis. the patient was admitted to the as she had a trach and was on a trach collar and general surgery was consulted regarding the trach irritation, given that she no longer seemed dependent on the trach she was decannulated and gauze was placed over the trach site. in addition the patient was noted to have grown 2/4 bottles coag negative staph- treatment was not initiated in the icu, unclear if the blood culture was from peripheral blood or from the picc line. the patient was maintained on a liquid diet (as she passed a speech and swallow study at rehab) and was given lasix for some mild pulmonary edema (had been on 40mg po lasix daily for diastolic dysfunction). the patient was doing well and called out of the to the medical floor. past medical history: 1. diabetes mellitus type 2 - retinopathy - neuropathy 2. congestive heart failure, diastolic 3. hypertension 4. hyperlipidemia 5. gerd 6. osa requiring cpap 7. diverticulosis 8. fibromyalgia 9. hypothyroidism 10. osteoarthritis 11. d&c x2 . h/o left knee arthroscopy x2 . h/o laparoscopic adjustable gastric banding 14. mvc - complicated course in sicu at as she had multiple fractures, she had respiratory failure requiring intubation and difficulty extubation and was s/p trach placement, in addition had a t4-8 spinal fusion on . she had a trach placed , perc gastrostomy tube placed and prophylactic ivc filter placement on (lenis negative). in addition the patient was readmitted to on for altered mental status / unresponsiveness thought to be related to hypernatremia, discharged back to on . social history: former accountant no tobacco or etoh married with 2 children sedentary lifestyle family history: no significant inheritable disorder. mother w/ osteoporosis, age . daughter w/ disease another daughter w/ rheumatoid arthritis physical exam: vs: t 97.8 hr 82 bp 142/63 rr 20 o2 sat 93% on ra, 99% on 2.5l gen: nad, aox3, alert and interactive, appears comfortable heent: op clear, mm slightly dry, unable to see jvp card: rrr, soft heart sounds, no m/r/g pulm: anteriorly and laterally lungs are clear, no rales or ronchi abd: bs+, soft, obese, g tube in place w/ minimal erythema surrounding, no masses or organomegaly, non tender, non distended ext: wwp, 1+ pitting edema to thighs neuro: able to move all 4 extremities but profoundly weak ( throughout) pertinent results: cta chest 1. limited study; however, no central pulmonary embolism is identified. suboptimal evaluation of the segmental and subsegmental branches. 2. bilateral pleural effusions, left greater than right with near complete left lower lobe collapse, increased from the prior examination. cxr : impression: mild pulmonary vascular congestion. left basilar atelectasis and small effusion. infection at the left base cannot be excluded. labs: 03:40am wbc-5.5 rbc-2.71* hgb-8.1* hct-24.5* mcv-91 mch-29.8 mchc-32.9 rdw-16.3* plt ct-259 pt-13.7* ptt-25.3 inr(pt)-1.2* glucose-209* urean-47* creat-1.1 na-142 k-4.4 cl-101 hco3-30 angap-15 ctropnt-0.10* calcium-8.6 phos-3.5 mg-2.3 lactate-1.2 05:45am wbc-4.1 rbc-2.72* hgb-8.1* hct-24.8* mcv-91 mch-29.9 mchc-32.8 rdw-15.8* plt ct-268 pt-13.4 ptt-25.3 inr(pt)-1.1 glucose-194* urean-37* creat-1.1 na-139 k-4.4 cl-102 hco3-30 angap-11 calcium-8.1* phos-4.1 mg-2.2 06:10am blood wbc-4.9 rbc-2.77* hgb-8.5* hct-26.0* mcv-94 mch-30.6 mchc-32.6 rdw-16.0* plt ct-262 06:10am blood glucose-332* urean-38* creat-1.1 na-132* k-4.6 cl-96 hco3-32 angap-9 06:10am blood calcium-8.9 phos-3.5 mg-2.2 cxr : clinical information: question of worsening effusion or new infiltrate. findings: there is thoracic spinal fixation. heart is top normal in size. there is mild congestive failure. there is continued left lower lobe atelectasis as well as small bilateral pleural effusions and right lower lobe atelectasis. very little change since prior study ankle x ray : healing calcaneal fracture brief hospital course: bactermia: had a mid line which was a possible source for infection. treated with vancomycin, will need to continue vancomycin 1g iv bid for total 14 day course, last day . tracheostomy: decannuled without issue. likely will close within 1-2 weeks. acute on chronic diastolic heart failure: manifest mainly by bilateral pleural effusions, contribution also from low albumin. treated with furosemide twice daily and blood pressure control. hypertension, benign essential: well controlled on following regimen: clonidine 0.2mg po tid, lisinopril 40mg daily, amlodipine 10mg po daily and metoprolol 100mg po tid. type ii dm: uncontrolled with complications. continued on insulin glargine 55 units sc qhs, and sliding scale insulin. she was on tube feeds on a rate of 45cc/hr, this was cut to 25 cc/hr, this should be cut in half again on then discontinued on if nutritional intake improves (which it has been). insulin may need to be adjusted during the tube feed titration. foley catheter associated uti: patient had a foley, gnr > 100,000 w/ nitrites and leuk esterase, only 0-2 wbcs. treated with ciprofloxacin initially, culture resistent so started on ceftriaxone and will continue for 7 day course, last dose 7/18. right ankle and bimalleolar fracture: healing well on repeat x ray on , can advance weight bearing status to partial weight bearing and follow up with orthopedics. (dr. s/p spinal fusion: staples removed on . follow up with orthopedic spine. ( ) hypothyroidism: continued levothyroxine 88mcg daily anemia: stable anemia, hct in mid 20s. last hct 26. iron studies consistent with anemia of chronic inflammation. iron 37, ferritin 554, tibc low at 178. folate 14.1, b12 440. anxiety: occasional anxiety associated with hypertension and tachypnea. better controlled on 0.5mg po bid of klonopin, sedated on higher doses, had been far to sedated on 1mg po ativan as well. redirection and the company of her husband helps her anxiety. medications on admission: admission medications: acetaminophen prn docusate sodium 50-100mg liquid senna 1 tab bisacodyl 10mg po daily prn aspirin 81 mg po daily levothyroxine 88 mcg po daily multivitamin po daily albuterol neb q6hrs prn albuterol neb q6hrs standing acetylcysteine 20 % (200 mg/ml) solution q6hrs prn secretions insulin glargine 70 units daily humalog sliding scale enoxaparin 30 mg q12 hours sc metoprolol tartrate 100mg po tid clonidine 0.2 mg po tid discharge medications: 1. heparin (porcine) 5,000 unit/ml solution : one (1) injection injection tid (3 times a day). 2. amlodipine 5 mg tablet : two (2) tablet po daily (daily). 3. ascorbic acid 500 mg tablet : one (1) tablet po bid (2 times a day). 4. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 5. bacitracin zinc 500 unit/g ointment : one (1) appl topical asdir (as directed). 6. calcium carbonate 500 mg (1,250 mg) tablet : one (1) tablet po bid (2 times a day). 7. levothyroxine 88 mcg tablet : one (1) tablet po daily (daily). 8. multivitamin,tx-minerals tablet : one (1) tablet po daily (daily). 9. nystatin 100,000 unit/ml suspension : five (5) ml po qid (4 times a day). 10. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 11. zinc sulfate 220 mg capsule : one (1) capsule po daily (daily). 12. oxycodone 5 mg tablet : one (1) tablet po q8h (every 8 hours) as needed for pain. 13. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler : one (1) puff inhalation q4h (every 4 hours) as needed for shortness of breath. 14. docusate sodium 50 mg/5 ml liquid : ten (10) ml po bid (2 times a day). 15. senna 8.6 mg tablet : 1-2 tablets po hs (at bedtime) as needed for constipation. 16. metoprolol tartrate 50 mg tablet : two (2) tablet po tid (3 times a day). 17. sodium chloride 0.65 % aerosol, spray : sprays nasal tid (3 times a day) as needed for dry nose. 18. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours). 19. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q6h (every 6 hours) as needed for sob. 20. quetiapine 25 mg tablet : one (1) tablet po bid prn () as needed for anxiety. 21. furosemide 20 mg tablet : three (3) tablet po bid (2 times a day). 22. lisinopril 20 mg tablet : two (2) tablet po daily (daily). 23. insulin glargine 100 unit/ml solution : as directed units subcutaneous at bedtime: 55 units glargine qhs and regular insulin sliding scale. 24. clonidine 0.2 mg tablet : one (1) tablet po tid (3 times a day). 25. clonazepam 0.5 mg tablet : one (1) tablet po bid (2 times a day). 26. vancomycin in d5w 1 gram/200 ml piggyback : one (1) gram intravenous q 12h (every 12 hours). 27. ceftriaxone in dextrose,iso-os 1 gram/50 ml piggyback : one (1) gram intravenous q24h (every 24 hours). discharge disposition: extended care facility: pavilion - discharge diagnosis: 1. tracheostomy irritation 2. coagulate negative staph bacteremia 3. diabetes mellitus 4. hypertension discharge condition: hemodynamically stable discharge instructions: you were admitted with irritation around our tracheostomy; this was removed with improvement in you symptoms. while here, you were noted to have bacteria in the blood, for which you will require antibiotics. given that you have heart failure, weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: department: orthopedics when: tuesday at 8:20 am with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage department: orthopedics when: tuesday at 8:40 am with: , np building: campus: east best parking: garage department: general surgery/ when: tuesday at 1 pm with: acute care clinic building: lm bldg () campus: west best parking: garage also please follow up with your primary care physician 4 weeks of your discharge from the hospital: , b. procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances removal of tracheostomy tube diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified esophageal reflux congestive heart failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified acute on chronic diastolic heart failure polyneuropathy in diabetes chronic kidney disease, unspecified other and unspecified hyperlipidemia anxiety state, unspecified bacteremia long-term (current) use of insulin other and unspecified infection due to central venous catheter staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus myalgia and myositis, unspecified background diabetic retinopathy long-term (current) use of aspirin infection and inflammatory reaction due to indwelling urinary catheter diabetes with neurological manifestations, type ii or unspecified type, uncontrolled attention to tracheostomy other tracheostomy complications diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to