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: patient recorded as having no known allergies to drugs attending: chief complaint: r neck and facial swelling major surgical or invasive procedure: 1. incision and debridement right submandibular abcess 2. teeth extraction history of present illness: patient is a 84 yo female with a 1 week h/o of right neck swelling that has recently spread toward the right side of the face. associated symtpoms included right gum tenderness around her right lower tooth (she has long history of odontogenic disease). she has trismus, but no respiratory distress or desaturation/stridor. her pcp started her on oral ciprofloxacin starting on . she went to an osh ed the day of admission where a ncek ct with constrast showed a fluid collection in the submandibular space. she was treated at osh iv unasyn and transferred to . past medical history: chf, hypothyroidism, colon ca, gerd, copd, renal failure, vascular disease, abdominal aortic aneurysm (pt informs that last year it was ~4cm), iron deficiency anemia/?myelodysplasia (hematologist is dr. at ), htn, colon resection for colon ca s/p laparotomy 1 month pta social history: no etoh, smoking, ivda. family history: nc physical exam: vs: 98 gen: pleasant, nad, no stridor eyes: eomi face: slight edema of lower right cheek area nc/np: significant crusting with old blood anteriorly bilaterally with dry mucosa (pt reports she has been manipulating her nose and has nasal congestion. normal nasopharynx. oc/op: trismus to ~ 1.5 cm (if with teeth) to ~2cm w/o gum to gum. the gum surrounding the one lower right tooth (anterior/lateral tooth) is very tender to palpation and is erethematous. floor of mouth is edematous and soft larynx/hp: the base of tongue is touching the epiglottis, the epiglottis is crip, airway is patent with normal vocal fold motion bilaterally, no significant pooling of secretions of hypopharynx. neck: edematous and erethematous indurated right submandibular area extending across midline anteriorly and spreading up toward the right cheek area. pertinent results: labs: on admission 08:25pm blood wbc-10.1 rbc-2.78* hgb-8.1* hct-25.4* mcv-92 mch-29.2 mchc-31.9 rdw-17.5* plt ct-152 08:25pm blood neuts-44* bands-3 lymphs-22 monos-1* eos-0 baso-0 atyps-0 metas-4* myelos-0 promyel-1* other-25* 08:25pm blood hypochr-2+ anisocy-1+ poiklo-1+ macrocy-1+ microcy-normal polychr-1+ 08:25pm blood pt-16.8* ptt-26.2 inr(pt)-1.5* 08:25pm blood glucose-101 urean-15 creat-1.1 na-129* k-3.6 cl-96 hco3-24 angap-13 01:52am blood calcium-7.7* phos-5.0* mg-1.8 01:52am blood tsh-1.1 01:42am blood glucose-79 urean-17 creat-0.8 na-135 k-4.0 cl-105 hco3-24 angap-10 05:48am blood alt-15 ast-38 alkphos-55 totbili-0.3 07:12pm blood vanco-9.6* imaging: ct sinus/face : 1. extensive inflammatory changes in the right lateral and anterior neck with packing material/drain in place. slightly limited by lack of iv contrast, but no discernable fluid collection. 2. apical lucency about the left lower molar. no periapical lucency seen in the area of concern (right lower tooth). 3. extensive sinus disease. 4. cervical lymphadenopathy, likely reactive. brief hospital course: patient was admitted for a right submandibular abscess. she was preoped, consented, and underwent a right neck i/d on . please dr. operative note for details. she tolerated the procedure well and was transferred to the sicu intubated. she was continued on unasyn. she returned to the or the following day for teeth extraction. please see dr. operative note for details. again she tolerated the procedure well and was transferred to the sicu intubated without events. she was successfully extubated that evening. patient was started on nasal irrigations. her home medications were continued. physical therapy was consulted to improve strength and mobility. she was anemic with a hct in the low 20s. her hematologist, dr. , was contact. was alreeady aware of her blood smear findings suggestive of myelodysplasia and did not request any further workup or management during this hospital stay. on pod3 she was given 2uprbcs with lasix and was transferred to the floor. her hematocrit appropriately bumped to 28 and was stable in the high 20s prior to discharge. her penrose drain was slowly backed out and removed on pod4. culture sensitivities returned on pod4, showing mrsa. an id consult was obtained at that time, recommending switching from unasyn to vancomycin and flagyl. a picc was successfully placed on pod5. a vancomycin trough level was low at 9.6. we subsequently increased her dosing frequency from qd to . another vanco trough should be checked prior to 3rd dose of new dosing regimen. her first dose at interval was on at 0800. she is to receive iv vancomycin until (time of f/u in clinic). on pod7 she was transferred to a rehab facility in good condition. please note that she will need to be set up for weekly lab draws (cbc, bun/cr, alt/ast) to be faxed to ( clinic). medications on admission: ciprofloxacin (since ), toprol xl 100 qd, levothyroxin 50mcg qd, procrit 400u q 2 weeks, fe 325mg , prilosec 20mg qd, ocean nasal spray, senna, ca 500mg qd, albuterol neb tid discharge medications: 1. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po bid (2 times a day). 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed. 7. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. 8. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 9. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. 10. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) intravenous every twelve (12) hours. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 13. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 14. nasal irrigation saline nasal irrigations qid 15. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours). discharge disposition: extended care facility: house nursing home - discharge diagnosis: right submandibular abcess discharge condition: good discharge instructions: please call your doctor or go to the emergency room if you have a fever >101f, increased swelling/redness/discharge from your wound, difficulty swallowing, shortness of breath, chest discomfort, or any other concerning symptoms. you will need to be set up for weekly lab draws (cbc, bun/cr, alt/ast), which should be faxed to ( clinic). followup instructions: please make an appoitment to see dr. in weeks. please go to your follow-up appointment with dr. (infectious disease) on . please make an appointment to see your primary care physician weeks. please make an appointment to see your hematologist in weeks. please follow-up with your general surgeon at his request. procedure: venous catheterization, not elsewhere classified excision of lesion of other soft tissue other surgical extraction of tooth other incision of soft tissue diagnoses: anemia, unspecified esophageal reflux congestive heart failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of large intestine periapical abscess without sinus cellulitis and abscess of face cellulitis and abscess of oral soft tissues 

Answer: The patient is high likely exposed to