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: percocet / codeine / penicillins / iodine containing agents classifier / iron attending: chief complaint: left ankle fracture with exposed hardware major surgical or invasive procedure: : 1. irrigation and debridement of left lateral wound down to the level of the plate and bone. 2. placement of vacuum sponge. : 1. ultrasound-guided puncture of the right common femoral artery. 2. contralateral third-order catheterization of the left popliteal artery. 3. abdominal aortogram. 4. serial arteriograms of the left lower extremity. 5. balloon angioplasty of the left superficial femoral artery. 6. stenting of the left superficial femoral artery for dissection : 1. removal of hardware, left ankle 2. irrigation and debridement of left lateral wound 3. placement of external fixator 4. placement of vacuum sponge : 1: i&d left ankle wound 2. placement of vacuum sponge : 1: bedside vac change : 1: bedside vac change : 1: bedside vac change : 1: bedside vac change history of present illness: ms. is a 70 year old female who suffered a left ankle fracture/dislocation on . skin around medial ankle did not allow orif and fibula was plated on . she presented to orthopaedic clinic on with exposed hardware. she was then admitted to the for further care. past medical history: dm2 htn renal insufficiency hyperlipidemia tension headache s/p tonsillectomy s/p cholecystectomy s/p fibroid tumor removal cervical spondylosis djd social history: no tobacco, rare etoh, no illicits. works at attorney's office. family history: nc physical exam: upon admission alert and oriented cardiac: regular rate chest: lungs clear abdomen: soft non-tender non-distended extremities: lle lateral incision with dehisiance and eschar + hardware visiable, pertinent results: 05:55am blood wbc-10.6 rbc-3.00* hgb-9.1* hct-28.8* mcv-96 mch-30.3 mchc-31.6 rdw-18.2* plt ct-560* 05:37am blood neuts-90* bands-0 lymphs-3* monos-4 eos-3 baso-0 atyps-0 metas-0 myelos-0 03:50am blood pt-14.5* ptt-32.9 inr(pt)-1.3* 05:55am blood glucose-142* urean-28* creat-3.4* na-138 k-4.5 cl-102 hco3-29 angap-12 07:50am blood alt-7 ast-51* ld(ldh)-347* alkphos-574* totbili-0.4 02:23am blood ggt-858* 05:55am blood calcium-7.2* phos-2.8 mg-1.6 02:23am blood caltibc-208* vitb12-greater th folate-greater th ferritn-770* trf-160* 02:23am blood tsh-0.93 02:23am blood t4-10.7 05:55am blood vanco-14.3 brief hospital course: ms. was directly admitted from the orthopaedic clinic to on for a left ankle wound break down. pre-operatively, she was consented, prepped, and received hemodialysis in the evening in preparation for surgery the next day. she brought to the operating room for an i&d of her ankle wound and placement of vac dressing on . intra-operatively, she was closely monitored and remained hemodynamically stable, although she was hypertensive and had st segment depression. she otherwise tolerated the procedure well without. post-operatively, she was transferred to the pacu where medicine was consulted for her ekg changes. she was transferred to the medicine service and admitted to the micu for observation overnight. she was transferred to the floor on . vascular surgery was consulted to evaluate the vascular integrity of her left leg. she was taken to angiography on . during the procedure, there was concern of rupture of an av fistula and she was transferred to the vascular sugery service and taken to the vicu for observation. her hematocrit remained stable and she was transfered to the floor on the orthopaedics service for continued managment of her ankle wound. they recommended plavix for 30 days. on , the patient returned to the or for hardware removal and placement of external fixator. she tolerated this procedure without complication and was transferred to the floor with a vac dressing in place. plastic surgery was consulted during this procedure for possible wound closure. they said that no closure would be attempted at this time, although flap closure was not out of the question in the future. infectious disease was consulted for assistance managing her infections. her wound infection was mssa and she was given iv vanco dosed around dialysis. she was also found to have c. difficile and was started on po vancomycin and iv flagyl per their recommendations. wbc count and fever curve were trended to monitor signs of infection. she returned to the or on for another i&d and vac change. the wound showed some signs of healthy granulation. she tolerated the procedure well with complication and returned to the floor after a brief stay in pacu. on her vac was changed at the bedside without difficulty. she continued to have every 3 day vac changes while in the hospital. due to continued diarrhea gi was consulted and recommended to start probiotics. throughout her hospital stay she was seen by renal and had dialysis. she was also seen by physical therapy to improve her strength and mobility. medications on admission: nifedipine, hctz, lantus, humalog, asa discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 3. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 4. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 5. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 6. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po qhs (once a day (at bedtime)). 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 8. quetiapine 25 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. 9. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 10. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 11. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 12. calcitriol 0.25 mcg capsule sig: one (1) capsule po mo we fr (). 13. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) 1000mg intravenous hd protocol (hd protochol): to continue until per infectious disease. 14. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day): apply to area under pannus. 15. cholestyramine-sucrose 4 gram packet sig: one (1) packet po tid (3 times a day): give 1 packed before each meal. 16. outpatient lab work please draw weekly, cbc with diff, chem 7, vanco trough, and fax results to infectious disease at 17. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 18. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 19. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 weeks: start date end date please check ua after cipro course is complete. 20. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 21. fixed and sliding scale insulin see attached 22. vancomycin 125 mg capsule sig: one (1) capsule po q6h (every 6 hours): continue until at least , to be determined by infectious disease. 23. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for gas. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: left ankle fracture non healing ankle wound/infection peripheral artery disease end stage renal disease discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - requires assistance or aid (walker or cane) discharge instructions: if you experience any shortness of breath, new redness, increased swelling, pain, or drainage, or have a temperature >101, please call your doctor or go to the emergency room for evaluation. you may not bear weight on your left leg. please use your crutches/walker for ambulation. please resume all of the medications you took prior to your hospital admission. take all medication as prescribed by your doctor. you have been prescribed a narcotic pain medication. please take only as directed and do not drive or operate any machinery while taking this medication. there is a 72 hour (monday through friday, 9am to 4pm) response time for prescription refil requests. there will be no prescription refils on saturdays, sundays, or holidays. please plan accordingly. feel free to call our office with any questions or concerns. followup instructions: please follow up with , orthopaedics np, in 2 weeks. you can call to schedule that appointment. md, procedure: hemodialysis angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries arteriography of femoral and other lower extremity arteries local excision of lesion or tissue of bone, tibia and fibula excisional debridement of wound, infection, or burn aortography application of external fixator device, tibia and fibula insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) nonexcisional debridement of wound, infection or burn transfusion of packed cells closed reduction of fracture without internal fixation, tibia and fibula other immobilization, pressure, and attention to wound other immobilization, pressure, and attention to wound removal of implanted devices from bone, tibia and fibula diagnostic ultrasound of peripheral vascular system cranial or peripheral nerve graft insertion of one vascular stent transposition of cranial and peripheral nerves insertion of two vascular stents procedure on single vessel procedure on two vessels application of external fixator device, ring system biopsy of bone, tibia and fibula diagnoses: anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere renal dialysis status pure hypercholesterolemia other postoperative infection pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site intestinal infection due to clostridium difficile surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site mechanical complication of other vascular device, implant, and graft atherosclerosis of native arteries of the extremities with ulceration radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure disruption of external operation (surgical) wound cervical spondylosis without myelopathy infection and inflammatory reaction due to other internal orthopedic device, implant, and graft ulcer of ankle diabetes with renal manifestations, type ii or unspecified type, uncontrolled acute osteomyelitis, lower leg 

Answer: The patient is high likely exposed to