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: penicillins attending: chief complaint: respiratory distress fevers major surgical or invasive procedure: none history of present illness: 74 yo female, transferred from rehab for recurrent flash pulmonary edema. pt recently admitted/hospital stay at on for dka and nstemi. at this time, pt had a long/complicated hospital course, determined not to be a candidate for cardiac catheterization and mi managed medically. she developed pulm edema, respiratory failure, was intubated, developed vent-associated pna (mssa), treated with levo until . she failed extubation and was eventually peg/trached, sent to rehab on . at rehab, pt had multiple episodes of flash pulm edema that were managed with morphine and lasix prn. this morning, she had a similar episode with desat to 85%, tachypnea to 30's, and sbp=78 with leukocytosis. at family's request and with these symptoms, she was transferred back here. on presentation, she received mso4 for dyspnea, was febrile to 102.2, bp=90/41, wbc=19 with left shift. pt with some new ekg changes (t-wave inv v5-6, st elev v2-4), and elevated tnt. pt admitted to micu at this time for management of respiratory failure vs. pneumonia. past medical history: dm2 on insulin hypercholesterolemia dementia/ disease (an inherited spinocerebellar ataxia: progressive neurological disorder of ataxia, peripheral neuropathy) (no known htn) vent-associated pna nstemi chf anemia social history: prior to admission the patient was living at home with her daughter. the patient was bedridden and very dependent on family members to care for her. she has a significant smoking history of 50 pack years, though she quit smoking 10 years ago. denies etoh or other drugs. family history: - disease. physical exam: 102.2 85 90/41 18 99% gen: elderly appearing, lethargic, sedated heent: perrl, dry mm, tracheostomy c, d, i cv: rrr, 2/6 sem pulm: coarse bs, occasional rhonchi, no crackles abd: peg-c,d,i; soft, nabs, nt extr: warm, no edema, good pulses, l picc line-c, d, i neuro: non arousable pertinent results: 09:34pm type-art po2-126* pco2-42 ph-7.50* total co2-34* base xs-8 09:34pm lactate-1.8 04:44pm type-art po2-144* pco2-45 ph-7.50* total co2-36* base xs-10 04:44pm lactate-2.2* 03:21pm glucose-276* urea n-47* creat-0.6 sodium-138 potassium-5.1 chloride-94* total co2-33* anion gap-16 03:21pm alt(sgpt)-44* ast(sgot)-38 ld(ldh)-278* ck(cpk)-52 alk phos-403* amylase-65 tot bili-0.4 03:21pm lipase-53 03:21pm ck-mb-notdone ctropnt-0.28* 03:21pm albumin-3.5 calcium-8.9 phosphate-3.8 magnesium-2.3 03:21pm wbc-19.1*# rbc-3.65* hgb-11.5* hct-35.5* mcv-97 mch-31.4 mchc-32.4 rdw-13.9 03:21pm neuts-88.5* lymphs-6.8* monos-4.0 eos-0.4 basos-0.3 03:21pm macrocyt-1+ 03:21pm plt count-446* 03:21pm pt-12.2 ptt-23.7 inr(pt)-0.9 03:21pm urine color-yellow appear-clear sp -1.022 03:21pm urine blood-mod nitrite-neg protein-neg glucose-100 ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-tr 03:21pm urine rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-0 brief hospital course: a/p: 74f s/p recent nstemi, vap, with recurrent flash pulmonary edema, presenting with respiratory distress, fever, leukocytosis, in setting of likely more flash pulmonary edema. 1. fever/leukocytosis - the patient was pan cultured and grew out mssa from her sputum for which she was treated with clindimycin. 2. respiratory failure - likely multifactorial with contributions from both pna and chf. the mssa pna was treated with clindimycin for a 2 week course. the chf team was consulted regarding the patients chf. a cardiac cath was performed which demonstrated three vessel coronary artery disease, moderate systolic ventricular dysfuction, and moderate diastolic ventricular function. it was decided at this time that the patients cad was not amenable to pci and that medical management was the best option. hence the patient was optimized on a medical regimen which included hydralazine, clonidine, captopril, metoprolol, amlodipine, isordil, plavix, and aspirin. on this regimen, the patients bp's were maintained with systolics in the 140's. 3. dm - the patient's blood sugars were controlled on an insulin drip. at discharge the drip was converted to an equivalent dose nph/regular. 4. hypothyroidism - the patient was continued on her home dose of synthroid. 5. code status - dnr. given the patient's severe cad/chf the patient's functional status is severely impaired and she is now vent dependent. her prognosis for any meningful recovery is grim and this was discussed in detail with the family which ha decided to make her dnr. medications on admission: meds: lantus, ssi, asa, captopril, colace, laxis, sq heparin, hctz, levothyroxine, lopressor, nystatin, senna discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease congestive heart failure / flash pulmonary edema pneumonia discharge condition: stable discharge instructions: please take medications as directed. followup instructions: none md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures enteral infusion of concentrated nutritional substances thoracentesis arterial catheterization bronchoscopy through artificial stoma transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism acute and chronic respiratory failure long-term (current) use of insulin methicillin susceptible pneumonia due to staphylococcus aureus subendocardial infarction, subsequent episode of care tracheostomy status other degenerative diseases of the basal ganglia 

Answer: The patient is high likely exposed to