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: past medical history: 1. diabetes type 2 with neuropathy and nephropathy. 2. hypertension. 3. anemia. 4. diverticulosis. 5. recurrent utis. 6. peripheral vascular disease with diabetic foot ulcer, with past history of osteomyelitis. 7. chronic renal failure. medications in the hospital: 1. acetaminophen. 2. heparin 5,000 q.a. 3. trazodone. 4. zolpidem q.h.s. p.r.n. 5. sertraline 100 q.d. 6. aspirin, enteric-coated 325. 7. percocet p.r.n. 8. insulin sliding scale. 9. vancomycin. 10. levaquin. 11. clindamycin. 12. fluconazole. allergies: the patient has no known drug allergies. social history: the patient lives alone in an apartment, with a supportive family. the patient does not smoke or drink nor is involved in recreational drug use. review of systems: the patient denied headache, fevers, chills, cough, shortness of breath, no chest pain, no abdominal pain, no nausea, vomiting. physical examination on admission: vital signs: temperature 98.2, blood pressure 82/30, heart rate 100, respiratory rate 20, oxygen saturation 99% on room air. finger stick was 118. general: the patient was a morbidly obese african-american female in no acute distress, appears comfortable. heent: normocephalic, atraumatic, pupils equal and round to light. the oropharynx was slightly dry. the skin was warm, dry, and anicteric. neck: supple. noted was a right-sided internal jugular central line in place. no surrounding erythema nor discharge. unable to assess neck veins due to obesity. lungs: clear to auscultation anteriorly. cardiovascular: s1, s2, noted tachycardia, distant sounds. no murmurs, rubs, or gallops. abdomen: obese, soft, nontender, nondistended. extremities: the patient had a pressure dressing at the left heel, clean, dry, and intact. neurologic: the patient was oriented to place, time, as well as name. cranial nerves ii through xii were grossly intact. laboratory/radiologic data: the patient's white blood cell count was 21, hematocrit 27.5, status post 2 units of packed red blood cell infusion. the patient's platelets were 123,000. mcv 87. the patient's sodium was 138, potassium 4.8, chloride 106, bicarbonate 119, bun 94, creatinine 2.3, glucose 91, anion gap 13, phosphorus 5.4, magnesium 1.9, inr 1.2, troponin 1.6, ptt 29.8, pt 13.6. the differential revealed neutrophils 94.8, lymphocytes 2.6. tibc 104, ferritin 896, trf 80, tsh 0.9, vancomycin level 10.4. urine sodium 15, bun and creatinine 101. the urine albumin was 49. the urine osms were 81. blood cultures were positive, two out of two bottles, for staphylococcus aureus. on , foot cultures were positive for coagulase-positive staphylococcus. chest x-ray showed low lung volumes. the ekg showed a sinus rhythm with qtc of 450, depressions in lead i as well as lead avl, as well as v5 through v6. hospital course: for the patient's shock and question of sepsis, the patient received iv boluses of normal saline, on current antibiotics with vancomycin, day number five of levofloxacin, as well as clindamycin. the blood cultures were followed, transfused packed red blood cells, increased creatinine due to likely acute renal failure from hypovolemia. the patient had acidosis, likely secondary to hypoperfusion. the patient was given iv fluids. as a result of increased cardiac enzymes, the patient had a non-q wave mi. therefore, aspirin was continued. the patient had an echocardiogram performed. for diabetes, the patient was continued on an insulin sliding scale. the patient was followed by podiatry services. the patient's dressing was changed q.d. infectious disease was consulted. on , given the results of the recent cultures, the antibiotics were changed to oxacillin 2 grams q. four hours for methicillin-sensitive staphylococcus aureus. the patient was also changed to ceftazidime 2 grams q. 24 hours and flagyl 500 mg t.i.d. the patient also had a right subclavian central line that was changed on . the renal service was consulted on . also, on , the patient had a transesophageal echocardiogram that showed aortic vegetations in the aortic valve. this was done as a result of the recent positive blood culture. the patient was also transfused a total of 2 units of packed red blood cells. the echocardiogram showed multiple mobile lobular masses suggestive of vegetation with decreased left ventricular function, +2 mr, as well as +2 aortic regurgitation, minimal effusions. repeat blood cultures were negative. the patient was with continued acidosis and the patient was given bicarbonate. on , ct surgery was consulted to assess for the possibility of aortic valve replacement. it was noted that she was a poor surgical candidate due to the multiple comorbidities and was recommended to continue medical treatment for her diagnosed endocarditis bacteremia. the patient will have serial blood cultures q.d. on , cardiology was also consulted. their recommendations include continue aspirin as well as antibiotics for endocarditis. on , the patient's cardiac enzymes started to be trending down. the patient was continued on intermittent fluid boluses, maintain systolic pressure. for acute renal failure, it is noted to be due to prerenal hypoperfusion. continued to be given fluid boluses as well as transfusions as needed. pneumoboots cannot be fitted on the patient due to her obesity. as a result, on , the patient was transfused 1 unit of packed red blood cells. an a line was placed and taken out. subsequent blood cultures up to that point were negative. the patient was continued on oxacillin, ofloxacin, fluconazole. vancomycin was discontinued. on , the patient had a pulmonary artery catheterization procedure done as a result of the pulmonary artery catheterization results, levophed and vasopressin were started to maintain perfusion pressures. catheter tip culture showed a mixed bacterial type with greater than three colonies, likely due to contamination. on , the podiatry service had a vac dressing that was changed. a right upper quadrant ultrasound showed right pleural effusions but no evidence of cholecystitis. repeat tee was done on the recommendations of cardiology. the patient had maintained an increased white count with a value of 32.8, up from the previous day of 26.9. a repeat transesophageal ultrasound showed evidence of further seeding with possible aortic abscess and likely a septic emboli; therefore, requiring the increased need for pressors due to cardiovascular status. the patient was continued on levophed and vasopressin for hemodynamic stability as well as oxacillin. the patient was continued on flagyl and levofloxacin. a family meeting was held and it was discussed the patient's poor surgical candidate status and that the patient would be maintained on medical management with the agreement of family. the repeat tee evidently showed no evidence of abscess. on , the patient had lumbosacral films to investigated for other evidence of infectious sources. the patient had an episode of svt to the 160s. was gradually worsening, not able to take p.o. overnight, obtained increased white counts. on , the patient had a swan-ganz catheter discontinued and a left ij was placed due to increased nausea. blood cultures up to were negative. after remaining acidotic up to that date in spite of maintaining perfusion pressures which were gradually worsening requiring higher doses of levophed as well as vasopressin and despite intermittent bicarbonate boluses. on , a renal consult was obtained. a right ij quinton catheter was placed in preparation for hemodialysis in the future. shortly thereafter, the patient had ekg changes manifesting as supraventricular tachycardia with question of a flutter. later that day, at 3:00 p.m., the patient had cardiac arrest due to pulseless electrical activity. the patient was noted to have persistent supraventricular tachycardia that started around noon that day. it worsened despite maintenance of low systolic blood pressures in the 100s despite levophed and pressors, vagal maneuver. an arrest was then called. the patient was given 1 mg of epinephrine times two, as well as sodium bicarbonate boluses, and atropine boluses. the patient was also given calcium chloride boluses as well as iv fluids. defibrillation was ultimately performed for v tach multiple times without success. the patient also had chest compressions performed without success. after 20 minutes of resuscitation efforts that were unsuccessful, the patient expired and was pronounced. the patient was pronounced at 3:32 p.m. after 20 minutes of unsuccessful resuscitation. the patient was noted to be asystolic with no blood pressures and no pulse. the pupils were fixed and dilated. eight minutes after 3:32 p.m., no response to voice, no tactile stimuli such as sternal rub. no heart sounds were noted. no breath sounds were noted. there was no oculocephalic reflex. request by the family was not to have an autopsy. discharge diagnosis: 1. aortic valve endocarditis. 2. diabetes. 3. hypertension. 4. methicillin-sensitive staphylococcus aureus sepsis. 5. anemia due to renal failure. 6. morbid obesity. 7. osteomyelitis of left calcaneous. 8. diverticulosis. 9. recurrent urinary tract infections. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnostic ultrasound of heart insertion of endotracheal tube other electric countershock of heart excisional debridement of wound, infection, or burn pulmonary artery wedge monitoring other partial ostectomy, tarsals and metatarsals microscopic examination of specimen from skin and other integument, culture and sensitivity diagnoses: acidosis acute kidney failure with lesion of tubular necrosis methicillin susceptible staphylococcus aureus septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute and subacute bacterial endocarditis acute myocardial infarction of unspecified site, initial episode of care ulcer of heel and midfoot acute osteomyelitis, ankle and foot 

Answer: The patient is high likely exposed to