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: found down major surgical or invasive procedure: intubation, femoral central line placement, left picc line placement history of present illness: year old woman who presented after being found down in a snow bank outside her home; she was last seen 12 hours before she was found. the daughter left for work around 6am, and when she arrived home at 6pm, she found the front door open. she saw her mother laying in a pile of snow in only a daydress, unresponsive. she asked a neighbor to help her pull her out of the snow, and then called 911. she reports that her mother goes out every day at 10 am to get the mail. when she arrived in the ed, her temperature was 28c/82.4f (rectally per report). she was intubated on arrival for airway protection. a left femoral line was placed after an unsuccessful attempt at a right femoral line. she was given 2 l of warmed ns, 2l of warmed lr, as well as 400cc of warmed ns in ng and bear huggers were placed. a trauma workup, including ct head, c-spine, cxr and ct abdomen and pelvis were only significant for bibasilar atelectasis and a right pleural effusion. ecg showed afib 52 with possible waves in v4-5. she was admitted to the medical icu for further management. past medical history: -s/p orif of left hip for intertrochanteric fracture in -" problem" -osteoporosis -mild htn -dementia (altzheimer's) - biliary stricture - glaucoma - hearing loss social history: no smoking, alcohol or drug use. the patient is widowed since , used to work as a shoemaker, and, prior to admission, was still driving. lives with her daughter, , who has never married and has no children or siblings. the patient has a brother who lives in , who has little contact with her. family history: mother died after a fall in her late age. father died of liver disease. daughter is alive and well at 64. physical exam: physical exam on admission to micu: vs: t: 98.6 bp: 131/65 hr: 95 rr: 26 sat: 96% heent: forehead with small abrasion. pupils reactive. sclera anicteric. intubated neck: ccollar in place. cv: irregularly irregular. nl s1, s2. unable to appreciate murmurs over vent. lungs: cta b/l ant/lat. abdomen: snd nabs no hsm appreciated. ext: all digits warm. no blisters, necrosis noted. onchomycosis of toenails. 1+ dp, 2+ radial pulses. right lower extremity rotated inward and shortened. (+) venous stasis changes b/l. lue multiple ecchymoses, abrasions. skin: as above, no other rashes, petechiae. pertinent results: wbc-6.9 hgb-11.7 hct-36.7 mcv-61 rdw-16.0 plt count-143 urea n-20 creat-0.7 sodium-136 potassium-3.4 chloride-103 total co2-17 alt(sgpt)-31 ast(sgot)-42* ld(ldh)-319* ck(cpk)-237* alk phos-117 amylase-27 tot bili-0.8 ck-mb-11* mb indx-4.6 ctropnt-0.18* wbc . hgb 9.4 hct 31.4 plt ct radiology ct abd/pelvis: there is a small calcified pleural plaque noted within the left pleura. moderate sized right-sided pleural effusion with a small left-sided pleural effusion. areas of compression atelectasis are noted in the left base and there appears to rml collapse. heart size appears slightly enlarged and there is mild left atrial enlargement. no focal liver lesions are identified and there is mild biliary dilatation and pneumobilia, likely related to biliary enteric tube with distal tip in the proximal jejunum. liver parenchyma is fatty infiltrated. the gallbladder is slightly distended without evidence of wall edema or periinflammatory changes and contains a large 3 cm stone. there is a questionable small peripheral splenic infarct, with stomach, intra- abdominal bowel, and right adrenal gland all appearing unremarkable. a 1.4 x 1.2 cm left adrenal lesion is identified, incompletely characterized on current contrast enhanced study. the left kidney contains multiple simple cysts, the largest measures approximately 2.1 x 2.4 cm within the interpolar region. right kidney appears unremarkable. there is no evidence of hydronephrosis bilaterally. no free air or free fluid is noted within the abdomen. no pathologically enlarged mesenteric or retroperitoneal lymph nodes are identified. there is mild atherosclerotic changes within the intra- abdominal aorta and its branches, however celiac axis, sma, and all appear patent. there is an atrophic pancreas. intrapelvic bowel displays diffuse areas of diverticulosis with no acute diverticulitis identified. patient appears to be status post hysterectomy. the bladder is slightly distended with no enhancing masses identified. no free fluid is noted within the pelvis and there is no pathologically enlarged pelvic or inguinal lymph nodes identified. ct c-spine: no fractures of the cervical spine are identified. there is intervertebral disc space narrowing at multiple levels, greatest at c3/4, c4/5, and posteriorly at c5/6. mild-to-moderate spinal stenosis in the lower cervical spine, related to small disc osteophyte complexes. the thyroid is multilobulated, particularly on the left side. several thyroid nodules are noted, and one is concentrically calcified on the left. there is a rounded opacity at the left lung apex, and left pleural fluid noted at the apex of the chest. there are dense carotid artery calcifications bilaterally. ct head w/o contrast: there is no evidence of hemorrhage or shift of the normally midline structures. the ventricles and sulci are prominent, consistent with moderate involutional change. there is hypodensity of the cerebral periventricular white matter, consistent with chronic microvascular ischemia. there is a lacunar infarct of the right caudate. there is mild-to- moderate mucosal thickening within the ethmoid air cells, and rounded opacities within the posterior maxillary sinuses consistent with retention cysts. the mastoid air cells are clear. there is a sclerotic focus of the right frontal calvarium, of indeterminate etiology. cxr: the left lung apex and chest wall are not included in the study. the endotracheal tube terminates approximately 4.3 cm above the carina. there is atelectasis in the right lower lung. no large pneumothorax is seen. there is a small right- sided pleural effusion. tubing material is containing two metallic elements seen projecting over the lower abdomen. no fractures are apparent. pelvis plain film: no acute fracture or dislocation is seen. there is osteopenia which limits evaluation for a nondisplaced fracture. a left femoral vascular line is seen. patient is status post orif of the proximal left femur with a dynamic hip screw. vascular calcification is noted. soft tissues are otherwise unremarkable. transthoracic echocardiogram: the left and right atria are moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. the right ventricular cavity is moderately dilated. there is moderate global right ventricular free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the tricuspid valve leaflets fail to fully coapt. severe tricuspid regurgitation is seen. there is severe pulmonary artery systolic hypertension. there is no pericardial effusion. left upper extremity ultrasound: thrombus within the cephalic vein, a superficial vein. no deep venous thrombosis is appreciated cxr: single portable radiograph of the chest demonstrates persistent bilateral pleural effusions, unchanged. cardiomediastinal contours are similar in appearance. no pneumothorax detected. mild increased airspace opacity involving the bilateral lungs and upper lobe redistribution represent mild chf, unchanged. brief hospital course: year old female admitted with hypothermia after being found down in the snow. in the ed, she was intubated for airway support, externally and internally warmed and transferred to the icu. in the icu, she was extubated successfully on . course was complicated by nstemi, mssa septicemia, and aspiration pneumonia. summary of hospital course following transfer to the general medical floor: 1) sepicemia from mssa bacteremia, pneumonia and klebseilla uti: a) mssa septicemia: blood cultures from grew mssa. a tte was without evidence of vegetations, however significant valvular disease was noted (see results section). the patient's daughter/hcp declined to evaluate for endocarditis; therefore, she was treated empirically with a 6 week course of antibiotics. she was initially treated with nafcillin and a picc line was placed. however, she developed a superficial thrombophlebitis (cephalic clot, no evidence of dvt) in the left arm at the site of the picc line. the picc line was removed, and the infectious disease service was consulted regarding an appropriate oral antibiotic regimen. she was started on dicloxacillin, of which she will complete a 6 week course from her first negative blood culture (), to complete . a dicloxacillin level was obtained to ensure adequate levels (pending at time of discharge), and the patient will follow-up with infectious disease as an outpatient. while on doxycycline, she should have weekly cbc/differential/lfts faxed to the clinic. if she fails to clear the infection on oral antibiotics, iv therapy (nafcillin) may need to be restarted. b) klebsiella uti/aspiration pneumonia: the patient completed a 7 day course of quinolones and her foley catheter was removed. 2) nstemi: the patient's troponin t peaked at 0.46; this nstemi was felt to be secondary to profound hypothermia. she was started on aspirin, lipitor, and a beta-blocker. a tte ef >55%, normal regional lv wall motion, moderate global rv free wall hypokinesis, 1+ mr, 4+ tr, and severe pulmonary hypertension. 3) diastolic congestive heart failure: the patient was noted to have bilateral pleural effusions, likely due to volume resuscitation/acute illness in the setting of underlying pulmonary hypertension/valvular disease. she was started on furosemide and low dose lisinopril, which can be titrated up as tolerated as an outpatient. 4) diarrhea: the patient developed diarrhea while on antibiotics, however 3 stool specimens were negative for c. diff toxin. her diarrhea gradually decreased. 5) pulmonary hyepertension: severe pulmonary hypertension was noted on echocardiogram. potential causes include: endocarditis (patient's hcp declined ), chronic pes (o2 sat stable, patient not a good candidate for chronic anticoagulation), or sleep apnea (consider outpatient sleep study). 6) thyroid and adrenal nodules: these were noted incidentally on abdominal and c-spine ct (see results section). further work-up (thyroid ultrasound, serial imaging, biochemical work-up) can be pursued as an outpatient at the discretion of the patient's pcp. 7) anemia: hematocrit remained stable (33.4 on discharge). iron studies revealed a low iron/tibc, however ferritin was not consistent with iron deficiency. vitamin b12 was elevated (mma may be considered as an outpatient), and folate/tsh were normal. hemoglobin electrophoresis was obtained, given patient's marked microcytosis, which was pending at discharge. 8) hyperglycemia: the patient was noted by fingerstick's to be mildly hyperglycemic. a hemoglobin a1c was checked, which was pending at time of discharge. she was continued on a regular insulin sliding scale. 9) dispo: the patient was discharged to a rehabilitation facility. medications on admission: prednisolone eye drops 1 gtt hctz 12.5mg daily discharge medications: 1. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. insulin regular human 100 unit/ml solution sig: sliding scale injection before each meal and bedside: if fs <150 give 0 units, if 151-200 give 2 units, if 201-250 give 4 units, if 251-300 give 6 units, if 301-350 give 8 units, if 350-400 give 10 units, if >400 give 10 units and md. 4. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic (2 times a day). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 6. dicloxacillin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 31 days: to complete (total 6 week course). 7. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 8. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed: to groin. 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. quetiapine 25 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day): to right eye. 13. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 14. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 15. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. discharge disposition: extended care facility: highgate manor discharge diagnosis: primary: hypothermia secondary: non- st elevation mi, coagulase positive staphylococcus septicemia, urinary tract infection, aspiration pneumonia, diastolic congestive heart failure, diarrhea, thrombophlebitis, thyroid nodule, adrenal nodule, anemia discharge condition: stable discharge instructions: 1) please follow-up as indicated below. 2) please come to the emergency department if you develop chest pain, shortness of breath, nausea, vomiting, abdominal pain, worsening diarrhea, fevers, chills, or other symptoms that concern you. followup instructions: 1) infectious disease: provider: . phone: date/time: 9:30 a.m. - , , basement 2) primary care: please follow-up with dr. () within 1-2 weeks after discharge from the rehabilitation facility md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: subendocardial infarction, initial episode of care unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site atrial fibrillation other chronic pulmonary heart diseases methicillin susceptible staphylococcus aureus septicemia sepsis pulmonary collapse pneumonitis due to inhalation of food or vomitus infection and inflammatory reaction due to other vascular device, implant, and graft alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance diastolic heart failure, unspecified other thalassemia hypothermia accident due to excessive cold due to weather conditions 

Answer: The patient is high likely exposed to