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 attending: chief complaint: right sided pain, increased cough major surgical or invasive procedure: bronchoscopy, right thoracoscopy, drainage of right empyema, partial decortication history of present illness: ms. is a 48 year-old female who was discharged on s/p right lower lobectomy for atypical carcinoid tumor (t3n2) on . she now presents with severe right sided chest pain and increased shortness of breath. the chest ct showed a loculated effusion with right middle lobe opacity. her white count was elevated with a shift to the left. she is being admitted for an emypema with a plan to drain and culture fluid. past medical history: hepatitis c s/p interferon and ribavarin therapy hypercholesterolemia appendectomy uterine suspension social history: single with 2 adult children. works as a mental health worker. tobacco: quit 25 years ago. etoh: denies family history: significant for sister with thyroid cancer. physical exam: general: 48 year-old female well-nourished in no apparent distress heent: normocephalic, mucus membranes moist neck: supple, trachea midline, no lymphadenopathy resp: breath sounds diminished with rhonchus on right, clear on left card; normal s1,s2, regular, rate & rhythm, no murmur/gallop or rub gi; obese, bowel sounds positive, abdomen soft non-tender/non-distended extr; warm no edema incision: clean, dry, intact neuro: non-focal pertinent results: labs on admission: : wbc-26.1*# rbc-4.25 hgb-13.0 hct-36.8 plts: 243 : glucose-140* urea n-12 creat-0.8 sodium-133 potassium-4.1 chloride-97 total co2-26 04:45am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg pleural tot prot-3.5 glucose-0 ld(ldh)-2112 pleural ph-6.78 cultures: urine culture (final ): klebsiella pneumoniae. 5:00 pm bronchial brush - protected bronchial lavage-rml/bronchial protected brush/rml. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. 5:00 pm pleural fluid gram stain (final ): reported by phone to @ 1115pm on . 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram positive cocci. in pairs. fluid culture (final ): staph aureus coag +. sparse growth. _________________________________________________________ staph aureus coag + | ciprofloxacin--------- <=0.5 s erythromycin---------- 1 i gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin-------------<=0.25 s trimethoprim/sulfa---- <=0.5 s anaerobic culture (final ): no anaerobes isolated. 5:10 pm tissue right pleural tissue. gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram positive cocci in pairs. tissue (final ): staph aureus coag +. sparse growth. anaerobic culture (final ): no anaerobes isolated. acid fast culture (pending): acid fast smear (final ): no acid fast bacilli seen on concentrated smear. fungal culture (preliminary): no fungus isolated. potassium hydroxide preparation (final ): no fungal elements seen. legionella culture (preliminary): no legionella isolated. x-rays: cta chest w&w/o c&recons, non-coronary 2:50 am impression: 1. no central or segmental pulmonary emboli. 2. moderate right-sided pleural effusion, and fluid in the right lateral chest wall. extensive subcutaneous emphysema in the right chest wall. 3. right middle lobe bronchial distortion, likely post-surgical, causing right middle lobe atelectasis. : picc placement: impression: uncomplicated ultrasound and fluoroscopically guided 5-french double-lumen picc line placement via the left brachial venous approach. final internal length is 47.5 cm, with the tip positioned in svc. the line is ready to use. ct chest w/contrast 11:43 am impression: 1. right-sided pigtail catheter seen within the pleural space anteriorly. there has been marked decrease in size of the previously seen loculated right pleural collection with a small amount of persistent pleural fluid and gas noted. 2. decrease in size of left pleural effusion. 5-mm nodular density at the left base likely represents atelectasis, although attention to this area on followup studies is recommended. 3. otherwise, no significant change from prior study with multiple paraesophageal and mediastinal lymph nodes again seen. chest (pa & lat) 1:40 pm no obvious pneumothorax. loculated effusion on the right side. the pigtail catheter on the right side appears to have been removed. brief hospital course: ms is a 48 year-old female readmitted on with a loculated effusion and right middle lobe opacity and an elevated white count. she was seen by interventional pulmonary for a thoracentesis sent for culture and cytology which grew staph aureus sensitive to nafcillin. she was seen by the pain service who recommended pca dilaudid and toradol. on hospital day #2 she was taken to the operating room on and underwent successful right thoracoscopy, drainage of right empyema, with partial decortication. she transferred to the intensive care unit intubed, 2 chest-tubes, a foley and iv dilaudid for pain. on postoperative day #1 she was extubed and her white count trended downward from 26 to 12.4. on postoperative day #2 she had a double lumen picc line placed in the left brachial vein. she was transferred to the floor in stable condition. on postoperative day #3 she was seen by infectious disease who recommended 4 weeks of nafcillin for mssa. she was followed by serial chest x-rays that remained stable. the foley was removed and she voided without difficulty. physical therapy was consulted to assist with ambulation. she was converted to po pain medication with good pain control. a chest ct without contrast was done on postoperative day #4. the posterior chest-tube ()was removed. the basal chest-tube was converted to a empyema tube. a ct scan on revealed anterior right pleural loculation. the patient was sent to interventional radiology for placement of pigtail and tpa was instilled into the pigtail and empyema tube for 3 consecutive days with a good response. on the pigtail and empyema tube were removed. a follow-up chest x-ray revealed no pneumothorax. a follow-up chest ct on showed marked decrease in the size of the previously seen loculated right pleural collection with a small amount of persistent pleural fluid and gas noted. she continued to make steady progress and was discharged to home on postoperative day #9. she will follow-up with dr. as an outpatient. medications on admission: lopressor 12.5 mg clonazepam 0.5 mg qhs oxybutynin 10 mg docusate 100 mg ibuprofen 600 mg q8h prn darvocet prn discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*0 tablet(s)* refills:*0* 2. oxybutynin chloride 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*0 tablet(s)* refills:*0* 3. clonazepam 0.5 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for anxiety. disp:*0 tablet(s)* refills:*0* 4. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 5. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day). disp:*0 * refills:*0* 6. nafcillin 2 gm iv q6h 7. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. discharge disposition: home with service facility: home care services discharge diagnosis: empyema drainage, right, partial decortication right lower lobe lung mas s/p resection hep c s/p interferon/ribavirin treatment hyperlipidemia pneumonia appendectomy uterine suspension discharge condition: stable, good pain control, tolerating diet discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production -chest pain -incision: purulent discharge, increased redness chest-tube site: cover with a clean bandaid no swimming or bathing for 6 weeks complete antibiotic course: through picc line double lumen: left brachial, 47.5 cm tip positioned in svc. labs: weekly cbc, bun & cre while on nafcillin: fax results to dr. . followup instructions: follow-up with dr. on at 9:30am at medical building . report to the clinical center radiology department for a chest x-ray 45 minutes before your appointment. follow-up with dr. . infectious disease on at 10:00am at the medical building follow-up with your pcp . procedure: venous catheterization, not elsewhere classified thoracentesis thoracentesis closed [endoscopic] biopsy of bronchus diagnoses: unspecified pleural effusion urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site unspecified viral hepatitis c without hepatic coma infection with microorganisms resistant to penicillins personal history of tobacco use other and unspecified hyperlipidemia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other emphysema obesity, unspecified empyema without mention of fistula malignant neoplasm of lower lobe, bronchus or lung secondary and unspecified malignant neoplasm of lymph nodes, site unspecified 

Answer: The patient is high likely exposed to