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: ceftriaxone / propofol attending: chief complaint: respiratory failure major surgical or invasive procedure: 1. flexible bronchoscopy. 2. emergency fiberoptic endotracheal intubation using an et tube size 8. 3. emergency rigid bronchoscopy in the operating room. 4. balloon dilatation of mid tracheal stenosis. 5. therapeutic aspiration of secretions. 1. rigid bronchoscopy with yellow and black tracheoscope. 2. balloon dilatation. 3. therapeutic aspiration of secretions 4. tracheostomy tube placement 5. percutaneous endoscopic gastrostomy tube placement. history of present illness: 75f recently diagnosed with tracheobronchomalacia for which she underwent metal tracheal stent placement at an outside hospital. a few weeks after the stent placement, she had severe acute exacerbation of her copd for which she was admitted to the outside hospital and subsequently intubated and mechanically ventilated. a repeat bronch revealed a swollen pharynx and larynx, a concentric web-like stenosis measuring about 5 mm in length, mm in diameter, 5 cm from the cricoid cartilage and 6 cm from the carina, moderate to large amount of granulation obstructing about 50% of the lumen of the right branch of the y-stent. past medical history: # panick attacks with respiratory compromise # tracheobronchomalacia s/p recent y silicone stenting # obesity # diabetes mellitus type 2 # hypertension # obstructive sleep apnea # anxiety disorder social history: patient originally form conecticcut, used to live with his daughter who is the priamry care taker. she was at rehab ( ) due to her respiratory therapy and streght as well as frequent pulmonologist visits. she denies any current or prior history of smoking or alcohol. she denies any illegal drug use. family history: denies any history of premature coronary artery disease, dm, htn. physical exam: physical examination: vs: bp 110/70 hr 78 ac 600, 10, +5, 100% sat 100% gen: intubated heent: mmm, o/p clear, sclera anicteric neck: trachea midline, no stridor, supple lymphatics: no cervical or supraclavicular lymphadenopathy, no thyromegaly chest: cta bilaterally, no wheezes or rales cv: reg rate, nl s1/s2, no mrg abd: soft, nt/nd, nabs, no hsm ext: bilateral edema (upper and lower extremities) neuro: a&o x3, gait wnl psychiatric: normal mood, no depression/anxiety pertinent results: 02:27am wbc-7.8 rbc-3.08* hgb-9.4* hct-28.3* mcv-92 mch-30.5 mchc-33.2 rdw-13.7 plt ct-227 02:55am wbc-8.1 rbc-3.07* hgb-9.3* hct-28.1* mcv-92 mch-30.2 mchc-33.0 rdw-13.5 plt ct-276 08:26pm neuts-81.9* lymphs-15.6* monos-1.2* eos-1.2 baso-0.2 05:48pm neuts-79.5* lymphs-11.1* monos-2.4 eos-6.3* baso-0.6 03:22am pt-14.1* inr(pt)-1.2* 02:27am glucose-99 urean-9 creat-0.7 na-143 k-3.5 cl-108 hco3-30 angap-9 02:27am calcium-8.7 phos-2.6* mg-1.9 04:42pm %hba1c-6.6* 08:00am vanco-15.3 03:07am type-art po2-113* pco2-41 ph-7.44 caltco2-29 base xs-4 04:50pm type-art po2-120* pco2-46* ph-7.35 caltco2-26 base xs-0 02:23am type-art po2-130* pco2-45 ph-7.46* caltco2-33* base xs-7 gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram positive rod(s). 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. 2+ (1-5 per 1000x field): gram negative rod(s). respiratory culture (final ): moderate growth oropharyngeal flora. staph aureus coag +. moderate growth. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ <=1 s 5:22 pm mini-bal bronchial lavage. **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram positive rod(s). respiratory culture (final ): oropharyngeal flora absent. staph aureus coag +. ~/ml. sensitivities performed on culture # 268-9208c (). echo the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and global systolic function (lvef >55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal.the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is an anterior space which most likely represents a fat pad. impression: suboptimal study. mild symmetric left ventricular hypertrophy with preserved global systolic function. mild aortic regurgitation. mild mitral regurgitation. dilated aortic root. brief hospital course: patient arrived on for follow up bronchoscopy by dr. . she arrived in stable respiratory status. bronchoscopy showed evidence of mid-tracheal stenosis about mm in diameter. 2 minutes into the procedure, she became tachypnic, tachycardic, and hypertensive, the scope was removed from her airways but she continued to deteriorate with o2 sat down to the 60s. she was emergently intubated, fibrooptically and was taken to the or for emergent rigid bronchoscopy with baloon dilatation of her tracheal lesion (up to 16 mm). post procedure, patient was intubated and sent to the pacu waiting for an icu bed. nasogastric tube, arterial line and foley placed for close observation. patient kept intubated and started on steroids to protect airway and minimize airway edema. in addition to maintenance ivf, patient required fluid boluses for oliguira. she was kept on insulin sliding scale. plan to wean patient from ventilator and proceed to extubate if toleating. hydralazine given intermittently for hypertension. tubefeeds (nutren pulm) started at 20ml/hr. she was able to only tolerate brief episodes of wean to cpap but with apnea, she was placed back on vent settings. nephrology consulted for ongoing low urine output unresponsive to fluids. initial fena=3%, feurea>35%, but uosm=900 and fena<0.02%. sediment with many hyaline casts and only occaisional rtes. likely "stunned" tubules without frank atn, and cr only bumped from 0.7 to 0.9, suggesting a good prognosis. plan to prevent further renal insults and let tubules recover and avoid ivf (has a lot edema), lasix only if needed for pulmonary edema since she should autodiurese. sedation was titrated. fentanyl and midazolam removed and started precedex gtt & ativan prn. for sliding scale, lantus increased to 30. continued to work with wean. continued on solumedrol and nebulizer treatments. mrsa screen returned positive. picc line placed for iv access. restarted home regimen of lasix. zyprexa given qhs for anxiolysis. patient did have problems with sugars. lantus levels decreased. thoracic surgery consulted for tracheostomy given dysphagia and tracheal stenosis with unstable airway. speech safter family discussion, she was taken to or by dr. on for tracheostomy and peg placement. tracheal also dilated with balloon by pulmonary and aspirated secretions. returned to icu postoperatively for further observation. overnight, patient with fever to 102. pan-cultured and started on vanc/levo/flagyl. pressures dropping to sbp 80's, given albumin and started on pressors. restarted precedex for poor mental status recovery from sedation. culture results with gpc and gpr. continue to follow for diabetes. continued to work on weaning. however, failed trial of trach mask secondary to excessive secretions and anxiety episode. swelling, erythema noticed in lue. ? cellulits vs dvt. us showing thrombosis in the left basilic vein, around picc line (basilic vein is not considered a deep vein). cxr taken to assess lungs. chest x-ray consistent with overload, gave iv lasix x 2 to diurese. decreased lopressor, increased lantus. physical therapy consulted to help with conditioning. with anxiety, she required intermittent sedation and with hypoxia during these episodes, also required to be placed back on vent. continued on tubefeeds. cultures returned with mrsa. plan to keep on vancomycin until . with continued failure to completely be weaned off vent, she will require vent rehab. anxeity provoking hypoxia also requiring sedation as well. patient will also be kept on tubefeeds at current goal rate of 40ml/hr. plan to follow up in clinic in weeks. medications on admission: colace/senna escitalopram 10 mg daily simvastatin 40 mg daily acetylcysteine 20 % (200 mg/ml) solution , mix w/albuterol. ferrous sulfate 325 mg daily famotidine 20 mg daily sq hep ipratropium albuterol mucinex 1,200 mg tab, multiphasic release po bid saline nebulizers: 3cc saline nebs tid for y stent patency acetaminophen 325 mg as needed for pain. nph 5 subcutaneous qam & hs. hiss discharge medications: 1. docusate sodium 50 mg/5 ml liquid : ten (10) ml po bid (2 times a day). 2. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 3. simvastatin 40 mg tablet : one (1) tablet po daily (daily): via g-tube. 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 5. escitalopram 10 mg tablet : one (1) tablet po daily (daily): via g-tube. 6. sodium chloride 0.65 % aerosol, spray : sprays nasal tid (3 times a day) as needed. 7. ferrous sulfate 300 mg (60 mg iron)/5 ml liquid : five (5) ml po daily (daily). 8. oxycodone 5 mg/5 ml solution : five (5) ml po q4h (every 4 hours) as needed: via g-tube. 9. metoclopramide 10 mg tablet : 0.5 tablet po tid (3 times a day): via g-tube. 10. metoprolol tartrate 25 mg tablet : 0.5 tablet po bid (2 times a day): via g-tube. 11. alprazolam 1 mg tablet : 0.5 tablet po tid (3 times a day): via g-tube. 12. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler : two (2) puff inhalation q6h (every 6 hours). 13. olanzapine 5 mg tablet : one (1) tablet po tid (3 times a day): via g-tube. 14. folic acid 1 mg tablet : one (1) tablet po daily (daily): via g-tube. 15. vancomycin in dextrose 1 gram/200 ml piggyback : one (1) gm intravenous q 12h (every 12 hours): stop on . 16. guaifenesin 100 mg/5 ml syrup : ten (10) ml po q6h (every 6 hours): while y stent in place. 17. heparin, porcine (pf) 10 unit/ml syringe : two (2) ml intravenous prn (as needed) as needed for line flush. 18. sodium chloride 0.9 % 0.9 % syringe : 10 mls injection prn (as needed) as needed for line flush: picc line flush per protocol. 19. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation qid (4 times a day). 20. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed: per g-tube. 21. insulin glargine 100 unit/ml solution : twenty (20) units subcutaneous at bedtime. 22. regular insulin sliding scale 61-120 mg/dl 0 units 121-160 mg/dl 1 units 161-200 mg/dl 2 units 201-240 mg/dl 3 units 241-280 mg/dl 5 units 281-320 mg/dl 7 units 321-360 mg/dl 9 units 361-400 mg/dl 11 units > 400 mg/dl 13 units 23. acetaminophen 500 mg/5 ml liquid : five (5) ml po every six (6) hours as needed for fever or pain: give via g-tube. 24. furosemide 40 mg tablet : one (1) tablet po tid (3 times a day). discharge disposition: extended care facility: - discharge diagnosis: respiratory distress s/p trach placement #8 peg placement tracheobronchomalacia s/p y stent placement obesitiy diabetes mellitus type 2 hypertension obstructive sleep apnea anxiety disorder: panic attacks discharge condition: stable discharge instructions: trach & peg care monitor fingerstick sugars monitor cbc lytes, bun & cre: replete as needed followup instructions: follow-up with your pcp with interventional radiology as directed follow up with ip in weeks md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization arterial catheterization other intubation of respiratory tract other intubation of respiratory tract temporary tracheostomy other operations on trachea other operations on trachea diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified acute respiratory failure diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled long-term (current) use of insulin methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site obesity, unspecified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other specified bacteria other diseases of trachea and bronchus other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes stenosis of larynx edema panic disorder without agoraphobia eosinophilia other diseases of vocal cords 

Answer: The patient is high likely exposed to