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: le cellulitis major surgical or invasive procedure: none history of present illness: ms. is a 74 yo female with pmh significant for diabetic neuropathy, chronic lower extremity edema, and recurrent lower extremity cellulitis. she presented to her pcp this am and was found to have bilateral cellulitis with green discharge between her left toes. she was sent to the ed for further work-up. patient notes increased swelling, erythema, and warmth of her lower extremites over the past few days. due to her neuropathy she is unable to feel anything on her feet. she states that she or her visiting nurses not noticed the green discharge. she denies any recent fevers, chills, cough, or any other concerning symptoms. in the ed initial vitals were t 97.6 bp 156/66 ar 78 rr 18 o2 sat 97% ra. she received vancomycin 1gm iv and cipro 400mg iv. past medical history: 1)chronic atrial fibrillation. 2)type 2 diabetes complicated by peripheral neuropathy 3)hypertension 4)hyperlipidemia 5)pvd s/p bilateral fem bypasses 6)colon cancer s/p colectomy, treatment with 5-fu, in remission since. 7)bilateral cataracts 8)obstructive sleep apnea 9)urge incontinence social history: patient is retired and formerly worked at hospital in computers. she lives alone in senior housing in . she has several close friends that help her with her shopping and getting to appointments. she has a remote smoking and alcohol history (puffed an occasional cigarette in social gatherings 50 years ago) denies any illict drug use. family history: nc physical exam: vitals t 98.4 bp 136/78 ar 84 rr 18 o2 sat 95% ra gen: awake and alert, nad, pleasant female heent: mm dry heart: irreg, irreg, no s3/s4, no m,r,g lungs: ctab, poor air movement but no crackles abdomen: obese, soft, nt/nd, +bs extremities: bilateral edema, chronic venous stasis changes with overlying erythema & warmth, 2+ dp/pt pulses; + discharge between l 1st and 2nd toes, +escoriations on r shin pertinent results: laboratory results: 01:45pm blood wbc-8.8 rbc-3.27* hgb-9.4* hct-26.9* mcv-82 mch-28.6 mchc-34.9 rdw-14.1 plt ct-328 05:49am blood wbc-8.9 rbc-3.29* hgb-9.2* hct-27.3* mcv-83 mch-27.9 mchc-33.6 rdw-14.0 plt ct-375 05:39am blood pt-12.4 ptt-30.5 inr(pt)-1.1 01:45pm blood glucose-165* urean-57* creat-1.7* na-139 k-5.1 cl-101 hco3-28 angap-15 05:49am blood glucose-76 urean-68* creat-1.6* na-140 k-4.1 cl-97 hco3-30 angap-17 05:49am blood calcium-9.1 phos-4.6* mg-2.2 relevant imaging: 1)l foot xray (): no evidence of osteomyelitis 2)cxray (): no infiltrate, evidence of heart failure brief hospital course: ms. is a 74 yo female with pmh significant for dm, htn and atrial fibrillation who presents with bilateral lle cellulitis. her hospital course was complicated by increased respiratory distress and was transferred to the icu overnight for closer monitoring. 1)cellulitis: patient presented with le erythema, warmth, and discharge from the clinic. she was hospitalized for cellulitis in and cultures grew pseudomonas, which was sensitive to cipro. she received vancomycin and cipro in the ed. she remained afebrile with no leukocytosis during her hospital stay. she was continued on cipro iv and vancomycin was added for gram + coverage. cipro changed to po and she was continued on vancomycin for +mrsa in wound cultures. picc line was placed. she will require 2 week course of antibiotics to be completed on . vancomycin levels should be monitored closely with goal between 15-20. podiatry was consulted and they recommended daily betadine dressing of the l foot. she is scheduled for follow-up in the podiatry clinic as listed in the discharge instructions. 2)respiratory distress: patient acutely decompensated 1-2 days into admission with increased o2 requirements and a drop in her o2 saturation into the 70's. cxray suggested acute pulmonary edema. this occurred on her last admission and the cause is unclear. cardiac enzymes were negative. she was transferred to the icu for closer monitoring and was diuresed agressively with improvement in her respiratory status. she is on lasix 20mg tid at home and this was changed to lasix 40mg after she returned to the medical floor. her daily i/o's and weights were closely monitored. 3)pulmonary hypertension: secondary to long standing sleep apnea. patient has failed multiple cpap trials on prior admissions due to urinary incontinence. pulmonary was consulted in the icu and they recommended the following tests once her volume status had improved: repeat echo, r heart catheterization, pft's, and ct scan to r/o interstitial lung disease. ct scan was done during this admission which did not suggest significant ild. 4)hypertension: patient was continued on home regimen of norvasc, diltiazem, and lisinopril. 5)acute on chronic renal failure: patient's baseline creatinine is between 1.3-1.5. initially 1.7 and decreased to 1.6 on day of discharge. likely pre-renal component based on physical exam. no further work-up was done during this admission. 6)diabetes: patient continued on home regimen of insulin 70/30 15 units with sliding scale. her sugars were well controlled. 7)atrial fibrillation: patient remains in afib on exam. she remains asymptomatic. she continues to refuse anti-coagulation. she was maintained on diltiazem for rate control. 8)urinary incontinence: patient is on long acting form of ditropan at home. she was placed on the short acting form on admission since the long acting form was not available on formulary. she complained of increased incontinence, likely secondary to being on short acting form. she was discharged on long acting form. 9)anemia: baseline hct~ 27. likely anemia of chronic disease secondary to chronic renal insufficiency. no further work-up was done during this admission. 10)sleep apnea: patient has been tried on cpap in the past but has not been able to wear mask at night due to incontinence. she underwent cpap trial during this admission and tolerated well. she does not want to wear since she has difficulties wearing the mask and has to go to the bathroom several times during the night. medications on admission: norvasc 10mg po daily diltiazem 240mg po daily aspirin 81mg po daily lisinopril 40mg po daily ditropan 15mg po daily lasix 20mg po tid iron polysaccharides complex 150 mg po daily insulin 70/30 15u docusate 100mg po daily discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). capsule(s) 4. ciprofloxacin 250 mg tablet sig: three (3) tablet po q24h (every 24 hours): pt will complete course on . 5. diltiazem hcl 240 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 6. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 7. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 8. polysaccharide iron complex 150 mg capsule sig: one (1) capsule po daily (daily). 9. multivitamin tablet sig: one (1) tablet po once a day. 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 11. vancomycin in dextrose 1 g/200 ml piggyback sig: 1000 (1000) milligrams intravenous q48h (every 48 hours): please stop on . 12. ditropan xl 15 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po once a day. 13. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch transdermal once a week: changed on mondays. 14. insulin regimen please continue home regimen of insulin 70/30 15 units twice daily. also cover with insulin sliding scale. discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: primary diagnosis: 1)cellulitis 2)congestive heart failure 3)pulmonary hypertension 4)hypertension 5)diabetes secondary diagnoses: 1)atrial fibrillation 2)urinary incontinence 3)anemia 4)chronic renal insufficiency discharge condition: stable discharge instructions: 1)weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. 2)please take all medications as listed in the discharge instructions. few changes have been made, please note them. 3)you have also been started on 2 antibiotics for your cellulitis. you must take these antibiotics for 2 weeks. you will complete your antibiotic course on . 4)please attend all appointments that have been scheduled for you. please see below. 5)if you experience any fevers, chills, chest pain, sob, dizziness or any other concerning symptoms please return to the emergency department. followup instructions: 1)provider: in podiatry phone: date/time: 11:40 2)provider: , md phone: date/time: 9:00 procedure: venous catheterization, not elsewhere classified nonexcisional debridement of wound, infection or burn diagnoses: anemia in chronic kidney disease obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes chronic kidney disease, unspecified other and unspecified hyperlipidemia personal history of malignant neoplasm of large intestine cellulitis and abscess of foot, except toes 

Answer: The patient is high likely exposed to