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: latex attending: chief complaint: sternal wound drainage major surgical or invasive procedure: sternal debridement, bilateral pec flaps, picc line placed history of present illness: 61 yo s/p cabg for left main dz discharged home with visiting nurse. returned to wound clinic and found to have sternal drainage along w/wound erythema on , started on keflex and stopped on after area of purulent drainage found by dr . continued to have drainage and fevers and then presented to er and referred to for further management. brought to the operating for exploration and sternal debridement then returned for flap closure on past medical history: s/p cabg tah/bso, recurrent , social history: social and family history: social history is significant for the current tobacco use of 1ppd for more than 30 years. patient has made numerous attempts to quit smoking including chantix, patch, hypnosis, and acupuncture. there is no history of alcohol abuse, though she drinks 3 glass of wine per day. she denies history of withdrawal tremors or seizures. patient is married and lives in . she works at but is a former secretary. . family history: there is no family history of premature coronary artery disease or sudden death, but patient has fa father with a history of bladder cancer and relatives who have had strokes. physical exam: admission vs:hr 76 143/68 16 98% on ra gen:nad neuro:non-focal pulm:decreased l base, o/w cta cv:rrr. sternum stable, erythema along incision, 2 open areas at base, lowest area tracks posterior-superior, cellulitis on r breast abdomen:soft ext:warm, well perfused. lle svg harvest well healed. discharge vs 98.0 73 144/68 18 92% ra gen:nad neuro:alert, non focal exam pulm: clear- anterior exam cv:rrr, no murmurs. midline incision no drainage, minimal erythema. jp drain x3 abdm: soft, nt/+bs ext: warm, well perfused, no edema pertinent results: 04:50pm glucose-115* urea n-13 creat-0.8 sodium-139 potassium-3.7 chloride-101 total co2-27 anion gap-15 04:50pm ck(cpk)-22* 04:50pm ctropnt-<0.01 04:50pm wbc-23.3*# rbc-4.47# hgb-13.8 hct-42.0# mcv-94 mch-30.9 mchc-32.9 rdw-13.9 04:50pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-2+ microcyt-normal polychrom-1+ ovalocyt-1+ teardrop-1+ 04:50pm plt smr-normal plt count-252# 04:50pm pt-13.4 ptt-27.4 inr(pt)-1.1 04:23am blood wbc-8.2 rbc-3.44* hgb-10.5* hct-30.9* mcv-90 mch-30.4 mchc-33.8 rdw-13.6 plt ct-429 04:23am blood plt ct-429 02:24pm blood pt-15.4* ptt-31.0 inr(pt)-1.4* 05:41am blood glucose-87 urean-12 creat-0.7 na-138 k-3.9 cl-102 hco3-29 angap-11 echocardiography report , portable tte (complete) done at 9:47:27 am final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 61 f hgt (in): 61 bp (mm hg): 144/68 wgt (lb): 142 hr (bpm): 65 bsa (m2): 1.63 m2 indication: endocarditis icd-9 codes: 424.90, 410.92, 424.1 test information date/time: at 09:47 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: / 6 contrast: none tech quality: suboptimal tape #: 2007w077-0:12 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: 3.5 cm <= 4.0 cm left atrium - four chamber length: 4.5 cm <= 5.2 cm left atrium - peak pulm vein s: 0.7 m/s left atrium - peak pulm vein d: 0.5 m/s left atrium - peak pulm vein a: 0.3 m/s < 0.4 m/s right atrium - four chamber length: 4.7 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.4 cm <= 5.6 cm left ventricle - systolic dimension: 3.2 cm left ventricle - fractional shortening: *0.27 >= 0.29 left ventricle - ejection fraction: 40% to 50% >= 55% left ventricle - lateral peak e': *0.08 m/s > 0.08 m/s left ventricle - septal peak e': *0.04 m/s > 0.08 m/s left ventricle - ratio e/e': 12 < 15 aorta - sinus level: 3.3 cm <= 3.6 cm aorta - ascending: *3.5 cm <= 3.4 cm aorta - arch: 2.6 cm <= 3.0 cm aortic valve - peak velocity: 1.5 m/sec <= 2.0 m/sec mitral valve - e wave: 0.7 m/sec mitral valve - a wave: 0.8 m/sec mitral valve - e/a ratio: 0.88 mitral valve - e wave deceleration time: 197 ms 140-250 ms tr gradient (+ ra = pasp): 16 mm hg <= 25 mm hg findings left atrium: normal la size. right atrium/interatrial septum: normal ra size. left ventricle: normal lv wall thickness. normal lv cavity size. mildly depressed lvef. no resting lvot gradient. no vsd. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. mildly dilated ascending aorta. focal calcifications in ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild to moderate (+) ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. mild mitral annular calcification. mild thickening of mitral valve chordae. calcified tips of papillary muscles. no ms. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. normal tricuspid valve supporting structures. no ts. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. normal main pa. no doppler evidence for pda pericardium: no pericardial effusion. general comments: suboptimal image quality - poor echo windows. suboptimal image quality - poor parasternal views. suboptimal image quality - poor apical views. left pleural effusion. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 40-50 %) secondary to hypokinesis of the inferior and posterior walls and akinesis of the apex. there is no ventricular septal defect. the ascending aorta is mildly dilated. there are focal calcifications in the aortic arch. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. compared with the findings of the prior study (images reviewed) of , the findings are similar. impression: no vegetations seen on any valve if clinically suggested, the absence of a vegetation by 2d echocardiography does not exclude endocarditis. electronically signed by , md, interpreting physician 10:31 brief hospital course: patient was evaluated in the emergency room, where an initial debridement of the sternal wound was performed. she was admitted to the cardiac surgery floor and was started on vanco and cipro. her wound was further debrided and it was decided to take her to the operating room on where she underwent sternal debridement and vac placement. she returned to the operating room for flap closure with the plastic surgery service on . following debridement the patient was followed by cardiac surgery, plastic surgery and the infectious disease services. she had an echocardiogram to r/o endocarditis and a right picc line placed for long term antibiotic coverage and on pod it was decided she was ready for discharge home with visiting nurses medications on admission: simvastatin 20' asa 81' amiodarone 200' metoprolol xl 100' omeprazole 20' centrum discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po bid (2 times a day): resume preop schedule. disp:*0 ml(s)* refills:*0* 6. 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. 7. vancomycin 1,000 mg recon soln sig: one (1) gram intravenous twice a day for 6 weeks: until . disp:*84 grams* refills:*0* 8. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day: resume preop schedule. 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: sternal wound infection, now s/p sternal wound debridement, bilat pec flaps pmh: s/p cabgx3 (lima->lad, svg->om, svg->rca), s/p tah/bso, recurrent , discharge condition: good. discharge instructions: keep wounds clean and dry. take all medications as prescribed. call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. followup instructions: dr. in 1 week , patient to call for appointment dr. in 2 weeks , patient to call for appointment dr clinic in ---weeks, patient to call for appointment procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart arterial catheterization other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] incision of chest wall attachment of pedicle or flap graft to other sites injection of antibiotic other immobilization, pressure, and attention to wound diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder other postoperative infection infection with microorganisms resistant to penicillins disruption of internal operation (surgical) wound aortocoronary bypass status pulmonary collapse methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site acute osteomyelitis, other specified sites acute myocardial infarction of other specified sites, subsequent episode of care 

Answer: The patient is high likely exposed to