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: penicillins / erythromycin base / compazine / benadryl / sulfonamides / oxycodone attending: chief complaint: shortness of breath, fever major surgical or invasive procedure: none history of present illness: ms. is a 68 year old female with history of dm2, htn, hyperlipidemia who presents with productive cough x 2 days and sudden development of shortness of breath and fever since evening prior to admission. she had been in her usual state of health until 2 days ago when she developed cough. she was unable to bring up any sputum with the cough. she had no other associated symptoms until yesterday evening at 11pm, while lying in bed she developed acute onset of shortness of breath, fevers, chills. she had associated headache, lightheadedness. she had no chest pain, abdominal pain, diarrhea or constipation. . on she was seen in dermatology clinic for abdominal rash/nonhealing erosion which was biopsied at that time. biopsy revealed trauma/excoriation with bacterial superinfection with s. aureus. she was started on topical bactroban and topical triamcinolone which reportedly helped initially, but worsened over the past day. ms. is also followed in clinic for chronic minocycline suppression for history of recurrent group b strep cellulitis/bacteremia. . in the ed, t 102.6, tmax 102.9, bp 154/88, hr 131, rr 16, o2sat 98% on nrb. ekg with st at 105, nl axis, nl intervals, st depressions v2, twi iii, v1, v2, twf avf, v3-v4. labs were notable for lactate of 4.6, wbc 16.2, 2% bands. first set of cardiac enzymes are negative. cxr showed lll pna. ua was negative. she was given one dose of levaquin 750mg x1. she was given tylenol 500mg x1, aspirin 325mg x1 and 1l ns. she has 2 piv in place. she was seen by dr. of id in the ed who felt that abdominal rash was expanding compared to prior. . on arrival to the the patient is on nrb. she notes that her breathing is much more comfortable than on arrival to the ed. she denies chest pain, diaphoresis, abdominal pain, diarrhea, constipation. she continues to have cough but is unable to produce sputum. she also reports dysuria and urinary frequency over the past week. she reports history of food "going down the wrong pipe" and food getting stuck occasionally. past medical history: 1. dm2 2. htn 3. dyslipidemia 4. obesity 5. panic disorder/depression 6. personality disorder, nos 7. status post r knee replacement 8. total abdominal hysterectomy-for ovarian ca in 9. s/p gi bleed 10. peptic ulcer disease/gerd 11. diverticulosis 12. status post cholecystectomy . borderline personality 14. b/l breast reduction c/b l breast cellulitis/abscess 15. uti completed 7 d course of cipro 16. osteoarthritis 17. osa on cpap at home 18. sinusitis social history: patient lives alone in - in a shelter. she attends a psych day facility called . has 1 child but is estranged from him. sister is hcp. alcohol, tobacco, or drug use. family history: non-contributory at present. physical exam: vs: t 97.6, bp 106/57, hr 89, rr 22, o2 sat 100% nrb gen: well appearing elderly, obese female in nad on nrb. not using accessory muscles, breathing comfortably. speaking in full sentences. heent: at, nc, poor dentition, perrla, eomi bilaterally, edema of right eyelid, no conjunctival erythema, anicteric, dry mm neck: supple, no lad, no carotid bruits, jvp difficult to assess cv: rrr, nl s1, s2, no m/r/g appreciated. pulm: distant breath sounds bilaterally with decreased most notably at left base. no wheezing on exam. abd: obese, soft, nt, nd, + bs, no hsm. rash described below. ext: varicose veins, warm, dry, +2 distal pulses bl, no femoral bruits, trace edema bilaterally neuro: alert & oriented, cn ii-xii grossly intact, 5/5 strength throughout. no sensory deficits to light touch appreciated. psych: appropriate affect skin: erythema, warmth on abdomen extending from site of prior biopsy, no pus able to be expressed from biopsy site. sutures in place. area marked. erythema and papules also appreciated in inguinal folds bilaterally. pertinent results: 05:15am wbc-16.5*# rbc-4.67 hgb-13.1 hct-41.5 mcv-89 mch-28.1 mchc-31.6 rdw-14.3 05:15am neuts-82* bands-2 lymphs-13* monos-3 eos-0 basos-0 atyps-0 metas-0 myelos-0 05:15am hypochrom-1+ anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-occasional 05:15am plt smr-normal plt count-196 05:15am glucose-207* urea n-24* creat-1.0 sodium-140 potassium-5.0 chloride-102 total co2-26 anion gap-17 05:20am lactate-4.6* 05:50am urine rbc-0-2 wbc-0-2 bacteria-none yeast-none epi-<1 05:50am urine blood-neg nitrite-neg protein-tr glucose-100 ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg . 3:12 pm tissue site: skin source: skin biopsy. gram stain (final ): reported by phone to @ 4pm . 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram positive cocci. in pairs. tissue (final ): staph aureus coag +. sparse growth. please contact the microbiology laboratory () immediately if sensitivity to clindamycin is required on this patient's isolate. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 0.5 s penicillin g---------- =>0.5 r trimethoprim/sulfa---- <=0.5 s anaerobic culture (final ): no anaerobes isolated. fungal culture (preliminary): no fungus isolated. acid fast smear (final ): no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): . skin biopsy: bacterial (gram positive cocci in clusters on gram stain) colonies are present within the surface of the ulcer bed. no fungi are seen in pas - reacted sections. no viral cytopathic changes are seen (multiple levels examined). the findings suggest traumatic injury/excoriation with bacterial superinfection, however a primary impetigo complicated by excoriation is also within the differential diagnosis brief hospital course: # aspiration pneumonia: the patient presented with a 2 day history of cough, shortness of breath and found to have lll pna on cxr. tmax 102.9 and wbc count 16.5 with 2% bands on admission. she was started on levofloxacin and flagyl for community acquired aspiration pna for planned 10 day course. # cellulitis - trunk: on the pt was seen in dermatology clinic for abdominal rash/ nonhealing erosion which was biopsied at that time. biopsy revealed trauma/excoriation with bacterial superinfection with s. aureus. on admission the pt was found to have a worsening abdominal cellulitis. levaquin was started initially given her multiple antibiotic alleriges however on the evening on admission she developed worsening of her cellulitis and vancomycin was started. her stitches were removed, no purulence could be expressed for culture. after 3 days of vancomycin, dramatic improvement, well within ink line. plan for additional 10 days of iv antibiotics. midline placed. # hypoxia: requiring nrb in ed and on arrival to . found to have pna on cxr, known osa. she was weaned from o2 quickly on arrival to the icu and was maintained on cpap overnight for her osa. pna treated as above. #obstructive sleep apnea maintained on cpap 10cm with good results # tachycardia: present on admission to the ed, however resolved upon transfer to icu. ekg with possibly new twf in lateral leads. last stress test with no ekg changes or ischemic symptoms during exercise, normal cardiac perfusion. no chest pain this admission. ce negative for acs. # type 2 diabetes uncontrolled with complications - the patient was maintained on insulin sliding scale and home dose insulin - metformin was held due to lactate # benign hypertension - - antihypertensives initially held on admission metoprolol restarted at lower dose - lisinopril and lasix held due to hypotension # hyperlipidemia - continued statin # panic disorder/depression - continued outpatient regimen #communication: patient - house - : nurse house at work, cell phone is - pcp - sister (cell) group patient medications on admission: medications: (per list provided from house) albuterol inh 2 puffs q4-6h prn celexa 40mg daily lipitor 40mg daily lasix 20mg daily lisinopril 10mg daily lactulose 10g/15ml syrup lamictal 200mg daily loratadine 10mg daily metoprolol 25mg hs mirtazapine 7.5mg daily minocycline 100mg metformin sr 500mg daily nystatin 100,000 unit topical prilosec 20mg daily seroquel 400mg hs temazepam 15mg hs discharge medications: 1. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) gram intravenous q 12h (every 12 hours) for 10 days. 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed. 5. lamotrigine 100 mg tablet sig: two (2) tablet po daily (daily). 6. mirtazapine 15 mg tablet sig: 0.5 tablet po hs (at bedtime). 7. minocycline 50 mg capsule sig: two (2) capsule po bid (2 times a day). 8. insulin regular human 100 unit/ml solution sig: one (1) sliding scale injection asdir (as directed). 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 10. quetiapine 200 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po hs (at bedtime). 11. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day). 12. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 13. docusate sodium 50 mg/5 ml liquid sig: one (1) tab po bid (2 times a day). 14. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day). 15. levofloxacin 250 mg tablet sig: two (2) tablet po once a day for 5 days. 16. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 17. temazepam 15 mg capsule sig: one (1) capsule po hs (at bedtime). 18. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 19. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 20. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for headache. 21. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. 22. respiratory cpap 10cm h20 nightly for obstructive sleep apnea discharge disposition: extended care facility: - discharge diagnosis: sepsis from pneumonia (aspiration) abdominal wall cellulitis sleep apnea, obstructive discharge condition: stable discharge instructions: you were treated for pneumonia and infection of the abdominal wall skin. followup instructions: pcp: , provider: function lab phone: date/time: 3:10 provider: , .d. phone: date/time: 3:30 provider: ,interpret w/lab no check-in intepretation billing date/time: 3:30 provider: ,interpret w/lab no check-in intepretation billing date/time: 3:30 procedure: venous catheterization, not elsewhere classified non-invasive mechanical ventilation diagnoses: cellulitis and abscess of trunk unspecified septicemia depressive disorder, not elsewhere classified sepsis other and unspecified hyperlipidemia pneumonitis due to inhalation of food or vomitus unspecified sleep apnea hypoxemia diabetes with unspecified complication, type ii or unspecified type, uncontrolled benign essential hypertension panic disorder without agoraphobia 

Answer: The patient is high likely exposed to