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: vicodin attending: chief complaint: non-healing sternal wound major surgical or invasive procedure: sternal debridement and resection of sternum. bilateral pectoralis muscle closure of open sternal wound on the left with a thoracoacromial based flap on the right. thoracoacromial based pectoralis musculocutaneous flap as compared to muscle flap on the left. history of present illness: mrs. is a 79-year-old female who in underwent an ascending aortic root enlargement with an aortic valve replacement and coronary artery bypass surgery. she has a fairly obese habitus and large breasts and had separation of the lower pole of her sternotomy incision. she has been undergoing vac dressings and intravenous vancomycin as an outpatient. despite medical therapy, she has had very poor healing of her wound. she has wires showing at the bottom of a very deep, the incisional dehiscence. she is presenting for wound revision and probably sternal debridement. social history: widowed and lives alone, currrently was at rehab. quit smoking 20 yrs ago. denies alcohol or recreational drug use. family history: non-contributory. two brothers had cabgs in their late 60s. sister has a pacemaker. physical exam: vitals: temp afebrile, bp 123/62, hr 79, rr 20, sat 99%on room air general: obese female in no acute distress, in wheelchair heent: oropharynx benign, upper and lower dentures neck: supple, no jvd sternal wound: vac in place; slightly tender to palpation; sternum stable heart: regular rate, normal s1s2, soft systolic murmur lungs: clear bilaterally abdomen: oese, soft, nontender, normoactive bowel sounds ext: picc in right arm, warm, + pitting edema, pulses: 2+ distally neuro: nonfocal pertinent results: 06:42pm blood wbc-8.5 rbc-3.54* hgb-11.2* hct-32.2* mcv-91 mch-31.6 mchc-34.9 rdw-16.8* plt ct-297 06:42pm blood pt-13.8* inr(pt)-1.2* 06:42pm blood urean-15 creat-0.8 na-138 cl-108 hco3-20* 06:42pm blood mg-1.3* successful replacement of the in situ single-lumen picc for a new 4-french 46-cm single-lumen picc with tip in the superior vena cava. brief hospital course: mrs. was admitted and taken directly to the operating room. dr. and dr. performed a sternal debridement with bilateral pectoralis muscle closure of open sternal wound on the left with a thoracoacromial based flap on the right. several jp drains were placed at that time. following the operation, she was immediately extubated and taken to the csru for observation. medical therapy including intravenous vancomycin was resumed. she maintained stable hemodynamics and transferred to the sdu for continued care and recovery. the wound and jp drainage was monitor closely. she remained afebrile. she remained reasonably comfortable but required percocet for adequate pain control. due to a non-functional picc line, a new picc line was placed on . she remained in a normal sinus rhythm - no atrial arrhythmias were noted. physical therapy was consulted for assistance with strength and conditioning. mrs. had a small amount of wound separation that was sutured with a total of five 4-o nylon sutures with good approximation. on the plastics service removed one of three jp drains. here remaining jp drains continued to decrease in output of serosanguinous drainage. on pod 8 mrs was 1kg below her preop weight with poor exercise tolerance, no sob, or chest pain. her blood pressure was stable. her sternotomy incision was clean, dry, and intact without evidence of infection. she was discharged to in good condition, cardiac diet, sternal precautions, and instructed to follow up with dr. in one week and dr. in one to two weeks. medications on admission: 1. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 5. tamoxifen 10 mg tablet sig: one (1) tablet po bid (2 times a day). 6. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 7. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 11. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 12. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 13. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 14. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 15. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): sub q injections. 16. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day). 17. miconazole nitrate 200 mg suppository sig: one (1) appl vaginal hs (at bedtime) for 7 days. 18. sodium chloride 0.9 % parenteral solution sig: three (3) ml intravenous daily (daily) as needed: for peripheral iv flush if present. 19. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 24h (every 24 hours) for 6 weeks: via picc line. 20. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 21. lopressor 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 22. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 23. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 6. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 9. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 10. tamoxifen 10 mg tablet sig: one (1) tablet po daily (daily). 11. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 6-8 hours as needed. 12. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. disp:*30 suppository(s)* refills:*0* 13. vancomycin hcl 1000 mg iv q12h 14. 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. 15. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. disp:*30 ml(s)* refills:*0* 16. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). disp:*qs qs* refills:*2* 17. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 18. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. disp:*qs qs* refills:*0* 19. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for 2 days. disp:*6 tablet(s)* refills:*0* discharge disposition: extended care facility: for the aged - discharge diagnosis: sternal wound infection/dehiscence, coronary artery disease and aortic stenosis - status post coronary artery bypass grafting and aortic valve replacement in , history of postoperative atrial fibrillation/flutter, hypertension, hypercholesterolemia, osteoarthritis, asthma, obesity, chronic pedal edema, venous insufficiency, chronic uti's, right breast cancer s/p lumpectomy , s/p left hip replacement , s/p right hip replacement , s/p cataract surgery, s/p hysterectomy discharge condition: good discharge instructions: local wound care. ensure patient wears supportive bra at all times. followup instructions: cardiac surgeon, dr. in weeks, call for appt . plastic surgeon, dr. in one week, call for appt procedure: venous catheterization, not elsewhere classified local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] incision of chest wall graft of muscle or fascia attachment of pedicle or flap graft to other sites diagnoses: pure hypercholesterolemia unspecified essential hypertension atrial fibrillation disruption of internal operation (surgical) wound aortocoronary bypass status asthma, unspecified type, unspecified personal history of malignant neoplasm of breast heart valve replaced by other means surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation mechanical complication of other vascular device, implant, and graft hip joint replacement 

Answer: The patient is high likely exposed to