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: adhesive tape / amoxicillin / mupirocin / penicillins attending: chief complaint: pelvic fracture, pelvic hematoma major surgical or invasive procedure: 1. ir coil (x4)-embolization within the distal right pudendal/obturator artery. 2. mechanical intubation and ventilation x2 3. placement of chest tubes bilaterally 4. placement of right ij central venous line 5. placement of radial arterial line history of present illness: ms. is a 78 year old woman with a history of cad s/p distant mi, dvt/pe on coumadin, h/o pituitary tumor s/p resection now with pan-hypopituitarism on chronic steroids who was transferred to for right pelvic ramus fracture. she suffered what was reported to be a mechanical fall (question of presyncope prior to fall), hitting coffee table with her right hip. she was initially seen at and was found to have a right pelvic ramus fracture w/ active extravasation in to the r anterior abdomen extraperitoneal). she was given 1unit ffp and 1unit prbcs prior to transfer. in the ed at , she was hd stable and received 1un ffp and vit k for inr 2.0. she was admitted to t/sicu on . she was sent to ir for embolization where they coiled a right obdurator or pudendal artery on (4 coils). repeat imaging of her abdomen showed stability in hematoma in abdomen. past medical history: cad w/ mi , pe/dvt, pituitary tumor s/p removal (had caused ), l1 compression fx, oa, gout social history: according to medical record, she is widowed. she lives with her son. was fully functioning with adl's prior to fall. denies tob/etoh/drugs. family history: non-contributory. physical exam: at discharge: vs: 96.9 74 102/56 20 96%2l constitutional: well appearing, no acute distress neck: no masses cv: rrr, no murmurs resp: rhonchi bilat abd: soft, nondistended, non-tender, +bs ext: warm, distal pulses palpable bilaterally, lue picc without erythema/drainage skin: face, neck and chest is normal spine, pelvis and extremities: stable pertinent results: 141 104 29 agap=23 -------------236 4.6 23 1.6 . ck: 87 mb: notdone trop-t: 0.02 ctropnt: ctropnt > 0.10 ng/ml suggests acute mi ca: 8.1 mg: 1.7 p: 8.1 . alt: 28 ap: 58 tbili: 0.8 alb: 3.7 ast: 47 ldh: dbili: tprot: : lip: 25 na:140 k:8.3 cl:103 tco2:20 glu:221 freeca:0.57 lactate:3.6 ph:7.19 hgb:12.2 calchct:37 . cohb: 3 methb: 0 o2sat: 73 . 11.9 9.5----102 35.4 n:91.9 l:4.9 m:2.9 e:0.3 bas:0.1 . pt: 21.1 ptt: 24.9 inr: 2.0 . ua specgr 1.027 ph 5.0 urobil neg bili neg leuk sm bld lg nitr neg prot 75 glu neg ket neg rbc >50 wbc bact few yeast none epi 0 . micro ucx pending sputum cx gs: pmns, no microorganisms bcx pending bcx pending cath tip cx prelim - no significant growth cath tip cx pending pleural cx prelim - no growth pleural cx prelim - no growth cdiff neg sputum mrsa bcx ngtd bcx ngtd ucx ngtd cdiff neg cdiff neg ucx klebsiella resistant to nitrofurantoin bcx ngtd bcx ngtd ucx ngtd . rads cxr equivocal tiny l ptx; unchanged patchy opacity in lll kub no evid of pneumoperitoneum ct abd/pelvis resolution of pneumoperitoneum; pelvic hematoma unchanged ct abd/pelvis new small-to-moderate r and small l pl eff with bibasilar atel angio right pudendal/obturator artery coiled successfully lenis no dvt ekg nsr @ 96; lbbb, l axis deviation kub non-specific gas pattern; no free air ct torso multiple pelvic fx involving b/l sup rami & r inf ramus ct torso lg pelvic hematoma assoc'd w/ extravas'n ct torso multiple foci of intraperitoneal free air; ct torso fatty 4.5 x 2.7 cm presacral mass likely myelolipoma ct torso nonspecific ground-glass opacification in the bilateral upper lobes . brief hospital course: the patient was admitted to the trauma surgery service on for her right pubic fractures with active extravasation and pelvic hematoma. she had a coil-embolization within the distal right pudendal/obturator artery by ir. she was admitted to the icu for close monitoring. she had a very complicated course including development of respiratory failure leading to intubation x2, mrsa-ventilator associated pneumonia, acute renal failure, hypoadrenalism, acute chf, as well as likely non-st elevation mi. . admitted to the tsicu. went to ir for embolization. placed ngt for abd decompression : lenis negative, serial abd exams unchanged. changed prednisone to hydrocortisone : spiked to 102, then 103. apap no effective. abd exam inconclusive. repeat ct with no free air. repeat cxr with possible new infiltrate. also hypotensive. 2 x 500cc boluses. started vanc and zosyn for presumed pna vs infected pelvic hematoma. intermittent tachycardia to the 130s. : fevers continued although not quite as high as the day before. overnight, had worsening respiratory status, thought perhaps due to pulm edema and tried nitro/lasix/bipap but pt's distress continued so was intubated. difficult to sedate. pt appeared more comfortable after her vent was changed from cmv to cpap/psv. pt dropped bps at 5:30am and rij and an art line were placed. : neo weaned, cards consulted, ct torso no obvious abd pathology except for stable hematoma, bedside tte - dilated lv, no rv strain, hypokinetic septum : tte: severe left ventricular contractile dysfunction. lvef= 20 %). per cards, no intervention at this point. cxr with pleural effusions. diuresed with lasix gtt @ goal of -100cc/hr. still on albumin 0.25% q6. tfs started. ucx neg. : transfused 1un prbcs. d/c'd vanc, continued zosyn. k 2.7- repleted. increasing electrolyte abnormalities, including contraction alkalosis, likely related to overdiuresis. : lasix gtt d/c, b/l pigtail placed in each pleural space : d/c zosyn, started vanc. holding sedation, started haldol prn. will attempt to run her even. reduced hydrocortisone to , 25mg q8h, cont levo. will need to cont taper. got a picc line. getting 100cc d5 q6h for hypernatremia. : extubatd, failed, tachypneaic, wet sounding, cxr showed worsening pulm edema, reintubated. : lasix gtt, febrile and was pancx. : held another family meeting. it was decided she will be dnr/dni definitively. per family request, pt extubated, with understanding she will be cmo if resp distress. pt tolerated extubation very well. vss, sats in high 90s on face mask. cont medical regimen as planned. currently on lasix gtt @ 10, responding well. na this am 152. free water deficit about 1800cc. ? hypervolemic hypernatremia. reduced lasix gtt to 5. started free water flushes through ngt. bps hypertensive. h/o htn vs. pain. on coreg and metoprolol and hydralazine prn. now communicating that she has alot of back pain. @ home on: ultram, neurontin, celebrex, oxycodone, dilaudid, xanax. also, febrile to 102. apap and ibuprofen. : passed speech and swallow eval, recs for ground solids and thin liquids. pigtails d/c'd. a-line pulled. : transfered to floor. : pt saw pt and cleared for rehab. started ensure supplementation. : rising wbc (11->18 over 3 days), sent c. dificile. . neuro: while intubated, the patient received pain control with iv pain medication and drips. however, when cleared for oral intake and transfered to the floor, the patient was transitioned to oral pain medications, including ultram, percocet, and dilaudid. cv: although the pt had some hemodynamic instability in the tsicu, likely due to sepsis pneumonia, she was eventually weaned off of pressors and iv fluid boluses for resuscitation. she had rising cardiac enzymes and an echo showing severe left ventricular contractile dysfunction, lvef= 20 on , and cardiology consultation for possible cardiogenic shock. they though sepsis was more likely the cause of her hypotension. she did likely have an nstemi, but the patient could not receive plavix or systemic anticoagulation due to pelvic fracture and risk of rebleeding according. our cv goal was managing causes of increased cardiac demand. at discharge, cv meds included hydralazine, aspirin 325, atorvastatin, carvedilol, isosorbide mononitrate (extended release), and metoprolol. pulmonary: the patient developed respiratory failure during her hospitalization, resulting in mechanical intubation and ventilation x 2. she was eventually extubated and did well with intense pulmonary toilet and neb treatments. gi/gu: the patient was aggressively resuscitated with iv fluids, prbcs, ffp and albumin. although there was initially concern for multiple foci of intraperitoneal free air seen on a ct scan, this resolved on subsequent imaging, and was possibly mild diverticulitis; the patient was managed conservatively without an ex-lap and with iv abxs. although given tube feeds during her acute illness, when transfered to the floor she was cleared by speech and swallow for a diet of ground (dysphagia), thin liquids with supplement: boost glucose control breakfast, lunch, dinner. she was also started on a bowel regimen to encourage bowel movement. intake and output were closely monitored. the pt's creatinine was stable at 1.7-2 at discharge. id: although she was treated with various iv antibiotics (vanc, zosyn, cipro, flagyl) during her hospitalization, the only culture that grew was sputum positive for mrsa. she needs to complete a 14 day course of vancomycin, ending . endo: endocrine was consulted, given the patient's complicated endocrine past medical history in the setting of hypotension. they recommended stress dose steroids as she was acutely ill. as well as iv levothyroxine replacement. by discharge, she was taking prednisone 5mg daily, and will be discharged on 4mg daily (her home dose). prophylaxis: the patient did not receive subcut heparin due to concern for repeat bleeding. she was encouraged to get up and ambulate as early as possible with pt. at the time of discharge on hd17 and pod15, the patient was doing well, afebrile with stable vital signs, tolerating an aspiration diet, ambulating with assistance, voiding without assistance, and pain was well controlled. medications on admission: colchicine 0.6', fosamax 70 qweek, zantac 150", fludrocortisone 0.1', celebrex 200', folic acid 1', neurontin 1200", kcl 20", ultram 50''', xanax 0.5" prn, antivert 75', coumadin 5 (pending inr), levoxyl 125', prednisone 1'''', lasix 20", nitofurantoin 50', percocet prn discharge medications: 1. prednisone 1 mg tablet sig: four (4) tablet po once a day. 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 3. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 4. carvedilol 3.125 mg tablet sig: two (2) tablet po bid (2 times a day). 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheezing. 8. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 9. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 10. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 12. acetaminophen extra strength 500 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, discomfort. 13. tramadol 50 mg tablet sig: one (1) tablet po tid (3 times a day). 14. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). 15. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 16. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 17. hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours): hold for sbp < 100. 18. alprazolam 0.25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed for insomnia. 19. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). 20. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 21. gabapentin 400 mg capsule sig: one (1) capsule po tid (3 times a day). 22. vancomycin 1000 mg iv q48h day 1 , 14 day course, last day discharge disposition: extended care facility: rehabilitation hospital discharge diagnosis: primary: 1. right pubic ramus fracture with pelvic hematoma s/p coil embolization; 2. diverticulitis; 3. ventilator associated pneumonia; 4. nstemi, 5. hypoadrenalism, 6. acute chf, 7. mild renal insufficiency secondary: 1. cad w/ mi , 2. pe/dvt, 3. pituitary tumor s/p removal discharge condition: mental status:confused - sometimes (baseline dementia) level of consciousness:alert and interactive activity status:out of bed with assistance to chair or wheelchair vs 96.9 74 102 118/56 20 96%2l discharge instructions: you were transferred to after a fall while anti-coagulated on coumadin. * you were found to have right-sided pubic rami fractures as well as bleeding blood vessels in your pelvis causing a pelvic hematoma. you underwent an interventional radiology procedure with coil embolization of the bleeding vessels. * you were admitted to the tsicu to the trauma team. your had a very complicated course in which you was developed respiratory failure leading to intubation twice as well as mrsa-ventilator associated pneumonia. you will need to take iv antibiotics through your picc line for a total of 14 days (last day ). * while hospitalized, you also developed acute renal failure and likely had an non-st elevation mi. return to the er or talk to your doctor at rehab if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. followup instructions: please follow up in trauma clinic in 2-weeks. call for an appointment. please follow up in cardiology clinic or with your private cardiologist in 2-weeks. call for an appointment. location 7. you should also follow up with clinic or with your outpatient endocrinologist within 2-3 weeks. call phone for an appointment. location 7. finally, please contact your regular doctor to let them know about this hospitalization and follow up with them within 2 weeks. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization aortography arteriography of other intra-abdominal arteries other endovascular procedures on other vessels diagnoses: subendocardial infarction, initial episode of care unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension long-term (current) use of steroids diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia gout, unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft sepsis acute respiratory failure long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of venous thrombosis and embolism methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site glucocorticoid deficiency hyperosmolality and/or hypernatremia ventilator associated pneumonia removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation fall from other slipping, tripping, or stumbling closed fracture of pubis diverticulitis of colon (without mention of hemorrhage) edema injury to other specified blood vessels of abdomen and pelvis iatrogenic pituitary disorders 

Answer: The patient is high likely exposed to