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: history of present illness: this is a 60-year-old female who had been discharged the day previously from the medical service after having an episode of cholangitis. she was treated with an ercp and biliary stenting. during that hospitalization, she was also found to have a severe copd and required significant pulmonary toilet as well as steroids and inhalers. the patient was actually discharged on home oxygen with 02 sat in the 80s. after getting home, the patient ate a snack and immediately developed severe right upper quadrant pain and the pain was nonradiating and sharp. she did have a cough and reported a positive sputum which she had been treated for in the hospital with levaquin. she also had significant shortness of breath. past medical history: 1. copd. 2. mrsa pneumonia. 3. diabetes mellitus. 4. hypothyroidism. 5. thrush. past surgical history: negative. allergies: the patient has no known drug allergies. medications upon discharge from the medical service: 1. advair 1 puff b.i.d. 2. levoxyl 50 micrograms p.o. a day 3. percocet 1-2 tabs p.o. q.4 h. p.r.n. pain. 4. protonix 40 mg p.o. a day. 5. colace 100 mg p.o. b.i.d. 6. levaquin 500 mg p.o. a day x 4 days. 7. albuterol nebulizers. 8. atrovent nebulizers. 9. lantus. 10. regular insulin sliding scale. 11. flagyl 500 mg p.o. t.i.d. x 4 more days. physical examination: on physical examination, she was afebrile. her heart rate was 82. blood pressure 126/52, respiratory rate 12, 02 sat 82% on 2 liters. she was somewhat somnolent but arousable. she had decreased breath sounds. there were significant expiratory wheezes. her heart was a regular rate. the abdomen was soft. she was obese, nondistended. she had some mild right upper quadrant tenderness with no rebound and some voluntary guarding. she was guaiac negative on rectal exam. she was edematous on her extremities. laboratory data: her white count was 25.7, crit 35.4, platelet count 771. her chemistries were significant for a bicarbonate of 29, bun and creatinine of 12 and 0.7, blood sugar of 166. her lfts were normal. her alt was 39, ast 20, alkaline phosphatase 172, total bilirubin 0.6, amylase 74. ultrasound showed multiple stones with some mild gallbladder wall thickening but no ductal dilatation. a ct scan was performed to evaluate her pancreatitis as well as the gi service was consulted for evaluation of her stent, question of whether or not this was obstructing. her ct scan showed extensive pancreatic necrosis and the patient was admitted to the surgical service. hospital course: she was brought to the intensive care unit. she was significantly aggressively fluid resuscitated and managed with broad spectrum antibiotics. her pulmonary status continued to be poor and a central line as well as an arterial line was placed. physical therapy was consulted and followed her throughout her hospitalization. she continued to require a significant amount of fluids as well as having decreased 02 saturations. she was started on stress-dose steroids in order to control her copd flare. her white count continued to come down and her steroids were slowly tapered. her oxygen saturation improved and she reached a sat of 98% on a face mask but continued to have poor oxygenation on blood gases. she was continued on vanco, meropenem, and fluconazole for prophylaxis with the necrosis of her pancreas. we began gentle diuresis on in order to improve her pulmonary status. repeat ct scan showed no improvement of her pancreatic necrosis and some mild fluid. therefore, it was decided that she would go to the operating room on . she was also consented for a tracheostomy as well as a g/j tube. please see the operative report for further details. postoperatively, the patient tolerated the procedure well. she continued to have severe pulmonary issues and required increasing ventilatory support. she was extubated on postoperative day #1 and was on trach mask. dermatology was consulted for a rash on her body which was felt to be drug related. her ng tube was removed and she was fully advanced on her tube feeds. she was kept on an insulin drip for tight blood glucose control as she had elevated blood sugars from her diabetes postoperatively as well as from her extensive pancreatic necrosis. antibiotics were stopped on postoperative day #3 and her white count continued to come down. her tpn which was started preoperatively was weaned off on postoperative day #4 after her tube feeds reached goal. her jp drains which were placed in the pancreatic bed continued to put out a large amount of fluid and were working well. diabetes was consulted as the patient had very little residual pancreatic function. they followed her throughout her hospital stay. speech and swallow was consulted also for passy-muir valve as the patient was able to remain extubated for multiple days. the patient began having high secretions from a pulmonary standpoint and was started on broad spectrum antibiotics including vanco and zosyn. she began having high temperatures shortly thereafter. her lines were changed and tips were sent for culture. her sputum ultimately grew out e. coli as well as mrsa and her peritoneal fluid grew out gram-negative rods from the jp drains. interventional radiology placed a pigtail drain of the fluid collection upon repeat imaging. she was also started on fluconazole after her peritoneal fluid from her jp had mild fungus. id was consulted as the patient continued to have high fevers while on appropriate antibiotics. the infectious disease department followed the patient throughout her hospital stay. the patient underwent a bronchoscopy on and it was found that she had minimal secretions at that time and her airway was patent. she was placed back on a ventilator as she began to slowly tire out. her pulmonary function slowly worsened. from an abdominal standpoint, her abdomen was well drained with the jp drains and there were no residual fluid collections and the area of fluctuance over her right flank was also drained percutaneously at the bedside with only minimal serous fluid recovered. skin began to continue to slowly worsen in the next couple of days and required more and more ventilatory support, ultimately requiring aprv in order to keep saturations in the 90s. ct scan imaging showed that she had complete collapse of both bilateral lower lobes and significant atelectasis. again, the patient had a brachial a line placed in order for blood gas evaluation and hemodynamic monitoring. this showed that the patient continued to have very poor oxygenation and began having high pc02 levels even with complete aggressive pulmonary management. the patient continued to do more and more poorly and esophageal manometry was used in order to maximize her peep. again, her oxygen saturations were not able to be kept above 90 and she was on 100% fi02. she was restarted on her tpn and her antibiotics were changed to linezolid, meropenem, and caspofungin. the renal service was consulted in order for cvvh in order to help with oxygenation. a quinton catheter was placed and the patient was placed on cvvh. again, her oxygen saturations did not improve significantly and her pc02 was in the 80s. a new a-line was placed on the 25th and the patient continued to have significantly poor oxygenation and 02 sats slowly began to drop. she was completely paralyzed and sedated and was started on levophed for blood pressure support. she was given continuous bicarb drip through her cvvh to correct her acidosis. a discussion was carried out with the family and the grave prognosis was discussed at length. the family decided to make this patient comfort measures only and her pressors were stopped as well as her ventilator. the patient expired at 10:40 p.m. on after removal of her pressors. postmortem was denied. the patient died on . , procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage arterial catheterization arterial catheterization cholecystectomy temporary tracheostomy other gastroenterostomy without gastrectomy pulmonary artery wedge monitoring bronchoscopy through artificial stoma transfusion of packed cells aspiration of skin and subcutaneous tissue other excision or destruction of lesion or tissue of pancreas or pancreatic duct injection or infusion of oxazolidinone class of antibiotics infusion of vasopressor agent diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified infection with microorganisms resistant to penicillins calculus of gallbladder with other cholecystitis, without mention of obstruction long-term (current) use of insulin morbid obesity methicillin susceptible pneumonia due to staphylococcus aureus pneumonia due to escherichia coli [e. coli] rash and other nonspecific skin eruption acute pancreatitis 

Answer: The patient is high likely exposed to