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: iodine-iodine containing attending: chief complaint: wound dehiscence, bloody drainage major surgical or invasive procedure: sternal washout avr on-x/talon plating history of present illness: 59yof s/p avr (23mm on-x) and talon plating as above on . post-op course was uneventful and she was discharged to rehab on pod 5. she presents to clinic today for routine follow-up and is found to have sternal wound dehiscence without evidence of infection. she is admitted for further management. past medical history: aortic stenosis atrial flutter s/p cardioversion obesity gerd diabetes mellitus type 2 - diet controlled left lower extremity cellulitis - following a burn injury hypertension dissociative indentity disorder depression post traumatic stress disorder - h/o sexual abuse as child rheumatoid arthritis past surgical history: tonsillectomy d+c social history: race: caucasian last dental exam: every 6 months. last in . lives with: husband occupation: disabled tobacco: distant mild use 25 years ago. etoh: rare family history: father with cabgx5 in his 80's. died of mrsa complications. physical exam: hr 66 b/p 166/74 rr 22 sat 97% pre-op weight: 360 pounds physical exam- general:obese, poor hygiene cardiac: rrr irregular murmur-none, crisp valve click chest: lungs clear bilateral abdomen: soft nontender nondistended extremities: warm well perfused edema: right -none left-none sternal incision: drainage no yesserosanguinous well approximated yes no sternal click no yes; wound opening visibly at clinic; bloody drainage; no sign of infection pertinent results: admission: 06:03pm pt-32.1* ptt-30.7 inr(pt)-3.2* 06:03pm plt count-624*# 06:03pm wbc-7.1 rbc-3.72* hgb-11.3* hct-34.8* mcv-94 mch-30.5 mchc-32.6 rdw-14.0 06:03pm magnesium-1.6 06:03pm glucose-165* urea n-12 creat-0.7 sodium-138 potassium-4.7 chloride-98 total co2-31 anion gap-14 discharge: 06:32am blood wbc-8.8 rbc-2.97* hgb-8.9* hct-27.8* mcv-94 mch-30.1 mchc-32.2 rdw-13.9 plt ct-619* 09:05am blood pt-21.3* ptt-24.8 inr(pt)-2.0* 06:32am blood plt ct-619* 06:32am blood esr-135* 06:32am blood glucose-97 urean-12 creat-0.9 na-140 k-4.1 cl-98 hco3-38* angap-8 06:32am blood mg-1.7 01:22pm blood t4-9.0 t3-90 01:22pm blood cortsol-14.1 06:32am blood crp-133.1* 06:32am blood vanco-18.8 radiology report chest port. line placement study date of 9:52 am medical condition: 59 year old woman with new picc reason for this examination:please assess picc tip location right basilic. wire 1cm prior to picc tip end. length 50cm impression: right picc line ends in mid to low svc, just proximal to tip of right ij catheter. tissue sternal wound. **final report ** gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram positive rod(s). consistent with corynebacterium or propionibacterium species. tissue (final ): corynebacterium species (diphtheroids). isolated from broth media only, indicating very low numbers of organisms. of two colonial morphologies. anaerobic culture (final ): no anaerobes isolated. brief hospital course: ms was admitted to with sternal drainage following avr(mechanical) on . infectious diseases and plastic surgery services were consulted. her inr was corrected with ffp and she was brought to the operating room on for sternal debridement and removal of talon plates x4. she tolerated the operation well and post-operatively was brought to the cardiac surgery icu in stable condition with a vac dressing in the chest cavity. she was kept sedated and chemically paralyzed for protection given her open chest. two days later she returned to the operating room for: delayed closure of a sternal wound dehiscence with sternal plating times five and bilateral pectoralis musculocutaneous advancement flaps. she again tolerated the operation well and was returned to the cardiac surgery icu in stable condition. following closure the paralytics were discontinued the patient woke, was weaned from the ventilator and finally extubated. her tissue swabs showed: (final ): corynebacterium species (diphtheroids). isolated from broth media only, indicating very low numbers of organisms. of two colonial morphologies. anaerobic culture (final ): no anaerobes isolated. she was continued on vancomycin per infectious disease recommendation. on pod5 she was transferred from the cvicu to the stepdown floor for continued post-operative care. she made slow progress in advancing her activity, but remained hemodynamically stable throughout this time. on pod7 she was discharged to rehabilitation at catholic reahbilitation in , nh. she is to follow up with dr surgery, dr surgery, and infectious diseases medications on admission: bupropion hcl - 200 mg tablet twice a day citalopram - 40 mg once a day diazepam - 5 mg prn hydroxychloroquine - 400 mg once a day as needed for bedtime metoclopramide - 10 mg four times a day metoprolol tartrate - 50 mg three times a day propoxyphene n-acetaminophen - 100 mg-650 mg - 1 tablet(s) by mouth once a day rabeprazole - 20 mg 1 tablet(s) by mouth once a day ramipril -5 mg once a day simvastatin - dosage uncertain sulfasalazine 1000 mg twice a day trazodone - 100 mg once a day warfarin - 4 mg tablet - once a day ziprasidone hcl 20mg twice a day aspirin - 81 mg tablet twice a day calcium-magnesium-zinc - 1 tablet(s) by mouth twice a day coenzyme q10 - 100 mg capsule -twice a day docusate sodium -100 mg twice a day ergocalciferol (vitamin d2) 1,000 unit capsule - once a day multivitamin - once a day vit b complex 100 combo no.2 -dosage uncertain discharge medications: 1. insulin glargine 100 unit/ml solution sig: forty (40) units subcutaneous once a day. 2. insulin lispro 100 unit/ml solution sig: sliding scale as directed subcutaneous qac&hs. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. ziprasidone hcl 20 mg capsule sig: one (1) capsule po bid (2 times a day). 9. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day). 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. nystatin 100,000 unit/ml suspension sig: five (5) ml po tid (3 times a day). 14. neomycin-bacitracin-polymyxin ointment sig: one (1) appl ophthalmic (2 times a day). 15. white petrolatum-mineral oil 56.8-42.5 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for xerophthalmia. 16. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 17. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 18. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 19. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 20. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 21. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q4h (every 4 hours) as needed for wheezing. 22. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 23. furosemide 10 mg/ml solution sig: twenty (20) mg injection q12h (every 12 hours). 24. vancomycin 500 mg recon soln sig: 1000 (1000) mg intravenous q12h (every 12 hours): check trough before 4th dose 6 week course per id() . 25. warfarin 2 mg tablet sig: one (1) tablet po once a day: target inr . 26. reglan 10 mg tablet sig: one (1) tablet po three times a day. discharge disposition: extended care facility: center rehab discharge diagnosis: sternal debridement,b pec flaps, synthes plating sternal washout avr on-x/talon plating pmhx: aortic stenosis, atrial flutter s/p cardioversion , obesity, gerd, diabetes mellitus type 2 - diet controlled, left lower extremity cellulitis - following a burn injury, hypertension, dissociative indentity disorder, depression, post traumatic stress disorder - h/o sexual abuse as child, rheumatoid arthritis, tonsillectomy, d+c discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal wound clean dry and intact, multiple retention sutures. jp drain x2 edema: 1+ pedal edema bilat discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: on @1pm phone: infectious disease: , phone: date/time: 4:00 provider: , md phone: date/time: 11:30 please call to schedule appointments with: plastic surgeon: dr in 1 week , cypress st...., ma primary care dr in weeks cardiologist: dr in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? pulmonary embolus/atrial fibrillation: goal inr first draw procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other repair of chest wall 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 diagnoses: esophageal reflux other postoperative infection unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled disruption of internal operation (surgical) wound aortocoronary bypass status unspecified osteomyelitis, other specified sites depressive disorder, not elsewhere classified atrial flutter heart valve replaced by other means long-term (current) use of insulin morbid obesity long-term (current) use of anticoagulants rheumatoid arthritis surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation obesity, unspecified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes posttraumatic stress disorder dissociative identity disorder localized adiposity history of physical abuse body mass index 60.0-69.9, adult 

Answer: The patient is high likely exposed to