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: patient recorded as having no known allergies to drugs attending: chief complaint: fever, mental status change major surgical or invasive procedure: permacath placement history of present illness: the patient is a 68yo f admitted to the micu on with fever, chills, delirium, and hypertension during hemodialysis (sbp to 240). in the er, a head ct and lp were negative. on exam she was found to have bright red blood oozing from her rectum and was given 3 u of fresh frozen plasma and sq vitamin k. past medical history: 1. cerebrovascular accident times two, most recent with hemorrhage with residual speech impairment. 2. seizure disorder since after a stroke. 3. end-stage renal disease on hemodialysis since /. 4. type 2 diabetes, insulin dependent. 5. hypertension. 6. hypercholesterolemia. 7. history of staphylococcus line infection. 8. history of pelvic fracture. 9. peripheral disease, severe. 10. left arteriovenous fistula in . 11. amputation of right first toe in . 12. right lower extremity bypass surgery in . 13. history of osteomyelitis in 09/. social history: nursing home resident physical exam: tmax 103 tcurrent 101.1 93 140/50 95%2l aax2 in nad, cooperative moderate sized lump on forehead mm dry, o/p clear, no lad, no nuchal rigidity rrr s1s2 2/6 sem ctab, r scl had cateheter clean, dry, no erythema no lower extremity edema rle with multiple clean based ulcers, healing patent graft lle dry ulcers bilateral chronic ischemic skin changes neuro: strength 4/5 ue bilaterally, pateint uncopoperative with le exam, neuro exam grossly nonfocal pertinent results: 07:53pm cerebrospinal fluid (csf) protein-30 glucose-84 07:53pm cerebrospinal fluid (csf) wbc-0 rbc-0 polys-0 lymphs-60 monos-40 05:37pm urine color-straw appear-clear sp -1.010 05:37pm urine color-straw appear-clear sp -1.010 05:37pm urine rbc-0-2 wbc-* bacteria-many yeast-none epi-0 03:40pm glucose-170* urea n-13 creat-3.7*# sodium-140 potassium-3.3 chloride-94* total co2-32* anion gap-17 03:40pm phenytoin-7.6* 03:40pm wbc-15.2*# rbc-4.26# hgb-14.1# hct-43.8# mcv-103* mch-33.1* mchc-32.1 rdw-17.0* 03:40pm neuts-91.0* lymphs-6.3* monos-1.2* eos-1.1 basos-0.3 03:40pm plt count-303 03:40pm pt-20.6* ptt-150* inr(pt)-2.8 03:39pm lactate-1.9 brief hospital course: hospital course by problem: 1. mssa bacteremia. on , blood cultures were found to be gpc positive, and after a t to 101, her hemodialysis line as well as her femoral line was d/c'ed. the patient remained afebrile after the lines were pulled for the remainder of her hospital course. vancomycin was begun in the er and was continued until the organism type was known. on , the organism was shown to be mssa, and the patient was taken off vancomycin and begun on oxacillin. however, in anticipation of discharge, and given her mrsa+ foot wound culture, she was switched back to vancomycin, to be given at dialysis to complete a 2-week course. 2. mental status change. the patient's mental status improved over the course of her hospitalization. by discharge, she was awake, alert, talkative, and a+ox3. her mental status change was attributed to bacteremia. 3. esrd, on hd. hemodialysis was continued while the patient was in the hospital. on a quenton was placed in order to continue hd after the catheter had been removed. on , a permacath was placed by interventional radiology. 4. gi bleed. the patient's hct was stable throughout her hospitalization and after reversal in the er she was guaiac negative. gi was consulted and recommended outpatient colonoscopy. 5. hypertension. the patient continued to be hypertensive despite her admission regimen of metoprolol 100 , lisinopril 40 qd, nifedipine 90 qd, and doxazosin 4 qhs. in the hospital nifedipine was increased to nifedipine cr 120 qd, and then hydralazine 25mg po q6 was added as well. with the addition of the hydralazine, the patient achieved slightly better control, with sbp's in the 170's rather than low 200's. 6. dm. the patient was maintained on an insulin sliding scale with tight glucose control. although not requiring insulin in the nursing home, she will require insulin sliding scale for monitoring, at least initially. 7. pvd. a right heel wound culture was positive for mrsa, representing colonization, and was not treated. the service followed the patient and a right lower extremity graft surveillance was done on . the patient was scheduled for follow up with dr. approximately 1 month after discharge. the patient was also noted to have marked asymmetry between her right and left calves, r>l, no erythema or tenderness to palpation. although this was felt to be most likely due to drainage as a result of her le bypass surgery, she was evaluated for deep venous thrombosis with leni's, which were found to be negative. 8. anemia of chronic disease. the patient was given epogen during hd. 9. hypophosphatemia, likely due to malnutrion. monitored and repleted. discharge medications: 1. atorvastatin calcium 20 mg tablet sig: one (1) tablet po qd (once a day). 2. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 3. lisinopril 20 mg tablet sig: two (2) tablet po qd (once a day). 4. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day). 5. phenytoin sodium extended 100 mg capsule sig: three (3) capsule po hs (at bedtime). 6. doxazosin mesylate 4 mg tablet sig: one (1) tablet po hs (at bedtime). 7. naphazoline hcl 0.1 % drops sig: 1-2 drops ophthalmic q8h (every 8 hours). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. folic acid 1 mg tablet sig: one (1) tablet po qd (once a day). 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po qd (once a day). 11. nifedipine 60 mg tablet sustained release sig: two (2) tablet sustained release po qd (once a day). 12. hydralazine hcl 25 mg tablet sig: one (1) tablet po q6h (every 6 hours). 13. pantoprazole sodium 40 mg recon soln sig: one (1) recon soln intravenous q24h (every 24 hours). discharge disposition: extended care facility: - discharge diagnosis: methicillin-sensitive staph aureus bacteremia lgi bleed discharge condition: good discharge instructions: please return to the er if you have any fevers or chills, any chest pain, or difficulty breathing. also return if you have bleeding at your catheterization site. **changes to medications: will continue on vancomycin at hemodialysis for her mssa bacteremia. last dose will be at hemodialysis (2 week total). needed insulin for glucose control, and may need monitoring and treatment with sliding scale at the nursing home. nifedipine increased to cr 120 xr qd and hydralazine 25mg q6 was added. ***patient will need colonoscopy as an outpatient. followup instructions: provider: ,monday orthopedics-scc2 where: orthopedics unit phone: date/time: 8:20 provider: ,monday orthopedics-scc2 where: orthopedics unit phone: date/time: 9:40 provider: , surgery where: surgery date/time: 12:00 provider: . . gastrointestinal, am. center. please call before appointment with insurance information. **needs primary care appointment.** md procedure: venous catheterization, not elsewhere classified spinal tap incision of lung hemodialysis venous catheterization for renal dialysis transfusion of other serum diagnoses: unspecified protein-calorie malnutrition other convulsions hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure bacteremia blood in stool infection and inflammatory reaction due to other vascular device, implant, and graft ulcer of heel and midfoot 

Answer: The patient is high likely exposed to