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: penicillins / sulfa (sulfonamides) / ciprofloxacin / nystatin / erythromycin base / aspirin / epinephrine / vancomycin attending: chief complaint: right thigh wound infection major surgical or invasive procedure: , , , , and : irrigation and debridement of wound and placement/change of vac dressing starting with procedure : removal of allograft prosthetic composite and placement of antibiotic cement coated unipolar spacer history of present illness: the patient is a 72-year-old woman who underwent resection of an osteosarcoma of her right proximal femur approximately 3 weeks prior to admission and was reconstructed with an allograft prosthetic component. she came to the emergency room with some drainage and erythema around her wound and the question was whether this was a superficial cellulitis or a deep infection. due to concern that the infection could be deep, the patient was taken to the operating room for i&d. past medical history: osteosarcoma right proximal femur hypomagnesemia hypokalemia status post right colectomy hypertension h. pylori osteoporosis thalassemia minor paroxysmal atrial tachycardia hepatic hemangioma parathyroid adenoma grave's disease psh: right proximal femur resection with apc reconstruction partial colectomy partial thyroidectomy parathyroid adenomectomy tah social history: lives alone, avid ballroom dancer and walker denies alcohol denies tobacco family history: brother with cancer physical exam: patient presented with erythema surrounding her wound and drainage from the wound. her right lower extremity was neurovascularly intact. pertinent results: 12:40 pm swab right thigh wound. gram stain (final ): 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. 2+ (1-5 per 1000x field): gram positive rod(s). smear reviewed; results confirmed. wound culture (preliminary): gram positive rods. rare growth. sent to focus for identification and sensitivities. anaerobic culture (final ): presumptive propionibacterium acnes. sparse growth. sent to focus for sensitivities. refer to sendout system for results. log-in date/time: 7:50 pm swab site: leg deep wound r leg. **final report ** gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. wound culture (final ): resembling micrococcus/stomatococcus species. rare growth. anaerobic culture (final ): gram positive rods. rare growth. brief hospital course: patient was taken to or the day following presentation after starting antibiotics. we held her coumadin and started her on lovenox post-operatively. at the initial surgery purulent fluid was encountered deep to the fascia. on the second trip to the or, purulent fluid was again encountered and a wound vac was placed. the wound continued to improve in appearance with vac therapy and subsequent debridement. cultures grew out p. acnes as well as another gram positive rod that was unable to be identified at an outside lab. following an id consult the patient was started on linezolid due to her multiple antibiotic allergies. however, this was thought to be causing mild myelosuppression. as a result, she underwent a successful vancomycin desensitization and has had no difficulty with vancomycin. we discussed the option of keeping the apc in place with further iv antibiotic treatment, and the patient decided she would prefer to undergo surgery rather than spend six weeks undergoing antibiotic therapy with no guarantee of resolution of the infection. she was taken to the or on for removal of the apc and placement of a unipolar spacer coated with antibiotic cement. she required blood transfusions following this surgery, and her hematocrit stabilized. she mobilized with pt and had good pain control with oral medication. she was discharged to rehab on long-term vancomycin per id. medications on admission: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. multivitamin capsule sig: one (1) cap po daily (daily). 4. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. enoxaparin 60 mg/0.6ml syringe sig: one (1) subcutaneous q12h (every 12 hours) for variable days: continue until inr > 2. 9. warfarin 5 mg tablet sig: one (1) tablet po once (once) for 1 doses: adjust daily dose based on inr with goal . 10. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily) for 1 months. 11. atenolol 50 mg tablet sig: 100 mg qam, 50 mg qpm tablets po twice a day. discharge medications: 1. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. atenolol 100 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 4. atenolol 50 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 7. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for upset stomach. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours): please infuse over 2-3 hrs. continue through . 11. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 12. vitamin d 400 unit tablet sig: two (2) tablet po daily (daily). 13. enoxaparin 40 mg/0.4ml syringe sig: one (1) subcutaneous daily (daily). discharge disposition: extended care facility: - discharge diagnosis: deep wound infection right proximal femur allograft prosthetic composite s/p proximal femoral resection for osteosarcoma discharge condition: stable discharge instructions: patient is partial weightbearing only on rle (about 30lbs). please call if fevers > 101f, worsening erythema around wound, increased drainage from wound or numbness or weakness in rle. do daily dressing changes. once wound drainage has stopped there is no need for further dressings. you may shower. do not soak wound in tub. please have weekly lfts and chem 7 checked while on vanco. physical therapy: patient is to be partial weightbearing only (30lbs) on rle. global hip precautions. treatments frequency: do daily dressing changes. once wound drainage has stopped there is no need for further dressings. sutures out at follow-up with dr. . continue lovenox. will plan on restarting coumadin after follow-up with dr. . followup instructions: please make an appointment with dr. in 2 weeks. please call the infectious disease office for an appointment with them in four weeks with cpr, esr checked beforehand. procedure: venous catheterization, not elsewhere classified excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn arthrotomy for removal of prosthesis without replacement, hip transfusion of packed cells excision of lesion of other soft tissue excision of lesion of other soft tissue excision of lesion of other soft tissue excision of lesion of other soft tissue transfusion of other serum other immobilization, pressure, and attention to wound injection or infusion of oxazolidinone class of antibiotics local excision of lesion or tissue of bone, femur insertion or replacement of (cement) spacer diagnoses: other iatrogenic hypotension unspecified essential hypertension intestinal bypass or anastomosis status acute posthemorrhagic anemia atrial fibrillation disruption of internal operation (surgical) wound cellulitis and abscess of leg, except foot diarrhea other thalassemia other disorders of muscle, ligament, and fascia nontoxic multinodular goiter infection and inflammatory reaction due to internal joint prosthesis personal history of malignant neoplasm of bone 

Answer: The patient is high likely exposed to