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 64-year-old female that was a preoperative admission for a right foot/ankle reconstruction with external fixation secondary to charcot deformity caused by diabetes. the patient states that her recent health history has been much improved. the patient states she has chronic anemia which has been well controlled with her last hematocrit check of 35 on . the patient is also status post panniculectomy by approximately two months and states she has been doing well since that procedure. the patient has no other events or complaints. past medical history: status post panniculectomy times approximately two months. severe bilateral lower extremity lymphedema. bilateral charcot deformities. diabetes mellitus type 1. hypertension. status post myocardial infarction. status post coronary artery bypass graft times two. glaucoma. hypothyroidism. hyperlipidemia. gout. hypercholesterolemia. coronary artery disease. methicillin resistant staphylococcus aureus history. allergies: the patient denies any known drug allergies. medications: 1. rhinocort inhaler. 2. timoptic eyedrops. 3. humalog nph insulin 28 units in the morning, 12 units at night. 4. amaryl 2 mg q day. 5. actose 45 mg q day. 6. xalatan. 7. atenolol 50 mg q day. 8. levoxyl 75 mcg q day. 9. lasix 120 mg in the morning and 120 mg at night. 10. allopurinol 300 mg q day. 11. lipitor 20 mg q day. 12. k-dur 20 mg in the morning, 20 mg at night. 13. isosorbide 60 mg q day. 14. detrol la 4 mg q day. 15. lisinopril 10 mg q day. 16. procrit 10,000 units subq every tuesday. physical examination: on admission the patient is generally alert and oriented times three and in no apparent distress but is obese. the patient's head, eyes, ears, nose and throat examination shows pupils equal, round and reactive to light and accommodation. extraocular movements intact. mucosal membranes are supple and intact. there is no lymphadenopathy. the patient's chest examination shows lungs are clear to auscultation bilaterally with no wheezing, crackles or rales. the patient's cardiovascular examination shows a heart with a regular rate and rhythm. no murmurs, gallops or rubs. the patient's abdominal examination shows the abdomen is soft, nontender, nondistended with no organomegaly. bowel sounds are times four. the patient is obese and is status post panniculectomy. the patient's neurological examination shows cranial nerves 2 through 12 are intact. the patient's lower extremity examination shows she has severe lymphedema bilaterally. there are signs of previous ulceration on the plantar aspect of the right foot that is now healed. there are no signs of infection. the patient has a charcot deformity mostly at the ankle and right foot which is inverted. her dorsalis pedis and posterior tibial pulses are nonpalpable, most likely secondary to lymphedema. protected sensations are diminished. there are small keratosis on the lateral aspect around the lateral malleolus due to pressure. there is no sign of infection currently in the foot. hospital course: on hospital day one the patient was admitted and was preoped accordingly for the pending procedure. the patient received cbc, chem 7 studies as well as chest x-ray and foot films. the patient also had antibiotic therapy initiated consisting of vancomycin and levaquin. on hospital day two, the patient had her charcot foot reconstruction with external fixation of the right foot. the corresponding operative note can be found within the medical record. the patient did however tolerate the procedure and anesthesia well and without apparent complications. the patient following the procedure remained intubated and was transferred to the sicu for the first night. the patient remained intubated simply because of the length of the procedure and the patient did receive approximately three liters of fluid to compensate for a large volume loss during the procedure. at the patient's postop check she had no events or complications and her vital signs were stable and intact. the patient's lungs were clear to auscultation bilaterally and her heart had a regular rate and rhythm. the patient's dressings were clean, dry and intact. the patient had a jp drain intact and functioning properly. external fixation device was also in place and stable. the foot was warm and had good coloration. on hospital day three the patient was extubated and was doing quite well postoperatively. she was alert, oriented times three at the time of her examination and denied any nausea, vomiting, fevers, chills, diarrhea, as well as headache, chest pain, shortness of breath or abdominal pain. the patient states that she felt well and denied any pain or discomfort. the patient's cbc and chem 7 studies were stable and within normal limits for this patient. her dressings remained clean, dry and intact with some moderate strike through. dressings were left in place. her neuromuscular and vascular functions were intact and the external fixation was firmly in place and stable. lungs were clear to auscultation bilaterally and her heart had a regular rate and rhythm. the remainder of the hospital course remained uneventful with her vital signs stable and intact. the patient was in no apparent distress. her cbc and chem 7 studies well within normal ranges for this patient. the following exceptions to this hospital course should be noted. on hospital day five, the patient was noted to be slightly shortness of breath during the examination. she also appeared to have some mild distress with her breathing while using her accessory muscles to assist. the patient's lungs had some slight rales detected bilaterally at the basal levels. there was no wheezing or crackles upon the lung examination. a chest x-ray was performed that showed some lower lobe atelectasis bilaterally. also showed an indication of mild congestive heart failure. since the patient's surgical procedure she was being hydrated aggressively because of her volume loss during the procedure. it was felt that the patient had received enough fluid and that this was causing her shortness of breath and mild congestive heart failure per x-ray. it was determined to discontinue the patient's fluids and also to aggressively continue incentive spirometry. on hospital day four it is noted that the patient had hematocrit drop to 24.8. it was determined that this was due to a combination of patient's chronic anemia and a large volume loss during the procedure so the patient received a transfusion of one unit of packed red blood cells which resulted in her hematocrit bumping up to 26.6 the following day. on hospital day eight, it was noted that the lateral incision site had a small area of necrosis which was felt to be secondary to skin tension during the closure procedure. at this time two of the sutures were removed to allow for some extra skin relaxation. the patient also had some mild serous drainage coming from this opened area so the dressing changes were changed to have 1/4 strength betadine soaked gauze packed into this open area. in addition it was noted that there were some mild serous drainage coming out of the medial incision so as well 1/4 strength betadine dressing was placed on this wound as well. in addition with the patient's mild congestive heart failure by chest x-ray and shortness of breath the patient was also diuresed with lasix and continued to draw for approximately one to two liters of fluid in excess per day. the patient's shortness of breath improved with the removal of the fluid and the patient claimed that she was feeling much better and breathing much easier. the patient was also removed from her breathing mask so that she was sating at 97% on room air. in addition would cultures taken intraoperatively showed a resistant species of enterobacter cloacae so the patient's antibiotics were changed to meropenum which sensitivity showed the bacteria species was sensitive to. the remainder of the hospital course continued uneventfully. the patient was followed by the for her diabetes care and she also received a picc line for outpatient antibiotic therapy. the patient was also examined by physical therapy which concluded that she would need several more sessions of physical therapy. this would be scheduled as an outpatient. the patient suffered from no other events or complications during her hospital course. the patient's condition of discharge will be to a rehabilitation facility. discharge diagnosis: status post panniculectomy times two months. severe bilateral lower extremity lymphedema. bilateral charcot deformities. diabetes mellitus type i. hypertension. status post myocardial infarction. status post coronary artery bypass graft times two. glaucoma. hypothyroidism. hyperlipidemia. gout. hypercholesterolemia. coronary artery disease. methicillin resistant staphylococcus aureus history status post charcot reconstruction of the right foot with external fixation. discharge medications: 1. atenolol 50 mg q day. 2. levoxyl 75 mcg q day. 3. furosemide 120 mg twice a day. 4. allopurinol 300 mg q day. 5. atorvastatin calcium 20 mg q day. 6. isosorbide mononitrate 60 mg q day. 7. fludarabine tartrate 2 mg q day. 8. pantoprazole sodium 40 mg q day. 9. lisinopril 10 mg q day. 10. procrit 10,000 units subcutaneously every tuesday. 11. coumadin 5 mg q day. 12. meropenum 1 gram every 8 hours. . 13. colace 100 mg q day p.r.n. 14. percocet 3/325 one to two tablets every four to six hours. 15. glargine insulin 35 units at bedtime. 16. humalog sliding scale taken four times a day p.r.n. discharge status: stable/good. follow up: the patient is instructed to follow-up with dr. within 10 to 14 days following discharge. in addition the patient will be discharged to a rehabilitation facility for approximately one to two weeks and will be reviewed at that time. , dpm procedure: other repair or plastic operations on bone, tarsals and metatarsals achillotenotomy diagnoses: congestive heart failure, unspecified unspecified essential hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status ulcer of other part of foot other and unspecified hyperlipidemia diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms arthropathy associated with neurological disorders 

Answer: The patient is high likely exposed to