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: lisinopril / verapamil / beta-adrenergic agents attending: chief complaint: headache, dizziness major surgical or invasive procedure: removal of right hickman line placement of and removal of a left temporary line placement of a tunneled line history of present illness: 80 yo f h/o dm, htn, esrd on hd, seizures, h/o sdh and iph in who awoke from sleep with c/o headache this morning. per her sister she was acting differently the night before, and this morning was confused prior to presentation to the ed. she was scheduled for a line placement today due to recently clotted line. the patient and her sister deny any falls, syncope, photophobia, seizure, nausea or vomiting. no loss or change reported from pt in bowel or bladder habits. . in the ed: t 98.0 bp 186/80 hr 62 rr 126 100%@3l. patient denied dizziness, reported only hunger and headache. found to have hyperkalemia to 6.8 (already scheduled for today) with peaked t waves on ekg. she was given labetalol 10mg x1, ca gluconate, d50 with regular insulin, kayexalate and dilantin 1g iv load. k improved to 5.7. head ct demonstrated subdural bleeds, full report below. her mental status declined from full sentences to 1 word answers. transferred to micu with neurosurg consulted. . on admission to the icu, the patient is somnolent but responsive to questioning. she denies any active pain or discomfort at this time. past medical history: dm cad pvd htn (labile) h/o sdh and iph in . s/p syncopal fall resulting in acute sdh and iph (non surgical) lower extremity edema/venous insufficiency arthritis lumbar disc disease chronic kidney disease on hd, previously via left ue fistula but that was infected at an area of repaired aneurysm so no via tunnelled hd cath pulmonary hypertension toxic multinodular goiter anemia- low iron and epo s/p breast biopsy s/p hysterectomy, s/p excision of a left ear mass s/p right toe amputation of digits one, two, three, four, and five social history: lives with her sister. , denies tobacco/etoh or illicit drug use family history: diabetes physical exam: t 97.3 hr 51 bp 141/54 rr 17 100%@2l sp02 weight 74kg general: somnolent, breathing comfortably on 2l heent: perrl, eomi, anicteric sclera, conjunctivae pink neck: supple, trachea midline, no thyromegaly or masses, no lad cardiac: rrr, s1s2 normal, no m/r/g, no jvd pulmonary: ctab, cath in r anterior chest abdomen: +bs, soft, nontender, nondistended, no hsm extremities: warm, 1+ dp pulses, no edema neuro: a&ox3, speech limited to few word answers, cnii-xii intact, moves all extremities, slow finger to nose, possible poor cooperation pertinent results: 08:51pm glucose-188* urea n-25* creat-4.3*# sodium-142 potassium-3.7 chloride-100 total co2-28 anion gap-18 08:51pm calcium-9.0 phosphate-3.9# magnesium-1.6 01:55pm glucose-121* lactate-2.3* na+-144 k+-5.7* cl--102 tco2-24 01:45pm calcium-9.1 phosphate-6.0* magnesium-2.2 01:45pm pt-13.1 ptt-22.8 inr(pt)-1.1 09:54am ph-7.54* comments-green top 09:54am glucose-111* lactate-1.1 na+-143 k+-6.6* cl--104 tco2-22 09:54am freeca-0.94* 09:50am glucose-113* urea n-67* creat-8.7*# sodium-142 potassium-6.8* chloride-102 total co2-22 anion gap-25* 09:50am estgfr-using this 09:50am calcium-8.8 phosphate-6.2* magnesium-2.2 09:50am wbc-7.1 rbc-3.39* hgb-10.2* hct-31.5* mcv-93# mch-30.0 mchc-32.3 rdw-17.3* 09:50am neuts-64.0 lymphs-23.9 monos-5.9 eos-5.2* basos-1.0 09:50am plt count-220 . 9 am ct head: new bifrontal extra-axial fluid collections, compatible with acute on subacute subdural hematomas. alternatively, these could represent acute hemorrhage within established subdural hygromas. there may be a component of acute epidural hematomas, particularly anteriorly where the morphology is more biconvex. . 8:24 pm ct head: hange in configuration of acute-on-chronic bilateral subdural hematomas; either stable or minimally-increased in size (allowing for differences in positioning). . ct head: 1. stable appearance of bilateral extra-axial fluid collections which represent either acute-on-chronic bilateral subdural hematomas or relate to anticoagulation at time of presentation. 2. bilateral small parafalcine subdural hematomas, unchanged. . ct head: 1. stable acute on chronic bilateral subdural hematomas. 2. bilateral small parafalcine subdural hematomas, which are unchanged. . cxr: no evidence of acute pulmonary edema. focal opacity seen in the left lower lobe, nonspecific but could represent aspiration or pneumonia. . cxr: impression: minimal patchy retrocardiac density is stable -- ? atelectasis/scarring or less likely a pneumonic infiltrate. the lungs are otherwise clear. . 1:39 pm blood culture source: line-hickman. **final report ** blood culture, routine (final ): staphylococcus, coagulase negative. final sensitivities. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staphylococcus, coagulase negative | clindamycin----------- 2 i erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin-------------<=0.25 s penicillin g---------- 0.25 r aerobic bottle gram stain (final ): gram positive cocci in clusters. anaerobic bottle gram stain (final ): gram positive cocci in clusters. . 1:39 pm blood culture source: line-hickman. **final report ** blood culture, routine (final ): staphylococcus, coagulase negative. final sensitivities. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staphylococcus, coagulase negative | clindamycin----------- 1 i erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin-------------<=0.25 s penicillin g---------- =>0.5 r anaerobic bottle gram stain (final ): gram positive cocci in pairs and clusters. reported by phone to 9:40am. aerobic bottle gram stain (final ): gram positive cocci in pairs and clusters. brief hospital course: assessment and plan: an 80 year old with dm, esrd and history of subdural hematomas presents with ha found to have new acute/subacute hematomas and hyperkalemia with altered mental status. also with bacteremia. hemodynamically stable, k normal, ms cleared when transfered to the floor . # altered mental status: somulent after arrival to micu responding in one word answers only. back at baseline prior to transfer. toxic metabolic may have been contributing (hyperkalemia). however, more likely subdural hematomas, bacteremia, and delirium contributing. after transfer to the floor mental status worsened but ct showed stable sdh. exacerbation was felt to be secondary to infection and delirium. ms required haldol for aggitation. her mental status improved with minimal haldol and antibiotic therapy so that she was alert and oriented x 3 for 4 days prior to discharge. neurosurgery felt that burr holes were no longer needed since her mental status improved. . # acute on chronic subdural hematoma: presented to the ed with a headache. found to have acute changes in her bilateral chronic hematomas. etiology uncertain. no fall or syncopal history. could be uremia in combination with hypertension. they remained stable on serial ct scans. she was loaded with dilantin and continued on 100mg po tid. the patient was followed by neurosurgery. bilateral burr holes were originally planed but postponed positive blood cultures. then when the infection was controled her mental status improved. neurosurgery felt that burr holes were no longer needed since her mental status improved. she will have a repeat ct head on and be seen by dr of neurosurg on who will monitor for stability in the sdh and determine the course of therapy. if they remain stalbe surgery can likely be avoided. . # fever/positive blood culture: the patient was febrile up to 101.3 in micu and had coag neg staph in 4 bottle on . possible source of infection is recently clotted line ( positive cultures off hickman). cxr also shows possible infiltrate but no finding on lung exam and sating well so felt to be less likely. the hickman was pulled and she got a temporary hd placed by ir. ms was started on vancomycin per hd protocol (first dose 1/8 pm) for fear of mrsa. cultures grew only coag neg staph, however she was continued on vanco for easy of dosing with hd. nafacilllin was considered but this would entail a separate picc line for q6h dosing, and was therefore rejected. will continue vancomycin for a 2 week course of therapy to finish . # esrd: continue as scheduled on t, th, and sat. continued sevelamer & cincalcet. will continue hd at her normal location in . the renal follow will contact the facility with orders. . # hyperkalemia: upon arrival at the ed found to have hyperkalemia to 6.8 with peaked t waves on ekg. she was given ca gluconate, d50 with regular insulin, kayexalate with improvment to 5.7. the hyperkalemia resolved after . . # diabetes mellitus: controlled on humalogy iss. held starlix while inhouse in case of procedure. restarted starlix on discharge. continue humalog iss. pt was on lantus (unknown dose) at home. consider switching to lantus based on insulin requirement once stable on starlix. . # toxic multinodular goiter: continued methimazole 15mg home dose . # hyperlipidemia: continued atorvastatin . # access: right hickman removed because of multiple positive blood cultures drawn from it. pt had a temporary hd line placed on the left. after multiple following cultures remained negative a new tunneled line was placed for and the temporary line was removed. . # code: full (confirmed) . # communication: sister/hcp cell . medications on admission: asa 81mg po qday atorvastatin 10mg po qday labetalol 200mg po bid prn colace 100mg po bid prn heparin 5000 units sc tid lantus methimazole 15mg po qday phenytoin 125mg po q8 starlix 60mg tid ac sensipar 20mg po qday fosrenol 2g tid qac discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. labetalol 200 mg tablet sig: one (1) tablet po bid (2 times a day): hold dose on mornings before hd. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 4. methimazole 5 mg tablet sig: three (3) tablet po daily (daily). 5. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 6. starlix 60 mg tablet sig: one (1) tablet po three times a day: dose ac. 7. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 8. cinacalcet 30 mg tablet sig: two (2) tablet po daily (daily). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. sevelamer carbonate 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 11. vancomycin 1,000 mg recon soln sig: one (1) gram intravenous with hd for 9 days: dose with to complete a 14 day total course on . check vanco troughs on hd days. 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) 4000- unit dwell injection prn (as needed) as needed for line flush: catheter (tunneled 2-lumen): nurse only: withdraw 4 ml prior to flushing with 10 ml ns followed by heparin as above according to volume per lumen. . 13. aspirin 81 mg tablet sig: one (1) tablet po once a day. 14. insulin lispro 100 unit/ml solution sig: 1-10 units subcutaneous asdir (as directed): as directed by sliding scale. discharge disposition: extended care facility: discharge diagnosis: bilateral acute on chronic subdural hematomas hyperkalemia esrd on hd coag negative staph bacteremia . secondary dx: diabetes cad pvd hypertension toxic multinodular goiter discharge condition: good discharge instructions: you were admitted to the hospital for a headache and high potassium. you were found to have an acute progression of your chronic subdural hematoma. its progression was followed with multiple ct scans. you were confused over your hospital stay, likely from a combination of the sudural hematoma, infection, and delirium. however, you have signifciantly improved over the last 4 days and neurosurgery no longer feels that surgery is needed at this time. . you high potassium was treated with . you had an infection of your line. therefore your old line was pulled and you had a temporary line placed. later a permanent new line was placed. . the following changes were made to your medication regimen: vancomycin was added for your infection senna was added for consitpation fosrenol was replaced with sevelamer. . please follow up with your doctors as detailed below. . if you develop headaches, nausea or vomitting, change in your vision, focal weakness, confusion, fevers, chills, chest pain, shortness of breath, abdominal pain, or any other worrisome symptom please call your doctor or go to the emergency room. followup instructions: pcp: , . you are scheduled to see np. on at 940 am. . provider: scan phone: date/time: 10:15 . neurosurg: dr. at 11:00am . ( . previously scheduled appointments provider: , md phone: date/time: 1:40 provider: , md phone: date/time: 9:00 procedure: hemodialysis venous catheterization for renal dialysis removal of other device from thorax diagnoses: hyperpotassemia end stage renal disease diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia other complications due to other vascular device, implant, and graft iron deficiency anemia, unspecified accidents occurring in other specified places kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other and unspecified infection due to central venous catheter staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus atherosclerosis of native arteries of the extremities, unspecified subdural hemorrhage nontoxic multinodular goiter 

Answer: The patient is high likely exposed to