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: influenza virus vaccine attending: chief complaint: sternal wound dehiscence major surgical or invasive procedure: sternal debridement sternal debridement/omental flap history of present illness: 65 yo f with severe mr s/p major surgical or invasive procedure: coronary artery bypass graft x 2 (left internal mammary artery to left anterior descending artery, saphenous vein graft to posterior descending artery), mitral valve repair. readmitted w/ falls at home and head ct revealed new frontal lobe meningioma. past medical history: - coronary artery bypass graft x 2 (left internal mammary artery to left anterior descending artery, saphenous vein graft to posterior descending artery), mitral valve repair -severe mitral regurgitation -coronary artery disease s/p prior rca stenting c/b isr x 2, most recently with cypher stenting in for nstemi -hypertension -dyslipidemia -': post cath large retroperitoneal hematoma extending from the right groin superiorly to the level of the lower pole of the right kidney-->required 7 units prbcs -non sustained polymorphic vt s/p icd -depression -history of panic attacks/anxiety, prior psychiatric admission within the past several years -gastroesophageal reflux disease -osteopenia -history of pulmonary nodules, followed by serial imaging -glucose intolerance -history of h. pylori social history: retired, worked as hairdresser. husband died in from mi. lives at home with 18 yo son. pt smoked cigarettes x many years, reports on-off history most recently in setting of cabg quit. denies etoh abuse. family history: father died at age 50 of an mi and "enlarged heart." brother with drug abuse. mother had depression and panic attacks physical exam: pulse: resp: o2 sat: b/p right: left: height: weight: general: skin: dry intact - moist yeast under both breasts. open draining sternal wound heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: left: dp right: +2 left:+2 pt : +2 left:+2 radial right: +2 left:+2 carotid bruit none right: +2 left:+2 pertinent results: 06:10am blood wbc-15.0* rbc-3.50* hgb-10.3* hct-31.1* mcv-89 mch-29.4 mchc-33.1 rdw-14.7 plt ct-215 05:09am blood glucose-172* urean-32* creat-0.8 na-137 k-4.3 cl-99 hco3-27 angap-15 04:00am blood alt-47* ast-26 ld(ldh)-563* alkphos-75 amylase-155* totbili-0.4 brief hospital course: ms. was admitted on to cardiac surgery. infectious disease was consulted and she was started on vancomycin, ciprofloxacin, and diflucan. on she underwent a sternal debridement in the operating room. no gross pus was detected intra-operatively. she then returned to the operating room on for a second sternal debridement and closure with an omental flap. she tolerated both procedures well and was transferred to the surgical intensive care unit post-operatively on both occasions. she was extubated and weaned from drips. her diet was advanced as tolerated. cornebacterium grew from her operative cultures. neurosurgery was consulted regarding weaning her steroids. her jp drains were continued per the plastics surgery service. a picc was placed for her antibiotics. by post-operative day 11 and 8 she was ready for discharge to rehab with continued jp drain care, iv vancomcin, and neurosurgery follow-up. medications on admission: clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 3. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*30 patch 24 hr(s)* refills:*0* 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for wheezing. disp:*2 inhaler* refills:*0* 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 inhaler* refills:*0* 6. citalopram 20 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. captopril 12.5 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 9. simvastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 11. lorazepam 0.5 mg tablet sig: 0.5-1 tablet po q8h (every 8 hours) as needed for anxiety. disp:*45 tablet(s)* refills:*0* 12. lamotrigine 25 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). disp:*30 tablet(s)* refills:*0* 13. lamotrigine 25 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). disp:*30 tablet(s)* refills:*0* 14. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*0* 15. aspirin 81 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 16. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 17. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). disp:*90 tablet, chewable(s)* refills:*0* 18. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 19. metformin 500 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge medications: 1. outpatient lab work weekly cbc with differential, bun/creatinine, lfts, vanco trough with results sent to the infectious disease nurses or to on md is closed at (. 2. vancomycin 500 mg recon soln sig: seven y (750) mg intravenous q 12h (every 12 hours): until . disp:* mg* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. jp drain care please record and dispose of daily jp output. bring these records to your plastic surgery appointment 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 7. lasix 20 mg tablet sig: one (1) tablet po once a day for 10 days: evaluate for need for further lasix at end of course. disp:*10 tablet(s)* refills:*2* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*2* 9. lamotrigine 25 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). disp:*30 tablet(s)* refills:*2* 10. lamotrigine 25 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 11. hydrocortisone 20 mg tablet sig: 2.5 tablets po q12h (every 12 hours): wean by halving the dose every other day. disp:*150 tablet(s)* refills:*0* 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). disp:*90 injection* refills:*2* 13. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for eye care. disp:*30 * refills:*0* 14. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*qs patch 24 hr(s)* refills:*2* 15. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for eye care. disp:*qs * refills:*0* 16. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day): apply under breasts for yeast infection. disp:*qs * refills:*2* 17. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 18. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs * refills:*2* 19. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: extended care facility: - - discharge diagnosis: sternal wound infection discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: provider: , md phone: date/time: 9:00 dr. (plastic surgery) in weeks (. please call for an appointment please record and dispose of daily jp drain output. bring these records to your plastic surgery appointment. dr. (neurosurgery) ( in 4 weeks. please call for an appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] graft of muscle or fascia diagnoses: esophageal reflux other postoperative infection diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled disruption of internal operation (surgical) wound coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status personal history of tobacco use dysthymic disorder surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of insulin osteoporosis, unspecified benign neoplasm of cerebral meninges automatic implantable cardiac defibrillator in situ other diseases of lung, not elsewhere classified fall from other slipping, tripping, or stumbling leukocytosis, unspecified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes history of fall benign essential hypertension 

Answer: The patient is high likely exposed to