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: morphine / codeine / red dye / vioxx / ibuprofen / bactrim ds / glucophage / simvastatin / crestor / allopurinol attending: chief complaint: left knee pain s/p infection major surgical or invasive procedure: left total hip conversion arthroplasty history of present illness: 59 yo female who in dev left hip pain and was dx'ed with oa. in , she has sig worsening of pain in left hip and sought care at ed on . had ir guided arthrocentesis c/w septic joint. taken to or for washout on and cx's showed strep anginosus. blood cx's taken after initiation of abx were neg. tte neg then and she had repeat washout on . she had imaging c/w osteo. she was seen by id and she was treated initially with vanco alone, then ceftriaxone added and when her strep was to pen-g, she was switched to pen g to complete 6 wks of abx therapy. on , she was dc'ed to home. she represented 3 days later with n/v and cp. she was switched from pen g to ceftriaxone given poss of nause due to pen g. she was dc'ed on . she was seen as outpt in clinic by dr. on and she was nauseated and c/o loose stools. she had completed 6 wks of abx and her inflamm markers were still elevated and she was still having mobility probs. id decided to cont treating her with ceftriaxone 2g iv q 24. on , she was seen by dr. from ortho and he proposed surgery given concern she was failing abx therapy. on , her ceftriaxone was stopped to max opportunity for positive cx at time of surgery. on , she had resection arthroplasty, deep tissue synovectomy and removal of necrotic tissue with insertion of vanco/tobra spacer. post op, she developed hypotension which led to admission to . she received 5l of lr and 250cc 5% albumin in pacu. icu course - her hct has drifted down to 23. her blood pressure has improved but does occasionally drop down which the icu team believes is related to her bolus doses of dilaudid. past medical history: cad : c. cath performed for exertional dyspnea and chest heaviness with occasional symptoms at rest as well. ett at hospital was abnormal by report, and echocardiogram showed moderate global hypokinesis. she is referred for right and left heart catheterization for evauation of filling pressures and coronary anatomy. : tee/dccv cardioversion due to atrial fibrillation. : cavo-tricuspid and coronary sinus rfa for atrial flutter on * dmii * bilateral knee replacements * h/o acute renal failure in setting of knee surgery * osteoarthritis * idiopathic cardiomyopathy diagnosed * depression * anemia * obesity s/p lagb () social history: social history: lives in with daughter. had a difficult separation from her husband of 30 about a year ago. worked as a mammographer at the ; recently laid off. two adult children. -tobacco history: never -etoh: very rare -illicit drugs: none family history: father died of mi at age 65. mother had major cva at 72. three sisters with breast cancer, one who recently suffered bilateral pes. mother and 2 sisters with dm. physical exam: well appearing in no acute distress afebrile with stable vital signs pain well-controlled respiratory: ctab cardiovascular: rrr gastrointestinal: nt/nd genitourinary: voiding independently neurologic: intact with no focal deficits psychiatric: pleasant, a&o x3 musculoskeletal lower extremity: * incision healing well with staples * scant serosanguinous drainage * thigh full but soft * no calf tenderness * 5/5 strength * silt, nvi distally * toes warm pertinent results: 11:15am blood wbc-7.9 rbc-3.35* hgb-9.2* hct-28.0* mcv-84 mch-27.4 mchc-32.8 rdw-15.7* plt ct-141* 06:02am blood glucose-144* urean-15 creat-0.8 na-139 k-4.2 cl-107 hco3-24 angap-12 06:12am blood type-art temp-36.8 peep-5 fio2-40 po2-178* pco2-44 ph-7.38 caltco2-27 base xs-0 intubat-intubated 08:02pm blood glucose-108* lactate-1.1 na-142 k-1.5* cl-132* cxr left subclavian picc line extends to the lower portion of the svc. endotracheal tube tip is approximately 4.5 cm above the carina. as on the study of , there are low lung volumes that may be accentuating the prominence of the cardiac silhouette. no definite vascular congestion or pleural effusion. abd xray there is a left total hip arthroplasty with a proximal cerclage wire and non-cemented femoral stem. heterotopic ossification less likely residual methyl methacrylate is ntoed within the joint. there is no evidence of hardware failure or periprosthetic fracture. 5:00 pm tissue site: hip left hip #3 leaking specimen. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. tissue (final ): reported to and read back by 2pm. staphylococcus, coagulase negative. isolated from broth media only, indicating very low numbers of organisms. anaerobic culture (preliminary): no anaerobes isolated. brief hospital course: the patient was admitted to the orthopaedic surgery service and was taken to the operating room for above described procedure. please see separately dictated operative report for details. the surgery was uncomplicated and the patient tolerated the procedure well. patient received perioperative iv antibiotics. postoperative course was remarkable for the following: transfer to the icu overnight for bp monitoring and 1 l blood loss. she was extubated and transferred to the floor on pod1. excellent work w/ pt pain control stable hct otherwise, pain was initially controlled with a pca followed by a transition to oral pain medications on pod#1. the patient received lovenox for dvt prophylaxis starting on the morning of pod#1. the foley was removed on pod#4 and the patient had difficulty voiding thereafter requiring several straight catheterizations before she was able to void on her own. the surgical dressing was changed on pod#2 and the surgical incision was found to be clean and intact without erythema or abnormal drainage. the patient was seen daily by physical therapy. labs were checked throughout the hospital course and repleted accordingly. at the time of discharge the patient was tolerating a regular diet and feeling well. the patient was afebrile with stable vital signs. the patient's hematocrit was acceptable and pain was adequately controlled on an oral regimen. the operative extremity was neurovascularly intact and the wound was benign. one culture grew streptococcus viridans. id saw and evaluated her and at this point it was deemed likely a contaminant. she will return to the ir suite in 2 weeks for repeat left hip aspiration. the patient's weight-bearing status is weight bearing as tolerated on the operative extremity. ms is discharged to home rehab in stable condition. medications on admission: colace senna amiodarone 200 mg qd sertraline 100 mg qhs dilaudid 2 mg q3 prn oxycodone 20 mg q12 aprepitant 40 mg capsule take within 3 hours of surgery lunesta 1 mg qhs lasix 40 mg insulin aspart sliding scale insulin detemir 18 units qhs lisinopril 10 mg qd metoprolol succinate 100 mg qd zolpidem qhs discharge medications: 1. oxycodone 5 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. disp:*120 tablet(s)* refills:*0* 2. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours). 3. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous daily (daily) for 3 weeks. disp:*21 syringe* refills:*0* 4. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 7. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 8. oxycodone 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 10. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 11. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 12. aspirin 325 mg tablet sig: one (1) tablet po twice a day for 3 weeks: to begin once lovenox has stopped. disp:*42 tablet(s)* refills:*0* 13. levemir 100 unit/ml solution sig: eighteen (18) units subcutaneous at bedtime. 14. insulin regular human 100 unit/ml solution sig: sliding scale units injection qac qhs. 15. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: left hip infection s/p resection now w/ replantation. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: 1. please return to the emergency department or notify your physician if you experience any of the following: severe pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. please follow up with your primary physician regarding this admission and any new medications and refills. 3. resume your home medications unless otherwise instructed. 4. you have been given medications for pain control. please do not drive, operate heavy machinery, or drink alcohol while taking these medications. as your pain decreases, take fewer tablets and increase the time between doses. this medication can cause constipation, so you should drink plenty of water daily and take a stool softener (such as colace) as needed to prevent this side effect. call your surgeons office 3 days before you are out of medication so that it can be refilled. these medications cannot be called into your pharmacy and must be picked up in the clinic or mailed to your house. please allow an extra 2 days if you would like your medication mailed to your home. 5. you may not drive a car until cleared to do so by your surgeon. 6. please keep your wounds clean. you may shower starting five (5) days after surgery, but no tub baths or swimming for at least four (4) weeks. no dressing is needed if wound continues to be non-draining. any stitches or staples that need to be removed will be taken out by the visiting nurse (vna) or rehab facility two weeks after your surgery. 7. please call your surgeon's office to schedule or confirm your follow-up appointment in four (4) weeks. 8. please do not take any non-steroidal anti-inflammatory medications (nsaids such as celebrex, ibuprofen, advil, aleve, motrin, etc). 9. anticoagulation: please continue your lovenox for three (3) weeks to help prevent deep vein thrombosis (blood clots). after completing the lovenox, please take aspirin 325mg twice daily for three weeks. stockings x 6 weeks. 10. wound care: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four (4) week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two (2) weeks. 11. vna (once at home): home pt/ot, dressing changes as instructed, wound checks, and staple removal at two weeks after surgery. 12. activity: 50% weight bearing as tolerated on the operative extremity. anterior and posterior precautions. knee immobilizer on at all times. no strenuous exercise or heavy lifting until follow up appointment. mobilize frequently physical therapy: activity: activity: activity as tolerated left lower extremity: partial weight bearing knee immobilizer: at all times 50% weight bearing. abductor pillow to be removed once pt extubated and stable and replaced with knee immobilizer. treatments frequency: wound care: site: incision type: surgical dressing: gauze - dry comment: on am of pod 2 by ho, then daily by rn; please overwrap any dressing bleedthrough with abds and ace followup instructions: provider: , : date/time: 12:40 provider: , md phone: date/time: 2:00 procedure: removal of (cement) spacer revision of hip replacement, both acetabular and femoral components diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation depressive disorder, not elsewhere classified other and unspecified hyperlipidemia old myocardial infarction morbid obesity long-term (current) use of anticoagulants retention of urine, unspecified knee joint replacement osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh bariatric surgery status body mass index 40.0-44.9, adult aftercare following explantation of joint prosthesis acquired absence of hip joint 

Answer: The patient is high likely exposed to