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 79 year-old woman with atrial fibrillation, congestive heart failure, multiple myeloma, depression, anxiety, osteoporosis, status post left hip hemiarthroplasty, left knee surgery in autumn of with prolonged recovery who presented to the emergency department at with shortness of breath followed by respiratory distress, lead to arrest and rapid atrial fibrillation. a diltiazem drip and lasix were given to the patient on the floor. her sickness improved for a day, but then was followed by respiratory distress that required intubation and coronary care unit transfer with a diagnosis of pneumonia with thick green secretions from the endotracheal tube. sepsis ensued with multiple cultures positive. sputum culture on showed mmsa. blood cultures on showed mrsa and urine culture on showed mrsa. of note the blood cultures surveillance on and have shown no growth to date. the patient required blood pressure support with no epinephrine for a brief period of time. she was covered with vancomycin, levofloxacin and flagyl until cultures showed mrsa and mmsa and she was converted then to just vancomycin. the patient was assessed by orthopedics to have a left shoulder anterior dislocation with no intervention indicated. she was ruled out for myocardial infarction and endoscopy echocardiogram showed an left ventricular ejection fraction of 55% with mild left ventricular hypertrophy and mr suggesting that it was the stat sepsis that caused respiratory distress and hypotension. surveillance blood cultures again were negative and hypotension improved and the patient's son and health care proxy dr. a gerontologist from led to the decision to extubate the patient on based on the likely need for prolonged intubation, which the patient would not have wanted. the patient was transferred to the general medical floor for more conservative management and some pain control and comfort, though she is dnr/dni and not comfort measures only. on examination this morning she wants coffee, she has mild throat pain from the endotracheal tube, otherwise minor shortness of breath and no chest pain. physical examination, 97.8, 99, 130/68, 70 and 95% on 3 liters. anicteric. extraocular movements intact. pupils are equal, round and reactive to light. oropharynx is clear. she had wet inspiratory and expiratory crackles on bronchial breath sounds. occasional wheezes bilaterally. regular rate and rhythm. no murmurs, rubs or gallops. distended, bowel sounds positive, soft, nontender. no cyanosis or clubbing. 1+ edema. 15 cm eschar/hematoma of the left arm much less prominent then yesterday. laboratories, none were being drawn today. allergies: bactrim, talwin, codeine and pen-vee. medications: vancomycin 750 mg q 18 hours intravenous, scopolamine 1.5 mg two patches transdermally every 72 hours, hyoscyamine 1 milliliter sublingual q 4 hours, enteric coated aspirin 325 mg po q.d., duragesic patch ___ to 5 mg transdermally q 72 hours, diltiazem 30 mg po q.i.d., ______________ 40 mg po q day, remeron 30 mg po q.h.s, zyprexa 5 mg po q.h.s., prednisone 20 mg po q.d., digoxin 0.125 mg po q.d., lasix 40 mg po b.i.d., atrovent q 4 hours nebs, silvadene cream. she also gets tylenol and morphine sulfate prn. please see the page one of the exact doses of all of the medications as well as the prns. hospital course: cardiovascularly, she was continued on diltiazem. she has been switched to po and can be titrated up as necessary for appropriate rate control. for her coronary artery disease she is having no medications. for congestive heart failure she is getting lasix and digoxin. hypertension is being controlled with diltiazem. pulmonary, she is on oxygen with meter dose inhalers, prednisone. she also has aspiration precautions, understood that the patient will aspirate. no intubation is planned. as mentioned continue the vancomycin for her staph pneumonia. renal, we are following her electrolytes. psychiatric, the patient gets remeron, zyprexa and a duragesic patch for pain. gastrointestinal, protonix to allow the patient to eat when she wants with aspiration precautions and nectar thickened fluids. she should have nectar thickened liquids as often as possible in terms of the kinds of foods she is to eat. she also should sit bolt upright while eating and sit upright for 20 to 30 minutes after eating food. dermatologically, she should have warm packs applied to the left hematoma and according to the dermatology consult that we obtained here that is expected to drain spontaneously. disposition: the patient is dnr/dni. she has a right ij triple lumen catheter. her health care proxy is dr. . various phone numbers for him are , , . in the secondary health care proxy is at . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified atrial fibrillation pneumonia due to staphylococcus, unspecified other complications due to other vascular device, implant, and graft multiple myeloma, without mention of having achieved remission other staphylococcal septicemia disorders of bursae and tendons in shoulder region, unspecified 

Answer: The patient is high likely exposed to