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: macrobid / sulfa (sulfonamide antibiotics) / vancomycin attending: addendum: patient was not discharged to home on as originally planned as she did not have support at home. she was cleared for surgery by medicine and anesthesia and went to the or on as dictated. ms. was discharged to rehab in stable condition on iv antibiotics. chief complaint: r hip pain and drainage major surgical or invasive procedure: : s/p ultrasound-guided drainage of left hip fluid collection : s/p left hip resection of total hip arthroplasty and irrigation and debridement. history of present illness: 73f s/p l tha @ w/ chronic drainage from distal aspect of l incision (several months) & l hip pain w/ rom & weight bearing. past medical history: medical history: htn copd anxiety h/o utis urinary incontinence . surgical history: s/p bilateral hip replacement, left tha was in s/p cholecystectomy s/p appendectomy s/p hysterectomy social history: patient retired. lives with husband and has daily for wound care. denies any tobacco, alcohol, or illicit drug use at present. former smoker for ~20 years, quit >12 years ago. using walker to ambulate. family history: father had heart disease. physical exam: well appearing in no acute distress afebrile with stable vital signs pain well-controlled respiratory: ctab cardiovascular: rrr gastrointestinal: nt/nd genitourinary: dtv at 8pm on 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: 05:47am blood wbc-5.6 rbc-3.41* hgb-10.1* hct-29.9* mcv-88 mch-29.7 mchc-33.8 rdw-15.9* plt ct-168 05:34am blood wbc-6.9 rbc-3.19* hgb-9.6* hct-27.5* mcv-86 mch-30.2 mchc-35.0 rdw-15.8* plt ct-133* 02:22am blood wbc-8.0# rbc-3.27* hgb-10.0* hct-27.0* mcv-83 mch-30.5 mchc-36.9* rdw-15.6* plt ct-113* 02:08pm blood hct-22.6* 05:00pm blood hct-25.6* 01:22pm blood wbc-25.8*# rbc-3.46* hgb-10.5* hct-28.5* mcv-82 mch-30.4 mchc-37.0* rdw-15.1 plt ct-227# 04:50pm blood neuts-67.0 lymphs-22.3 monos-7.7 eos-2.6 baso-0.3 04:50pm blood esr-80* 05:47am blood glucose-91 urean-12 creat-0.8 na-137 k-4.1 cl-101 hco3-31 angap-9 05:34am blood glucose-105* urean-14 creat-0.9 na-132* k-3.9 cl-99 hco3-30 angap-7* 02:22am blood glucose-142* urean-14 creat-0.9 na-134 k-4.2 cl-103 hco3-24 angap-11 04:50pm blood alt-13 ast-21 alkphos-92 totbili-0.2 04:50pm blood probnp-745* 05:34am blood calcium-8.2* phos-2.9# mg-1.7 05:47am blood crp-47.2* 04:50pm blood crp-54.0* brief hospital course: ms presented to the ed from an osh. initial vs were 97.7 78 106/56 16 95%. exam notable for 1 cm wound dehiscence on the left thigh with serosanguinous drainage, surrounding induration and warmth, but no fluctuance or erythema. she had limited flexion, internal and external rotation of left hip secondary to pain. labs notable for esr 80, crp 54. no leukocytosis, and chem7 wnl. hct 28.5 with mcv 81. imaging notable for 11x16x9-mm subcutaneous heterogeneous fluid collection communicating with skin, which does not appear to communicate with bone per ortho resident who spoke with radiologist. patient seen by ortho consult resident and on call surgeon. recommended admission to medicine, and will discuss need for possible l hip aspiration. . given concern for infection, patient started on empiric abx in ed with vancomycin 1gm. however, she developed acute onset of dyspnea concerning for anaphylatic reaction, with desat to low 80s. rr increased to 20s-30s, and patient appeared cyanotic per report. cxr did not show any evidence of flash pulm edema. had already received albuterol nebs. was placed on nrb, and received pepcid 20mg iv, diphenhydramine 50mg iv, and solumedrol 125mg iv with improvement in symptoms. was quickly weaned to 2l nc, with sats in high 90s. was observed in ed, given dose of linezolid, and then admitted to floor. . on arrival to floor, patient appears comfortable and states dyspnea has resolved. she has ongoing left hip pain. . ros: has dyspnea at baseline, currently improved from acute worsening in ed. chest tightness that improves with symbicort. denies frank cp. reports occasional palpitations and non-productive cough. intermittent fever/chills/diaphoresis at home. has chronic ha for which she takes fioricet. ha not associated with vision changes. patient does have left eye blindness s/p injury several years ago. had nausea in ed during reaction to vanco, but no nausea. denies abdominal pain, diarrhea, constipation, melena, or hematochezia. has lost weight, unclear amount. no dysuria, but has had urinary incontinence since her surgery. no sore throat or nasal congestion. no myalgias or arthralgias other than left hip/leg pain as above. the patient was admitted to the orthopaedic surgery service and was taken to the operating room a resection of her l tha on the basis of chronic infection as demonstrated by her non healing, draining, incision. please see separately dictated operative report for details. the surgery was uncomplicated and the patient tolerated the procedure well. patient received perioperative iv antibiotics. patient was sent to the ticu for immediate post-operative management. she ws transferred to the floor 48 hours after surgery. during her hospitalization patient received 7 units of prbcs and 2 units of plasma for post-operative anemia with good effect. ms. was seen by the infectious disease service. she was started on linezolid and ancef empirically and cipro for a uti. patient was switched to pcn iv q4h for minimum of 6 weeks and will be followed outpatient by the id service. otherwise, pain was initially controlled with a pca followed by a transition to oral pain medications on pod#2. the patient received lovenox for dvt prophylaxis starting on the morning of pod#1. the foley was removed on pod#4. 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. the patient's weight-bearing status is partial weight bearing on the operative extremity with no active abduction. walker or two crutches at all times. ms. is discharged to rehab in stable condition. addendum: hospital course from to . she had no overnight events. no new culture data. infectious disease recommended stopping cipro once foley out. this was done on . they also want to monitor the likely contaminant of yeast/mold in one culture specimen. will continue penicillin g. hct 26.5 today. picc line placed on and placement radiographically confirmed. l subclavian central line removed. addendum completed by: discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous daily (daily) for 4 weeks. disp:*28 syringe* refills:*0* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours): 4g/day. 5. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q8h (every 8 hours) as needed for headache: 4g/day. 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days: last dose 9/16 pm. 9. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 10. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 11. heparin flush (10 units/ml) 1 ml iv prn line flush temporary central access-floor: flush with 10 ml normal saline followed by heparin as above daily and prn. 12. penicillin g potassium 4 million units iv q4h 13. safety labs - check weekly on mondays - cbc/diff, chem 7, esr, crp - fax results to discharge disposition: extended care facility: - discharge diagnosis: left hip chronic infected total hip arthroplasty post-op anemia due to blood loss 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 sutures that need to be removed will be taken out by the visiting nurse () 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 four (4) weeks to help prevent deep vein thrombosis (blood clots). 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. sutures will be removed by the visiting nurse or rehab facility in two (2) weeks. 11. (once at home): home pt/ot, dressing changes as instructed, wound checks, and suture removal at two weeks after surgery. 12. activity: partial weight bearing with walker or 2 crutches at all times. no active abduction. no strenuous exercise or heavy lifting until follow up appointment. mobilize frequently. physical therapy: lle partial weight bearing no active abduction mobilize frequently with two crutches or walker at all times treatments frequency: dry sterile dressing daily as needed for drainage wound checks ice and elevation teds at all times suture removal pod 14 - replace with steristrips labs - check weekly on mondays - check cbc/diff, chem 7, esr, crp - fax lab results to - direct questions regarding iv antibiotics to picc line - flush line per facility protocol - change dressing per facility protocol - infuse antibiotics and draw labs via picc line followup instructions: provider: , md phone: date/time: 8:45 provider: , md phone: date/time: 11:30 md procedure: arthrotomy for removal of prosthesis without replacement, hip arthrocentesis other partial ostectomy, femur insertion or replacement of (cement) spacer diagnoses: other iatrogenic hypotension urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified anxiety state, unspecified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] other specified antibiotics causing adverse effects in therapeutic use knee joint replacement nonunion of fracture urinary incontinence, unspecified hip joint replacement persistent postoperative fistula acute osteomyelitis, pelvic region and thigh major osseous defects other anaphylactic reaction infection and inflammatory reaction due to internal joint prosthesis unspecified infective arthritis, pelvic region and thigh other specified disorders of joint, pelvic region and thigh abdominal tenderness, right upper quadrant 

Answer: The patient is high likely exposed to