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: patient recorded as having no known allergies to drugs attending: chief complaint: fever, hypoxia, ?change in ms major surgical or invasive procedure: intubation history of present illness: as outlined in first part of discharge summary. pt was transferred from the ccu to and started on cefipime on for ? aspiration pna and transiently on vanc. she was doing well on floor, but failed speech and swallow exam x 2. she was awaiting consideration of peg when she developed fever, hypoxia, and ?change in mental status, so she was transferred to the icu. past medical history: 1. chf/recent mi 2. htn 3. hyper chol 4. carotid stenosis (hx tias carotid us demonstrated mod-marked stenosis of both common carotids extending into internal carotids) 5.recurrent epistaxis 6.mild short term memory problems 7.hypothyroid(thyroid surgery followed bby radiation therapy) 8. chf ( ef 45-50%) social history: minimal remote tobacco use, no etoh.son, , and daughter, . family history: nc physical exam: febrile to 102 bp 60/p hr 130s gen: frail elderly woman in acute distress, delirius and confused, lying in bed, rigorous. heent: perrl cvs: tachy chest: coarse rhonchi bilaterally; decreased b/s bilat bases abd: soft, nd; hematomata extending to bilat flanks ext: cold, unable to palpate pulses; extremities dusky pertinent results: 05:46am blood wbc-9.8# rbc-4.20 hgb-12.4 hct-35.7* mcv-85 mch-29.6 mchc-34.7 rdw-13.7 plt ct-225 06:00am blood wbc-11.4* rbc-4.32 hgb-12.5 hct-37.2 mcv-86 mch-29.0 mchc-33.7 rdw-13.8 plt ct-271 04:18am blood wbc-13.5* rbc-4.33 hgb-12.7 hct-36.7 mcv-85 mch-29.3 mchc-34.5 rdw-13.8 plt ct-302 05:12am blood wbc-16.0* rbc-4.45 hgb-13.1 hct-38.7 mcv-87 mch-29.5 mchc-34.0 rdw-13.6 plt ct-335 07:00am blood wbc-11.9* rbc-4.06* hgb-11.9* hct-35.4* mcv-87 mch-29.4 mchc-33.7 rdw-13.7 plt ct-314 06:19am blood wbc-16.0* rbc-4.05* hgb-11.8* hct-34.3* mcv-85 mch-29.2 mchc-34.4 rdw-13.7 plt ct-307 06:12am blood wbc-17.8* rbc-3.66* hgb-11.1* hct-30.8* mcv-84 mch-30.3 mchc-36.0* rdw-14.1 plt ct-289 06:20am blood wbc-17.4* rbc-3.60* hgb-10.5* hct-30.8* mcv-86 mch-29.1 mchc-34.0 rdw-14.1 plt ct-287 06:15am blood wbc-13.4* rbc-3.35* hgb-9.8* hct-28.4* mcv-85 mch-29.3 mchc-34.6 rdw-14.6 plt ct-300 05:40am blood wbc-13.2* rbc-3.05* hgb-9.3* hct-25.3* mcv-83 mch-30.4 mchc-36.6* rdw-15.2 plt ct-261 06:23am blood wbc-11.2* rbc-3.48* hgb-10.5* hct-29.3* mcv-84 mch-30.2 mchc-35.9* rdw-15.1 plt ct-260 05:00am blood wbc-13.5* rbc-3.67* hgb-11.1* hct-30.7* mcv-84 mch-30.3 mchc-36.1* rdw-15.1 plt ct-269 06:29am blood wbc-12.1* rbc-3.72* hgb-11.3* hct-32.6* mcv-88 mch-30.3 mchc-34.6 rdw-15.8* plt ct-258 06:15am blood wbc-15.7* rbc-3.64* hgb-11.1* hct-31.5* mcv-87 mch-30.5 mchc-35.2* rdw-15.8* plt ct-264 05:40am blood wbc-13.3* rbc-3.55* hgb-10.8* hct-31.6* mcv-89 mch-30.5 mchc-34.3 rdw-16.3* plt ct-255 10:48am blood wbc-11.8* rbc-3.80* hgb-11.6* hct-33.6* mcv-88 mch-30.4 mchc-34.4 rdw-16.3* plt ct-271 12:41am blood wbc-6.0 rbc-3.56* hgb-10.8* hct-31.4* mcv-88 mch-30.2 mchc-34.3 rdw-16.0* plt ct-232 06:33am blood wbc-4.3 rbc-2.92* hgb-8.9* hct-26.6* mcv-91 mch-30.5 mchc-33.5 rdw-16.9* plt ct-239 11:50am blood wbc-6.8# rbc-2.70* hgb-7.9* hct-24.6* mcv-91 mch-29.3 mchc-32.1 rdw-16.2* plt ct-243 04:36pm blood wbc-11.2*# rbc-2.77* hgb-8.2* hct-25.4* mcv-92 mch-29.7 mchc-32.5 rdw-16.4* plt ct-237 11:25pm blood wbc-12.8* rbc-2.85* hgb-8.7* hct-26.1* mcv-92 mch-30.6 mchc-33.4 rdw-16.5* plt ct-213 04:17am blood wbc-10.7 rbc-2.98* hgb-8.9* hct-26.9* mcv-90 mch-30.0 mchc-33.2 rdw-16.6* plt ct-190 05:51am blood wbc-10.8 rbc-3.25* hgb-10.0* hct-29.3* mcv-90 mch-30.9 mchc-34.2 rdw-16.5* plt ct-134* 04:18am blood wbc-8.6 rbc-3.74* hgb-11.5* hct-33.4* mcv-89 mch-30.8 mchc-34.5 rdw-16.1* plt ct-115* 03:55am blood wbc-7.7 rbc-3.98* hgb-12.1 hct-34.9* mcv-88 mch-30.3 mchc-34.6 rdw-15.9* plt ct-135* 03:49pm blood wbc-10.5 rbc-4.08* hgb-12.4 hct-35.7* mcv-88 mch-30.5 mchc-34.9 rdw-15.9* plt ct-173 12:13am blood wbc-8.8 rbc-3.84* hgb-12.3 hct-33.3* mcv-87 mch-32.0 mchc-36.8* rdw-15.9* plt ct-178 04:47am blood wbc-9.3 rbc-3.86* hgb-11.9* hct-33.8* mcv-87 mch-30.9 mchc-35.4* rdw-15.9* plt ct-184 04:23am blood wbc-9.3 rbc-3.67* hgb-11.1* hct-32.1* mcv-87 mch-30.2 mchc-34.6 rdw-15.6* plt ct-213 07:01am blood wbc-11.3* rbc-3.53* hgb-10.5* hct-31.8* mcv-90 mch-29.9 mchc-33.1 rdw-15.7* plt ct-227 04:23am blood wbc-14.3* rbc-3.62* hgb-10.8* hct-32.6* mcv-90 mch-30.0 mchc-33.3 rdw-15.4 plt ct-262 11:45am urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg 11:15am urine blood-lge nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 11:15am urine blood-lge nitrite-neg protein-30 glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-sm 04:00pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-tr 12:21pm urine blood-mod nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 11:45am urine rbc- wbc-0-2 bacteri-none yeast-none epi-0-2 11:15am urine rbc-60* wbc-0 bacteri-none yeast-none epi-0 11:15am urine rbc-95* wbc-11* bacteri-none yeast-many epi-<1 04:00pm urine rbc-0 wbc-0-2 bacteri-none yeast-many epi-0 04:08pm pleural wbc-440* rbc-400* polys-24* lymphs-8* monos-11* meso-4* macro-53* 04:08pm pleural totprot-0.9 glucose-130 ld(ldh)-121 11:17 am blood culture right triple lumen. **final report ** aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. brief hospital course: 82 yo woman with w/moderate carotid dz and cad s/p mi , htn, chol who was initially admitted to local osh for progressive doe and ruled in for mi. she was transferred here where cath : 80% lmca and t.o. rca. not great lad touchdowns. preserved lvef=45%. because of rapid afib, polymorphic ct, she had emergent lmca stenting on . since then has had a number of issues including: mental status changes (pna delerium, dementia, old cvas), aspiration, uti, chf, respiratory difficulty in ccu/intubated. on she had an episode of acute pulm edema for which she received iv ntg and lasix. on tranfer back to the team, the plan was for gentle diuresis, htn control, possible peg, minimize sedatives and general supportive care. her clinical status worsened, she became septic, and was transferred to the icu. 1) sepsis: as pt had failed speech and swallow eval x2, it was thought that the source of her sepsis was pulmonary. on the floor, she received vanc, ceftazidime for ?hap, aspiration, ?line infection. she was transferred to the icu and was initially on nonrebreather, but developed hypoxia, hypotension, was oriented only to person (but baseline dementia, thus difficult to evaluate) electively intubated (pus came out), right subclavian placed. pt resuscitated with 13l ns/lr, one unit of blood and plat. became more hypoxic on 100% fio2 possibly due to fluid overload. pressors initiated. dopamine made her tachycardic. placed on vasopressin and levofed and paralytics. her left hand and foot became hypoxic, turning blue, and pulses, which were dopplerable at admit, became non-dopplerable. clindamycin was started for aspiration pna. blood cultures subsequently came back +for mrsa, so the vanc was continued. her hospital course remained relatively stable. she came off pressors briefly, but became hypotensive off pressors, so they were restarted. pt was unable to come off the vent because of her extensive pna and bilat pulm effusions. a family meeting was called, as her chances for recovery diminished. it was determined that ms. would not wish to continue living in the current state. she was made cmo and pressors, meds, and ventilator support were withdrawn. she passed away with her family at bedside. cad: asa, plavix, statin. bb, acei held given low bp. rhythm: remained in sr- held amio given low bp. hypothyroid: levothyroxine was continued. heme: guaiac +. hct was monitored . hemolysis labs neg. received 2u prbcs. gi: og tube was placed. ppx: sc heparin, ppi fen: tf were initiaed; ivf were given. code: she was initially full code, but after her course worsened, her family felt she would want to be made cmo. medications on admission: as in preeceding section of summary. discharge medications: none--pt deceased. discharge disposition: home discharge diagnosis: mrsa pna and sepsis deceased discharge condition: deceased discharge instructions: pt deceased. followup instructions: pt deceased. md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more coronary arteriography using two catheters other endoscopy of small intestine injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis arteriography of cerebral arteries aortography implant of pulsation balloon transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified severe sepsis atrial fibrillation methicillin susceptible staphylococcus aureus septicemia pneumonitis due to inhalation of food or vomitus septic shock 

Answer: The patient is high likely exposed to