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 an 89-year-old caucasian female with a past medical history of depression and dementia who was admitted on following an unwitnessed fall. the patient in the emergency department was complaining of distal radius and ulnar fracture. she also had a right pubic ramus fracture. her chest x-ray revealed a left pleural effusion which was taped with a chest tube placed. chest tubes had poor drainage. the patient went into unexplained respiratory arrest which required intubation. the patient was then sent to the intensive care unit. while in the intensive care unit the pleural effusion re-accumulated and drainage from the chest tube. the intensive care unit team tried to extubate the patient on four different occasions. the first two failed due to thick secretions and hypoxia. the third attempt at extubating failed due to a stridor that failed to respond to steroids or racemic epinephrine. the patient was successfully extubated on the fourth attempt on . the patient was then transferred to the main floor on the . on the the patients clinical status deteriorated and a portable chest x-ray showed increased pulmonary edema, bilateral pleural effusions. the situation was discussed with the patient's son and it was determined at that point to make the patient comfort measures only. the patient was placed on a morphine drip, scolamine patch to decrease the secretions. she remained pain free until her discharge on the to hospice care. physical examination: the patient was afebrile. a blood pressure of 120/60, heart rate 99 beats per minute, respiratory rate 18 beats per minute, sating at 96% on six liters of oxygen. in general this is an elderly frail apparent woman not responsive to voice stimuli. unable to track. she appears in no acute distress. no apparent pain. her pupils are equal, round, and reactive to light and accommodation. her mucous membranes were moist. her neck showed no lymphadenopathy, no jugular venous distention. she was using her accessory muscles to breath. pulmonary: the patient was unable to cooperate with any pulmonary exam. she does show decreased breath sounds, increased rales and rhonchi to the lower half of both lobes bilaterally. her heart was regular rate and rhythm. normal s1 and s2. no murmur, gallops or rubs. her abdomen was soft, nontender, nondistended with bowel sounds. her extremities showed +2 edema, no cyanosis or clubbing. neurologically she is not responsive to voice, does not answer questions appropriately. she will move extremities to painful stimuli. the patient had multiple radiographic studies while in the hospital. her last chest x-ray was performed on , it showed that increased pulmonary edema with bilateral pleural effusions. there were parenchymal opacities in the left upper lobe as well as the left base which increased in comparison to the previous chest x-ray. a chest ct performed on showed a left loculated effusion; a smaller right effusion; a nodular left sided pleural thickening consistent with metastatic disease; persistent left hydropneumothorax; extensive secretions in the left bronchial tree with partial left lower lobe collapse. infection could not be excluded. multiple blood cultures were drawn on the . the catheter tip was positive for methicillin resistant staphylococcus aureus. on the 12th the aerobic and anaerobic blood cultures were positive for methicillin resistant staphylococcus aureus. the sputum on the 12th and 13th were both positive for methicillin resistant staphylococcus aureus. the cytology for her effusions showed rare atypical cells insufficient for diagnosis. assessment/plan: this is an 89-year-old female with a history of depression and dementia, status post a mechanical fall on . found to have a pelvic fracture and a left colles fracture. she was also on chest x-ray shown to have left pleural effusion requiring ct drainage. the nodularity of the pleura was concerning for malignancy however, there is no definitive cancer cells seen on cytology of bronchial washings or pleural fluid. the patient went into respiratory arrest following the effusion. she was admitted to the intensive care unit. she had multiple extubation attempts. she was finally extubated on the and transferred to the floor on the . on the the patient suffered a clinical downturn along with what appeared to be effusions on the chest x-ray. the situation was discussed with the family, in particular, the son who is making the health care decisions and it was determined the make the patient comfort care only. the patient remained comfortable during the rest of her stay and was transferred to hospice on the . problem list: 1. pulmonary. the patient had a left pleural effusion. it was tapped, a chest tube was placed, had poor drainage. cytology showed some atypical cells and the interventional pulmonology team although not definitive, felt that this was a malignancy. following the tap the patient went into respiratory arrest requiring intubation. the patient was admitted to the intensive care unit, multiple attempts to extubate the patient failed. successfully extubated on . the patient showed a left lower lobe pneumonia. she was placed on vancomycin. she was required q 4 suctioning as the patient was unable to clear her own secretions based upon her condition. it was discussed with the family that the next diagnostic test to work up her effusion was a vats. family felt that this was not what she or they wanted. the family felt that the only intervention that they wanted was a pleurodesis. 2. orthopedic issues. she had a left colles fracture which the orthopedic surgeons initially splinted. the left lower arm was splinted for the duration of the hospitalization and removed when the goals of care were changed to comfort only. the pubic ramus fracture required no intervention. mrs was to be weightbearing as tolerated, although she was never again ambulatory after admission. 3. code status. following the return from the intensive care unit to the floor, the patient was placed on dnr/dni. the son was making the health care decisions after discussion with the husband. after her clinical downturn the son discussed with dr. and said that he would like comfort care measures along with the antibiotics to be continued. the patient was comforted with a morphine drip and she was sent for hospice care on the . , m.d. dictated by: medquist36 d: 16:13 t: 17:05 job#: procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy other lavage of bronchus and trachea closed reduction of fracture without internal fixation, radius and ulna diagnoses: pneumonia, organism unspecified unspecified fall other persistent mental disorders due to conditions classified elsewhere acute respiratory failure malignant neoplasm of other parts of bronchus or lung infection and inflammatory reaction due to other vascular device, implant, and graft encounter for palliative care closed fracture of pubis closed fracture of unspecified part of radius with ulna 

Answer: The patient is high likely exposed to