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: admission history and physical: the patient is an 83 year-old female with an extensive past medical history as above who was noted at her rehab facility to be growing more and more ill over the course of the days prior to admission with some development of blisters around her amputation site and also a minimal amount of erythema. they had managed the wounds conservatively, but then the patient was noted to have spiked a temperature to 101.0 degrees and an elevated white blood cell count of 15.6 as per reports along with fevers and chills. therefore she was sent to the emergency department for evaluation. when she was initially seen temperature was 101.6. she was in sinus tachycardia with a pulse of 102. her blood pressure was 151/69 with a respiratory rate of 20 and she was satting 94% on room air. she appeared to be moderately ill, but otherwise no adenopathy was noted and there was no jvd. the heart was irregular. there were no rubs. her abdomen was otherwise soft, nontender. there was no hepatosplenomegaly or hernia present. the left below the knee amputation site was found to be mildly erythematous without discharge and there was evidence of a little bit of wound dehiscence. otherwise in terms of her pulse examination her femorals were 2+ palpable bilaterally with the remaining pulses of her right for popliteal monophasic, dorsalis pedis biphasic and posterior tibial biphasic. laboratory: white blood cell count was 25.9 with a hematocrit of 30, otherwise her bun and creatinine were 16 and 0.5. hospital course: the patient was admitted and started on broad spectrum antibiotics for her left below the knee amputation stump infection. it was evident that there was a scant amount of devitalized tissue and that she would need operative debridement. therefore on of she went to the operating room at which time the left below the knee amputation stump was opened. there was significant evidence of gross infection with a great degree of pus, which later proved to be methicillin resistant staph aureus based on culture data. the patient tolerated the procedure well and was extubated in operating room and taken to the post anesthesia care unit in stable condition. the remainder of the hospital course is by systems: 1. neurological: the patient did well and had relatively no issues. she occasionally had mental status changes during episodes of hypoxia when she was in the intensive care unit, but these had resolved by the time of discharge at which time the patient was alert and oriented to person, place and time and had no ore episodes of confusion. 2. respiratory: the patient actually had quite a number of complications. initially when she was admitted the patient had no o2 requirement, but given the different amounts of fluids she was given during her hospitalization whether intraoperatively or postoperatively or with feeding the patient developed some bilateral pleural effusion, which caused her some respiratory compromise. this was combined with her congestive heart failure, which will be discussed below caused her to have persistent o2 requirement for some time, which required a great degree of diuresis given the fact that she may have had a degree of pulmonary edema. also postoperatively after her left below the knee amputation revision and debridement on postoperative day three and four the patient acutely desaturated requiring 100% nonrebreather, but not intubation with chest film showing what appeared to be an aspiration pneumonia and after weight time the patient did have a swallow evaluation indicating that the patient is to be on strict aspiration precautions with only thickened liquids, but as noted below aggressive diuresis, chest physical therapy, use of nebulizer treatment and mucomyst as needed the patient's pulmonary status greatly improved along with some broad spectrum antibiotics and by the time she was ready for discharge, although she continued to have some bibasilar crackles, which were consistent with some residual effusions of what was thought to be aspiration pneumonia had essentially cleared. she had been afebrile and otherwise her o2 requirement was only minimal to maintain excellent sats on room air. she often at times maintained sats in the mid 90s on room air. 3. cardiology: the patient experienced multiple episodes of congestive heart failure secondary to fluid shifts with even being given fluids as little as 250 cc causing the patient to go into an episode of failure. she was ruled out for myocardial infarction during her hospitalization secondary to an episode of chest pain and her recurrent congestive heart failure. 4. gastrointestinal: as noted the speech and swallow service felt the patient may have had difficulty swallowing putting her at increased risk for aspiration pneumonia. therefore she was initially kept npo for sometime, but eventually transitioned over to total parenteral nutrition once her fluid status had improved and finally prior to discharge underwent placement of a g tube and j tube for enteral nutrition and decompression. interestingly it was thought that the patient may have had an abdominal wall hernia, which may have been causing her symptoms of abdominal pain and nausea, but on expiration this was found to be a hematoma during the procedure for placement of her g tube and j tube. 5. fluids and nutrition: the patient responded badly to even minimal amounts of intravenous fluids as little as 250 cc with an episode of congestive heart failure when her fluids were minimized and her diuresis was done aggressively with lasix. the patient improved quite dramatically very quickly. her nutrition as noted was given initially with an oral diet, but given the fact she was not taking much and her difficulty with eating well on an o2 face mask she was started on total parenteral nutrition, which was slowly weaned and switched over to impact with fiber tube feeds prior to discharge. an addendum to this discharge summary will indicate the final regimen she was sent home on. 6. renal: the patient's creatinine did bump to as high as 1.0, but this was stable and otherwise the patient made a moderate amount of urine without the addition of diuretics. 7. hematology: the patient did have a minimal amount of blood loss during her left below the knee amputation revision and also during her evacuation of hematoma and g and j tube placements, but it was felt worthwhile that the patient's hematocrit should be kept above 30 given her cardiac history and therefore she was transfused as needed to keep her hematocrit above 30. otherwise her platelet counts had been stable. there was no evidence of any sort of hit. 8. infectious disease: as noted the patient grew mrsa from her wound at the left below the knee amputation site for which she was treated with intravenous vancomycin. she also had multiple episodes of diarrhea along with the pneumonia and therefore is kept on metronidazole and flagyl empirically. an addendum as noted to follow later will include the final course of antibiotics she was discharged to home on. laboratories on discharge: the patient's white blood cell count had dropped to 15 with a hematocrit of 30, otherwise a bun and creatinine were 47 and 0.9. she was to follow with dr. in two weeks and dr. in two weeks at their clinic. she was sent home on a medication list to dictated at a later time and the patient's outpatient nutrition regimen will be dictated at a later time. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances other enterostomy other revision of vascular procedure enteral infusion of concentrated nutritional substances arterial catheterization transfusion of packed cells other gastrostomy repair of entropion or ectropion with wedge resection revision of amputation stump myotomy diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified iron deficiency anemia secondary to blood loss (chronic) unspecified protein-calorie malnutrition pneumonitis due to inhalation of food or vomitus methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site hyperosmolality and/or hypernatremia infection (chronic) of amputation stump 

Answer: The patient is high likely exposed to