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: penicillins / heparin agents attending: chief complaint: 83f fall down stairs w/loss of consciousness, transferred to with likely facial fractures, left distal radius fracture, , laceration on lip sewed at an outside hospital. gcs 15 throughout. major surgical or invasive procedure: open reduction, internal fixation of right distal radius fracture, emergent tracheostomy, formal tracheostomy and gastrojejunostomy feeding tube placement in operating room history of present illness: 83f fall down stairs w/loss of consciousness, transferred to with likely facial fractures, left distal radius fracture, , laceration on lip sewed at an outside hospital. gcs 15 throughout. past medical history: pmh: dm, cad (old mi on ekg), cri, hyperchol, gerd physical exam: avss, afebrile a+ox3 uncomfortable bilateral periorbital ecchymosis, lip lac sutured neck in hard collar ctab rrr obese, nd, nabs, soft, nontender left wrist with some swelling, deformity, n/v intact ble n/v intact, no obvious deformity spine w/o tenderness or stepoff pertinent results: 10:40 am viral culture:r/o herpes simplex virus site: not specified **final report ** viral culture: r/o herpes simplex virus (final ): no virus isolated. 10:23 pm sputum source: endotracheal. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (final ): oropharyngeal flora absent. staph aureus coag +. moderate growth. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 4 i oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s fungal culture (final ): yeast. brief hospital course: the hospital course will be categorized by the different issues that arose during her stay at . patient was followed throughout her stay by the diabetes service. on decadron 4 q6 for ?spinal cord synd. now on insulin gtt. pt seen in sicu, not responsive, not on insulin drip as nurse said she was just transferred there last night. sugars in 200 range. nurse gave her 12 units regular insulin and will be starting patient on insulin drip now. artee pt now in vicu, trach plugged yesterday so is followed by respiratory service. eating breakfast but then appetite poor during day. having low sugars at bed and in middle of night. have cut back on nph and sliding scale regular. artee pt has developed pneumonia so is on antibiotics and being followed by id and respiratory service. not eating well so started on tf last evening. sugars have crept up since tf started yesterday. i increased her morning nph from 4 to 6 and increased supper scale of regular insulin as well. sugars 151-207. artee : remains on tfs. bgs in low 200's friday afternoon. need further increase in am nph insulin. back to npo after developin git bleeding. did not take her nph this morning. on ss humalog tid. switched to lantus 10 units hs and humalog ss q6hr until she starts eating back. - was on drip for 24 hours at 10 units per hour as she transitioned to increased tf (70cc per hour continuosly). bg had gone up to 450s. stopped drip last night at 1 am. got 15 units of lantus last night. on q 6 hours. i increaseed lantus to 18 units tonight. will go to 9 today. on 9. sugars ok, and i left doses unchanged today, but may need some increases if they do not settle down a bit more in the next 24 hours -i raised lantus dose 83 yo f s/p fall down 4stairs w/+loc. transferred to multiple facial/nasal fractures, left wrist/distal radius fracture. gcs 15 in route. hemodynamically stable in ed. lac on lip sutured at outside hospital. l pca stroke- enlarged on/heparin gtt (w/epistaxis) found unresponsive , emergent trach. s/p formal trach and peg . difficult l sc access, has picc in place. hep gtt bleed; mrsa + on nasal swab ; several episodes of mucus plugging w/sob over resulting in transfer to stepdown bed. gi called due to bright red blood in peg and rectal tube, hct drop. peg didnt clear with lavage.. we did egd in unit, showed clot behind internal bumper of peg(put in by either or pulm but not us),likely secondary to bumper being too tight causing necrosis. we loosened it by 0.5 cms. good pictures on gmed. hematocrit values were followed throughout her stay. patient also followed by pulmonary service during her stay: 83f transferred from hospital with face/neck/wrist fractures on , found to have l pca stroke which progressed, c/b unresponsiveness on requiring urgent tracheostomy with revision and peg the following day. has had l retrocardiac opacity since then with persistently elevated wbc. sputum cx grew mrsa and she has been on vanco/levo x 9d, still with thick yellow secretions + high wbc although afebrile. on trachmask 40% but sats 99% last few days with on episodes of desats. also has lue clot for which she cannot go on heparin now b/c of cva worsening. consult requested for possible bronch given ? of yeast on sputum cultures. on exam seems extremely volume overloaded with bronchial breath sounds on l base. diuresed appropriately with lasix. daily weights followed, respiratory status improved though still requiring suctioning every 4-6 hours. patient also followed by orthoapedics for left radius fracture that was repaired in the operating room by dr. . patient to follow up with dr. within one to two weeks after discharge and to continue wearing cast. patient also followed by cardiology during her stay and the following recommendations were followed. patient placed on telemetry, ecg, ace inhibitor started, atorvastatin started. patient followed also by nephrology service for rising creatinine. cr 1.2-->2.4 and facing a cranial angio to r/o vertebral dissection 1. arf 2.4-->1.7 ---> 1.6 and good uop 2. hemorrhage into l occipital infarct--off heparin now, awaiting cerebral angio for possible vertebral dissection also followed by neurology stroke service for likely occipital infarct. : mri/mra performed, mri shows occipital infarct with small amount of hemorrhage into the infarct. mra with fat sats poor quality, still cannot determine if there is dissection pm: pt acutely developed resp distress, unable to be intubated given fx's, emergent trach placed, transferred to icu. since then has been in icu, stabilzed, on asa not heparin. responsive on exam but relatively unchanged. pt transferred to the floor in stable condition medications on admission: insulin, paxil, aricept, ntg, nifedipine, lipitor, glucotrol, protonix,catapress, asa, lasix 80, xalatan eye drop, procardia discharge medications: 1. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 2. triamcinolone acetonide 0.1 % cream sig: one (1) appl topical tid (3 times a day) as needed for itch. 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 7. insulin regular human subcutaneous 8. dolasetron mesylate 12.5 mg/0.625 ml solution sig: one (1) intravenous q8h (every 8 hours) as needed. 9. hydralazine hcl 20 mg/ml solution sig: one (1) injection q6prn (). 10. potassium chloride 20 meq/50 ml piggyback sig: one (1) intravenous prn (as needed) as needed for k<4.0. 11. magnesium sulfate 50 % solution sig: one (1) injection prn (as needed) as needed for mg<2.0. 12. calcium chloride 10 % (100 mg/ml) syringe sig: one (1) intravenous prn (as needed) as needed for ica<1.15. 13. calcium gluconate 100 mg/ml (10%) solution sig: one (1) intravenous prn (as needed) as needed for ca<8.4. 14. vancomycin hcl 10 g recon soln sig: one (1) recon soln intravenous q48h (every 48 hours). 15. triamcinolone acetonide 0.1 % cream sig: one (1) appl topical tid (3 times a day) as needed for itch. 16. acetylcysteine 20 % (200 mg/ml) solution sig: one (1) ml miscell. q4-6h (every 4 to 6 hours) as needed for thick secretions. 17. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 18. dorzolamide hcl ophthalmic 19. acyclovir 200 mg capsule sig: one (1) capsule po q12h (every 12 hours). 20. ferrous sulfate 300 mg/5 ml liquid sig: one (1) po daily (daily). 21. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 22. clonidine hcl 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qtues (every tuesday). 23. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 24. brimonidine tartrate 0.2 % drops sig: one (1) drop ophthalmic (2 times a day). 25. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 26. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 27. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 28. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 29. therapeutic multivitamin liquid sig: one (1) cap po daily (daily). 30. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 31. lasix 40 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: medical center - discharge diagnosis: multiple nasal, facial fractures, left distal radius fracture, left posterior communicating artery stroke, diabetes mellitus, coronary artery disease, chronic renal disease, hyperlipidemia, gastroesophageal reflux disease, remote acute appendicitis discharge condition: stable discharge instructions: if having worsening shortness of breath, chest pain, fevers, chills, nausea, vomiting, or if there are any questions or concerns. followup instructions: patient to follow up with trauma surgery in two weeks, call to schedule an appointment at . patient to follow up with orthopaedics in two weeks, call to schedule an appointment at . patient to follow up with plastic surgery in two weeks, call to schedule an appointment . patient to follow up with neurosurgery in two weeks, call to schedule an appointment . they will address the duration of your neck collar. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine enteral infusion of concentrated nutritional substances thoracentesis percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries temporary tracheostomy transfusion of packed cells closed reduction of nasal fracture revision of tracheostomy diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified unspecified protein-calorie malnutrition infection with microorganisms resistant to penicillins intracerebral hemorrhage acute respiratory failure diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled accidental fall on or from other stairs or steps methicillin susceptible pneumonia due to staphylococcus aureus cerebral artery occlusion, unspecified with cerebral infarction cortex (cerebral) contusion without mention of open intracranial wound, with brief [less than one hour] loss of consciousness closed fracture of nasal bones other gastrostomy complications other closed fractures of distal end of radius (alone) herpetic gingivostomatitis expulsive choroidal hemorrhage 

Answer: The patient is high likely exposed to