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: captopril / digoxin immune fab attending: chief complaint: fevers, mrsa bacteremia major surgical or invasive procedure: 1. picc line placement 2. sternal wound culture history of present illness: 76 y/o female s/p recent d/c from on following complicated course involving pericardial tissue avr and maze for aortic stenosis and refractory afib , intermittent chf and renal failure now being re-admitted for ?sternal cellulitis and mrsa bacteremia. admitted late for aortic valve repair w/ surgery initially delayed secondary to acute renal failure and volume overload, treated w/ natrecor. underwent magna pericardial tissue avr for as and maze for afib. post-op course c/b recurrent afib and tenous volume status resulting in intermittent chf and arf and several episodes of respiratory failure requiring intubation. at one point, pt treated w/ milrinone in after intubated for respiratory distress and then extubated on w/ metabolic alkalosis treated w/ diamox. continued to revert into afib on multiple occasions and thought to exacerbate chf. labile blood pressures resulting in hypotension w/ acei and bradycardia w/ digoxin. during remainder of hospital course, again managed for chf and resp failure and ultimately underwent trach and peg. all told, during hospital course, diuresed 15 liters negative. transferred to rehab on and initially remained stable. apparently, spiked fever on to 103.5 and was noted to be w/ increased resp distress and wbc also increased. cxr w/ reported b/l infiltrates. started on zosyn for ?infiltration but sputum, blood cultures found positive for mrsa and started on vancomycin . on , c/o substernal cp and noted to have significant erythema at sternal incision site. transferred to for further evaluation. past medical history: 1. aortic stenosis s/p avr as above 2. presumed diastolic dysfunction 3. recurrent afib s/p maze 4. pulmonary htn 5. chronic respiratory failure s/p trach 6. s/p peg 7. type 2 dm 8. cva years ago 9. hypothyroid 10. chronic renal insuffiency, baseline 1.3 social history: coming from rehab family history: +dm +cv negative for premature coronary disease. no other obvious etiology of cardiomyopathy per pt and family. physical exam: gen: debilitated elderly female, appearing frustrated, comfortable on trach ventilation heent: jvp to ear at 60 degrees, mmm, op clear, erythema/pain to palpation at site of sternal wound cv: s1, s2, irregularly irregular pulm: cta anteriorly abd: j tube w/ mild erythema but no discharge. no tender to palpation. extre: 1+ pitting le edema pertinent results: 03:22pm glucose-57* urea n-28* creat-1.2* sodium-146* potassium-4.4 chloride-108 total co2-30* anion gap-12 03:22pm calcium-8.7 phosphate-2.5*# magnesium-2.1 03:22pm wbc-6.5 rbc-3.16* hgb-9.1* hct-28.5* mcv-90 mch-28.9 mchc-32.1 rdw-16.3* 03:22pm neuts-65.2 lymphs-24.1 monos-6.5 eos-3.8 basos-0.5 03:22pm hypochrom-2+ anisocyt-1+ poikilocy-1+ 03:22pm plt count-268 03:22pm pt-17.7* ptt-33.7 inr(pt)-2.0 brief hospital course: 1. mrsa bacteremia: 2/2 bottles from osh + for mrsa. given recent bioprosthetic aortic valve , concerns about potential for endocarditis. pt also had erythema and pain around site of sternum. pt followed by both id and ct surgery. started on iv vanc and rifampin and gent given concerns for endocarditis. however, blood cultures remained neg hospital course. tte and tee both performed which were negative for vegetations. id recommended d/c of rifampin and prolonged course of iv vancomycin x 4 weeks at 1g q 48 hrs. meanwhile, sternal incision was cultured w/o significant growth. 1a;)?sternal wound infection: no evidence of osteo on ct and evaluated by ct w/o evidence of fluctuance concerning for abscess. cultures of deep sternal wound w/ minimal growth. recommended wet to dry normal saline dressing changes . 2. chronic respiratory failure: continued on current vent settings of simv ps. 3. chf: continued on low dose coreg. in addition, pt was felt to mild overloaded on exam and diuresed w/ iv lasix 80 mg x 2 w/ good response. she will continue w/ lasix 40 mg po bid. she should have creatinine and weight followed closely. 4. anemia: hct remained relatively stable hospital course w/ transfusion 1 unit prbc. 5. cri: creatinine stable throughout hospital course. 6. afib: rate controlled w/ coreg and continued on anti-coagulation w/ coumadin. 7. access: new rue picc placed on for delivery iv abx. 8. rash: macular erythematous rash thought secondary to rifampin that was d/c'd. medications on admission: lantus 10 units qhs, lumigan eye gtts. coreg 3.12 mg by mouth 2x/day, colace 100 mg by mouth 2x/day, synthroid 100 mcg by mouth 1x/day, flagyl 100 mg iv 3x/day, remeron 15 mg by mouth every evening, zantac 150 mg by mouth 2x/day, vancomycin 1 gram iv every day, coumadin 3.5 mg by mouth every evening, lasix 80 mg iv as needed for weight greater than 152 lbs. discharge medications: 1. warfarin sodium 1 mg tablet sig: 3.5 tablets po hs (at bedtime). 2. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 7. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 8. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 9. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous at bedtime. 10. insulin lispro (human) 100 unit/ml cartridge sig: insulin sliding scale sliding scale subcutaneous four times a day: please follow pre-existing insulin sliding scale. 11. vancomycin hcl 1,000 mg recon soln sig: one (1) solution intravenous 48 hrs for 4 weeks: to finish on . 12. outpatient lab work please check vancomycin trough following third dose - goal is for trough 15-17. please check inr/ptt two times per week and chem 7(sodium, potassium, bicarbonate, chloride, bun, creatinine) 2x/week 13. tubefeeding ultra-cal full strength at 65 cc/hour. check residuals q 4 hours and hold for residual greater than 100 cc. please flush tube w/ water 100 cc every 6 hours 14. outpatient respiratory vent simv respiratory rate 12 tidal volume 500 pressure support 15 peep 5 fio2 - 0.30 15. outpatient lab work blood cultures - 2 sets to be drawn 1 week after completion of anti-biotics 16. wound care please normal saline wet to dry dressing changes to sternal wound discharge disposition: extended care facility: - discharge diagnosis: mrsa bacteremia resolved s/p picc line placement chf stable atrial fibrillation discharge condition: fair discharge instructions: 3lbs. 2. please continue iv vancomycin 1 g every 48 hours until . please check vancomycin trough after 3rd dose and goal for trough 15-17. please check blood cultures 1 week after completiion of abx. followup instructions: provider: surgery lmob 2a follow-up appointment should be in 2 weeks procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart transfusion of packed cells diagnoses: other postoperative infection cellulitis and abscess of trunk congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atrial fibrillation acute on chronic diastolic heart failure other chronic pulmonary heart diseases bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation heart valve replaced by transplant diseases of tricuspid valve chronic respiratory failure tracheostomy status 

Answer: The patient is high likely exposed to