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: the patient is an 80 year old woman with a history of depression, breast cancer, and hypothyroidism, who presented with mental status change and fever. she was at her baseline (awake, alert, and conversant) until the morning of admission when she refused breakfast and lunch. she became progressively confused and lethargic, and was transferred to the emergency department for further workup. she reported left ankle pain, but denied shortness of breath, chest pain, abdominal pain, nausea and vomiting. she reported normal bowel movements and flatus, but was noted to be a poor historian. in the emergency department, she was noticed to be febrile to 102.6 degrees fahrenheit but was hemodynamically stable. she received ceftriaxone one gram and vancomycin one gram, and was admitted to surgery for further workup. past medical history: 1, bilateral lateral malleolus osteomyelitis. 2. depression with psychotic features. 3. breast cancer, status post lumpectomy, chemotherapy and radiation treatments; bony metastases. 4. erb palsy. 5. degenerative joint disease. 6. pulmonary effusion. medications on admission 1. prednisone 5 mg p.o. once daily. 2. levoxyl 100 mcg p.o. once daily. 3. colace 200 mg p.o. once daily. 4. tamoxifen 10 mg p.o. once daily. 5. neurontin 100 mg p.o. once daily. 6. xalatan 0.005% q.h.s. allergies: no known drug allergies. social history: the patient lives at nursing home. she is dnr/dni. family history: noncontributory. physical examination: temperature is 102.6, blood pressure 116/73, heart rate 72, oxygen saturation 97% on two liters. in general, the patient is lying in bed, elderly woman, in no apparent distress. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. the oropharynx is clear. mucous membranes are moist. throat reveals no jugular venous distention, no lymphadenopathy, no thyromegaly. the heart is regular rate and rhythm, normal s1 and s2, systolic ejection murmur at the left sternal border. the lungs are clear to auscultation bilaterally. the abdomen is distended, dull to percussion, positive bowel sounds. extremities are cool, atrophic lower extremity on the left, 5.0 millimeter ulcer on the lateral left ankle. neurologically, the patient is alert and oriented times one; otherwise nonfocal. laboratory data: ct of the head showed no hemorrhage or large territorial infarct. kub showed mild small bowel dilatation, no complete obstruction, no air, fluid or free air. ankle x-ray showed no evidence of gas or osteomyelitis. chest x-ray showed left hemidiaphragm elevated, unchanged, no congestive heart failure. ct of the abdomen and pelvis with contrast - bowel wall thickening from second portion of the duodenum into proximal jejunum, inflammatory change in and around gallbladder consistent with cholecystitis, bilateral pleural effusions, no obstruction. white blood cell count was 16.9, hematocrit 43.2. urinalysis was normal. chem7 was normal. ast 54, alt 19, amylase 33, alkaline phosphatase 142, total bilirubin 0.5, albumin 3.9. hospital course: the patient was initially admitted to the medical service for an attempt a medical therapy for her cholecystitis. over the first 24 hrs of iv antibiotics she had improvement in her abdominal pain. however, it never truly resolved and then started to worsen on subsequent days. after consultation with her next-of-, the patient underwent an uncomplicated open cholecystectomy. the gallbladder was noted to be gangrenous. please see operative report for details of the procedure. she was admitted to the surgical intensive care unit postoperatively for monitoring of volume status. she was initially treated with levofloxacin and flagyl. gallbladder aspirate grew out vancomycin resistant enterococcus. her postoperative course was complicated by an elevated white blood cell count. her central line was removed and the tip cultured; this was positive for methicillin resistant staphylococcus aureus. she was started on vancomycin. she was transferred to the floor, and the remainder of her stay was uncomplicated. her white blood cell count was 13.9 on the day of discharge, but she was afebrile and hemodynamically stable. her urine output is adequate and she is tolerating regular diet. she has been deemed stable for discharge to rehabilitation with two weeks of intravenous vancomycin. she will return to nursing home. note, the patient's staples were removed prior to discharge and steri-strips were placed. condition on discharge: stable. discharge status: the patient was discharged to nursing home. discharge diagnoses: 1. acute cholecystitis. 2. depression. 3. breast cancer. 4. hypothyroidism. 5. hypertension. 6. dementia. 7. degenerative joint disease. discharge instructions: the patient is to follow-up with dr. in two weeks. allow steri-strips to fall off. follow-up with her primary care physician and may shower. medications on discharge: 1. prednisone 5 mg p.o. once daily. 2. levoxyl 100 mcg p.o. once daily. 3. colace 200 mg p.o. once daily. 4. tamoxifen 10 mg p.o. once daily. 5. neurontin 100 mg p.o. once daily. 6. xalatan 0.005% q.h.s. 7. vancomycin one gram intravenously twice a day times two weeks. , m.d. dictated by: medquist36 procedure: cholecystectomy diagnoses: esophageal reflux unspecified acquired hypothyroidism infection with microorganisms resistant to penicillins personal history of malignant neoplasm of breast infection and inflammatory reaction due to other vascular device, implant, and graft secondary malignant neoplasm of bone and bone marrow calculus of gallbladder with acute cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to