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: morphine / codeine / bactrim / zestril attending: chief complaint: esrd on hemodialysis with side effect of hypotension major surgical or invasive procedure: laparoscopy with lysis of adhesions history of present illness: per dr. note as follows: 66-year-old woman who is currently maintained on hemodialysis through a right upper arm av graft. she does not tolerate dialysis well with periods of hypotension. she wishes to be considered for a peritoneal dialysis catheter placement. she has had multiple prior abdominal and pelvic surgeries. past medical history: 1. stage v chronic kidney disease: estimated gfr of 9, creatinine 5.3. 2. insulin-dependent diabetes complicated by retinopathy, neuropathy, and nephropathy. 3. diastolic chf, most recent ef 50% by echo. 4. hypertension. 5. obstructive sleep apnea, on cpap. 6. pulmonary hypertension. 7. dyslipidemia. 8. hypothyroidism. 9. benign polymyalgia rheumatica, on chronic low-dose prednisone. 10. fibromyalgia. 11. chronic back pain. 12. gerd. 13. depression. social history: closest relative is brother who lives in . she is a former secretary. she quit tobacco 12 years ago, with 40+ pack-year history. denies etoh and illicit drug use, states she used to drink alcohol and also quit 12 years ago family history: father had cad, died of gbm. mother had esophageal and skin cancer, died of an "ascending aneurysm." brother with prostate cancer. several family members with diabetes. physical exam: see notes pertinent results: 05:55am blood wbc-10.5 rbc-3.24* hgb-10.6* hct-33.8* mcv-104* mch-32.8* mchc-31.5 rdw-14.1 plt ct-290 04:58am blood wbc-16.1*# rbc-3.36* hgb-11.1* hct-35.0* mcv-104* mch-32.9* mchc-31.6 rdw-14.1 plt ct-242 05:20am blood wbc-9.1 rbc-3.16* hgb-10.3* hct-32.5* mcv-103* mch-32.7* mchc-31.8 rdw-14.1 plt ct-265 05:20am blood pt-10.6 ptt-26.1 inr(pt)-1.0 05:55am blood glucose-128* urean-59* creat-6.3* na-138 k-6.1* cl-101 hco3-26 angap-17 05:20am blood glucose-183* urean-77* creat-8.8*# na-130* k-4.6 cl-85* hco3-25 angap-25* 08:58am blood alt-7 ast-39 ld(ldh)-289* ck(cpk)-226* alkphos-164* totbili-0.2 05:20am blood alt-3 ast-46* alkphos-185* totbili-0.3 time taken not noted log-in date/time: 8:29 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): positive for methicillin resistant staph aureus. 8:08 pm swab source: rectal swab. **final report ** r/o vancomycin resistant enterococcus (final ): no vre isolated. 3:30 pm blood culture blood culture, routine (pending): brief hospital course: attempted placement of peritoneal dialysis catheter with exploratory laparoscopy. pd cath was attempted for hypotension during hemodialysis sessions. pd catheter placement was unsuccessful due to bleeding and adhesions. lysis of adhesions was done. surgeon was dr. . please refer to operative notes for details. she was sleepy postop with stable vital signs. postop day 1, she was dialyzed via the rue avg. she became somnolent with low grade temperature and o2 desaturation to 80s. cxr showed mild vascular congestion/fluid overload. given desat and mental status, she was sent to the sicu for urgent hemodialysis. troponins were sent and were negative. blood cultures were also sent. chest cta was done to r/o pe. this was negative. hemodialysis was performed for volume overload with 2 liters removed. on postop day 2, cxr again appeared wet and hemodialysis was again performed for 2 liters of fluid removed. cxr also demonstrated vascular congestion with atelectasis (left greater than right side). on , cxr demonstrated pulmonary edema and opacification at the right base with poor definition of the hemidiaphragm consistent with atelectasis and effusion. there was concern for aspiration pneumonia give elevation in wbc to 16, alteration in mental status and cxr. ceftriaxone and azithromycin were started on . vital signs and mental status improved. blood cultures were un finalized, but negative to date. hemodialysis was done again on , removing 1.8 liters. she continued to wear her cpap. diet was advanced and tolerated. abdominal incisions were intact and without redness or drainage. pt assessed her and recommended rehab. she remained afebrile with stable vital signs. the plan was to continue just the azithromycin for 1 week from discharge. she will transfer to rehab with plan to go to dialysis in # 1 ( on -wednesday-friday schedule. hemodialysis will be at 11am on . she should continue to be on a 750ml fluid restriction. medications on admission: renal cap qd, carvedilol 12.5mg , clobetasol 0.05%tp to rash on shins prn, cymbalta 90mg qd, lantus 24 units hs, humalog ss, lactulose prn constipation, levothyroxine 88mcgqd, prednisone 3mg qd, crestor 40mg qd, sevelamer carbonate 2400mg tid/snacks, vit c 500mg', colace 200mg hs, senna prn discharge medications: 1. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 2. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 3. clobetasol 0.05 % ointment sig: one (1) appl topical (2 times a day): to rash on shins . 4. duloxetine 30 mg capsule, delayed release(e.c.) sig: three (3) capsule, delayed release(e.c.) po daily (daily). 5. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 6. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). 7. sevelamer carbonate 800 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 8. docusate sodium 100 mg capsule sig: two (2) capsule po hs (at bedtime). 9. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). 10. insulin glargine 100 unit/ml solution sig: twenty four (24) units subcutaneous at bedtime. 11. insulin lispro 100 unit/ml solution sig: follow sliding scale subcutaneous four times a day. 12. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 13. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain: no more than 2600mg per day. 14. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po daily (daily). 15. dextrose 50% in water (d50w) syringe sig: one (1) intravenous prn (as needed) as needed for hypoglycemia protocol. 16. azithromycin 250 mg tablet sig: one (1) tablet po once a day for 1 weeks. 17. nph insulin human recomb 100 unit/ml suspension sig: twenty six (26) units subcutaneous once a day: am. 18. famotidine 20 mg tablet sig: one (1) tablet po once a day. 19. prednisone 1 mg tablet sig: three (3) tablet po once a day: pmr. discharge disposition: extended care facility: senior healthcare of discharge diagnosis: esrd abdominal adhesions, bleeding from adhesions intraop dm fluid volume overload/respiratory distress right lobe pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call dr. office if you have any of the following: temperature of 101 or greater, chills, nausea, vomiting, increased abdominal pain/distension, incision redness/bleeding/drainage or malfunction of av graft -resume usual hemodialysis -you may shower with soap and water. do not put powder/ointment on incisions avoid lifting anything heavier than 10 pounds. no straining no driving while taking pain medication followup instructions: provider: , md phone: date/time: 3:45 provider: , md phone: date/time: 1:00 provider: . phone: date/time: 3:00 procedure: hemodialysis laparoscopic lysis of peritoneal adhesions diagnoses: end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere obstructive sleep apnea (adult)(pediatric) renal dialysis status congestive heart failure, unspecified acute on chronic diastolic heart failure hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hemorrhage complicating a procedure pneumonitis due to inhalation of food or vomitus peritoneal adhesions (postoperative) (postinfection) long-term (current) use of insulin other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation obesity, unspecified surgical or other procedure not carried out because of contraindication diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to