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: haldol attending: chief complaint: sepsis, likely from osteomyletis of left heel major surgical or invasive procedure: a-line placement r picc line placement l picc line placement history of present illness: yo woman who lives in with alzheimer's dementia (non-verbal at baseline) was admitted on with sepsis of unclear source. cultures, abd/pelvic ct, cxr, and lp did not reveal a source of infection, however, patient was noted to have a chronic l heel ulcer that probed to bone. in conjunction with esr of 100, the patient's sepsis was thought to be possibly due to osteomyelitis. in the ed she was tachypnic and hypotensive and was therefore admitted to the micu, intubated, and started on pressors. she was extubated on hd 4, and her cuff blood pressure was found to be much lower than her arterial blood pressure measured via an a-line, which was placed after aggressive fluid recusitation did not improve her pressures. the pressors were therefore discontinued. her sepsis was initially treated empirically with broad-spectrum abx in the ed/micu, until cultures of l heel wound grew out mrsa sensitive to vancomycin. at that point, she was switched to mom with vancomycin 1g q24 hours for a total duration of six weeks. when she was stable for transfer she was moved to the floor (on hd 5) for continued antibiotics and management. on hd 5 a rue dvt was discovered secondary to her right sided picc line; the picc was removed, and patient anticoagulated briefly until she developed guiac positive stools at which point anticoagulation was discontinued. a new left picc line was placed for continuation of her vancomycin. her hcts remained stable and she did not require transfusion. the patient also developed non tender blistering over her sacrum; a vzv dfa was negative, and the blisters were treated with sterile dressings. the remainder of the hospital course was unremarkable and she was discharged on hd 10 to an extended care facility. past medical history: 1) alzheimer's dementia (non-verbal at baseline) 2) urinary incontinence with indwelling foley 3) gerd, pud, esophagitis 4) dysphagia s/p peg 5) htn 6) hyperlipidemia 7) tardive dyskinesia / haldol 8) cataracts 9) non-healing l heel ulcer 10)anemia of chronic disease 11)s/p l hip orif 12)s/p tah 13)urosepsis c/b chf social history: the patient's son is involved with her care and was aware of the hospital course. family history: nc physical exam: vs: bp 122 /80 hr:95 rr:20 t:6.1 99%o2 sat% gen: nad, overweight, non-verbal, elderly woman with dementia heent:ncat, perlla, anicteric, no conj injection, -jvd, -bruits, good carotid pulses, -lymphadenopathy lung: crackles at bases heart: rr, s1 and s2 wnl, -m/r/g abd: +b/s, soft, non-tender, non-distended extr:+trace dependent edema, -cyanosis neuro:aox3. baseline dementia. non-purposeful movements, responsive to noxious stimuli. skin: no jaundice, warm and dry heel: decubitus ulcer stage 3-4 pertinent results: 02:41pm wbc-22.0*# rbc-4.10* hgb-12.4 hct-38.9 mcv-95# mch-30.3 mchc-34.7 rdw-14.9 02:41pm neuts-80* bands-10* lymphs-4* monos-5 eos-0 basos-0 atyps-0 metas-1* myelos-0 02:41pm plt count-493*# 02:41pm pt-12.6 ptt-20.8* inr(pt)-1.0 ua/ucx and bl cx's wnl-no growth l heel ulcer cultured mrsa 05:50pm glucose-234* urea n-81* creat-1.1 sodium-156* potassium-4.1 chloride-123* total co2-21* anion gap-16 05:50pm alt(sgpt)-40 ast(sgot)-35 ck(cpk)-82 alk phos-70 amylase-120* tot bili-0.3 05:50pm lipase-41 rule out mi: 05:50pm ck-mb-notdone ctropnt-0.08* 09:45pm ck(cpk)-78 09:45pm ck-mb-5 ctropnt-0.07* ue u/s: impression: basilic vein thrombosis. cxr:impression: appropriate placement of endotracheal tube and gastric tube. new patchy opacities at the lung bases may represent changes from aspiration, given the recent development. ct abd/pelvis impression: 1. small bilateral pleural effusions with associated atelectasis. 2. small amount of nonspecific free fluid within the pelvis. 3. distended gallbladder without percholecystic inflammatory change and without wall thickening. discharge () hct=27.0 discharge () bun/cr=11/0.5 vzv dfa () negative for vzv. brief hospital course: 1) hypotension: initial hypotension (with associated lactic acidosis) likely due to hypovolemia (inadequate fluids with aggressive diuresis) as well as sepsis. the difference in readings between the cuff bp and the a-line bp suggest that her hypotension was more transient than initailly thought. a cortisol stimulation test in the icu was negative. patient has been adequately volume resuscitated per clinical signs such as urine output since being on the floor. 2) sepsis: initially treated broadly, and switched to vancomycin once c+s from l heel ulcer returned. wbc trended down as of hd 6, patient did not have persistent fevers or other clinical signs of infection, and she was discharged on day 6 of a 42 day course of vancomycin 1g iv q24 hours. 3) right upper extremity dvt: thought to be picc catheter induced. the right sided catheter was discontined and a left picc was placed. the patient was initially begun on a heparin gtt, and coumadin was added the following day. both of these medications were discontined when the patient was noted to have guiac positive stools one day after initiation of warfarin therapy. her hematocrit subsequently was stable, ranging between 27-30, and transfusion was not required. 4) hypoxemia: etiology unclear; most likely diagnosis may have been mild aspiration event. no evidence of pneumonia, chf. on discharge, patient was maintaining sats of 96% on 1 liter. 5) hypernatremia: initially na=157. resolved after aggressive hydration with normal saline. likely due to hypovolemic hypernatremia due to lack of free water access. 6) anemia: baseline hct appears to likely range 27-30; stable on discharge at 27. 7) renal insufficiency: most likely prerenal given elevated bun:cr on admission. once appropriately hydrated, excellent urine output, discharge creatinine was 0.5. 8) delta ms: there was a question of a change in mental status on admission. per son, patient was at her baseline. however, during hospitalization, depakote and ritalin were held. she remained non verbal and responsive to noxious stimuli throughout her hospitalization. 9) nstemi: on admission the patient's, troponin was mildly elevated (0.08, then 0.07), likely due to demand ischemia in setting of hypotension and tachycardia. her outpatient asa was continued, a beta-blocker was added when her bp would tolerate. 10) pain control: on fentanyl patch. 11) f/e/n: patient was well hydrated, potassium was repleted. tube feeds were continued, metoclopramide was continued. riss stopped on transfer to floor due to minimal insulin requirements (4 units in 6 days). 12) vaginal/perineal candidiasis: it was noted that patient had infection on hd 6, she was treated with nystatin and clotrimazole, both intravaginally. 13) sacral blistering: dfa sent for vzv which was negative. blisters were treated with dressing changes and were stable. 14) prophylaxis: sq heparin and ppi were used for dvt and pud prophylaxis, respectively. 15) code: full code; patient's living will was faxed to hospital on day of discharge. 16) dispo: discharged to . medications on admission: duragesic patch levoquin lasix prevacid morphine valproic acid kaopectate mom lactulose albuterol ipatromium discharge medications: 1. aspirin, buffered 325 mg tablet sig: one (1) tablet po qd (once a day). 2. fentanyl 25 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). 3. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po qd (once a day). 4. metoclopramide hcl 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 5. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 6. nystatin 100,000 unit/ml suspension sig: one (1) tablet po hs (at bedtime). 7. miconazole nitrate 2 % cream sig: one (1) appl vaginal (2 times a day). 8. zinc oxide-cod liver oil 40 % ointment sig: one (1) appl topical prn (as needed). 9. vancomycin hcl 1000 mg iv q24h 10. lasix 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: - discharge diagnosis: osteomylitis discharge condition: patient is hemodynamically stable, producing good urine output, on six week course of vancomycin discharge instructions: please continue the vancomycin for six weeks, on discharge from (), patient was on day 10/42. followup instructions: per physicians at ecf procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube arterial catheterization diagnoses: subendocardial infarction, initial episode of care unspecified pleural effusion acute kidney failure, unspecified unspecified septicemia blood in stool septic shock ulcer of heel and midfoot unspecified osteomyelitis, ankle and foot 

Answer: The patient is high likely exposed to