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: this 70 year old woman is transferred from the medical intensive care unit to the floor after originally being transferred to the medical intensive care unit from hospital with acute renal failure and hypotension. she has a history of cirrhosis secondary to nash and has recently been treated for left lower extremity cellulitis. she was admitted to on , originally presenting for a twisted ankle, but found to have a creatinine of 5.7. after dialysis she had a systolic blood pressure in the 90s and was started on a dopamine drip. she was transferred to later that day. here, she has required multiple dialysis sessions for volume overload as well as vasopressors (initially dopamine changed to norepinephrine for tachycardia) to maintain her blood pressure. she has grown coagulase negative staphylococcus from two blood culture bottles. her urine was negative for eosinophils and had muddy casts. her initial fena was less than 0.4%. she has also had elevated troponin with peak 14.7, and an echocardiogram revealing no wall motion abnormalities. overall, her clinical picture has been considered to be most consistent with hypotension secondary to intravascular volume depletion resulting in decreased renal perfusion, prerenal azotemia, and acute tubular necrosis. past medical history: 1. cirrhosis secondary to nonalcoholic steatohepatitis complicated by ascites, esophageal varices, hepatic encephalopathy, decreased synthetic function (hypoalbuminemia and coagulopathy), anemia with increased mcv and thrombocytopenia. 2. type 2 diabetes mellitus requiring insulin. 3. chronic lower extremity edema and recurrent cellulitis. 4. hypothyroidism. 5. dyslipidemia. 6. asthma. 7. obesity. 8. migraine headaches. 9. cholelithiasis. 10. glaucoma. 11. cataracts. 12. sensory neuropathy. 13. cervical spondylotic radiculopathy. medications on transfer: 1. vancomycin. 2. aztreonam. 3. aspirin. 4. nph insulin 29 units in the morning and 12 units in the evening. 5. humalog insulin sliding scale. 6. levothyroxine 75 micrograms q. day. 7. metronidazole. 8. lactulose. 9. vitamin e. 10. renagel. 11. tramadol p.r.n. 12. albuterol p.r.n. 13. protonix. 14. eye drops including acular, prednisolone, flurbiprofen, and brimonidine. allergies: penicillin causes rash; clarithromycin causes rash and keflex causes an unknown reaction. social history: the patient lives at home with her husband. she denies alcohol use, smoking, and illicit drug use. she has a son who lives in , . family history: a maternal uncle and aunt had type 2 diabetes mellitus and coronary artery disease. her father is deceased from a pulmonary embolism. physical examination: at time of transfer, temperature maximum 98.4 f.; heart rate 79 to 88; blood pressure 98 to 116 over 25 to 53; respirations 19; oxygen saturation 95% on room air. intake 1230, output 705. in general, obese, jaundiced woman, sitting in a bedside chair, in no distress. heent: sclerae anicteric. pupils round, 3 millimeters going to 2 millimeters with light. oral mucosa moist without lesions. neck with right ij line, nontender, non-erythematous. no left carotid bruit; supple. lungs with crackles one half of the way up in bilateral lung fields. heart: regular rate, rhythm, normal s1, s2, grade ii/vi systolic ejection murmur over the upper sternal border. abdomen: obese, soft, nontender, palpable spleen, normoactive bowel sounds. extremities: two plus pitting edema in arms and legs; 5 by 2 centimeter ulcer in the left pretibial region. neurological: alert, mentating well, moving four extremities spontaneously. laboratory: white blood cell count 6.9, hematocrit 27.3, platelets 50, inr 1.6, ptt 33.5. sodium 136, potassium 3.3, chloride 104, total carbon dioxide 22, bun 34, creatinine 2.2, glucose 195, calcium 8.7, magnesium 1.7, phosphate 3.2. alt 124, ast 111, alkaline phosphatase 354, total bilirubin 4.2, ldh 362, amylase 48, lipase 40. blood cultures , coagulase negative staphylococcus times two bottles, oxacillin resistant; , no growth to date from four bottles. chest radiograph with bilateral interstitial edema, bilateral pleural effusions. echocardiogram , left ventricular ejection fraction greater than 75%, no regional wall motion abnormalities, trivial mitral regurgitation. hospital course by problem: 1. acute renal failure: the patient, as stated above, had acute renal failure likely secondary to acute tubular necrosis. by the time she was transferred to the floor, she was producing a good amount of urine. her creatinine continued to trend downward and returned to her baseline level of 1.2 prior to discharge. 2. extravascular volume overload with peripheral and interstitial pulmonary edema: these problems likely had multiple contributing factors, including the patient's renal failure and her hypoalbuminemia secondary to liver failure. initially, after arrival to the floor, the patient auto-diuresed without the aid of supplemental diuretics. prior to discharge, the patient was placed back on a lasix regimen and produced good urine in response. her discharge dose of lasix was 80 mg p.o. twice a day. 3. non-st elevation myocardial infarction: as aforementioned the patient had evidence of myocardial infarction based on cardiac enzymes when she was in the intensive care unit. this infarction was attributed to increased myocardial oxygen demand as opposed to a discrete coronary artery lesion. the patient was continued on aspirin. she did not complain of any chest pain throughout her admission. 4. left lower extremity cellulitis, msse bacteremia: the patient was continued on antibiotics for these problems. she received a total of a 14 day course of metronidazole and vancomycin. by the time of discharge, her cellulitis appeared to be improving. she was afebrile throughout her time on the floor. discharge diagnoses: 1. status post acute renal failure secondary to acute tubular necrosis. 2. status post non-st elevation myocardial infarction. 3. non-cardiogenic pulmonary edema. 4. chronic liver failure secondary to nonalcoholic steatohepatitis and complicated by hypoalbuminemia, esophageal varices, anasarca, history of hepatic encephalopathy. 5. obesity. 6. chronic macrocytic anemia, likely secondary to liver failure. 7. chronic thrombocytopenia secondary to splenic sequestration. 8. recurrent cellulitis. 9. coronary artery disease. 10. dyslipidemia. 11. type 2 diabetes mellitus requiring insulin. 12. hypothyroidism. 13. asthma. 14. history of migraine headaches. 15. fibromyalgia. 16. glaucoma. 17. cataracts. 18. cervical spondylosis. condition on discharge: stable. discharge status: to . discharge medications: 1. synthroid 75 micrograms q. day. 2. protonix 40 mg q. day. 3. albuterol. 4. brimonidine drops. 5. colace. 6. tramadol 50 mg q. 12 hours p.r.n. 7. vitamin e. 8. aspirin 81 mg q. day. 9. flurbiprofen eye drops. 10. prednisolone eye drops. 11. ketorolac eye drops. 12. metronidazole 500 mg three times a day for three days. 13. vancomycin one gram q. 12 hours for three days. 14. heparin 5000 units subcutaneously q. 12 hours. 15. lactulose 30 ml q. eight hours p.r.n. 16. nph insulin 42 units q. a.m. and 22 units q. p.m. 17. levofloxacin one tablet q. 24 hours for a seven day course for a urinary tract infection. 18. spironolactone 100 mg twice a day. 19. potassium 40 meq twice a day. 20. furosemide 80 mg p.o. twice a day. 21. regular insulin sliding scale. procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: subendocardial infarction, initial episode of care acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified cirrhosis of liver without mention of alcohol cellulitis and abscess of leg, except foot hepatic encephalopathy ulcer of lower limb, unspecified 

Answer: The patient is high likely exposed to