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: influenza virus vaccine attending: chief complaint: rest pain and block claudication on right lower extremity major surgical or invasive procedure: :jump graft from previous right femoral-to- anterior tibial bypass graft to right posterior tibial artery with reversed left arm basilic vein, angioscopy and vein inspection. history of present illness: the patient is an elderly female with longstanding right femoral-to-anterior tibial bypass. the distal runoff has suffered significant damage over the last 10 years since the bypass and although the graft is still widely patent it is patent mostly in a retrograde fashion and then through collaterals fills the posterior tibial. she has rest pain and numbness and can only walk about a half a block. decision was made past medical history: h/o cdiff (), htn, gerd, hiatal hernia, hypothyroid, lung ca, depression, pvd, thrombocytosis, psh: right femoral-to-anterior tibial bypass, s/p lung resection, lap ccy, thyroidectomy, basal cell, s/p l carotid stent ; rle angiogram social history: lives alone; retired silk finisher. her daughter lives in , just a few minutes away and son lives in . she has a 30 pack-year history of smoking. she has an occasional alcoholic drink. family history: mother - lung ca. father - ca, cad -> mi physical exam: gen: elderly female in nad, alert and oriented cv: rrr lungs: cta bilat abd: soft no m/t/o extremities: lue with mild edema, wound is c/d/i with no erythema or drainage. rle is slightly edematous, wounds are c/d/i without erythema or drainage. to rle pulses: fem palp bilat; l dp/pt dopp; r pt palp; r dp dopp; r graft - palp pertinent results: 6:46 am urine source: catheter. **final report ** urine culture (final ): no growth. 10:36 pm urine source: catheter. **final report ** urine culture (final ): no growth. 6:54 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. discharge labs: 06:21am blood wbc-13.0* rbc-3.31* hgb-9.4* hct-30.4* mcv-92 mch-28.4 mchc-30.9* rdw-14.7 plt ct-1393* 06:21am blood neuts-71.9* lymphs-15.6* monos-5.3 eos-6.8* baso-0.4 06:21am blood glucose-104* urean-17 creat-1.1 na-135 k-4.2 cl-98 hco3-28 angap-13 06:21am blood calcium-8.6 phos-4.3 mg-1.7 brief hospital course: ms. was admitted on and underwent a jump graft from previous right femoral-to-anterior tibial bypass graft to right posterior tibial artery with reversed left arm basilic vein, angioscopy and vein inspection. she tolerated the procedure well. post operatively she was taken to the cvicu, intubated. she received a unit of packed red blood cells for acute blood loss anemia. she was extubated overnight and was doing well. she was transfered to the vicu on pod 1. a urinalysis was postivie and she was started on cipro for a uti. on pod 2 she was out of bed, and became hypotensive. her h/h was low and she was transfused another unit of packed rbcs for acute blood loss anemia. she responded appropriately. on pod 3 she recieved another unit of prbcs with good response. her initial urine culture did not grow any bacteria, however, on pod 4 her white blood cell count was elevated. she had another positive ua. she was changed to ceftriaxone for uti at the recommendation of the id team. she completed a 3 day course of ceftriaxone, and her second urine culture ultimately had no growth. she worked with pt and did well with assistance of a walker. her thrombocytosis was fairly stable during her hospitalization, with platelets peaking at 1230. she continued to make steady progress. on pod 6 she had orthostatic hypotension when ambulating and was kept overnight for further monitoring. on pod 7 she ambulated with her walker and did well, without hypotension or any other symptoms. her wbc was slightly elevated, although no acute infectious process was identified. this was thought to be likely an inflammatory response and not infectious in nature. we recommend she follow up with her pcp next week. she was deemed stable for discharge home with services. she will follow up surgery in 2 weeks. of note, her coumadin was stopped after her bypass. she should not need it with the new graft. this was communicated with her pcp. medications on admission: aspirin 81'; amlodipine 10'; clopidogrel 75 '; enoxaparin - 60 mg/0.6 ml syringe through ; levothyroxine 112mcg'; metoprolol succinate 50'; mirtazapine 45qhs; omeprazole 40'; pravastatin 40'; tramadol 50'; triamterene-hydrochlorothiazid -75-50'; warfarin 4' daily except 3' on mondays and fridays *history of arterial thrombosis* discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 4. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). 5. mirtazapine 45 mg tablet sig: one (1) tablet po once a day. 6. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 7. pravastatin 40 mg tablet sig: one (1) tablet po once a day. 8. triamterene-hydrochlorothiazid 75-50 mg tablet sig: one (1) tablet po once a day. 9. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 10. tramadol 50 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 11. stop taking coumadin after your bypass, you do not need to take this anymore 12. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. discharge disposition: home with service facility: discharge diagnosis: ischemic right foot discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: division of and endovascular surgery lower extremity bypass surgery discharge instructions what to expect when you go home: you should have someone stay with you for the first few days after discharge. 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? you will have a nurse wrap your right leg. also, elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over incision, rinse and pat dry ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take enteric coated aspirin daily ?????? keep your follow up appt what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 10:15 provider: (nhb) phone: date/time: 1:00 provider: , md phone: date/time: 1:45 please follow up with your pcp next week. procedure: other (peripheral) vascular shunt or bypass diagnoses: esophageal reflux urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism personal history of malignant neoplasm of bronchus and lung personal history of tobacco use depressive disorder, not elsewhere classified examination of participant in clinical trial atherosclerosis of native arteries of the extremities with rest pain orthostatic hypotension essential thrombocythemia 

Answer: The patient is high likely exposed to