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: service: micu history of present illness: mrs. is a 53-year-old female with a multitude of medical problems who was admitted on to with mrsa and vre bacteremia. patient was just recently discharged from at the pneumonia and pleural effusion as well as mental status changes. upon her discharge to , she was noted to have urinary tract infection with klebsiella for which she received a full course of antibiotics namely amikacin and cipro which ended on . her repeat urine cultures grew klebsiella, staph, and enterococcus. her blood cultures drawn revealed mrsa and vre for which the center. upon arrival at , she began her treatment with vancomycin for mrsa bacteremia. initially, she was started on linazolid for vre, however, following id evaluation, that was thought to be colonization. no other cultures drawn at confirmed vre. the patient underwent an echocardiogram which revealed an ejection fraction of 75% and no vegetations, as well as spine films to evaluate for osteomyelitis which were negative. on , the patient was noted to have increased oxygen requirement as well as shortness of breath and mental status changes. to maintain her saturations of 90%, she required a nonrebreather mask and due to the mental status changes was evaluated for medical intensive care unit admission. at the time of being evaluated by the micu team, the patient was confused and was not able to provide any history. she was using accessory muscles of ventilation and was pulling off her nonrebreather mask. an arterial blood gas was drawn which revealed a ph of 7.37, pco2 of 24, and po2 of 60. patient was changed to bipap mask and transferred to medical intensive care unit. social history: patient is a jehovahs witness. she had a 35 pack year smoking history, quit in . she denied any alcohol. healthcare proxy was , . family history: noncontributory. past medical history: 1. congestive obstructive pulmonary disease with 35 pack year smoking history on 2 liters home o2, no co2 retention per prior blood gases. 2. obstructive-sleep apnea on cpap - patient is poorly compliant. 3. diabetes mellitus type 2. 4. adrenal insufficiency secondary to steroid use on chronic steroids. 5. avm malformation of the gut status post gastrointestinal bleeding. 6. history of hit-antibody positivity. 7. history of liver failure of unknown etiology. full workup was undertaken on prior admissions and was negative. two leading etiologies are alcohol and nash. 8. status post cholecystectomy. 9. status post total abdominal hysterectomy. 10. status post left total knee replacement. physical examination on admission to micu: temperature is 98.6 rectally, blood pressure 105/70, respiratory rate 20, heart rate 88, o2 saturation 99% on bipap mask with 60% fio2. generally, the patient was an elderly female with moderate respiratory distress using her accessory muscles of ventilation. she was somnolent and not oriented. heent: she had scleral icterus. pupils are equal and reactive to light. extraocular movements are intact. oropharynx was clear. could not assess jugular venous pressure due to the body habitus. heart was regular, rate, and rhythm, no murmurs, rubs, or gallops were appreciated. lungs were with decreased breath sounds on the left base. abdomen was soft, obese. could not assess for ascites or hepatosplenomegaly. extremities were edematous with 3+ pitting edema. there is no cyanosis noted. laboratory findings on admission to micu: white count 20.9 which is up from 14, hematocrit 27.8, platelet count 118, mcv 107. sodium 143, potassium 4.1, chloride 115, bicarbonate 15, bun 17, creatinine 2.0, glucose 81. calcium was 8.5, phosphorus 5.3, magnesium 1.8. her inr was 2.5, ptt was 43.6. vancomycin level was 20.2. her last lfts done on showed an alt and ast of 41 and 46, alkaline phosphatase of 152, t bilirubin of 6.6. her arterial blood gas drawn on bipap of at 60% of fio2 showed a ph of 7.27, pco2 of 30, po2 of 92. blood cultures drawn on 14th and no growth to date. blood cultures drawn on had 2/4 bottles growing vre linazolid sensitive. the blood cultures drawn on showed mrsa. her urine cultures have been negative throughout the whole hospitalization with exception of culture drawn on , which revealed more than 100,000 of yeast. chest x-ray: on showed a picc line in the brachiocephalic vein, increased left pleural effusion, continuous left lower lobe collapsed consolidation. echocardiogram performed on showed hyperdynamic left ventricle with an ejection fraction of 75%, moderate pulmonary hypertension. hospital course: in summary, the patient is a 53-year-old female with liver failure of unknown etiology as well as renal failure with mrsa bacteremia. admitted to micu for acute respiratory decompensation. during this hospitalization, the patient's issues included: 1. mrsa bacteremia. the patient was continued on vancomycin. for the presumed left lower lobe pneumonia, she was started on levofloxacin and flagyl. linezolid was d/c'd as per id recommendations. 2. hypoxia. the patient had enlarged aa gradient that was most likely due to combination of her pulmonary hypertension, pneumonia, and congestive obstructive pulmonary disease. she was not able to tolerate bipap due to the mental status changes and required intubation on . 3. acute renal failure. the patient was thought to be prerenal, however, throughout her micu stay, she was aggressively hydrated with normal saline and lactated ringers with improvement in her creatinine and minimal urine output. 4. liver failure. patient's inr remained elevated. her albumin was 2.0. she was presumed to be encephalopathic and an og tube was placed for lactulose delivery. 5. patient has a history of hit antibody positivity. she did not receive any heparin during this hospitalization. 6. adrenal insufficiency. the patient was continued on high dose hydrocortisone for possible congestive obstructive pulmonary disease exacerbation as well as for adrenal insufficiency. 7. diabetes. the patient was maintained on sliding scale and her glucose was monitored. 8. access. picc line and a-line which was placed on . upon extensive discussion with the family, with the light of the patient becoming hypotensive, a decision was made to concentrate on patient's comfort. patient's severe acidosis continued to progress and she passed away on at 1:28 pm. family was at the bedside. request for autopsy was denied. immediate cause of death: 1. hypertension. 2. acidosis. chief cause of death: liver, kidney, and pulmonary failure. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified acidosis acute kidney failure with lesion of tubular necrosis candidiasis of other urogenital sites obstructive chronic bronchitis with (acute) exacerbation methicillin susceptible staphylococcus aureus septicemia acute respiratory failure hepatic encephalopathy 

Answer: The patient is high likely exposed to