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: patient recorded as having no known allergies to drugs attending: chief complaint: left tibial nonunion with soft-tissue defect major surgical or invasive procedure: : irrigation and debridement left tibia nonunion wound, adjustable external fixator, removal of antibiotic beads, left tibial nonunion, : right free rectus flap to left lower extremity with full-thickness skin graft 15 x 6 from left thigh with exploration of anterolateral thigh flap. use of the operating microscope. irrigation and debridement left tibia nonunion. 2. open reduction internal fixation left tibial nonunion. 3. iliac crest bone grafting. 4. left fibular osteotomy. 5. left distal tibia and fibula fusion. 6. bone grafting left tibial nonunion : 1. debridement of devitalized muscle flap and skin graft of the left lower extremity. 2. tibialis anterior muscle flap advancement. 3. vacuum-assisted closure (vac) dressing application. history of present illness: 50 y/o woman with hx of intracranial hemorrhage and fractures sustained in horse accident . persistent nonunion of l tib/fib fracture and soft tissue deficit, so admitted for operative management. past medical history: 1. horse accident 2. anxiety 3. depression not responsive to buspion, tegretol, ritalin 4. uti s/p macrobid 5. urosepsis on (e. coli s/p aztreonam) 6. c-diff s/p flagyl. 7. mrsa of lle and sputum 8. dvt 15 years ago s/p 6 mos coumadin now with recent recurrence as above. pastsurghx 1. : irrigation and debridement of grade 3c open left distal tibia/fibula fracture with long-leg splinting. 2. : right-sided frontal temporal craniotomy for evacuation of hematoma. right-sided temporal lobectomy. right-sided mca aneurysm clipping under the microscope. duraplasty. decision to leave bone flap in the freezer for decompression. 3. : left craniotomy for evacuation of epidural hematoma. implantation of left jugular catheter through a separate bur hole and separate incision. 4. : irrigation and debridement of bone. multiplanar ex fix to the left tib-fib. vac dressing to the left medial leg wound. 5. : open reduction, internal fixation of left distal tibia intraarticular fracture. open reduction, internal fixation of left distal fibula fracture. adjustment external fixator, left distal tibia and foot. application of vac dressing. 6. : percutaneous endoscopic gastrostomy tube placement. 7. ivc filter 8. vp shunt 9. vp shunt revision. 10. high tone l shoulder s/p botox inj. 11. lle ext fix removal 12. decannulation . 13. r scv portcath placement social history: married, lives in residential facility. employed as a veteranarian assistant prior to accident family history: noncontributory pertinent results: 08:00pm glucose-89 urea n-15 creat-0.5 sodium-140 potassium-4.0 chloride-103 total co2-27 anion gap-14 08:00pm calcium-9.2 phosphate-3.7 magnesium-2.1 08:00pm wbc-9.2# rbc-3.94* hgb-13.1 hct-38.3 mcv-97 mch-33.3* mchc-34.3 rdw-15.4 08:00pm plt count-307 08:00pm pt-11.7 ptt-22.7 inr(pt)-1.0 brief hospital course: pt. was taken to or on and the following procedures were performed: 1. irrigation and debridement left tibia nonunion wound. 2. adjustable external fixator. 3. removal of antibiotic beads, left tibial nonunion. the patient tolerated this well. cultures from the wound at the time of this procedure grew mrsa, so the patient was restarted on iv vancomycin. (had been d/c'd on after long course of tx) at that time, id was consulted and recommended that wound cultures be repeated during the next procedure, and if negative, antibiotics could be stopped after a 2-week course. on , the patient was taken back to the or and the following procedures were performed: orthopedics: 1. irrigation and debridement left tibia nonunion. 2. open reduction internal fixation left tibial nonunion. 3. iliac crest bone grafting. 4. left fibular osteotomy. 5. left distal tibia and fibula fusion. 6. bone grafting left tibial nonunion. plastic surgery: 7. right free rectus flap to left lower extremity with full-thickness skin graft 15 x 6 from left thigh with exploration of anterolateral thigh flap. the patient also tolerated this procedure well. however, the flap showed progressive necrosis and devitalization and ultimately proved nonviable, so on , she was returned to the or for the following: 1. debridement of devitalized muscle flap and skin graft of the left lower extremity. 2. tibialis anterior muscle flap advancement. 3. vacuum-assisted closure (vac) dressing application. throughout her hospital stay, the patient was hemodynamically stable. she was tachycarcardic with hr in 110's when very agitated, but had hr in 80's-90's when calm. the patient did have some agitation and disorientation during her stay, which responded well to small doses of benzodiazepines. the patient actively holds her leg in flexion at the hip and knee. x-rays are negative for disclocation, and the leg can be straightened without difficulty when the patient is under anesthesia. worked with pt q day to prevent flexion contractures. continues to mostly hold leg in flexion. wound cultures were not repeated, but from the time of her first surgery through her discharge, the patient did not have an elevated white count, never spiked a fever, and never clinically seemed infected, so on re-consultation, id felt that antibiotics could be stopped at the time of discharge, so vanco was d/c'd on discharge medications: 1. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 3. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical (2 times a day). disp:*qs qs* refills:*2* 4. multivitamin tablet sig: one (1) tablet po once a day. 5. docusate sodium 100 mg capsule sig: one (1) capsule po once a day as needed for constipation. 6. bisacodyl 5 mg tablet sig: one (1) tablet po once a day as needed for constipation. 7. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 8. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. aricept 5 mg tablet sig: one (1) tablet po once a day. 10. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po once a day. 11. alprazolam 0.5 mg tablet sig: one (1) tablet po tid prn. 12. diphenhydramine hcl 50 mg tablet sig: one (1) tablet po every six (6) hours as needed. discharge disposition: extended care facility: crotchet mountain discharge diagnosis: left lower extremity wound l tibial fx s/p orif discharge condition: good. tolerating tube feeds, comfortable. discharge instructions: please make sure you keep all your follow-up appointments. please make sure you continue taking all the medications you were taking prior to your hospitalization. your external fixator device is to remain intact for at least the next 4 weeks. you will be following up with dr. in the ortho clinic. your wound vac is to remain intact as well. you will have this changed every 3 days while at rehab. please seek medical attention if you experience any fevers, chills, nausea, night-sweats or vomiting. or if you notice any wound redness, swelling or drainage. followup instructions: please call the plastics surgery and schedule an appointment with dr. for next friday . please call the clinic @ ( and schedule an appointment with dr. in 4 weeks upon hospital discharge. procedure: graft of muscle or fascia advancement of pedicle graft debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula excision of bone for graft, other bones revision of pedicle or flap graft full-thickness skin graft to other sites other repair or plastic operations on bone, tibia and fibula bone graft, tibia and fibula diagnoses: dysthymic disorder nonunion of fracture mechanical complication due to graft of other tissue, not elsewhere classified late effect of fracture of lower extremities 

Answer: The patient is high likely exposed to