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: no known allergies / adverse drug reactions attending: chief complaint: left neck swelling major surgical or invasive procedure: : l carotid artery pseudoaneurysm resection--ligation l ica/cca history of present illness: the patient is an 82 year old woman with history of bilateral ceas (r , l ) who presented to her pcp with approximately 5 days do l neck swelling with no associated symptoms. her pcp sent her to the ed where a cta neck was performed showing a 3.0 x 2.7 x4.6 cm l carotid pseudoaneurysm. she had no focal neurological deficits but did endorse a l sided headache. she was hypertensive and in rapid atrial fibrillation (she has a history of paroxysmal a-fib). she was transferred to for operative management. past medical history: paroxysmal a-fib, chf, hyperlipidemia, copd, htn, avnrt s/p embolization, pleural effusions, hypothyroidism, depression, anxiety, carotid disease psh: r cea , l cea , gastrectomy, cardiac ablation social history: lives alone, remote smoking history, occasional etoh family history: no fh of premature cad, arrhythmia, or scd. physical exam: vss afebrile gen - wdwn elderly female in nad, alert and oriented neck - incision c/d/i with steri strips in place card - irreg rhythm, no m/r/g lungs - cta bilat abd - soft no m/t/o extremities - trace edema le bilat, warm, well perfused pertinent results: 01:00am blood wbc-11.0 rbc-4.78 hgb-14.7 hct-43.0 mcv-90 mch-30.8 mchc-34.3 rdw-15.0 plt ct-279 07:10am blood wbc-8.2 rbc-3.63* hgb-11.3* hct-33.2* mcv-92 mch-31.3 mchc-34.1 rdw-15.6* plt ct-257 01:00am blood pt-37.8* ptt-34.8 inr(pt)-3.8* 07:10am blood pt-13.4 ptt-32.0 inr(pt)-1.1 01:00am blood glucose-110* urean-25* creat-1.1 na-135 k-5.0 cl-100 hco3-22 angap-18 07:10am blood glucose-109* urean-14 creat-1.1 na-139 k-3.9 cl-99 hco3-32 angap-12 01:00am blood ctropnt-<0.01 02:39pm blood ck-mb-5 ctropnt-<0.01 10:00am blood ck-mb-4 ctropnt-<0.01 02:45pm blood ck-mb-4 ctropnt-<0.01 01:00am blood calcium-9.4 phos-3.8 mg-2.0 02:39pm blood digoxin-1.3 04:13pm urine color-yellow appear-hazy sp -1.007 04:13pm urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-lg 04:13pm urine rbc-2 wbc-29* bacteri-few yeast-none epi-13 transe-<1 3:20 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. 12:24 pm swab left neck abccess. **final report ** gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. wound culture (final ): no growth. 6:10 pm urine source: cvs. **final report ** urine culture (final ): no growth. 4:13 pm urine source: cvs. **final report ** urine culture (final ): yeast. 10,000-100,000 organisms/ml.. brief hospital course: ms. was admitted from an osh to the vascular service and placed in the cvicu with a left carotid pseudoaneurysm. she was tachycardic on admission with a known history of afib with poor rate control. she was started on an amiodarone gtt. she was also started on prophylactic antibiotics. a cardiology consult was obtained given the afib with rvr. they recommended diuresis and rate control with iv metoprolol. she underwent preop evaluation, was consented and taken to the or for l ca pseudoaneurysm resection--ligation l ica/cca. she tolerated the procedure well and was transfered back to the cvicu post operatively. she was still quite hypertensive and tachycardiac overnight and was managed with iv gtts. on pod 1 she was transitioned to oral medications. she was neurologically intact and doing well. her rate control was decent although she continued to have bursts of tachycardia throughout her stay. her home medications were confirmed with her daughter and her home pharmacy and they were all resumed accordingly. the patients daughter reported she had a long history of afib with difficulty controlling and had failed cardioversion x 3 as well as multiple medication regimens. when hemodynamically stable and rate controlled she was transfered to the vascular floor. she continued to be monitored closely. she began working with pt, her jp drain was removed and her coumadin restarted. she continued to show improvement. pt worked with her daily and ultimately cleared her for home with pt. she was placed on lovenox injections in conjunction with her coumadin until her inr is therapeutic. she continued to have short of rapid afib which spontaneously resolved. discussion with her pcp revealed this is baseline for the patient. she had a wound culture which ultimately grew no organisms, as well as two urine cultures, one which grew nothing, the second which grew minimal yeast. by pod 5 she was able to ambulate independently, was tolerating a regular diet and voiding without difficulty. she was cleared by pt for home with services. her bp and rate were felt to be at baseline, and her wound was clean and healing nicely. she was deemed stable for discharge home with close follow up both in the vascular clinic and with her pcp. medications on admission: toprol 100'', lasix 20', coumadin 5', digoxin 0.125', levothyroxine .075', diovan 80', sertraline 100', advair'', spiriva', combivent'', albuterol prn discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day): while on narcotics. 3. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheezing. 4. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 5. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily): call pcp for refills. disp:*30 tablet(s)* refills:*1* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day: resume home dose. 9. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 10. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 11. sertraline 100 mg tablet sig: one (1) tablet po once a day. 12. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po bid (2 times a day). 13. warfarin 1 mg tablet sig: four (4) tablet po once daily at 4 pm. disp:*60 tablet(s)* refills:*0* 14. enoxaparin 100 mg/ml syringe sig: one (1) syringe subcutaneous daily (daily): until inr therapeutic 2.0-3.0. 15. outpatient lab work please check pt/inr starting . check twice per week, and as needed. results to pcp who previously followed. discharge disposition: home with service facility: homecare discharge diagnosis: l carotid artery pseudoaneurysm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery discharge instructions what to expect when you go home: 1. surgical incision: ?????? it is normal to have some swelling and feel a firm ridge along the incision ?????? your incision may be slightly red and raised, it may feel irritated from the staples 2. you may have a sore throat and/or mild hoarseness ?????? try warm tea, throat lozenges or cool/cold beverages 3. you may have a mild headache, especially on the side of your surgery ?????? try ibuprofen, acetaminophen, or your discharge pain medication ?????? if headache worsens, is associated with visual changes or lasts longer than 2 hours- call vascular surgeon??????s office 4. 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! 5. 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 ?????? no excessive head turning, lifting, pushing or pulling (greater than 5 lbs) until your post op visit ?????? you may shower (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 one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? temperature greater than 101.5f 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: 2:30 you should make an appt with your pcp in the next 7-10 days. procedure: other repair of aneurysm other surgical occlusion of vessels, other vessels of head and neck diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation depressive disorder, not elsewhere classified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure long-term (current) use of anticoagulants personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits infection and inflammatory reaction due to other vascular device, implant, and graft mechanical complication of other vascular device, implant, and graft aneurysm of artery of neck 

Answer: The patient is high likely exposed to